Evidence map›Paper›PMID 41490609›Full record

ArticlePreventive medicine2026

Country-level gender inequality and sex disparities in adolescent chronic pain: A 47-country analysis.

Rui Li, Rui Huang, Kavin Srinakarin, Anna Zajacova, Zachary Zimmer, Tonya Palermo, Hanna Grol-Prokopczyk

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Article in Preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Rui LiCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA; Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: Rui.Li@seattlechildrens.org.
Rui HuangDepartment of Sociology and Criminology, University at Buffalo, Buffalo, NY, USA.
Kavin SrinakarinCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.
Anna ZajacovaDepartment of Sociology, University of Western Ontario, London, ON, Canada.
Zachary ZimmerGlobal Aging and Community Initiative, Department of Family Studies and Gerontology, Mount Saint Vincent University, Halifax, NS, Canada.
Tonya PalermoCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA; Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Hanna Grol-ProkopczykDepartment of Sociology and Criminology, University at Buffalo, Buffalo, NY, USA.

Funding

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 AG065351
6 · The paper itself

Abstract

objectiveTo examine how country-level gender inequality relates to adolescent chronic pain prevalence and sex disparities.

methodsWe linked country-level Gender Inequality Index (GII) and lifetime prevalence of intimate partner violence (IPV) against women to 2017/18 Health Behavior in School-aged Children data from 244,097 adolescents ages 11-15 in 47 countries. Relative sex disparities in pain prevalence (female:male prevalence ratio [PR]) were examined with modified Poisson regression with country-cluster-robust standard errors; absolute disparities (prevalence difference [PD]) with multilevel linear probability models.

resultsChronic pain prevalence ranged from 32.30% to 58.72% across countries (overall 44.32%; I

conclusionsStructural gender inequality shapes both the population burden of adolescent chronic pain and sex disparities, underscoring the relevance of structural context and the need for more research in lower-income countries.

Indexed as

Chronic PainGender EquityHealth Status DisparitiesIntimate Partner ViolenceAdolescentChildFemaleGlobal HealthHumansMalePrevalenceSex FactorsSocioeconomic FactorsAdolescentChronic painGender inequalitySex disparitiesSocial factorsSocietal determinants

Identifiers

PMID41490609
PMCPMC13348080

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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.