Impact of Socioeconomic, Ethnic, Cultural, and Sociobehavioral Differences on Management of Chronic Pain Syndromes

Ikezi, Stanley; Campbell, Neal F.; Frost, Elizabeth A. M.

doi:10.1097/01.tpm.0000471350.59199.d3

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…This may be changing, however, with recent studies (especially European ones) exploring specific diseases [21], job characteristics [39], neighborhood effects [6], and mental health [41] as mediating factors. A U.S.-based article notes that low SES individuals are more likely to be perceived by healthcare providers as exaggerating pain, and to have bureaucratic difficulties contending with health insurance, if they have insurance at all [33]. (Clinicians may wish to take note of such findings, to ensure that their own clinical practices do not contribute to poor treatment of the socially disadvantaged.)…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic disparities in chronic pain, based on 12-year longitudinal data

Grol-Prokopczyk¹

2016

Pain

186

145

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Existing estimates of sociodemographic disparities in chronic pain in the United States are based on cross-sectional data, often treat pain as a binary construct, and rarely test for non-response or other types of bias. This study uses seven biennial waves of national data from the Health and Retirement Study (1998–2010; n = 19,776) to describe long-term pain disparities among older (age 51+) American adults. It also investigates whether pain severity, reporting heterogeneity, survey non-response, and/or mortality selection might bias estimates of social disparities in pain. In the process, the article clarifies whether two unexpected patterns observed cross-sectionally—plateauing of pain above age 60, and lower pain among racial/ethnic minorities—are genuine or artefactual. Findings show high prevalence of chronic pain: 27.3% at baseline, increasing to 36.6% thereafter. Multivariate latent growth curve models reveal extremely large disparities in pain by sex, education, and wealth, which manifest primarily as differences in intercept. Net of these variables, there is no racial/ethnic minority disadvantage in pain scores, and indeed a black advantage. Pain levels are predictive of subsequent death, even a decade in the future. No evidence of pain-related survey attrition is found, but surveys not accounting for pain severity and reporting heterogeneity are likely to underestimate socioeconomic disparities in pain. The lack of minority disadvantage (net of socioeconomic status) appears genuine. However, the age-related plateauing of pain observed cross-sectionally is not replicated longitudinally, and appears partially attributable to mortality selection, as well as to rising pain levels by birth cohort.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic disparities in chronic pain, based on 12-year longitudinal data

Grol-Prokopczyk¹

2016

Pain

186

145

View full text Add to dashboard Cite

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“…Race/ethnicity factors prominently in perceptions of behavioral risk, personal responsibility, and culpability. [49][50][51] Relative to Whites, patients of color are often provided with less information and time during visits, leading to lower engagement in SDM and visits that are characterized by less positive effect. [52][53][54] White providers also tend to be more verbally dominant and less patient centered toward patients of color relative to White patients.…”

Section: Shared Decision Making In Aapi Sexual Minoritiesmentioning

confidence: 99%

Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap

Tan

López

et al. 2016

LGBT Health

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Shared decision making (SDM) is a model of patient-provider communication. Little is known about the role of SDM in health disparities among Asian American and Pacific Islander (AAPI) sexual and gender minorities (SGM). We illustrate how issues at the intersection of AAPI and SGM identities affect SDM processes and health outcomes. We discuss experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination. Recommendations for clinical practice, research, policy, community development, and education are offered.

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The Impact of Nurses’ Beliefs, Attitudes, and Cultural Sensitivity on the Management of Patient Pain

Kuhlmann

Tallman

2022

J Transcult Nurs

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Introduction: Nurses’ attitudes and beliefs may impact pain management. This study investigated nurses’ perceptions regarding their own and patients’ pain experiences by examining relationships between pain cautiousness and stoicism, cultural sensitivity, and personal pain attitudes. Methodology: A correlational methodology examined nursing staff in a Midwestern private hospital. The sample included 102 primarily female (95.1%), Caucasian (97%), and married (66%) nursing staff. Measures included the Intercultural Sensitivity Scale, Pain Attitudes Questionnaire to Assess Stoicism and Cautiousness, and the Pain Management: Nurses’ Knowledge and Attitude Survey. Results: Cultural sensitivity was a significant predictor of pain knowledge and attitudes total score ( R2 = .081, β = .244, p = .040), while pain stoicism and pain cautiousness were not predictive. Discussion: Findings highlight the importance of nurses being aware of personal attitudes, beliefs, and cultural sensitivity in pain management. Results also demonstrate a gap between the knowledge and utilization of nonpharmacologic pain management interventions among nursing staff.

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Impact of Socioeconomic, Ethnic, Cultural, and Sociobehavioral Differences on Management of Chronic Pain Syndromes

Cited by 3 publications

References 8 publications

Sociodemographic disparities in chronic pain, based on 12-year longitudinal data

Sociodemographic disparities in chronic pain, based on 12-year longitudinal data

Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap

The Impact of Nurses’ Beliefs, Attitudes, and Cultural Sensitivity on the Management of Patient Pain

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