{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:15:06Z","timestamp":1788243306538,"version":"build-2803163510"},"reference-count":62,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1R01AG071511"],"award-info":[{"award-number":["1R01AG071511"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R01NR020442"],"award-info":[{"award-number":["R01NR020442"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pain Res."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Chronic pain affects over one-third of U.S. older adults, and particularly socioeconomically constrained populations. Few studies examine how unmet social needs related to the social determinants of health, including food, housing, utilities, transportation, and social support, are linked to pain. This study assessed whether cumulative and individual unmet social needs are associated with pain outcomes in a predominantly Black\/African American sample of adults aged 50 years and older with chronic pain recruited from an underserved urban setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We pooled pre-intervention data from two randomized controlled trials of community health worker-led behavioral interventions. Multivariable linear regression examined associations of cumulative and individual unmet social needs with pain intensity, pain interference, and pain self-efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 438 participants, the mean age was 67.5 years, 87% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009380) were female, 77% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009338) identified as Black\/African American, and 54% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009237) reported one or more unmet social needs. In adjusted regression models, participants with greater cumulative unmet social needs (three or more) experienced greater pain intensity (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.75,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.010), pain interference (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20093.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.002), and lower pain self-efficacy (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22122.04,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.006). Food access challenges were associated with all three outcomes; transportation difficulties were linked with greater pain interference and lower self-efficacy; and insufficient social support was associated with greater pain intensity and greater pain interference (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.05). Housing and utility payment difficulties were not associated with pain outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cumulative and individual unmet social needs are associated with worse pain outcomes among midlife and older adults with chronic pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpain.2026.1885908","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:34:30Z","timestamp":1788240870000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Unmet health-related social needs are associated with pain outcomes among midlife and older adults"],"prefix":"10.3389","volume":"7","author":[{"given":"Victoria H.","family":"Davis","sequence":"first","affiliation":[{"name":"Department of Health Behavior and Health Equity, University of Michigan School of Public Health","place":["Ann Arbor, MI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth J.","family":"Brines","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity, University of Michigan School of Public Health","place":["Ann Arbor, MI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary R.","family":"Janevic","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity, University of Michigan School of Public Health","place":["Ann Arbor, MI, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"B1","year":"2025"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1097\/j.pain.0000000000000160","article-title":"A classification of chronic pain for ICD-11","volume":"156","author":"Treede","year":"2015","journal-title":"Pain"},{"key":"B3","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1111\/jgs.18125","article-title":"Impact of persistent pain on function, cognition, and well-being of older adults","volume":"71","author":"Ritchie","year":"2023","journal-title":"J Am Geriatr Soc"},{"key":"B4","doi-asserted-by":"publisher","first-page":"21501319241233463","DOI":"10.1177\/21501319241233463","article-title":"Association of risk factors and comorbidities with chronic pain in the elderly population","volume":"15","author":"Mookerjee","year":"2024","journal-title":"J Prim Care Community Health"},{"key":"B5","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1111\/jgs.17542","article-title":"Persistence of pain and cognitive impairment in older adults","volume":"70","author":"Bell","year":"2022","journal-title":"J Am Geriatr Soc"},{"key":"B6","doi-asserted-by":"publisher","first-page":"105784","DOI":"10.1016\/j.archger.2025.105784","article-title":"Association of chronic pain with frailty and pre-frailty in older adults: a systematic review and meta-analysis","volume":"131","author":"Yang","year":"2025","journal-title":"Arch Gerontol Geriatr"},{"key":"B7","doi-asserted-by":"publisher","first-page":"54","DOI":"10.3389\/fpubh.2024.1429739","article-title":"Loneliness and pain among community-dwelling middle-aged and older black, Latino, and white adults in the United States","volume":"12","author":"Camacho","year":"2024","journal-title":"Front Public Health"},{"key":"B8","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1097\/j.pain.0000000000003336","article-title":"Is the relationship between chronic pain and mortality causal? 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