How Healthy You Feel Depends on Where You Live
Would you guess that people in some developing nations report feeling healthier than people in some of the world's wealthiest countries?
Demographic variation in pain across 22 countries
The experience of bodily pain varies substantially across the globe, with the proportion of people in pain in some countries being more than double that of others.
Across 22 nations, certain demographic groups consistently report higher levels of pain, including older adults, women, widowed individuals, retirees, and those with lower levels of education.
Individuals who attend religious services more than once a week report a higher proportion of pain compared to those who attend less frequently or not at all.
This research provides the first global, foundational map of physical suffering. For doctors and public health officials, it highlights that a patient's background—their age, gender, education, and country—can profoundly influence their experience of pain. This understanding can lead to more empathetic and effective care.
“Mapping our collective suffering reframes pain from a private ache into a matter of public health and global inequality.”
For policymakers, the study reveals which populations are most vulnerable. High rates of pain among the retired or less educated, for example, could signal a need for better social safety nets, safer working conditions, or more accessible healthcare for these groups. It reframes pain not just as an individual medical problem, but as a matter of public health and even global inequality.
Finally, this work gives scientists a clear direction for future research. It raises critical questions: Why do these huge differences between countries exist? Is it due to healthcare access, economic stress, or cultural differences in how we express pain? By identifying the patterns, this study paves the way for finding the answers.
“Mapping our collective suffering reframes pain from a private ache into a matter of public health and global inequality.”
Pain is a universal human experience, but it turns out we don't all experience it equally. To understand this better, researchers analyzed data from over 200,000 people across 22 countries, asking a simple question: “How much bodily pain have you had during the past 4 weeks? ” The goal was to create a global map of pain, showing how it differs based on where we live and who we are.
“While pain may be universal, it is not felt equally, varying dramatically with our age, gender, and station in life.”
The differences between countries were striking. At the high end, 60% of people in Egypt and 59% in Brazil reported having 'some' or 'a lot' of pain. At the low end were Israel (25%) and South Africa (29%). The study also found clear patterns across different groups of people, regardless of country.
On average, pain tends to increase as we get older. Women and people of other gender identities reported more pain than men. Life circumstances also played a big role, with widowed, retired, and less-educated individuals experiencing higher levels of pain. One surprising finding was related to religion. People who attended religious services more than once a week reported more pain than those who attended less often or not at all.
The researchers suggest this doesn't mean religion causes pain. Instead, it's more likely that people who are already in pain seek comfort and community through religious services. This massive study gives us the first clear, global picture of who is hurting, reminding us that pain isn't just a medical issue—it's deeply connected to our culture, age, and station in life.
People in Egypt, the country with the highest reported pain, were 2.4 times more likely to experience bodily pain than people in Israel, the country with the lowest reported pain.
Individuals with up to 8 years of education reported pain at a rate 15 percentage points higher than those with 16 or more years of education.
Among adults aged 80 or older, 61% reported experiencing a lot or some bodily pain, the highest proportion of any age group.
Across the 22 countries studied, 47% of women reported experiencing a lot or some bodily pain, compared to 40% of men.
Macchia, L., Okafor, C. N., Breedlove, T., Shiba, K., Piper, A., Johnson, B., & VanderWeele, T. J. (2025). Demographic variation in pain across 22 countries. Communications Medicine, 5(1). https://doi.org/10.1038/s43856-025-00858-y
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