A recent study published in The Journal of Rural Health addresses the ongoing disparities in chronic pain prevalence between rural and urban populations in the United States.
Among the authors are three Osher Center for Integrative Health at the University of Vermont (UVM) Affiliates—Joshua Plavin, MD, MPH, FAAP; Gail L. Rose, Ph.D., and Erika C. Ziller, Ph.D.
The study, titled “Rural-urban disparities in the prevalence of chronic pain in adults: Associations with demographic and socioeconomic characteristics,” was a collaborative effort between the Osher Affiliates and the Maine Rural Health Research Center at the University of Southern Maine.
It analyzed data from over 107,000 adults from the National Health Interview Survey, revealing that rural adults are more likely to experience chronic pain compared to urban residents. Even after adjusting for various factors, rural residents had 9% higher odds of chronic pain.
Chronic pain: A rural health crisis
These disparities translate into significant barriers to care for rural populations, who tend to be older, have lower incomes and education levels, and face limited access to specialized pain management services. The study underscores how these structural inequities contribute to a higher burden of chronic pain and associated risks.
Dr. Plavin, the Medical Director for the Osher Center’s Comprehensive Pain Program (CPP), emphasizes the need for evidence-based approaches to address these challenges. The Osher Center’s CPP’s Partners Aligned in Transformative Healing (PATH) program is highlighted as a model for addressing chronic pain through integrative health.
PATH offers a comprehensive 12- to 16-week program that combines non-pharmacological therapies such as mindfulness, physical therapy, acupuncture, and behavioral health support. The program aims to empower participants with the knowledge and skills to manage their pain effectively.
One key aspect of PATH is its bundled payment model, developed in collaboration with Blue Cross Blue Shield of Vermont. This model ensures equitable access to comprehensive pain care for patients, regardless of financial barriers.
Lower costs, better health
The findings of the study underscore the urgent need for systemic changes in addressing chronic pain, particularly in rural communities. The Osher Center’s work demonstrates that integrative health approaches can lead to reduced healthcare costs and improved outcomes for participants.
As policymakers and healthcare leaders grapple with the challenges of addressing chronic pain, the research and programs developed by the Osher Center offer a scalable, evidence-based approach that prioritizes equity and accessibility for all individuals.
More information:
Jean A. Talbot et al, Rural‐urban disparities in the prevalence of chronic pain in adults: Associations with demographic and socioeconomic characteristics, The Journal of Rural Health (2025). DOI: 10.1111/jrh.70058
