Ethnic differences in physical pain sensitivity: Role of acculturation

Chan, Michelle Y. P.; Hamamura, Takeshi; Janschewitz, Kristin Lenis

doi:10.1016/j.pain.2012.09.015

Cited by 48 publications

(38 citation statements)

References 33 publications

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“…However, it was shown that a higher level of acculturation is associated with reduced pain threshold and pain tolerance (Chan, 2012). We found no evidence for attending a physician for pain-treatment depending on SES.…”

Section: Preprintscontrasting

confidence: 73%

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Predictors of health care utilization in young children with recurrent pain – a population-based study

Hirschfeld

Wager²,

Zernikow

2014

Preprint

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Background: Recurrent pain is a common experience in childhood, but only few children with recurrent pain attend a physician. Previous small-scale studies yielded conflicting findings with regard to predictors of health care utilization in children with recurrent pain. Methods:The present study analyzes a subset of the data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) study. Specifically, our sample comprised n= 2,149 young children (3-10 years old) with recurrent pain to find robust predictors. We used multiple logistic regressions to investigate age, gender, SES, migration background, pain intensity, pain frequency, pain-related disability, somatic symptoms, HRQL, as predictors for visiting a doctor due to pain. Additionally we investigated the variability of the predictors to assess the sample size needed to make reliable claims about predictors of health-care utilization. Results: Overall, 1144 (53%) children consulted a physician due to recurrent pain. Young girls with high pain-related disability, -intensity, -frequency, and migration background were more likely to attend a physician. Pain-related disability had the largest impact. Socioeconomic status, healthrelated quality of life and somatic symptoms were not systematically related to health careutilization. An analysis of the variability of these results indicated that several hundred participants are needed until the results stabilize. Conclusions: Our findings highlight the importance of pain-related disability and frequency in assessing the severity of recurrent pain. Generic predictors and demographic variables are of lesser relevance to children with recurrent pain. On a methodological level our results show that large-scale populationbased studies are need to reliably identify predictors of health care utilization.PeerJ PrePrints | http://dx.doi.org/10.7287/peerj.preprints.618v1 | CC-BY 4.0 Open Access |

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Section: Preprintscontrasting

confidence: 73%

“…This difference may not be explained by ethnicity, but rather by effects of acculturation (Chan, 2012). US-studies with adult chronic pain patients did not find an effect of ethnicity (Meghani & Cho, 2009).…”

Section: Preprintsmentioning

confidence: 86%

Predictors of health care utilization in young children with recurrent pain – a population-based study

Hirschfeld

Wager²,

Zernikow

2014

Preprint

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“…2, 15, 16 Indeed, a handful of studies in healthy young adults have reported greater experimental pain sensitivity in Asians compared to NHWs .27, 32, 36, 47 In addition, older Asian Americans with knee OA were shown to have greater clinical and experimental pain than NHWs. 1 Even though Asian American was the fastest growing ethnic group in the United States between 2000 and 2010, 53 most studies have not included significant numbers of Asian American participants, and therefore, little is known about Asian Americans' pain experiences.…”

mentioning

confidence: 99%

Depression and Pain in Asian and White Americans With Knee Osteoarthritis

Ahn

Weaver

Lyon

et al. 2017

The Journal of Pain

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Few studies have examined the underlying psychosocial mechanisms of pain in Asian Americans. Using the biopsychosocial model, we sought to determine whether variations in depression contribute to racial group differences in symptomatic knee osteoarthritis pain between Asian Americans and non-Hispanic whites. The sample consisted of 100 participants, including 50 Asian Americans (28 Korean Americans, 9 Chinese Americans, 7 Japanese Americans, 5 Filipino Americans, and 1 Indian American) and 50 age- and sex-matched non-Hispanic whites with symptomatic knee osteoarthritis pain. The Centers for Epidemiologic Studies Depression Scale was used to assess symptoms of depression, and the Western Ontario and McMaster Universities Osteoarthritis Index and the Graded Chronic Pain Scale were used to measure clinical pain. In addition, quantitative sensory testing was used to measure experimental sensitivity to heat- and mechanically-induced pain. The results indicated that higher levels of depression in Asian Americans may contribute to greater clinical pain and experimental pain sensitivity. These findings add to the growing literature regarding ethnic and racial differences in pain and its associated psychological conditions, and additional research is warranted to strengthen these findings. Perspective This article demonstrates the contribution of depression to clinical pain and experimental pain sensitivity in Asian Americans with knee osteoarthritis. Our results suggest that Asian Americans have higher levels of depressive symptoms and that depression plays a relevant role in greater clinical pain and experimental pain sensitivity in Asian Americans.

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“…A recent study shows that factors such as ethnicity (i.e., Asians having greater pain sensitivity) and immigration status (i.e., immigrants having greater pain sensitivity) could affect how ocular discomfort is perceived and/or reported to clinicians or on medical questionniares. [86][87][88] Individual pain sensitivity provides a clinically relevant insight into the perception of symptoms of ocular dryness and discomfort. 85 Future work should include examining the relationship between signs and symptoms in subjects with a wide range of pain sensitivities.…”

Section: Symptomatology: Dryness and Discomfort With Contact Lens Wearmentioning

confidence: 99%

Accounting for Ethnicity-Related Differences in Ocular Surface Integrity as a Step Toward Understanding Contact Lens Discomfort

Chan

Svitova

Lin³

2017

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Contact lens discomfort is a common problem that can lead to unsuccessful or limited contact lens wear. Although many factors may contribute to contact lens discomfort, limited research has explored the influence of ethnicity-related differences in the anatomy and physiology of the ocular surface. Therefore, we performed a search of the literature in PubMed using key words related to “ocular surface” paired with the terms “race” and “ethnicity.” The goal of this review was to determine potential areas of research regarding ethnicity differences, particularly between Asian and non-Asian eyes, in ocular surface integrity to advance our understanding of contact lens discomfort.

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Ethnic differences in physical pain sensitivity: Role of acculturation

Cited by 48 publications

References 33 publications

Predictors of health care utilization in young children with recurrent pain – a population-based study

Predictors of health care utilization in young children with recurrent pain – a population-based study

Depression and Pain in Asian and White Americans With Knee Osteoarthritis

Accounting for Ethnicity-Related Differences in Ocular Surface Integrity as a Step Toward Understanding Contact Lens Discomfort

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