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Multivariable models exploring chronic pain and mental health, substance use, socialisation and school engagement are reported controlling for age, sex, ethnicity, socio\u2010economic status, disability and history of sexual abuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 22.8% (95% confidence interval (CI) 21.2\u201324.5) of young people reported chronic pain for 6\u2009months or more, with 3.2% (95% CI 3.1\u20134.5) reporting severe pain weekly or more often. Females and rural adolescents were more likely to report chronic and severe pain. Asian youth reported less pain than other ethnic groups. Increased severity of pain was associated more with poorer daily functioning and socialising than with frequency of pain. Severe pain occurring weekly or more often was more common among students who had a disability (2.3% 95% CI 1.8\u20132.7 vs. 9.8%, 95% CI 7.2\u201312.5) or a history of sexual abuse (2.4% 95% 1.9\u20132.9 vs. 8.5%, 95% CI 6.3\u201310.5). Those reporting chronic pain had higher proportions of self\u2010reported significant depressive symptoms, lower well\u2010being, lower school engagement and lower access to health care, particularly for those reporting higher levels of intensity and frequency of pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Chronic pain is common in adolescent populations, and has a significant association with decreased daily functioning, socialising, school engagement and mental well\u2010being. Adolescents with chronic pain report significant unmet health\u2010care needs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16263","type":"journal-article","created":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T10:13:57Z","timestamp":1667643237000},"page":"144-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Prevalence, severity and impact of chronic pain among a representative cross\u2010sectional study of New Zealand high school students"],"prefix":"10.1111","volume":"59","author":[{"given":"Bridget","family":"Farrant","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Faculty of Medical Health Sciences University of Auckland  Auckland New Zealand"},{"name":"Kidz First Centre for Youth Health Counties Manukau District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Denny","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medical Health Sciences University of Auckland  Auckland New Zealand"},{"name":"Mater Young Adult Health Centre  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Vroegop","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Faculty of Medical Health Sciences University of Auckland  Auckland New Zealand"},{"name":"Chronic Pain Service Counties Manukau District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Fenaughty","sequence":"additional","affiliation":[{"name":"School of Counselling, Human Services and Social Work, Faculty of Education and Social Work University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terryann C","family":"Clark","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Medical Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsr038"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsaa101"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.05.007"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001732"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7295.1145"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31815bc1c1"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-7-29"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000199958.04073.d9"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000522"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.06.001"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2017.06.032"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.016"},{"key":"e_1_2_7_14_1","unstructured":"MerskyH BogdukN.Classification of Chronic Pain Second Edition (Revised) \u2010 International Association for the Study of Pain. 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