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Mental & Physical Health20256 min read

Who Hurts the Most Around the World?

Demographic variation in pain across 22 countries

Notable finding

60% of people in Egypt report significant bodily pain.

By
Macchia, Lucía et al.
Participants
202,898
Countries
22
Journal
Communications Medicine
DOI
10.1038/s43856-025-00858-y
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§1

Key Takeaways

01

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.

02

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.

03

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.

§2

Why It Matters

Mapping our collective suffering reframes pain from a private ache into a matter of public health and global inequality.

This research matters because pain is often treated as a purely medical issue, but this study shows it is also deeply social. Knowing which groups report the most pain — older adults, widowed individuals, people with less education, women — can help doctors, policymakers, and communities direct resources where they are needed most. The enormous differences between countries also raise urgent questions about access to healthcare, working conditions, and how different cultures interpret and report pain. If six in ten people in one country are living with regular pain compared to one in four elsewhere, that gap deserves attention. This study also provides a baseline: by tracking these same people over the coming years, researchers will be able to see how pain changes over time and what factors might help reduce it. For anyone who has ever wondered whether their pain is normal or whether others share their struggle, this study offers a powerful reminder that pain is not just personal — it is shaped by the world around us.

This research matters because pain is often treated as a purely medical issue, but this study shows it is also deeply social. Knowing which groups report the most pain — older adults, widowed individuals, people with less education, women — can help doctors, policymakers, and communities direct resources where they are needed most. The enormous differences between countries also raise urgent questions about access to healthcare, working conditions, and how different cultures interpret and report pain. If six in ten people in one country are living with regular pain compared to one in four elsewhere, that gap deserves attention. This study also provides a baseline: by tracking these same people over the coming years, researchers will be able to see how pain changes over time and what factors might help reduce it. For anyone who has ever wondered whether their pain is normal or whether others share their struggle, this study offers a powerful reminder that pain is not just personal — it is shaped by the world around us.

Mapping our collective suffering reframes pain from a private ache into a matter of public health and global inequality.

§3

The Story

Pain is something every human knows, but who feels it most turns out to depend a lot on where you live and who you are. Researchers surveyed over 200,000 people in 22 countries, asking a simple question: how much bodily pain have you had in the past four weeks? The answers revealed striking differences.

While pain may be universal, it is not felt equally, varying dramatically with our age, gender, and station in life.

In Egypt, 60% of people reported at least some pain. In Israel, only 25% said the same. Brazil, Australia, and Turkey also ranked high, while Japan, Poland, and South Africa ranked low. Beyond geography, certain groups tended to report more pain across the board.

Older people felt more pain than younger people. Women reported more pain than men. People who were widowed or retired, those with fewer years of schooling, and people who attended religious services more than once a week also reported higher levels of pain. One thing that didn't matter at all: whether someone was born in the country they now live in or had immigrated there. Immigrants and people born in their country reported pain at the same rate.

The researchers are careful to note that these are snapshots, not explanations. For example, people in pain might attend religious services more often because they are seeking comfort — not because services cause pain. Similarly, retired people report more pain, but that may partly be because they tend to be older. Future years of data will help untangle these threads. What this study does is paint the first detailed global picture of who is hurting and where.

Figure
2.4x
Pain Disparity Between Countries

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.

Figure
+15 points
Education's Impact on 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.

Figure
61%
Pain in Older Adults

Among adults aged 80 or older, 61% reported experiencing a lot or some bodily pain, the highest proportion of any age group.

Figure
47%
Women Reporting Pain

Across the 22 countries studied, 47% of women reported experiencing a lot or some bodily pain, compared to 40% of men.

Figures
2.4x
Pain Disparity Between Countries

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.

+15 points
Education's Impact on 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.

61%
Pain in Older Adults

Among adults aged 80 or older, 61% reported experiencing a lot or some bodily pain, the highest proportion of any age group.

47%
Women Reporting Pain

Across the 22 countries studied, 47% of women reported experiencing a lot or some bodily pain, compared to 40% of men.

§4

Reader Questions

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Research Details
& Citation

Chat with this paper
Published
2025
Journal
Communications Medicine
Participants
202,898
Countries
22
Cite this paper
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
Tags
painphysical-healthagegendereducationreligion-spirituality
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