Are We Losing Our Humanity? Study Shows Alarming Shift in Attitudes Toward Pain

A study with 18,097 people from 18 countries showed that society is less tolerant towards individuals in pain. This is surprising considering the increased awareness of global health due to the COVID-19 pandemic.

The Haleon Pain Index (HPI) fifth edition shows that people’s attitudes towards pain in post-pandemic society have become stricter and less accepting.

Haleon’s study found that almost half of people in pain feel stigmatised, and a third are afraid of being judged for their pain.

This year’s study has found that, since the first edition in 2014, the social and emotional impact of pain has grown by nearly 25%, with stigma and social isolation arising from everyday pain increasing worldwide. 42% of people questioned said they regularly experience loneliness when in pain. Feelings of serious loneliness emerged globally, with 38% of people in mainland China, 33% in Australia and 32% in the UK reporting this. This coincides with warnings about the public health impacts of loneliness and social isolation issued by the World Health Organisation^[4] and the Loneliness Epidemic pointed out in spring 2023.

Dr Linda Papadopoulos, Psychologist and Author, commented: “Everyday pain is a health issue that can easily be dismissed or trivialised. Many don’t realise its effects can be much worse than the symptoms themselves. The result of loneliness and mental health impact caused by lack of empathy and being treated differently is only worsening. As a society, we need to improve empathy and understanding in a world that is continuing to harden to these issues.”

The HPI discovered that people who already experience bias, discrimination, and exclusion in society are the worst affected by these hardening views on pain.

• 58% of women said their pain had been treated differently, not believed or discriminated versus 49% of men. This is highest amongst women in India (74%), Kingdom of Saudi Arabia (KSA) (74%), Brazil (74%), and mainland China (61%).
• 59% of people of colour said their pain had been treated differently, not believed or discriminated versus 48% of white people. This is highest in Brazil (71%), Poland (64%) and the USA (64%), whilst this is true for 60% in the UK.

Challenges Faced by Younger Patients

The study also revealed a sharp generational divide in the way people experience pain, suggesting that younger patients struggle most with making their pain known and accessing treatment:

• 70% of Gen Z said their pain had been treated differently, not believed or discriminated, compared to 40% of Baby Boomers. This is highest in India (80%), the USA (79%) and for 74% of UK respondents.
• 45% of Gen Z said being in pain was too much of a taboo for them to speak out, compared to 35% of Boomers.

While the older generation find it easier to express their pain and access treatment, they are the most marginalised when it comes to accessing health-related information online. 45% of 75–84-year-olds said they struggle to access this online because they do not feel confident navigating the internet, compared with 33% overall.

More personalised and compassionate pain view

Respondents agreed on the need for a more personalised and compassionate view of pain. More than two thirds (68%) of people said more empathy to address bias and exclusion would make a real difference to their experience of pain. Meanwhile, 69% said they wished doctors and 62% wished pharmacists were better trained on how individual pain is for different patients.

Lisa Jennings, Head of Global Over the Counter Category at Haleon, said: “While pain is a universal human experience, resulting in loneliness and stigma for many, its impact varies considerably between social groups, with the most marginalised amongst the worst affected. Our ambition is to break down the barriers to achieving better everyday health for everyone – irrespective of age, race, ethnicity, gender, sexual orientation, disability and other factors. The HPI shows that we can lessen the social and emotional impact of pain by shifting perceptions and conversations around pain management. That’s why we’re taking action through several programs such as our #ListenToPain initiative which is being rolled out to health professionals across the globe.”