Sleep Behaviors in Older African American Females Reporting Nonmalignant Chronic Pain: Understanding the Psychosocial Implications of General Sleep Disturbance

Baker, Tamara A.; Whitfield, Keith E.

doi:10.1080/08952841.2014.885299

Cited by 5 publications

(6 citation statements)

References 44 publications

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“…The association between low back pain and sleep complaints (such as disruptive sleep and problems initiating and maintaining sleep) among older adults has been well-stablished [ 2 , 92 ]. However, the examination of sleep disorders among minority older adults are very limited [ 93 , 94 , 95 , 96 , 97 ]. Furthermore, there are few studies evaluating sleep quality among minority older adults and its relationship with pain [ 96 ].…”

Section: Discussionmentioning

confidence: 99%

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Bazargan

Loeza

Ekwegh

et al. 2021

IJERPH

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Chronic low back pain is one of the most common, poorly understood, and potentially disabling chronic pain conditions from which older adults suffer. The existing low back pain research has relied almost exclusively on White/Caucasian participant samples. This study examines the correlates of chronic low back pain among a sample of underserved urban African American and Latino older adults. Controlling for age, gender, race/ethnicity, education, living arrangement, and number of major chronic conditions, associations between low back pain and the following outcome variables are examined: (1) healthcare utilization, (2) health-related quality of life (HR-QoL) and self-rated quality of health; and (3) physical and mental health outcomes. Methods: We recruited nine hundred and five (905) African American and Latino older adults from the South Los Angeles community using convenience and snowball sampling. In addition to standard items that measure demographic variables, our survey included validated instruments to document HR-QoL health status, the Short-Form McGill Pain Questionnaire-2, Geriatric Depression Scale, sleep disorder, and healthcare access. Data analysis includes bivariate and 17 independent multivariate models. Results: Almost 55% and 48% of the Latino and African American older adults who participated in our study reported chronic low back pain. Our data revealed that having low back pain was associated with three categories of outcomes including: (1) a higher level of healthcare utilization measured by (i) physician visits, (ii) emergency department visits, (iii) number of Rx used, (iv) a higher level of medication complexity, (v) a lower level of adherence to medication regimens, and (vi) a lower level of satisfaction with medical care; (2) a lower level of HR-QoL and self-assessment of health measured by (i) physical health QoL, (ii) mental health QoL, and (iii) a lower level of self-rated health; and (3) worse physical and mental health outcomes measured by (i) a higher number of depressive symptoms, (ii) a higher level of pain, (iii) falls, (iv) sleep disorders, (v) and being overweight/obese. Discussion: Low back pain remains a public health concern and significantly impacts the quality of life, health care utilization, and health outcomes of underserved minority older adults. Multi-faceted and culturally sensitive interventional studies are needed to ensure the timely diagnosis and treatment of low back pain among underserved minority older adults. Many barriers and challenges that affect underserved African American and Latino older adults with low back pain simply cannot be addressed in over-crowded EDs. Our study contributes to and raises the awareness of healthcare providers and health policymakers on the necessity for prevention, early diagnosis, proper medical management, and rehabilitation policies to minimize the burdens associated with chronic low back pain among underserved older African American and Latino patients in an under-resourced community such as South Los Angeles.

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Section: Discussionmentioning

