Racial and ethnic differences in the experience and treatment of noncancer pain
The burden of pain is unequal across racial and ethnic groups. In addition to racial and ethnic differences in the experience of pain, there are racial and ethnic disparities in the assessment and treatment of pain. In this article, we provide a nonexhaustive review of the biopsychosocial mechanisti...
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Veröffentlicht in: | Pain management 2019-05, Vol.9 (3), p.317-334 |
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creator | Meints, Samantha M Cortes, Alejandro Morais, Calia A Edwards, Robert R |
description | The burden of pain is unequal across racial and ethnic groups. In addition to racial and ethnic differences in the experience of pain, there are racial and ethnic disparities in the assessment and treatment of pain. In this article, we provide a nonexhaustive review of the biopsychosocial mechanistic factors contributing to racial and ethnic differences in both the experience and treatment of pain. Using a modified version of the Socioecological Model, we focus on patient-, provider- and system-level factors including coping, perceived bias and discrimination, patient preferences, expectations, patient/provider communication, treatment outcomes and healthcare access. In conclusion, we provide psychosocial factors influencing racial and ethnic differences in pain and highlight future research targets and possible solutions to reduce these disparities. |
doi_str_mv | 10.2217/pmt-2018-0030 |
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In addition to racial and ethnic differences in the experience of pain, there are racial and ethnic disparities in the assessment and treatment of pain. In this article, we provide a nonexhaustive review of the biopsychosocial mechanistic factors contributing to racial and ethnic differences in both the experience and treatment of pain. Using a modified version of the Socioecological Model, we focus on patient-, provider- and system-level factors including coping, perceived bias and discrimination, patient preferences, expectations, patient/provider communication, treatment outcomes and healthcare access. 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In addition to racial and ethnic differences in the experience of pain, there are racial and ethnic disparities in the assessment and treatment of pain. In this article, we provide a nonexhaustive review of the biopsychosocial mechanistic factors contributing to racial and ethnic differences in both the experience and treatment of pain. Using a modified version of the Socioecological Model, we focus on patient-, provider- and system-level factors including coping, perceived bias and discrimination, patient preferences, expectations, patient/provider communication, treatment outcomes and healthcare access. In conclusion, we provide psychosocial factors influencing racial and ethnic differences in pain and highlight future research targets and possible solutions to reduce these disparities.</description><subject>African Americans</subject><subject>Arthritis</subject><subject>Asian Americans</subject><subject>Cultural differences</subject><subject>disparities</subject><subject>Ethnicity</subject><subject>Ethnicity - statistics & numerical data</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Healthcare Disparities - statistics & numerical data</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>mechanisms</subject><subject>Pain</subject><subject>Pain Management - statistics & numerical data</subject><subject>Patient Preference - statistics & numerical data</subject><subject>Physician-Patient Relations</subject><subject>psychosocial</subject><subject>race</subject><subject>Racial differences</subject><subject>Racial Groups - statistics & numerical data</subject><subject>Review</subject><issn>1758-1869</issn><issn>1758-1877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1LAzEQxYMotmiPXiXgeTWT7ibZiyDFLxAE0XNIs7M20mbXbFb0vzfb1qIHc8kk88vLYx4hJ8DOOQd50a5ixhmojLEp2yNjkIXKQEm5v6tFOSKTrntjaRUCShCHZDQFyFkqx-TxyVhnltT4imJceGdp5eoaA3qLHXWexgVS_GwxuOFqDcaAJq7QR9rU1DfemtQJtDXOH5OD2iw7nGz3I_Jyc_08u8seHm_vZ1cPmc1FEbNKoWISAHNRg7KVUcDlHJHXAoyQpmJQSZt8cIlzgxxFYSs1z60qocR8Oj0ilxvdtp-vsLLJTDBL3Qa3MuFLN8bpvx3vFvq1-dCiUBJYngTOtgKhee-xi_qt6YNPnjXnUigQqhiobEPZ0HRdwHr3AzA9RKBTBHqIQA8RJP70t60d_TPwBJQboO5jH7Cz66nqzSm9cNZ5_Ef8G829ly0</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Meints, Samantha M</creator><creator>Cortes, Alejandro</creator><creator>Morais, Calia A</creator><creator>Edwards, Robert R</creator><general>Future Medicine Ltd</general><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20190501</creationdate><title>Racial and ethnic differences in the experience and treatment of noncancer pain</title><author>Meints, Samantha M ; Cortes, Alejandro ; Morais, Calia A ; Edwards, Robert R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-d8e80711e46f18cda8127bee2f61a67ad01d7cffe27ebae2e65cd8b4c8919e433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>African Americans</topic><topic>Arthritis</topic><topic>Asian Americans</topic><topic>Cultural differences</topic><topic>disparities</topic><topic>Ethnicity</topic><topic>Ethnicity - statistics & numerical data</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Healthcare Disparities - statistics & numerical data</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>mechanisms</topic><topic>Pain</topic><topic>Pain Management - statistics & numerical data</topic><topic>Patient Preference - statistics & numerical data</topic><topic>Physician-Patient Relations</topic><topic>psychosocial</topic><topic>race</topic><topic>Racial differences</topic><topic>Racial Groups - statistics & numerical data</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meints, Samantha M</creatorcontrib><creatorcontrib>Cortes, Alejandro</creatorcontrib><creatorcontrib>Morais, Calia A</creatorcontrib><creatorcontrib>Edwards, Robert R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pain management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meints, Samantha M</au><au>Cortes, Alejandro</au><au>Morais, Calia A</au><au>Edwards, Robert R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial and ethnic differences in the experience and treatment of noncancer pain</atitle><jtitle>Pain management</jtitle><addtitle>Pain Manag</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>9</volume><issue>3</issue><spage>317</spage><epage>334</epage><pages>317-334</pages><issn>1758-1869</issn><eissn>1758-1877</eissn><abstract>The burden of pain is unequal across racial and ethnic groups. In addition to racial and ethnic differences in the experience of pain, there are racial and ethnic disparities in the assessment and treatment of pain. In this article, we provide a nonexhaustive review of the biopsychosocial mechanistic factors contributing to racial and ethnic differences in both the experience and treatment of pain. Using a modified version of the Socioecological Model, we focus on patient-, provider- and system-level factors including coping, perceived bias and discrimination, patient preferences, expectations, patient/provider communication, treatment outcomes and healthcare access. In conclusion, we provide psychosocial factors influencing racial and ethnic differences in pain and highlight future research targets and possible solutions to reduce these disparities.</abstract><cop>England</cop><pub>Future Medicine Ltd</pub><pmid>31140916</pmid><doi>10.2217/pmt-2018-0030</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
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subjects | African Americans Arthritis Asian Americans Cultural differences disparities Ethnicity Ethnicity - statistics & numerical data Health Services Accessibility - statistics & numerical data Healthcare Disparities - statistics & numerical data Hispanic Americans Humans mechanisms Pain Pain Management - statistics & numerical data Patient Preference - statistics & numerical data Physician-Patient Relations psychosocial race Racial differences Racial Groups - statistics & numerical data Review |
title | Racial and ethnic differences in the experience and treatment of noncancer pain |
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