Adaptive frameworks of chronic pain: daily remakings of pain and care at a Somali refugee women’s health centre

Campeau, Kari

doi:10.1136/medhum-2017-011418

Cited by 11 publications

(16 citation statements)

References 47 publications

(29 reference statements)

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“…In our study, health professionals perceived pastoralists, especially those living in faraway places, as having specific health beliefs, a low-level of (biomedical) health literacy and difficulties to express pain. According to Campeau (2018) , explaining one’s pain is challenging, particularly across language and literacy barriers in different healthcare settings. Due to this, building trusting relationships with patients is even more important for health professionals.…”

Section: Discussionmentioning

confidence: 99%

“…In response to the ‘divine source’ of all illnesses, Qur’anic healing and prayer are of utmost importance ( Carruth 2014 ). As a study with Somali women revealed, such practices co-existed without conflict ( Campeau 2018 ). Considering this lived medical pluralism among pastoralists and Somalis, a complex phenomenon like pain emphasises the importance of multiple treatment options and interventions.…”

Section: Introductionmentioning

confidence: 99%

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“It is difficult for us to treat their pain”. Health professionals’ perceptions of Somali pastoralists in the context of pain management: a conceptual model

et al. 2023

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Pain is one of the most neglected areas of care in sub-Saharan Africa. Access to adequate pain management is important, especially in marginalised populations, such as pastoralists. Little is known about health professionals’ perceptions of pain-related care for Somali pastoralists. This study seeks to understand health professionals’ perceptions of Somali pastoralists in the context of pain management in Eastern Ethiopia. Within the scope of this qualitative multicentre study, we conducted semi-structured interviews with 17 health professionals (mainly nurses) experienced in treating Somali pastoralists with pain. Data analysis was based on the coding paradigm proposed by Strauss and Corbin within Grounded Theory methodology and resulted in a conceptual model of pastoralist-specific pain management. We gave voice to pastoralists in the study design, for example, through focus group discussions conducted prior to this study. Our study is part of a larger ongoing research project involving health professionals and pastoralist communities. The perspective of pastoralists is explored in a consecutive study. ‘Patient-professional relationship’ was the core category we identified within the conceptual model. This category was closely linked with issues of ‘(mis)trust’ and ‘communication (barriers)’. ‘Patient-related conditions’ (eg, (under)-reporting of pain, care preferences and beliefs) and ‘health professional-related’ conditions’ (eg, insufficient training, (under)exposure to local culture) had an influence on the core category. Contextual factors proved to be relevant as well, such as age and gender. The study highlights the complexity of pain management among marginalised communities, such as pastoralists. Health professionals perceive Somali pastoralists to have distinct illness beliefs and pain concepts influencing their health-seeking behaviour. The study highlights the importance of reaching this patient group with culturally acceptable and comprehensive pain management strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“It is difficult for us to treat their pain”. Health professionals’ perceptions of Somali pastoralists in the context of pain management: a conceptual model

et al. 2023

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“…People who were identified with a disadvantaged standing in social class, migration status, gender and ethnocultural status experienced a poorer pain profile (Brady et al , 2018). Untreated chronic pain among refugees is an indicator of other challenges that refugees experience in a resettled country such as issues of faith and perceived discrimination and exclusion (Campeau, 2018). Physicians and other health-care providers should be aware that patients of refugee status may be experiencing chronic or untreated pain (Brady et al , 2018).…”

Section: Discussionmentioning

confidence: 99%

The use of complementary and alternative medicine and pain relievers among refugees resettled in the USA

Rathi

Pye

Sin

et al. 2021

IJMHSC

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Purpose The purpose of this study is to describe the use of complementary and alternative medicine (CAM), pain reliever use and the expectations refugees have of physicians about their practice of CAM use in the USA. Individuals with a refugee background are one of the populations who use CAM for treatment. However, to date, there is insufficient empirical evidence to describe CAM use among refugees resettled in the USA. In addition, collecting information about the use of pain relievers would help better understand the experiences of individuals with a refugee background. Design/methodology/approach Data was collected from August 2018 to November 2019 using a self- or interviewer-administered survey from 94 refugees 18 years of age or older who had settled in the USA. Findings This study found the following: CAM practice is very common among refugees resettled in the USA, most refugees use non-prescription pain medicine and refugees prefer to see physicians who understand CAM. This study contributes valuable findings in the usage of CAM among refugees and determines that CAM is commonly used among refugees resettled in the USA for pain management. Originality/value By better understanding CAM, physicians can address a direct need for the refugee population-seeking health care in the USA and other countries that host refugee resettlement.

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“…Refugee women are one of the most vulnerable groups in our society and report some of the highest rates of chronic pain [ 11 ]. Whilst people from a refugee background may experience numerous vulnerabilities such as gender inequality, poverty, and social trauma [ 3 ], refugee women are at an increased risk to these vulnerabilities at times of armed conflict, humanitarian crisis, and displacement.…”

Section: Introductionmentioning

confidence: 99%

The association between chronic pain and pre-and-post migration experiences in resettled humanitarian refugee women residing in Australia

et al. 2022

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Background Refugee women are potentially at increased risk for chronic pain due to circumstances both in the pre-migration and post-settlement setting. However, this relationship between refugee-related challenges introduced along their migration trajectories and chronic pain remains unclear. This study will therefore examine the association between pre- and post-migration factors and chronic pain in refugee women five years into resettlement in Australia. Methods The first five waves of data from the ‘Building a New Life in Australia’ longitudinal study of humanitarian refugees living in Australia was analysed using logistic regression models to investigate the association between predictor variables and chronic pain. The study outcome was chronic pain and predictors were migration process and resettlement factors in both the pre-and post-settlement setting. Results Chronic pain was reported in 45% (n = 139) of women, and among these a further 66% (n = 120) also reported having a long-term disability or health condition that had lasted 12 months. Pre- migration factors such as increasing age (OR 1.08; 95% CI 1.05, 1.11) and women who migrated under the Women at Risk Visa category (OR 2.40; 95% CI 1.26, 4.56) had greater odds of experiencing chronic pain. Interestingly, post migration factors such as women with better general health (OR 0.04; 95% CI 0.01, 0.11) or those who settled within metropolitan cities (OR 0.29; 95% CI 0.13, 0.68) had lower odds of experiencing chronic pain, and those who experience discrimination (OR 11.23; 95% CI 1.76, 71.51) had greater odds of experiencing chronic pain. Conclusion Our results show that there is a high prevalence of chronic pain in refugee women across the initial years of resettlement in Australia. This may be in part due to pre-migration factors such as age and migration pathway, but more significantly the post migration context that these women settle into such as rurality of settlement, poorer general health and perceived discriminatory experiences. These findings suggest that there may be many unmet health needs which are compounded by the challenges of resettlement in a new society, highlighting the need for increased clinical awareness to help inform refugee health care and settlement service providers managing chronic pain.

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Adaptive frameworks of chronic pain: daily remakings of pain and care at a Somali refugee women’s health centre

Cited by 11 publications

References 47 publications

“It is difficult for us to treat their pain”. Health professionals’ perceptions of Somali pastoralists in the context of pain management: a conceptual model

“It is difficult for us to treat their pain”. Health professionals’ perceptions of Somali pastoralists in the context of pain management: a conceptual model

The use of complementary and alternative medicine and pain relievers among refugees resettled in the USA

The association between chronic pain and pre-and-post migration experiences in resettled humanitarian refugee women residing in Australia

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