Prevalence of self-reported chronic pain among adolescents: Evidence from 42 countries and regions

Gobina, I; Villberg, J; Välimaa, R; Tynjälä, J; Whitehead, R; Cosma, A; Brooks, F; Cavallo, F; Ng, K; de Matos, MG; Villerusa, A

Prevalence of self-reported chronic pain among adolescents: Evidence from 42 countries and regions

Gobina, I Villberg, J Välimaa, R Tynjälä, J Whitehead, R Cosma, A Brooks, F

Cavallo, F Ng, K de Matos, MG Villerusa, A

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Publication Type:: Journal Article
Citation:: European Journal of Pain (United Kingdom), 2019, 23 (2), pp. 316 - 326
Issue Date:: 2019-02-01

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Field	Value	Language
dc.contributor.author	Gobina, I	en_US
dc.contributor.author	Villberg, J	en_US
dc.contributor.author	Välimaa, R	en_US
dc.contributor.author	Tynjälä, J	en_US
dc.contributor.author	Whitehead, R	en_US
dc.contributor.author	Cosma, A	en_US
dc.contributor.author	Brooks, F https://orcid.org/0000-0001-8975-325X	en_US
dc.contributor.author	Cavallo, F	en_US
dc.contributor.author	Ng, K	en_US
dc.contributor.author	de Matos, MG	en_US
dc.contributor.author	Villerusa, A	en_US
dc.date.available	2018-08-07	en_US
dc.date.issued	2019-02-01	en_US
dc.identifier.citation	European Journal of Pain (United Kingdom), 2019, 23 (2), pp. 316 - 326	en_US
dc.identifier.issn	1090-3801	en_US
dc.identifier.uri	http://hdl.handle.net/10453/138525
dc.description.abstract	© 2018 European Pain Federation - EFIC ® Background: Reports of the overall chronic pain prevalence and its associated demographic characteristics among adolescents vary greatly across existing studies. Using internationally comparable data, this study investigates age, sex and country-level effects in the prevalence of chronic single-site and multi-site pain among adolescents during the last six months preceding the survey. Methods: Data (n = 214,283) from the 2013/2014 Health Behaviour in School-aged Children (HBSC) study were used including nationally representative samples of 11-, 13- and 15-year-olds from general schools in 42 participating countries. Multilevel logistic regression analyses were used. Results: The overall proportion of adolescents reporting chronic weekly pain during the last six months was high (44.2%). On average, in comparison with different specific localized types of single-site pain, the prevalence of multi-site pain was more common varying from 13.2% in Armenia to 33.8% in Israel. Adolescent age and sex were strong predictors for reporting pain, but significantly different demographic patterns were found in the cross-country analyses. The most consistent findings indicate that multi-site pain was more prevalent among girls across all countries and that the prevalence increased with age. Conclusions: Internationally comparable data suggest that self-reported chronic pain among adolescents is highly prevalent, but different age and sex patterns across countries exist. Adolescents with chronic pain are not a homogenous group. Chronic pain co-occurrence and differences in chronic pain characteristics should be addressed in both clinical and public health practice for effective adolescent chronic pain management and prevention. Significance: Chronic pain co-occurrence is common during adolescence across countries, the prevalence being among girls and in older age groups. Significant cross-country variations in the chronic pain prevalence and chronic pain patterns among adolescents exist. Significant country differences emerge for specific chronic pain patterns in association with adolescent demographics.	en_US
dc.relation.ispartof	European Journal of Pain (United Kingdom)	en_US
dc.relation.isbasedon	10.1002/ejp.1306	en_US
dc.subject.classification	Anesthesiology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pain Measurement	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Self Report	en_US
dc.subject.mesh	Chronic Pain	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Prevalence of self-reported chronic pain among adolescents: Evidence from 42 countries and regions	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	23	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1109 Neurosciences	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

© 2018 European Pain Federation - EFIC ® Background: Reports of the overall chronic pain prevalence and its associated demographic characteristics among adolescents vary greatly across existing studies. Using internationally comparable data, this study investigates age, sex and country-level effects in the prevalence of chronic single-site and multi-site pain among adolescents during the last six months preceding the survey. Methods: Data (n = 214,283) from the 2013/2014 Health Behaviour in School-aged Children (HBSC) study were used including nationally representative samples of 11-, 13- and 15-year-olds from general schools in 42 participating countries. Multilevel logistic regression analyses were used. Results: The overall proportion of adolescents reporting chronic weekly pain during the last six months was high (44.2%). On average, in comparison with different specific localized types of single-site pain, the prevalence of multi-site pain was more common varying from 13.2% in Armenia to 33.8% in Israel. Adolescent age and sex were strong predictors for reporting pain, but significantly different demographic patterns were found in the cross-country analyses. The most consistent findings indicate that multi-site pain was more prevalent among girls across all countries and that the prevalence increased with age. Conclusions: Internationally comparable data suggest that self-reported chronic pain among adolescents is highly prevalent, but different age and sex patterns across countries exist. Adolescents with chronic pain are not a homogenous group. Chronic pain co-occurrence and differences in chronic pain characteristics should be addressed in both clinical and public health practice for effective adolescent chronic pain management and prevention. Significance: Chronic pain co-occurrence is common during adolescence across countries, the prevalence being among girls and in older age groups. Significant cross-country variations in the chronic pain prevalence and chronic pain patterns among adolescents exist. Significant country differences emerge for specific chronic pain patterns in association with adolescent demographics.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/138525