• D Feierabend, J Walter, R Kalff, and R Reichart.
• Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland. Denise.Feierabend@med.uni-jena.de.
• Schmerz. 2018 Apr 1; 32 (2): 144-152.

BackgroundPoverty is an important problem in Germany. The health effects of poverty can lead to a higher risk of disease and the arising of chronic affections. On the other hand chronic illness may support the development and continuance of poverty. The context of chronic pain and poverty has not been analyzed so far.ObjectivesWe investigated the correlation between chronic pain and poverty.Materials And MethodsIn a prospective manner we interviewed 20 patients with pain syndromes during our consultation hour regarding their household income. Further, data from the German Federal Statistical Office were analyzed with respect to the correlation between the incidence of a chronic pain diagnosis and household income.ResultsAt 1546 €, the average household income of the patients studied was below the poverty level. The analyzed data showed that women suffered from chronic pain more often than men did and also had a lower income. Another economic inequality was found between Eastern and Western Germany. There was a statistically significant correlation between income and the incidence of the diagnostic codes for chronic pain (R52.1, 2, 9) for men.ConclusionOur investigation showed the correlation between chronic pain and poverty. A commitment and cooperation of German medical associations and federal politics is necessary to overcome this sociopolitical issue.

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