Evidence map›Paper›PMID 38968815›Full record

ArticleHealth & place2024

Rural-urban residence and life expectancies with and without pain.

Feinuo Sun, Zachary Zimmer, Nicolas Brouard

Abstract read
In one paragraph

Article in Health & place, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Development of chronic pain and high-impact chronic pain across the US rural-urban continuum, 2019-2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  7. Article
  8. U.S. Rural Population Health and Aging in the 2020s.The Public policy and aging report · 2025
    Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Feinuo SunDepartment of Kinesiology, University of Texas at Arlington, Arlington, TX, United States. Electronic address: Feinuo.Sun@uta.edu.
Zachary ZimmerGlobal Aging and Community Initiative, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.
Nicolas BrouardDepartment of Mortality Health and Epidemiology, French Institute for Demographic Studies, Paris, France.

Funding

Interdisciplinary Network on Rural Population Health and AgingR24AG065159 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JENSEN, LEIF · 2019 to 2023
$1.9M
The Demography of Chronic Pain: A Population Approach to Pain Trends, Pain Disparities, and Pain-Related Disability and DeathR01AG065351 · NIA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI GROL-PROKOPCZYK, HANNA · 2020 to 2024
$1.5M
NIA NIH HHS R01 AG065351NIA NIH HHS R24 AG065159
6 · The paper itself

Abstract

This paper analyzes rural-urban disparities in life expectancy with and without pain among upper-middle age and older adults. Data are from the nationally representative Health and Retirement Study, 2000-2018, N = 18,160, age 53+. Interpolated Markov Chain software, based on the multistate life tables, is used to calculate absolute and relative pain expectancies by age, sex, rural-suburban-urban residence and U.S. regions. Results show significant rural disadvantages versus those in urban and often suburban areas. Example: males at 55 in rural areas can expect to live 15.1 years, or 65.2 percent pain-free life, while those in suburban areas expect to live 1.7 more years, or 2.6 percentage points more, pain-free life and urban residents expect to live 2.4 more year, or 4.7 percentage points more. The rural disadvantage persists for females, with differences being a little less prominent. At very old age (85+), rural-urban differences diminish or reverse. Rural-urban pain disparities are most pronounced in the Northeast and South regions, and least in the Midwest and West. The findings highlight that rural-urban is an important dimension shaping the geography of pain. More research is needed to disentangle the mechanisms through which residential environments impact people's pain experiences.

Indexed as

Chronic PainLife ExpectancyRural PopulationUrban PopulationAgedAged, 80 and overFemaleHealth InequitiesHumansMaleMiddle AgedPrevalenceUnited StatesChronic painHealth expectancyQuality of lifeRural-urban health disparities

Identifiers

PMID38968815
PMCPMC11402582

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.