confidence: 99%

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Bazargan

Loeza

Ekwegh

et al. 2021

IJERPH

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“…In a recent study, Baker and Whitfield (2015) found that pain intensity and age (being younger) were indicators of sleep difficulty among Black adults diagnosed with multiple chronic illnesses. In a similar study of older Black women, decreased physical functioning was associated with sleep difficulty (Baker & Whitfield, 2014). Of concern, however, is the impact this dyad has among diverse race populations.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, it has been shown that sleep disturbance compromises quality of life, daily functioning, and may result in increased morbidities, mortality, and health care utilization (Magee, Caputi, & Iverson, 2011; McMillan, Tofthagen, & Morgan, 2008). Although cases of sleep problems are found across all age groups (Valrie, Bromberg, Palermo, & Schanberg, 2013), older adults are more likely to experience sleep-related disorders (e.g., restless leg syndrome, insomnia, sleep-disordered breathing; Roepke & Ancoli-Israel, 2010), outcomes resulting from sleep disorders (e.g., cognitive impairment; Gamaldo, Allaire, & Whitfield, 2008), and poor physical health (Baker & Whitfield, 2014, 2015) than their younger-aged counterparts. An estimated 50% to 88% of patients with chronic nonmalignant pain report significant sleep disturbance, multisite pain, and restless sleep (Chen et al, 2011; Lopez-Torres Hidalgo et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…There is an amalgam of data illustrating the robust association between chronic illness and the physical impairment–pain dyad (Baker, O’Connor, & Krok, 2014; Baker & Whitfield, 2006, 2014, 2015; Stubbs et al, 2013). Recognized as a common symptomatic outcome of cancer, with an increasing prevalence among older patients (Baker et al, 2014; Green, Hart-Johnson, & Loeffler, 2011), existent data establish the impact pain episodes have on the capacity to perform activities essential to maintaining an independent lifestyle (Anderson et al, 2002; Brach et al, 2003; den Ouden, Schuurmans, Arts, & van der Schouw, 2011; Stubbs et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Influence of Social and Health Indicators on Pain Interference With Everyday Activities Among Older Black and White Cancer Patients

Baker

O’Connor

Krok‐Schoen

2016

Gerontology and Geriatric Medicine

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Objective: This prospective study aimed to determine the influence social and health factors have on pain interference with everyday activities among older patients receiving outpatient treatment services from a comprehensive cancer center. Method: Participants were surveyed on questions assessing pain interference, and social (communication), health (pain severity, comorbidities), behavioral (self-efficacy, affect), and demographic characteristics. Multivariate analyses were specified to examine determinants of pain interference, with items loading on separate cluster composites: physical interference and psychosocial interference. Results: Pain severity was a significant indicator for physical interference. Similarly, pain severity, education, self-efficacy, negative affect, and communication were predictors of psychosocial interference. Discussion: Factors defining the daily lived experiences of older adults are important in providing baseline information on functional status. This emphasizes the need to rigorously examine the association between pain, and clinical and psychosocial indicators, but more importantly indicators that contribute to the patient’s ability to perform normal everyday activities.

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“…Few studies have examined pain interference outcomes in older African Americans, and it is unclear if these PROs are applicable to this population. Take sleep impairment for example, studies show that while higher pain in older African Americans is related to insomnia (Bazargan et al, 2016), older-old African Americans report less sleep impairments than younger or middle-aged African Americans (Baker & Whitfield, 2014. Petrov and partners (2015) found no significant relationship between African American ethnicity and measures of sleep interference and pain processing via quantitative sensory testing (QST) and conditioned pain modulation.…”

Section: Pain Interference and Related Outcomesmentioning

confidence: 99%

Culturally Conscientious Pain Measurement in Older African Americans

2016

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Despite considerable pain disparities across the care continuum, pain is an understudied health problem in older ethnic minority groups, such as African Americans. Quality pain measurement is a core task in pain management and a mechanism by which pain disparities may be reduced. Pain measurement includes the methods (e.g., assessment approaches, tools) and metrics that researchers and clinicians use to understand the characteristics of pain. However, there are significant issues and gaps that negatively affect pain measurement in older African Americans. Of concern is insufficient representation in pain research, which impedes the testing and refinement of many standardized self-report, behavioral and surrogate report, physiological, and composite measures of pain. The purposes for this article are to discuss the status of pain measurement and factors that affect our knowledge on pain measurement in older African Americans, and to provide guidance for culturally conscientious pain measurement using the available literature.

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Sleep Behaviors in Older African American Females Reporting Nonmalignant Chronic Pain: Understanding the Psychosocial Implications of General Sleep Disturbance

Cited by 5 publications

References 44 publications

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults

Influence of Social and Health Indicators on Pain Interference With Everyday Activities Among Older Black and White Cancer Patients

Culturally Conscientious Pain Measurement in Older African Americans

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