Skip to main content
Top
Published in: BMC Geriatrics 1/2024

Open Access 01-12-2024 | Joint Pain | Research

Socioeconomic variation in the prevalence of pain by anatomical sites among middle-aged and older adults in India: a cross-sectional study

Authors: Amit Kumar Goyal, Sanjay K. Mohanty

Published in: BMC Geriatrics | Issue 1/2024

Login to get access

Abstract

Background

Pain is a significant global public health concern, particularly among individuals aged 45 and above. Its impact on the overall lifestyle of the individuals varies depending on the affected anatomical parts. Despite its widespread impact, there is limited awareness of the attributes of pain, making effective pain management challenging, particularly in India. This study aims to estimate the prevalence and variation in pain in different anatomical sites among middle-aged and older adults in India.

Methods

A cross-sectional design was employed, utilising data from the first wave of the Longitudinal Aging Study in India (LASI), 2017–2018. The age-sex adjusted prevalence of pain by anatomical sites (the back, joints, and ankles) was estimated using a multivariate logistic regression model.

Results

47% of individuals aged 45 years and above reported joint pain, 31% reported back pain and 20% suffered from ankle or foot pain. The prevalence of pain at all the anatomical sites increased with age and was reported higher among females. Relative to respondents aged 45–59 years, those aged 75 years and older exhibited a 41% higher likelihood of experiencing back pain (AOR: 1.41, 95% CI: 1.19–1.67), a 67% higher likelihood of joint pain (AOR: 1.67, 95% CI: 1.49–1.89), and a 32% higher likelihood of ankle/foot pain (AOR: 1.32, 95% CI: 1.16–1.50). In comparison to males, females had a 56% higher likelihood of encountering back pain (AOR: 1.56, 95% CI: 1.40–1.74), a 38% higher likelihood of joint pain (AOR: 1.38, 95% CI: 1.27–1.50), and a 35% higher likelihood of ankle/foot pain (AOR: 1.35, 95% CI: 1.17–1.57). We also found significant regional variations in pain prevalence, with higher rates in the mountainous regions of India.

