Ethnic differences influence care giver's estimates of pain during labour
The present study compared the childbirth experience of two different ethnic groups living in the same area and sharing the same medical facilities. We investigated the influence of ethnic differences between patient and care provider on the interpretation of pain. The subjects were 225 Jewish and 1...
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| Veröffentlicht in: | Pain (Amsterdam) 1999-06, Vol.81 (3), p.299-305 |
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| creator | Sheiner, Einat K Sheiner, Eyal Shoham-Vardi, Ilana Mazor, Moshe Katz, Miriam |
| description | The present study compared the childbirth experience of two different ethnic groups living in the same area and sharing the same medical facilities. We investigated the influence of ethnic differences between patient and care provider on the interpretation of pain. The subjects were 225 Jewish and 192 Bedouin parturients, who were prospectively evaluated for their labour pain experience. The pain intensity level was assessed by the parturient (`self-reported pain') and by a Jewish doctor and midwife (`exhibited pain') in the initial active phase of labour, using the visual analog scale (VAS). On the day after delivery, the women were asked to evaluate the present pain intensity level. Although the means of the self-assessments of pain intensity levels at the initial active phase of Jewish and Bedouin parturients were similar (8.55 and 8.53 respectively,
P=0.25), the Jewish medical staff interpreted Bedouin women to experience less pain than Jewish women (6.89 vs. 8.52,
P |
| doi_str_mv | 10.1016/S0304-3959(99)00019-6 |
| format | Article |
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P=0.25), the Jewish medical staff interpreted Bedouin women to experience less pain than Jewish women (6.89 vs. 8.52,
P<0.001). On the day after delivery, the Jewish women's evaluation of their pain intensity levels again resembled that of the Bedouin women (2.02 and 2.11 respectively,
P=0.52). The Pearson correlation coefficients between the measures of self-reported and exhibited pain, were higher for Jewish than for Bedouin women (0.74 and 0.63, respectively). In a multiple linear regression analysis, both self-reported and exhibited pain scores were associated significantly with ethnicity and parity. In the model predicting exhibited pain, the level of religious observance was negatively associated with pain intensity scores. We conclude that the ethnic background of the care provider is an important determinant in estimating the suffering of the patients. It is important for the clinician to be aware of the wide spectrum of factors that might influence pain expression and interpretation. The knowledge that there are inter-ethnic differences might prevent a stereotyped response to the patient in pain.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/S0304-3959(99)00019-6</identifier><identifier>PMID: 10431717</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Adult ; Arabs ; Attitude of Health Personnel ; Biological and medical sciences ; Caregivers - education ; Ethnic group ; Female ; Fundamental and applied biological sciences. Psychology ; Gynecology and obstetrics ; Humans ; Israel ; Jews ; Labor, Obstetric - ethnology ; Labour pain ; Linear Models ; Midwifery ; Obstetrics ; Pain - ethnology ; Pain Measurement - methods ; Parity ; Pregnancy ; Prospective Studies ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Religion ; Religious observance ; Self-Assessment ; Visual analog scale</subject><ispartof>Pain (Amsterdam), 1999-06, Vol.81 (3), p.299-305</ispartof><rights>1999 Elsevier Science B.V.</rights><rights>Lippincott Williams & Wilkins, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4878-c86fc64d6ce010e359340a9a6049ff0fe51cd088d409edf54fd105a02e6125ae3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0304395999000196$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1852058$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10431717$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sheiner, Einat K</creatorcontrib><creatorcontrib>Sheiner, Eyal</creatorcontrib><creatorcontrib>Shoham-Vardi, Ilana</creatorcontrib><creatorcontrib>Mazor, Moshe</creatorcontrib><creatorcontrib>Katz, Miriam</creatorcontrib><title>Ethnic differences influence care giver's estimates of pain during labour</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>The present study compared the childbirth experience of two different ethnic groups living in the same area and sharing the same medical facilities. We investigated the influence of ethnic differences between patient and care provider on the interpretation of pain. The subjects were 225 Jewish and 192 Bedouin parturients, who were prospectively evaluated for their labour pain experience. The pain intensity level was assessed by the parturient (`self-reported pain') and by a Jewish doctor and midwife (`exhibited pain') in the initial active phase of labour, using the visual analog scale (VAS). On the day after delivery, the women were asked to evaluate the present pain intensity level. Although the means of the self-assessments of pain intensity levels at the initial active phase of Jewish and Bedouin parturients were similar (8.55 and 8.53 respectively,
P=0.25), the Jewish medical staff interpreted Bedouin women to experience less pain than Jewish women (6.89 vs. 8.52,
P<0.001). On the day after delivery, the Jewish women's evaluation of their pain intensity levels again resembled that of the Bedouin women (2.02 and 2.11 respectively,
