The association between violence against women and chronic pain: A systematic review and meta-analysis

Violence against women is still a recurring phenomenon that involves at least 35% of women worldwide. Violence can be sexual, physical, and/or psychological, perpetrated by the partner, another family member, or a stranger. Violence is a public health problem because its consequences include higher morbidity, higher mortality, and short and long-term physical and psychological health diseases. Most studies prove an association between any type of violence and some chronic pain diagnoses but no one has done a complete collection of this evidence. This systematic review and meta-analysis aimed to evaluate whether this association is statistically significant, including the largest number of studies. Through the inclusion of 37 articles, the association has been demonstrated. Compared with no history of violence, women who did experience violence showed increased odds of developing chronic pain. The impact of violence was significant also on fibromyalgia separately, but not on pelvic pain. Systematic review registration: PROSPERO CRD42023425477