The prevalence of pain complaints in a general population in Israel and its implications for utilization of health services.
OBJECTIVE
To determine the prevalence of pain complaints, specifically of chronic widespread pain, in the general population; and to explore the utilization of health services by various pain groups.


METHODS
Cross sectional population survey of 2210 adults in the southern part of Israel, who were classified into 5 pain groups: no pain, transient pain, chronic regional pain, chronic widespread pain, and other. Participants were interviewed about pain patterns and utilization of health services.


RESULTS
Forty-four percent reported pain on the day of the interview. The prevalence of chronic widespread pain in the study population was 9.9%, 14% in women and 3% in men (p<0.01). The prevalence in the Israeli adult population was estimated after adjusting for sex and age as 10.2%. The prevalence of any chronic pain (regional or widespread) increased with age. The prevalence of chronic widespread pain was significantly higher in women than in men across all age groups (p<0.01). Persons with chronic widespread pain reported most frequent visits to their physicians (10.8 visits/year) and most frequent use of antiinflammatory and analgesic drugs. They were more frequently referred to specialists and tended to be hospitalized slightly more often.


CONCLUSIONS
In the general population in Israel, widespread pain is common, and its prevalence is comparable with reports from USA, UK, and Canada.
Buskila
D
D
Epidemiology Department, Ben-Gurion University of the Negev, and Soroka Medical Center, Beer-Sheva, Israel.
Abramov
G
G
Biton
A
A
Neumann
L
L
D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D002908:Chronic Disease; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology*; D010824:Physicians' Offices / Q000706:statistics & numerical data*; D015995:Prevalence; D017678:Sex Distribution
D000700:Analgesics