Conclusion

This research highlights the high burden of pain in major anatomical sites among middle-aged and older adults in India and emphasises the need for increased awareness and effective pain management strategies.
Appendix
Available only for authorised users
Literature
2.
go back to reference Johansson MM, Barbero M, Peolsson A, Falla D, Cescon C, Folli A, Dong H-J. Pain characteristics and quality of life in older people at high risk of future hospitalization. 2021, 18(3):958. Johansson MM, Barbero M, Peolsson A, Falla D, Cescon C, Folli A, Dong H-J. Pain characteristics and quality of life in older people at high risk of future hospitalization. 2021, 18(3):958.
3.
go back to reference Wettstein M, Eich W, Bieber C, Tesarz J. Pain Intensity, disability, and quality of life in patients with chronic low back Pain: does Age Matter? Pain medicine (Malden, Mass) 2019, 20(3):464–75. Wettstein M, Eich W, Bieber C, Tesarz J. Pain Intensity, disability, and quality of life in patients with chronic low back Pain: does Age Matter? Pain medicine (Malden, Mass) 2019, 20(3):464–75.
4.
go back to reference Prince MJ, Wu F, Guo Y, Gutierrez Robledo LM, O’Donnell M, Sullivan R, Yusuf S. The burden of disease in older people and implications for health policy and practice. Lancet. 2015;385(9967):549–62.CrossRefPubMed Prince MJ, Wu F, Guo Y, Gutierrez Robledo LM, O’Donnell M, Sullivan R, Yusuf S. The burden of disease in older people and implications for health policy and practice. Lancet. 2015;385(9967):549–62.CrossRefPubMed
5.
go back to reference Nygaard PP, Skovlund SV, Sundstrup E, Andersen LL. Is low-back pain a limiting factor for senior workers with high physical work demands? A cross-sectional study. BMC Musculoskelet Disord. 2020;21(1):622.CrossRefPubMedPubMedCentral Nygaard PP, Skovlund SV, Sundstrup E, Andersen LL. Is low-back pain a limiting factor for senior workers with high physical work demands? A cross-sectional study. BMC Musculoskelet Disord. 2020;21(1):622.CrossRefPubMedPubMedCentral
6.
go back to reference Makris UE, Higashi RT, Marks EG, Fraenkel L, Gill TM, Friedly JL, Reid MC. Physical, emotional, and Social impacts of restricting back Pain in older adults: a qualitative study. Pain Med (Malden Mass). 2017;18(7):1225–35. Makris UE, Higashi RT, Marks EG, Fraenkel L, Gill TM, Friedly JL, Reid MC. Physical, emotional, and Social impacts of restricting back Pain in older adults: a qualitative study. Pain Med (Malden Mass). 2017;18(7):1225–35.
8.
go back to reference Mohanty SK, Ambade M, Upadhyay AK, Mishra RS, Pedgaonkar SP, Kampfen F, O’Donnell O, Maurer J. Prevalence of pain and its treatment among older adults in India: a nationally representative population-based study. Pain. 2023;164(2):336–48.CrossRefPubMed Mohanty SK, Ambade M, Upadhyay AK, Mishra RS, Pedgaonkar SP, Kampfen F, O’Donnell O, Maurer J. Prevalence of pain and its treatment among older adults in India: a nationally representative population-based study. Pain. 2023;164(2):336–48.CrossRefPubMed
9.
go back to reference Muhammad T, Rashid M. Prevalence and correlates of pain and associated depression among community-dwelling older adults: cross-sectional findings from LASI, 2017–2018. 2022, 39(2):163–74. Muhammad T, Rashid M. Prevalence and correlates of pain and associated depression among community-dwelling older adults: cross-sectional findings from LASI, 2017–2018. 2022, 39(2):163–74.
10.
go back to reference Wong AYL, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disorders. 2017;12:14.CrossRefPubMedPubMedCentral Wong AYL, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disorders. 2017;12:14.CrossRefPubMedPubMedCentral
11.
