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Nation-wide decrease in the prevalence of pediatric chronic pain during the COVID-19 pandemic
Boluwatife Aluko1, Adrianne N Mitchell1, Dmitry Tumin2
1Brody School of Medicine at East Carolina University, Greenville, USA.
Insights
The prevalence of chronic pain in US children decreased during the first year of the COVID-19 pandemic. This study found an 11% to 8% decline, challenging earlier predictions.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic was anticipated to worsen chronic pain in children.
- Existing research predicted an increase in chronic pain prevalence and severity.
Purpose of the Study:
- To compare the prevalence of chronic pain in US children before and during the COVID-19 pandemic.
- To investigate the impact of the pandemic on pediatric chronic pain.
Main Methods:
- Utilized data from the 2019 and 2020 National Survey of Children's Health.
- Compared caregiver-reported chronic pain prevalence using bivariate and multivariable analyses.
- Adjusted for demographic and socioeconomic factors in the analysis.
Main Results:
- Chronic pain prevalence among US children decreased from 11% in 2019 to 8% in 2020.
- Multivariable analysis revealed a 33% decline in the odds of chronic pain in 2020 (95% CI: 23%-42%, p<0.001).
- The findings were consistent after adjusting for child and caregiver characteristics.
Conclusions:
- The study identified an unexpected nationwide decrease in pediatric chronic pain during the pandemic's first year.
- These results contrast with initial predictions of increased chronic pain due to the pandemic.
- Further research is needed to understand the factors contributing to this decline.
Objectives:
The COVID-19 pandemic was expected to increase prevalence and severity of chronic pain. We compared pandemic-era and pre-pandemic prevalence of chronic pain among children in the US.
Methods:
Data were obtained from the 2019 and 2020 National Survey of Children's Health, a web-or mail-based survey representative of children living in the US (n=20,359 in 2019; 29,159 in 2020). Caregiver-reported prevalence of chronic pain was compared between survey years using bivariate and multivariable methods.
Results:
The prevalence of chronic pain among US children decreased from 11 to 8% in the first year of the pandemic. Multivariable analysis adjusting for children's and caregivers' demographics and socioeconomic characteristics confirmed that in 2020, odds of caregiver-reported chronic pain declined by 33% (95% confidence interval: 23%, 42%; p<0.001).
Conclusions:
The encouraging finding of a nationwide decrease in the prevalence of chronic pain calls into question initial predictions anticipating the pandemic to contribute to onset or persistence of chronic pain among children.
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