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BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Debate

Pain as a global public health priority

Authors: Daniel S Goldberg, Summer J McGee

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Pain is an enormous problem globally. Estimates suggest that 20% of adults suffer from pain globally and 10% are newly diagnosed with chronic pain each year. Nevertheless, the problem of pain has primarily been regarded as a medical problem, and has been little addressed by the field of public health.

Discussion

Despite the ubiquity of pain, whether acute, chronic or intermittent, public health scholars and practitioners have not addressed this issue as a public health problem. The importance of viewing pain through a public health lens allows one to understand pain as a multifaceted, interdisciplinary problem for which many of the causes are the social determinants of health. Addressing pain as a global public health issue will also aid in priority setting and formulating public health policy to address this problem, which, like most other chronic non-communicable diseases, is growing both in absolute numbers and in its inequitable distribution across the globe.

Summary

The prevalence, incidence, and vast social and health consequences of global pain requires that the public health community give due attention to this issue. Doing so will mean that health care providers and public health professionals will have a more comprehensive understanding of pain and the appropriate public health and social policy responses to this problem.
Literature
1.
2.
McGee SJ, Kaylor BD, Emmott H, Christopher MJ: Defining the landscape for chronic pain ethics. Pain Med.
3.
4.
5.
Gureje O, Von Korff M, Simon GE, Gater R: Persistent pain and well-being: a World Health Organization Study in Primary Care. JAMA. 1998, 280 (2): 147-51. 10.1001/jama.280.2.147.PubMed
6.
Harstall C, Ospina M: How prevalent is chronic pain?. Pain Clinical Updates. 2003, 11 (2): 1-4.
7.
8.
Reid KJ, Harker J, Bala MM, Truyers C, Kellen E, Bekkering GE, Kleijnen J: Epidemiology of chronic non-cancer pain in Europe: narrative review of prevalence, pain treatments and pain impact. Curr Med Res Opin. 2011, 27 (2): 449-62. 10.1185/03007995.2010.545813.PubMed
9.
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D: Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006, 10 (4): 287-333. 10.1016/j.ejpain.2005.06.009.PubMed
10.
Breivik H, Cherny N, Collett B, de Conno F, Filbet M, Foubert AJ, Cohen R, Dow L: Cancer-related pain: a pan-European survey of prevalence, treatment, and patient attitudes. Ann Oncology. 2009, 20 (8): 1420-33. 10.1093/annonc/mdp001.
11.
Foley K: How well is cancer pain treated?. Palliative Med. 2011, 25 (6): 398-401.
12.
Gureje O, Simon GE, Von Korff M: A cross-national study of the course of persistent pain in primary care. Pain. 2001, 9 (1-2): 195-200.
13.
Taylor AL: Addressing the global tragedy of needless pain: rethinking the United Nations single convention on narcotic drugs. J Law Med Ethics. 2007, 35 (4): 556-70. 10.1111/j.1748-720X.2007.00180.x. 556PubMed
14.
Kato K, Sullivan PF, Evengård B, Pedersen NL: Chronic widespread pain and its comorbidities: a population-based study. Arch Intern Med. 2006, 166 (15): 1649-54. 10.1001/archinte.166.15.1649.PubMed
15.
Krein SL, Heisler M, Piette JD, Makki F, Kerr EA: The effect of chronic pain on diabetes patients' self-management. Diabetes Care. 2005, 28 (1): 65-70. 10.2337/diacare.28.1.65.PubMed
16.
Piette JD, Kerr EA: The impact of comorbid chronic conditions on diabetes care. Diabetes Care. 2006, 29 (3): 725-31. 10.2337/diacare.29.03.06.dc05-2078.PubMed
17.
Lee S, Tsang A, Huang YQ, Zhang MY, Liu ZR, He YL, Von Korff M, Kessler RC: Arthritis and physical-mental comorbidity in metropolitan China. J Psychosom Res. 2007, 63 (1): 1-7. 10.1016/j.jpsychores.2007.01.007.PubMed
18.
Bair MJ, Robinson RL, Katon W, Kroenke K: Depression and pain comorbidity: a literature review. Arch Intern Med. 2003, 163 (20): 2433-45. 10.1001/archinte.163.20.2433.PubMed
19.
Arnow BA, Hunkeler EM, Blasey CM, Lee J, Constantino MJ, Fireman B, Kraemer HC, Dea R, Robinson R, Hayward C: Comorbid depression, chronic pain, and disability in primary care. Psychosom Med. 2006, 68 (2): 262-8. 10.1097/01.psy.0000204851.15499.fc.PubMed
