GENDER DIFFERENCES IN THE EPIDEMIOLOGY OF CHRONIC PAIN CONDITIONS

Linda LeResche, Sc.D., Department of Oral Medicine, School of Dentistry, University of Washington, Seattle, Washington


     A review of the epidemiologic literature indicates that definite age and sex differences exist in the prevalence of many chronic pain conditions. Although women have higher overall prevalence rates for most chronic pain conditions, the prevalence patterns by gender and stage of the life cycle differ for different pain conditions. We have very little basic information on whether these prevalence differences are due to different incidence (onset) rates, different probabilities of recurrence, different durations of pain episodes (or some combination of these factors) for women and men. However, because different types of pain conditions have different age-sex prevalence patterns, these patterns may provide clues to possible etiologic factors. For example, a pain condition such as migraine headache that is more prevalent in women, shows a prevalence peak during the reproductive years and falls off with age might be hormonally related, at least for some patients, whereas one that continues to climb with age (such as joint pain) is less likely to be hormone related. Thus, a systematic examination of the epidemiologic data may be an important step in helping both basic and clinical pain researchers to generate hypotheses in our search for a better understanding of chronic pain in both sexes.


Links for more information about the author(s):
Linda LeResche, Sc.D., Department of Oral Medicine, School of Dentistry, University of Washington

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