Pain medicine : the official journal of the American Academy of Pain Medicine
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Comparative Study
Ethnic similarities and differences in the chronic pain experience: a comparison of african american, Hispanic, and white patients.
Ethnic differences in the perception, experience, and impact of pain have received growing attention in recent years. Although studies comparing pain among African Americans, Hispanics, and whites have yielded mixed findings, increasing evidence suggests an enhancement of the pain experience for African American and Hispanic patients. Mechanisms proposed to account for this effect include systematic differences in psychological distress and in pain-coping strategies, or differential relationships between these factors and pain. However, few studies have evaluated all of these variables, or matched ethnic groups precisely on potential confounds. ⋯ These results suggest that ethnic differences in pain, pain-related sequelae, and affective factors may be small when ethnic groups are closely matched on confounding variables. Moreover, interventions designed to facilitate adaptive coping are likely to be effective across ethnic groups.
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Ethnic disparities in pain have recently gained increasing attention; however, relatively few studies have examined ethnic differences in pain prevalence, and even fewer have addressed whether ethnic groups differ in their pain-reducing behaviors. Thus, this study investigated ethnic differences in pain prevalence and impact among healthy young African Americans, Hispanics, and non-Hispanic whites.(1) Also, ethnic differences in pain-reducing behaviors were explored. Undergraduate students (N = 1,037) from three ethnic groups completed a telephone survey of recent pain experiences. ⋯ For African Americans, total pain sites, as well as interference and frustration, were significantly associated with pain-reducing behaviors, while among Hispanics, worry and frustration were the strongest predictors for total pain-reducing behaviors. These results suggest potentially important ethnic differences in patterns and predictors of pain-reducing actions, and their emergence in a healthy sample suggest that ethnic differences in pain-related responses predate the development of chronic pain. These findings may have important implications for understanding ethnic differences in responses to clinical pain and for tailoring treatment approaches to eliminate disparities.
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Research on disparities in the treatment of pain has shown that minorities receive less aggressive pain management than non-minorities. While reasons include physician bias, the focus of this study was to examine whether differences in pain reporting behavior might occur when pain is reported to individuals of a different race or gender. ⋯ Racial and gender concordance did not influence pain reporting; however, pain reporting was influenced by interactions between gender and race in the subject-experimenter dyads.
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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.