
Research Topics
The NCCIH Division of Intramural Epidemiology Program is responsible for the design, implementation, and analyses of high-quality surveys and longitudinal studies that further our understanding of chronic pain's incidence, prevalence and management, and disparities and costs associated with this management. The program also studies factors that contribute to the use of complementary health approaches, and predictors of resilience, well-being, and health restoration. To achieve these goals, the epidemiology staff uses both quantitative and qualitative epidemiologic research methods to explore various topics, such as disparities in disabling pain and its management within various subpopulations, exploration of common risk factors of pain and other chronic diseases, and the prevalence, costs, and reasons for use of complementary health approaches. Qualitative studies collect information from interviews and focus groups to develop valid questionnaires that explore systems, practices, and products generally not included in conventional medicine. These studies also serve as valuable additions to experimental and observational research examining the effects of chronic pain on a person's life. The epidemiology program at NCCIH has collaborated on projects with Institutes, Centers, and Offices across the National Institutes of Health exploring the predictors and effects of myalgic encephalomyelitis/chronic fatigue syndrome and the long-term effects of COVID-19.
Biography
Richard L. Nahin, Ph.D., M.P.H., is chief of the Epidemiology Program in the Division of Intramural Research, NCCIH. He collaborates with Federal and academic partners to provide reliable estimates of the use of complementary health approaches in the United States, including prevalence, costs, and reasons for use. His responsibilities include oversight of the design, implementation, and analyses of supplements to the National Health Interview Survey and the National Ambulatory Medical Care Survey on complementary health approaches.
Dr. Nahin received his undergraduate degree in psychology in 1979 and his doctorate in neuroscience in 1985, both from the University of California at Los Angeles. He also received a master’s in public health, specializing in epidemiology, in 1997 from the Uniformed Services University of the Health Sciences.
Beginning his National Institutes of Health (NIH) career in 1985 as a postdoctoral research fellow in the Neurobiology and Anesthesiology Branch of the then National Institute of Dental Research (NIDR), Dr. Nahin was progressively promoted to the position of senior staff fellow in 1991. After leaving NIDR, Dr. Nahin joined the National Center for Research Resources as a scientific review administrator, where he remained for 3 years.
Dr. Nahin came to NCCIH (then the Office of Alternative Medicine) in 1996 as a program officer for extramural activities. He continued in this role until early 1999, when he was appointed acting director of NCCIH’s Division of Extramural Research and Training. Dr. Nahin was later appointed as director of the division, as well as executive secretary for the National Advisory Council for Complementary and Alternative Medicine and the Cancer Advisory Panel for Complementary and Alternative Medicine, positions he held until 2001 when he took the role of senior advisor for Scientific Coordination and Outreach. Over time this position developed into his current role as lead epidemiologist.
In 2000, Dr. Nahin received the first of three NIH Director’s Award for his contributions toward the transformation of the Office of Alternative Medicine into a Center. He received two additional NIH Director’s awards for his contributions to the Glucosamine/chondroitin Arthritis Intervention Trial (GAIT) and the Health Care Systems Research Collaboratory. He is the author and co-author of numerous scientific publications.
Selected Publications
- Nahin RL, Feinberg T, Grol-Prokopczyk H, Kapos FP, Murray K, Scott R, Zajacova A. Incidence rates of twelve chronic diseases/conditions in US adults: findings from a population-based study. Lancet Reg Health Am. 2026;54:101342.
- Zajacova A, Grol-Prokopczyk H, Nahin RL. Pain among US adults before, during, and after the COVID-19 pandemic: a study using the 2019 to 2023 National Health Interview Survey. Pain. 2026;167(1):142-149.
- Sun F, Yang Y, Nahin RL. Prevalence and correlates of "undiagnosed pain": evidence from the US national Medical Expenditure Panel Survey. Pain. 2026;167(1):150-158.
- Kapos FP, Feinberg TM, Terman GW, Nahin RL. High-Impact Chronic Pain Incidence Among U.S. Adults: A Brief Report Focused on Socioeconomic Factors. AJPM Focus. 2026;5(3):100475.
- Nahin RL, Rhee A, Stussman B. Use of Complementary Health Approaches Overall and for Pain Management by US Adults. JAMA. 2024;331(7):613-615.
Related Scientific Focus Areas
This page was last updated on Thursday, August 13, 2026