20.
Hestbaek L, Leboeuf-Yde C, Kyvik KO: Is comorbidity in adolescence a predictor for adult low back pain? A prospective study of a young population. BMC Musculoskelet Disord. 2006, 7: 29-10.1186/1471-2474-7-29.PubMedPubMedCentral
21.
22.
Daar AS, Singer PA, Persad DL, Pramming SK, Matthews DR, Beaglehole R, Bernstein A, Borysiewicz LK, Colagiuri S, Ganguly N, Glass RI, Finegood DT, Koplan J, Nabel EG, Sarna G, Sarrafzadegan N, Smith R, Yach D, Bell J: Grand challenges in chronic non-communicable diseases. Nature. 2007, 450: 494-96. 10.1038/450494a.PubMed
23.
24.
Mäkelä M, Heliövaara M, Sievers K, Impivaara O, Knekt P, Aromaa A: Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol. 1991, 134 (11): 1356-67.PubMed
25.
Heliövaara M, Mäkelä M, Knekt P, Impivaara O, Aromaa A: Determinants of sciatica and low-back pain. Spine. 1991, 16 (6): 608-14. 10.1097/00007632-199106000-00002.PubMed
26.
Brekke M, Hjortdahl P, Kvien TK: Severity of musculoskeletal pain: relations to socioeconomic inequality. Soc Sci Med. 2002, 54 (2): 221-8. 10.1016/S0277-9536(01)00018-1.PubMed
27.
Day MA, Thorn BE: The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain. 2010, 151 (2): 467-74. 10.1016/j.pain.2010.08.015.PubMedPubMedCentral
28.
Saastamoinen P, Leino-Arjas P, Laaksonen M, Lahelma E: Socio-economic differences in the prevalence of acute, chronic and disabling chronic pain among ageing employees. Pain. 2005, 114 (3): 364-71. 10.1016/j.pain.2004.12.033.PubMed
29.
Fuentes M, Hart-Johnson T, Green CR: The association among neighborhood socioeconomic status, race and chronic pain in black and white older adults. J Natl Med Assoc. 2007, 99 (10): 1160-9.PubMedPubMedCentral
30.
Green CR, Hart-Johnson T: The impact of chronic pain on the health of black and white men. J Natl Med Assoc. 2010, 102 (4): 321-31.PubMed
31.
Roth RS, Punch MR, Bachman JE: Educational achievement and pain disability among women with chronic pelvic pain. J Psychosom Res. 2001, 51 (4): 563-9. 10.1016/S0022-3999(01)00242-2.PubMed
32.
Borrell LN, Nguyen N: Racial/ethnic disparities in all-cause mortality in U.S. adults: the effect of allostatic load. Pub Health Rep. 2010, 125 (6): 810-16.
33.
Brunner E, Marmot M: Social organization, stress, and health. Social Determinants of Health. Edited by: Marmot M., Wilkinson RG. 2006, New York: Oxford University Press, 6-30. 2
34.
Dorner TE, Muckenhuber J, Stronegger WJ, Ràsky E, Gustorff B, Freidl W: The impact of socio-economic status on pain and the perception of disability due to pain. Eur J Pain. 2011, 15 (1): 103-9. 10.1016/j.ejpain.2010.05.013.PubMed
35.
Rios R, Zautra AJ: Socioeconomic disparities in pain: the role of economic hardship and daily financial worry. Health Psychol. 2011, 30 (1): 58-66.PubMedPubMedCentral
36.
Sá KN, Pereira Cde M, Souza RC, Baptista AF, Lessa I: Knee pain prevalence and associated factors in a Brazilian population study. Pain Med. 2011, 12 (3): 394-402. 10.1111/j.1526-4637.2011.01063.x.PubMed
37.
Graham H: Social determinants and their unequal distribution: clarifying policy understandings. Milbank Quart. 2004, 82 (1): 101-24. 10.1111/j.0887-378X.2004.00303.x.
38.
O'Rand AM: The precious and the precocious: understanding cumulative disadvantage and cumulative advantage over the life course. Gerontologist. 1996, 36 (2): 230-8. 10.1093/geront/36.2.230.PubMed
39.
Navarro V: What we mean by social determinants of health. Int J Health Serv. 2009, 39 (3): 423-41. 10.2190/HS.39.3.a.PubMed
40.
Lantz PM, Lichtenstein RL, Pollack HA: Health policy approaches to population health: the limits of medicalization. Health Aff. 2007, 26 (5): 1253-7. 10.1377/hlthaff.26.5.1253.
41.
42.
43.
44.
California Newsreel Productions: Unnatural Causes. 2008
45.
Rose G: Sick individuals and sick populations. Int J Epidemiol. 1985, 14 (1): 32-8. 10.1093/ije/14.1.32.PubMed
46.
Benach J, Malmusi D, Yasui Y, Martínez JM, Muntaner C: Beyond Rose's strategies: a typology of scenarios of policy impact on population health and health inequalities. Int J Health Serv. 2011, 41 (1): 1-9. 10.2190/HS.41.1.a.PubMed
47.
Metadata
Title
Pain as a global public health priority
Authors
Daniel S Goldberg
Summer J McGee
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-770

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