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A long-running global study has shed light on which gender experiences more pain, at what stage of life we suffer the sharpest increase in pain and when it peaks. The study involved six million people, aged 5 to 100, in 118 countries over more than three decades. Biomedical researcher Matt Fillingim says the gender pain gap has been around for quite some time.

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00:02One of the central findings of our study really was showing across countries, across bodily
00:08pain sites, that women are reporting more pain consistently across the majority of the
00:14lifespan.
00:14One of the biggest challenges with pain is measuring it, objectively that is.
00:18So something you learn early on as a pain researcher is that pain is an entirely subjective
00:24experience and that is the only medium really in which at this point we can measure pain.
00:29Your 8 out of 10 on a pain scale is going to be different from my 8 out of 10
00:34on a pain
00:34scale naturally, but the only way we can really tell if someone is in pain and how severe that
00:39pain is, is just by asking them.
00:41So while a lot of other studies might try and use diagnostic criteria, and those are certainly
00:45sufficient and well-founded approaches, we decided to take an approach looking at just
00:51self-reported pain to get at the subjective nature of just what are people experiencing
00:55and what are they communicating.
00:56There's certainly both biological and social determinants of this gap in pain reporting
01:03that we're seeing.
01:04I think one thing that really needs to be taken away here is that we need more focused research
01:10in women on how to treat pain, at what points across the lifespan, what windows across the
01:17lifespan.
01:17And is pain initiating most regularly in women and what's causing it to diverge from men so
01:24rapidly at certain age groups.
01:26We're hoping that this research can get us a little bit closer to that.
01:29But for quite some time now, women have been historically underrepresented in research and dismissed in the healthcare industry.
01:37So we're hoping that we can push forward some initiative and propose some increased research on that avenue.
01:44We looked at 11 body sites specifically because when pain peaks, how fast it starts to rise at a population
01:52level.
01:53It really depends on what site you're looking at.
01:55For headache, the peak seems to be around age 35.
01:59For knee and back pain, it actually continues to rise all the way through late life.
02:04So it depends on what kind of pain we're asking about.
02:07But really, one of the central findings was that across all of the 11 sites that we looked at,
02:12we found that the actual increase, the rate of change of this curve that we've shown is peaking most rapidly
02:20before age 55.
02:22So contrary to what a lot of people think that pain is a phenomenon of just aging life, of the
02:29old, of the very old, it's really not.
02:31It's something that really starts much earlier in middle adulthood and even before that.
02:36And that really suggests we need to start looking at people at younger ages for prevention and intervention
02:40so we can help address the global pain burden that we're seeing.

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