ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2025
Development of chronic pain and high-impact chronic pain across the US rural-urban continuum, 2019-2020.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Integrated nurse care management to reduce pain interference for primary care patients in rural communities: results from a pilot study.Pain medicine (Malden, Mass.) · 2026Article
- Rural-Urban Differences in the Impact of a Medicare Opioid Safety Policy on Beneficiaries with Disabilities.American journal of preventive medicine · 2026Article
- Sociodemographic Factors, but Not Rurality, Explain Limited Variance in Fibromyalgia Severity: A Secondary Analysis of Two Randomized Clinical Trials.Pain medicine (Malden, Mass.) · 2026Article
- Translation, validation, and reliability of Örebro Musculoskeletal Screening Questionnaire in Nepali.BMC musculoskeletal disorders · 2026Article
- Biopsychosocial and Cultural Determinants of Functioning and Healthcare Outcomes in Chronic Non-Cancer Pain: An Integrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Reaching rural veterans: Applying mind-body skills for pain using a whole health telehealth intervention: The RAMP pilot study.Contemporary clinical trials · 2026Article
- Expanding rural access to chronic pain care through nurse care management: A hybrid type I effectiveness-implementation trial protocol.PloS one · 2026Article
- Chronic pain prevalence and trends in urban, suburban, and rural areas among American adults aged 55+, 1998-2022.Social science & medicine (1982) · 2025Article
- Welfare policies, joint pain prevalence and educational gaps in 50 U.S. states from 2011 to 2021: A fixed effects analysis.The journal of pain · 2025Article
- 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 · 2025Article
- Cannabis Certifications for Severe Chronic and Intractable Pain: Geographic Patterns across Pennsylvania, USA.Medical cannabis and cannabinoidsArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeRural health disadvantages are well documented in previous literature; however, research on rural-urban disparities in chronic pain outcomes is scarce. This paper fills this gap by examining pain prevalences and longitudinal transitions across the rural-urban continuum (i.e., large central metro, large fringe metro, medium and small metro, and nonmetropolitan).
methodsBased on the 2019-2020 National Health Interview Survey Longitudinal Cohort (NHIS-LC) data, we examined the disparities in pain prevalences and transitions among different pain statuses, including no pain, nonchronic pain, chronic pain, and high-impact chronic pain (HICP), across the rural-urban continuum and by age, sex, race/ethnicity, and region. A test for linear trend was conducted to examine the significance of linear changes across the rural-urban continuum.
findingsThe findings reveal significant linear increases in the prevalence of chronic pain and HICP, as well as transitions from no pain to nonchronic pain and from nonchronic pain to more severe pain conditions, along the continuum from metropolitan to nonmetropolitan areas. Subgroup analyses indicate that rural-urban gaps are most pronounced among middle-aged (45-64) groups and non-Hispanic Whites.
conclusionsThis longitudinal analysis provides new evidence on rural-urban health disparities by focusing on pain, highlighting the urgent need to enhance health care services in remote and rural areas for effective pain prevention and management.
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