go back to reference Janevic MR, McLaughlin SJ, Heapy AA, Thacker C, Piette JD. Racial and socioeconomic disparities in disabling Chronic Pain: findings from the Health and Retirement Study. J Pain. 2017;18(12):1459–67.CrossRefPubMedPubMedCentral Janevic MR, McLaughlin SJ, Heapy AA, Thacker C, Piette JD. Racial and socioeconomic disparities in disabling Chronic Pain: findings from the Health and Retirement Study. J Pain. 2017;18(12):1459–67.CrossRefPubMedPubMedCentral
12.
go back to reference Alan F, Peter C, Langford RM, Liam D, Gareth TJ, Graeme J. Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies. BMJ Open 2016. Alan F, Peter C, Langford RM, Liam D, Gareth TJ, Graeme J. Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies. BMJ Open 2016.
13.
go back to reference de Moraes Vieira EB, Garcia JB, da Silva AA, Mualem Araújo RL, Jansen RC. Prevalence, characteristics, and factors associated with chronic pain with and without neuropathic characteristics in São Luís, Brazil. J Pain Symptom Manag. 2012;44(2):239–51.CrossRef de Moraes Vieira EB, Garcia JB, da Silva AA, Mualem Araújo RL, Jansen RC. Prevalence, characteristics, and factors associated with chronic pain with and without neuropathic characteristics in São Luís, Brazil. J Pain Symptom Manag. 2012;44(2):239–51.CrossRef
15.
go back to reference Perianayagam A, Bloom D, Lee J, Parasuraman S, Sekher TV, Mohanty SK, Chattopadhyay A, Govil D, Pedgaonkar S, Gupta S, et al. Cohort Profile: the longitudinal ageing study in India (LASI). Int J Epidemiol. 2022;51(4):e167–76.CrossRefPubMedPubMedCentral Perianayagam A, Bloom D, Lee J, Parasuraman S, Sekher TV, Mohanty SK, Chattopadhyay A, Govil D, Pedgaonkar S, Gupta S, et al. Cohort Profile: the longitudinal ageing study in India (LASI). Int J Epidemiol. 2022;51(4):e167–76.CrossRefPubMedPubMedCentral
16.
go back to reference Noroozian M, Raeesi S, Hashemi R, Khedmat L, Vahabi Z. Pain: the neglect issue in Old people’s life. Open Access Macedonian J Med Sci. 2018;6(9):1773–8.CrossRef Noroozian M, Raeesi S, Hashemi R, Khedmat L, Vahabi Z. Pain: the neglect issue in Old people’s life. Open Access Macedonian J Med Sci. 2018;6(9):1773–8.CrossRef
17.
go back to reference Stewart Williams J, Ng N, Peltzer K, Yawson A, Biritwum R, Maximova T, Wu F, Arokiasamy P, Kowal P, Chatterji S. Risk factors and disability Associated with Low Back Pain in older adults in low- and Middle-Income Countries. Results from the WHO Study on Global AGEing and Adult Health (SAGE). PLoS ONE. 2015;10(6):e0127880.CrossRefPubMedPubMedCentral Stewart Williams J, Ng N, Peltzer K, Yawson A, Biritwum R, Maximova T, Wu F, Arokiasamy P, Kowal P, Chatterji S. Risk factors and disability Associated with Low Back Pain in older adults in low- and Middle-Income Countries. Results from the WHO Study on Global AGEing and Adult Health (SAGE). PLoS ONE. 2015;10(6):e0127880.CrossRefPubMedPubMedCentral
19.
go back to reference Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL, Dufour AB, Rathod-Mistry T, Thomas MJ, Menz HB, et al. Prevalence of Foot Pain across an International Consortium of Population-based cohorts. Arthritis Care Res (Hoboken). 2019;71(5):661–70.CrossRefPubMed Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL, Dufour AB, Rathod-Mistry T, Thomas MJ, Menz HB, et al. Prevalence of Foot Pain across an International Consortium of Population-based cohorts. Arthritis Care Res (Hoboken). 2019;71(5):661–70.CrossRefPubMed
20.
go back to reference Sanjay KM, Mayanka A, Ashish Kumar U, Radhe Shyam M, Sarang PP, Fabrice K, Owen OD, Jurgen M. Prevalence of pain and its treatment among older adults in India: a nationally representative population-based study. Pain 2022. Sanjay KM, Mayanka A, Ashish Kumar U, Radhe Shyam M, Sarang PP, Fabrice K, Owen OD, Jurgen M. Prevalence of pain and its treatment among older adults in India: a nationally representative population-based study. Pain 2022.
21.
