Culture, Ageing and the Construction of Pain

Lane, Pauline; Smith, David M.

doi:10.3390/geriatrics3030040

Cited by 6 publications

(3 citation statements)

References 69 publications

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“…For example, age [ 10 ], comorbidity [ 11 ], depressive symptoms and sleep quality [ 12 ], and economic status [ 13 ] have been reported as significant factors influencing chronic pain among elderly. In addition, the culture in which people live and other cultural aspects are pivotal to understanding chronic pain in older adults [ 14 , 15 ]. Immigrant older adults may be particularly vulnerable to chronic pain because they are confronted with the cultural barriers and acculturation [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

A comparison of the influencing factors of chronic pain and quality of life between older Koreans and Korean–Americans with chronic pain: a correlational study

et al. 2021

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Background Chronic pain is one of the most common health problems for older adults worldwide and is likely to result in lower quality of life. Living in a different culture may also influence chronic pain and quality of life in older adults. The purpose of this study was to explore how multifaceted elements affect chronic pain and quality of life in older Koreans living in Korea and in older Korean–Americans (KAs) living in the USA. Methods We conducted a secondary data analysis of data from 270 adults aged 65 years or over (138 Koreans and 132 KAs). We compared the effects of multifaceted elements on pain and quality of life by testing structural equation models (SEMs) for each group, using a maximum likelihood estimation and bootstrapping. Results SEMs for both Korean and KAs showed that age and depressive symptoms directly affected quality of life. The number of comorbidities and depressive symptoms had mediating effects on quality of life through chronic pain in both groups. In older Koreans only, perceived financial status directly affected quality of life. In older KAs only, sleep quality indirectly affected quality of life through chronic pain. Conclusion The data showed that multimorbidity and depressive symptoms play critical roles for explaining chronic pain in older Koreans and KAs and ultimately negatively influence quality of life. Future intervention program to improve quality of life in older adults with chronic pain should consider the different cultural aspects affecting quality of life for Koreans and KAs.

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Section: Introductionmentioning

confidence: 99%

A comparison of the influencing factors of chronic pain and quality of life between older Koreans and Korean–Americans with chronic pain: a correlational study

et al. 2021

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“…However, we acknowledge that individuals may have varying thresholds of pain subject to their biological and socio-cultural environment [39]. Interpretation of our findings should take into account the inter-link between ageing, physical decline, and pain in cross-cultural settings [40]. Moreover, approaching pain research from a multidisciplinary approach through qualitative data is crucial in shedding light on age-related perceptions and experiences living with chronic pain and may help minimise barriers in seeking health care and management of pain among older persons [5].…”

Section: Discussionmentioning

confidence: 99%

Pain and Its Impact on Functional Health: 7-Year Longitudinal Findings among Middle-Aged and Older Adults in Indonesia

et al. 2020

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Pain is a growing public health issue worldwide, but there is limited population-based evidence in low- and middle-income country settings. Using nationwide Indonesian Family Life Survey (IFLS) data in 2007 and 2014, this research sets out to investigate the associations between changes in pain status between two time points and its impact on functional health outcomes among middle-aged and older adults in Indonesia. Analyses focused on 7936 adults aged 50 years and older in 2014 who responded to both waves. Functional health was assessed using a composite score of functional limitations (range 20–100), representing difficulty in performing activities of daily living, and grip strength (kilograms). Multivariate linear regression models were used to analyse associations between pain measured in 2007 and 2014 and functional health in 2014. Severe pain in the latest wave of IFLS was associated with older age, female, lower education, having chronic conditions or depressive symptoms. Notably, those who reported ‘low–medium’ pain in 2007 and ‘severe’ pain in 2014 belonged to the most vulnerable group with worst functional health outcomes (4.96 points higher limitation scores and 1.17 kg weaker average grip strength). Findings have implications for public health policy in monitoring and management of pain including related co-morbidities as an increasingly critical component of population ageing.

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“…25,26 This omits the ability to include traditional practices within management plans and compels patients to accept treatments that may not align with their beliefs. Also, some cultures are more private and stoical about pain 27,28 and individuals from these cultures may be less likely to receive treatment, particularly when they are a minority group and the majority (including clinicians) are a culture who expect people to complain and voice their pain readily. A further potentially important contribution to inequities in pain management is that the health framework in many cultures differs from that adopted in most Western countries.…”

mentioning

confidence: 99%

Chinese and Indian interpretations of pain: A qualitative evidence synthesis to facilitate chronic pain management

et al. 2023

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Chronic pain is one of the most prevalent health conditions worldwide, with estimates of 15%-34% reported across the U.S., U.K., Europe, and Australasia. [1][2][3][4] There are fewer studies documenting the prevalence of chronic pain in Eastern countries, but estimates similar to Western countries are reported. 5,6 Pain is traditionally viewed as a multidimensional experience, impacting physical, psychological, economical, and social aspects of health and wellbeing. It is therefore not surprising that chronic non-cancer pain is thought to be best managed using a multidisciplinary approach. Reviews indicate that such approaches are effective overall [7][8][9] ; however, a lack of equity in access to and outcomes from pain management programs has been documented. For example, it has been reported that minority ethnicities are underrepresented at such services, 10,11 have a greater impact of

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Culture, Ageing and the Construction of Pain

Cited by 6 publications

References 69 publications

A comparison of the influencing factors of chronic pain and quality of life between older Koreans and Korean–Americans with chronic pain: a correlational study

A comparison of the influencing factors of chronic pain and quality of life between older Koreans and Korean–Americans with chronic pain: a correlational study

Pain and Its Impact on Functional Health: 7-Year Longitudinal Findings among Middle-Aged and Older Adults in Indonesia

Chinese and Indian interpretations of pain: A qualitative evidence synthesis to facilitate chronic pain management

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