Pain medicine : the official journal of the American Academy of Pain Medicine
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Comparative Study
Intrarace differences among black and white americans presenting for chronic pain management: the influence of age, physical health, and psychosocial factors.
Emerging comparative literature documents significant racial differences in the chronic pain experience in terms of physical, psychological, and social well-being. However, the intrarace differences of chronic pain among black Americans and white Americans has not been extensively investigated. The purpose of this investigation was to examine the potential within-race-group differential effects and the psychosocial aspects of chronic pain in black and white Americans across age groups. ⋯ Examining within-race-group variability suggests that chronic pain differentially affects the quality of life and health status of black Americans and white Americans across age groups. This study emphasizes the need for further chronic pain studies examining pain indicators within defined racial and ethnic groups.
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Comparative Study
Comparing the experiential and psychosocial dimensions of chronic pain in african americans and Caucasians: findings from a national community sample.
To ascertain whether non-Hispanic African American and Caucasian chronic pain sufferers differ or converge in their self-reports of pain experience and pain adjustment. ⋯ Psychosocial dimensions of chronic pain differed between community-residing African American and Caucasian adults surveyed as part of a national sample.
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To determine whether race is a predictor of a patient's likelihood of being prescribed selective cyclooxygenase-2 inhibitors (COX-2s) versus other nonsteroidal anti-inflammatory agents (NSAIDs) in Medicaid managed care plans (MCO). ⋯ Patient race is a significant predictor of COX-2 prescriptions in the Medicaid population, even after adjusting for other demographic and clinical variables. Cost to the patient was not a factor, as the patient copayment was 1 US dollar for any prescription.