go back to reference Gobina I, Villberg J, Välimaa R, Tynjälä J, Whitehead R, Cosma A, Brooks F, Cavallo F, Ng K, de Matos MG, et al. Prevalence of self-reported chronic pain among adolescents: evidence from 42 countries and regions. Eur J Pain. 2019;23(2):316–26.CrossRefPubMed Gobina I, Villberg J, Välimaa R, Tynjälä J, Whitehead R, Cosma A, Brooks F, Cavallo F, Ng K, de Matos MG, et al. Prevalence of self-reported chronic pain among adolescents: evidence from 42 countries and regions. Eur J Pain. 2019;23(2):316–26.CrossRefPubMed
22.
go back to reference Wang YX, Griffith JF, Zeng XJ, Deng M, Kwok AW, Leung JC, Ahuja AT, Kwok T, Leung PC. Prevalence and sex difference of lumbar disc space narrowing in elderly Chinese men and women: osteoporotic fractures in men (Hong Kong) and osteoporotic fractures in women (Hong Kong) studies. Arthritis Rheum. 2013;65(4):1004–10.CrossRefPubMedPubMedCentral Wang YX, Griffith JF, Zeng XJ, Deng M, Kwok AW, Leung JC, Ahuja AT, Kwok T, Leung PC. Prevalence and sex difference of lumbar disc space narrowing in elderly Chinese men and women: osteoporotic fractures in men (Hong Kong) and osteoporotic fractures in women (Hong Kong) studies. Arthritis Rheum. 2013;65(4):1004–10.CrossRefPubMedPubMedCentral
23.
go back to reference Wáng YX, Wáng JQ, Káplár Z. Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quant Imaging Med Surg. 2016;6(2):199–206.CrossRefPubMedPubMedCentral Wáng YX, Wáng JQ, Káplár Z. Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quant Imaging Med Surg. 2016;6(2):199–206.CrossRefPubMedPubMedCentral
24.
27.
go back to reference Badley EM, Wilfong JM, Yip C, Millstone DB, Perruccio AV. The contribution of age and obesity to the number of painful joint sites in individuals reporting osteoarthritis: a population-based study. Rheumatology (Oxford). 2020;59(11):3350–7.CrossRefPubMed Badley EM, Wilfong JM, Yip C, Millstone DB, Perruccio AV. The contribution of age and obesity to the number of painful joint sites in individuals reporting osteoarthritis: a population-based study. Rheumatology (Oxford). 2020;59(11):3350–7.CrossRefPubMed
28.
go back to reference Pacca DM, GC DE-C, Zorzi AR, Chaim EA, JB DE-M. Prevalence of Joint Pain and Osteoarthritis in obese Brazilian Population. Arq Bras Cir Dig. 2018;31(1):e1344.CrossRefPubMedPubMedCentral Pacca DM, GC DE-C, Zorzi AR, Chaim EA, JB DE-M. Prevalence of Joint Pain and Osteoarthritis in obese Brazilian Population. Arq Bras Cir Dig. 2018;31(1):e1344.CrossRefPubMedPubMedCentral
30.
go back to reference Gay A, Culliford D, Leyland K, Arden NK, Bowen CJ. Associations between body mass index and foot joint pain in middle-aged and older women: a longitudinal population-based cohort study. Arthritis Care Res (Hoboken). 2014;66(12):1873–9.CrossRefPubMed Gay A, Culliford D, Leyland K, Arden NK, Bowen CJ. Associations between body mass index and foot joint pain in middle-aged and older women: a longitudinal population-based cohort study. Arthritis Care Res (Hoboken). 2014;66(12):1873–9.CrossRefPubMed
31.
go back to reference Keenan AM, Drake C, Conaghan PG, Tennant A. The prevalence and impact of self-reported foot and ankle pain in the over 55 age group: a secondary data analysis from a large community sample. J Foot Ankle Res. 2019;12:53.CrossRefPubMedPubMedCentral Keenan AM, Drake C, Conaghan PG, Tennant A. The prevalence and impact of self-reported foot and ankle pain in the over 55 age group: a secondary data analysis from a large community sample. J Foot Ankle Res. 2019;12:53.CrossRefPubMedPubMedCentral
32.
go back to reference Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152(12):2870–80.CrossRefPubMed Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152(12):2870–80.CrossRefPubMed
33.
go back to reference Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean J Family Med. 2020;41(6):365–73.CrossRef Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean J Family Med. 2020;41(6):365–73.CrossRef