P=0.52). The Pearson correlation coefficients between the measures of self-reported and exhibited pain, were higher for Jewish than for Bedouin women (0.74 and 0.63, respectively). In a multiple linear regression analysis, both self-reported and exhibited pain scores were associated significantly with ethnicity and parity. In the model predicting exhibited pain, the level of religious observance was negatively associated with pain intensity scores. We conclude that the ethnic background of the care provider is an important determinant in estimating the suffering of the patients. It is important for the clinician to be aware of the wide spectrum of factors that might influence pain expression and interpretation. The knowledge that there are inter-ethnic differences might prevent a stereotyped response to the patient in pain.</description><subject>Adult</subject><subject>Arabs</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Caregivers - education</subject><subject>Ethnic group</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gynecology and obstetrics</subject><subject>Humans</subject><subject>Israel</subject><subject>Jews</subject><subject>Labor, Obstetric - ethnology</subject><subject>Labour pain</subject><subject>Linear Models</subject><subject>Midwifery</subject><subject>Obstetrics</subject><subject>Pain - ethnology</subject><subject>Pain Measurement - methods</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Religion</subject><subject>Religious observance</subject><subject>Self-Assessment</subject><subject>Visual analog scale</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EokvhJ4ByQHwcAmPH9npOCFUFKlXiAJwt1x53DdlksZNW_HucZgXcOHlkPe-M5zFjTzm84cD12y_QgWw7VPgK8TUAcGz1PbbhZitarUV3n23-ICfsUSnfKySEwIfshIPs-JZvN-zifNoNyTchxUiZBk-lSUPs56VsvMvUXKcbyi9LQ2VKezdVYIzNwaWhCXNOw3XTu6txzo_Zg-j6Qk-O5yn79uH869mn9vLzx4uz95etl2ZrWm909FoG7Qk4UKewk-DQaZAYI0RS3AcwJkhAClHJGDgoB4I0F8pRd8perH0Pefw510fZfSqe-t4NNM7FakSBBkUF1Qr6PJaSKdpDrgvkX5aDXRzaO4d2EWQR7Z1Dq2vu2XHAfLWn8E9qlVaB50fAFe_6mN3gU_nLGSVAmYrJFbsd-4ly-dHPt5Ttjlw_7ZZpoDvULUdE0NVFu1wtsXdrjKrEm1QTxaflN0LK5CcbxvSfBX4D93-c8A</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Sheiner, Einat K</creator><creator>Sheiner, Eyal</creator><creator>Shoham-Vardi, Ilana</creator><creator>Mazor, Moshe</creator><creator>Katz, Miriam</creator><general>Elsevier B.V</general><general>Lippincott Williams & Wilkins, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990601</creationdate><title>Ethnic differences influence care giver's estimates of pain during labour</title><author>Sheiner, Einat K ; Sheiner, Eyal ; Shoham-Vardi, Ilana ; Mazor, Moshe ; Katz, Miriam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4878-c86fc64d6ce010e359340a9a6049ff0fe51cd088d409edf54fd105a02e6125ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Arabs</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Caregivers - education</topic><topic>Ethnic group</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gynecology and obstetrics</topic><topic>Humans</topic><topic>Israel</topic><topic>Jews</topic><topic>Labor, Obstetric - ethnology</topic><topic>Labour pain</topic><topic>Linear Models</topic><topic>Midwifery</topic><topic>Obstetrics</topic><topic>Pain - ethnology</topic><topic>Pain Measurement - methods</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Religion</topic><topic>Religious observance</topic><topic>Self-Assessment</topic><topic>Visual analog scale</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sheiner, Einat K</creatorcontrib><creatorcontrib>Sheiner, Eyal</creatorcontrib><creatorcontrib>Shoham-Vardi, Ilana</creatorcontrib><creatorcontrib>Mazor, Moshe</creatorcontrib><creatorcontrib>Katz, Miriam</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sheiner, Einat K</au><au>Sheiner, Eyal</au><au>Shoham-Vardi, Ilana</au><au>Mazor, Moshe</au><au>Katz, Miriam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnic differences influence care giver's estimates of pain during labour</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>81</volume><issue>3</issue><spage>299</spage><epage>305</epage><pages>299-305</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>The present study compared the childbirth experience of two different ethnic groups living in the same area and sharing the same medical facilities. We investigated the influence of ethnic differences between patient and care provider on the interpretation of pain. The subjects were 225 Jewish and 192 Bedouin parturients, who were prospectively evaluated for their labour pain experience. The pain intensity level was assessed by the parturient (`self-reported pain') and by a Jewish doctor and midwife (`exhibited pain') in the initial active phase of labour, using the visual analog scale (VAS). On the day after delivery, the women were asked to evaluate the present pain intensity level. Although the means of the self-assessments of pain intensity levels at the initial active phase of Jewish and Bedouin parturients were similar (8.55 and 8.53 respectively,
P=0.25), the Jewish medical staff interpreted Bedouin women to experience less pain than Jewish women (6.89 vs. 8.52,
P<0.001). On the day after delivery, the Jewish women's evaluation of their pain intensity levels again resembled that of the Bedouin women (2.02 and 2.11 respectively,
P=0.52). The Pearson correlation coefficients between the measures of self-reported and exhibited pain, were higher for Jewish than for Bedouin women (0.74 and 0.63, respectively). In a multiple linear regression analysis, both self-reported and exhibited pain scores were associated significantly with ethnicity and parity. In the model predicting exhibited pain, the level of religious observance was negatively associated with pain intensity scores. We conclude that the ethnic background of the care provider is an important determinant in estimating the suffering of the patients. It is important for the clinician to be aware of the wide spectrum of factors that might influence pain expression and interpretation. The knowledge that there are inter-ethnic differences might prevent a stereotyped response to the patient in pain.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>10431717</pmid><doi>10.1016/S0304-3959(99)00019-6</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Arabs Attitude of Health Personnel Biological and medical sciences Caregivers - education Ethnic group Female Fundamental and applied biological sciences. Psychology Gynecology and obstetrics Humans Israel Jews Labor, Obstetric - ethnology Labour pain Linear Models Midwifery Obstetrics Pain - ethnology Pain Measurement - methods Parity Pregnancy Prospective Studies Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Religion Religious observance Self-Assessment Visual analog scale |
| title | Ethnic differences influence care giver's estimates of pain during labour |
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