Evidence map›Paper›PMID 40595886›Full record

ArticleScientific reports2025

Association between chronic pain and substance use.

Rezaul Karim Ripon, Nasim Maleki

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

2 authors.

Rezaul Karim RiponHarvard T H Chan School of Public Health, Boston, USA.
Nasim MalekiDepartement of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Suite 162, Building 62, 13th Street, Charlestown, MA, 02129, USA. nmaleki@mgh.harvard.edu.

Funding

Identifying Markers of Chronic Pain Development in AlcoholismK01AA027833 · NIAAA · MASSACHUSETTS GENERAL HOSPITAL · PI MALEKI, NASIM · 2020 to 2024
$911k
NIAAA NIH HHS K01 AA027833NIAAA NIH HHS K01-AA027833
6 · The paper itself

Abstract

Chronic pain is a significant global health problem that affects millions of people globally and in the US which can sometimes lead to unhealthy coping mechanisms such as substance use. This case-control study aimed to examine the relationship between chronic pain and substance use using data from the National Health and Nutrition Examination Study (NHANES). Descriptive analysis and logistic regression models were used to compare the odds of substance use in individuals according to a history of ongoing (≥ 6 weeks) or chronic pain (≥ 3 months). A total of 980 individuals were included in the analysis. Among them, 87.4% reported no substance use, 10.2% single substance use, and 2.3% polysubstance use. Compared with 19.33% of non-substance users, 23.36% of single substance users and 39.21% of polysubstance users reported current ongoing pain (p-value: 0.04). Examining the association between substance use and chronic pain revealed that polysubstance users had a significantly higher risk of having current or a history of ongoing pain or a history of chronic pain compared to non-users, with adjusted odds ratios (aORs) ranging from 2.28 (95% CI 2.27-2.29) to 6.30 (95% CI 6.28-6.32). Single substance users also faced increased risk, with aORs from 1.19 (95% CI 1.18-1.20) to 2.14 (95% CI 2.13-2.15). These results highlight the elevated risk of substance use associated with chronic pain, particularly elevated risk of polysubstance use, after adjustments for demographic, socioeconomic, and mental health factors. These findings emphasize the need for targeted interventions addressing chronic pain to potentially mitigate substance use risks.

Indexed as

Chronic PainSubstance-Related DisordersAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedNutrition SurveysOdds RatioRisk FactorsUnited StatesYoung AdultChronic painDepressionDepressive symptomsPolysubstanceSubstance use

Identifiers

PMID40595886
PMCPMC12217847

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.