34.
go back to reference Stolt M, Suhonen R, Leino-Kilpi H. Foot health in patients with rheumatoid arthritis—a scoping review. Rheumatol Int. 2017;37(9):1413–22.CrossRefPubMed Stolt M, Suhonen R, Leino-Kilpi H. Foot health in patients with rheumatoid arthritis—a scoping review. Rheumatol Int. 2017;37(9):1413–22.CrossRefPubMed
35.
go back to reference Tomas M, Patel M, Marwin S, Palestro C. THE DIABETIC FOOT. 2000, 5(4):244–4. Tomas M, Patel M, Marwin S, Palestro C. THE DIABETIC FOOT. 2000, 5(4):244–4.
36.
go back to reference Adam T, Courtney LM, Mirza B, Tim H, Nasima A, Katie T, Adetayo K, Terje AE, Clare B. The European epidemic: Pain prevalence and socioeconomic inequalities in pain across 19 European countries. Eur J Pain 2019. Adam T, Courtney LM, Mirza B, Tim H, Nasima A, Katie T, Adetayo K, Terje AE, Clare B. The European epidemic: Pain prevalence and socioeconomic inequalities in pain across 19 European countries. Eur J Pain 2019.
37.
go back to reference Hamano T, Kamada M, Kitayuguchi J, Sundquist K, Sundquist J, Shiwaku K. Association of overweight and elevation with chronic knee and low back pain: a cross-sectional study. Int J Environ Res Public Health. 2014;11(4):4417–26.CrossRefPubMedPubMedCentral Hamano T, Kamada M, Kitayuguchi J, Sundquist K, Sundquist J, Shiwaku K. Association of overweight and elevation with chronic knee and low back pain: a cross-sectional study. Int J Environ Res Public Health. 2014;11(4):4417–26.CrossRefPubMedPubMedCentral
38.
go back to reference Wilson D, Williams M, Butler D. Language and the pain experience. Physiotherapy Res International: J Researchers Clin Phys Therapy. 2009;14(1):56–65.CrossRef Wilson D, Williams M, Butler D. Language and the pain experience. Physiotherapy Res International: J Researchers Clin Phys Therapy. 2009;14(1):56–65.CrossRef
39.
go back to reference Arvidsson I, Gremark Simonsen J, Lindegård-Andersson A, Björk J, Nordander C. The impact of occupational and personal factors on musculoskeletal pain - a cohort study of female nurses, sonographers and teachers. BMC Musculoskelet Disord. 2020;21(1):621.CrossRefPubMedPubMedCentral Arvidsson I, Gremark Simonsen J, Lindegård-Andersson A, Björk J, Nordander C. The impact of occupational and personal factors on musculoskeletal pain - a cohort study of female nurses, sonographers and teachers. BMC Musculoskelet Disord. 2020;21(1):621.CrossRefPubMedPubMedCentral
40.
go back to reference Guo H-R. Working hours spent on repeated activities and prevalence of back pain. 2002, 59(10):680–8. Guo H-R. Working hours spent on repeated activities and prevalence of back pain. 2002, 59(10):680–8.
41.
go back to reference Lis AM, Black KM, Korn H, Nordin M. Association between sitting and occupational LBP. Eur Spine J. 2007;16(2):283–98.CrossRefPubMed Lis AM, Black KM, Korn H, Nordin M. Association between sitting and occupational LBP. Eur Spine J. 2007;16(2):283–98.CrossRefPubMed
42.
go back to reference Zajacova A, Rogers RG, Grodsky E, Grol-Prokopczyk H. The relationship between Education and Pain among adults aged 30–49 in the United States. J Pain. 2020;21(11–12):1270–80.CrossRefPubMedPubMedCentral Zajacova A, Rogers RG, Grodsky E, Grol-Prokopczyk H. The relationship between Education and Pain among adults aged 30–49 in the United States. J Pain. 2020;21(11–12):1270–80.CrossRefPubMedPubMedCentral
Metadata
Title
Socioeconomic variation in the prevalence of pain by anatomical sites among middle-aged and older adults in India: a cross-sectional study
Authors
Amit Kumar Goyal
Sanjay K. Mohanty
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2024
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-024-04780-1

Other articles of this Issue 1/2024

BMC Geriatrics 1/2024 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine