Results 1 to 3 of 3

Thread: The Unequal Burden of Pain: Confronting Racial and Ethnic Disparities in Pain

  1. #1

    Join Date
    Aug 2007
    Last Online
    Saturday, February 8th, 2020 @ 03:48 AM
    Single adult
    Thanks Thanks Given 
    Thanks Thanks Received 
    Thanked in
    8 Posts

    The Unequal Burden of Pain: Confronting Racial and Ethnic Disparities in Pain

    Context: Pain has significant socioeconomic, health, and quality-of-life implications. Racial- and ethnic-based differences in the pain care experience have been described. Racial and ethnic minorities tend to be undertreated for pain when compared with non-Hispanic Whites.

    Objectives: To provide health care providers, researchers, health care policy analysts, government officials, patients, and the general public with pertinent evidence regarding differences in pain perception, assessment, and treatment for racial and ethnic minorities. Evidence is provided for racial- and ethnic-based differences in pain care across different types of pain (i.e., experimental pain, acute postoperative pain, cancer pain, chronic non-malignant pain) and settings (i.e., emergency department). Pertinent literature on patient, health care provider, and health care system factors that contribute to racial and ethnic disparities in pain treatment are provided.

    Evidence: A selective literature review was performed by experts in pain. The experts developed abstracts with relevant citations on racial and ethnic disparities within their specific areas of expertise. Scientific evidence was given precedence over anecdotal experience. The abstracts were compiled for this manuscript. The draft manuscript was made available to the experts for comment and review prior to submission for publication.

    Conclusions: Consistent with the Institute of Medicine's report on health care disparities, racial and ethnic disparities in pain perception, assessment, and treatment were found in all settings (i.e., postoperative, emergency room) and across all types of pain (i.e., acute, cancer, chronic nonmalignant, and experimental). The literature suggests that the sources of pain disparities among racial and ethnic minorities are complex, involving patient (e.g., patient/health care provider communication, attitudes), health care provider (e.g., decision making), and health care system (e.g., access to pain medication) factors. There is a need for improved training for health care providers and educational interventions for patients. A comprehensive pain research agenda is necessary to address pain disparities among racial and ethnic minorities.

  2. #2
    Funding Member
    „Friend of Germanics”
    Funding Membership Inactive
    Nachtengel's Avatar
    Join Date
    Jul 2008
    Last Online
    Thanks Thanks Given 
    Thanks Thanks Received 
    Thanked in
    759 Posts

    Ethnicity and Pain

    I found this amusing:

    Zborowski (1952) compared attitudes towards pain in three cultural groups from New York City by interviewing patients, doctors, nurses and other health professionals, as well as some healthy individuals from each of the cultural groups. The cultural groups were Italian-Americans, Jewish-Americans and Old-Americans.

    Italians were preoccupied with the sensation of pain and complained a great deal while they were in pain with moaning and crying, but once the pain was treated they resumed their normal activiites.

    On the other hand, Jewish patients were also very emotional when in pain and tended to exaggerate pain symptoms. However, they worried more about the effect of the pain on their health and the overall welfare of their families than about the pain itself. At times, they had difficulty resuming their normal activities because of a preoccupation with the underlying cause of their pain.

    The Old-American patients were more detached in their response to pain and they were more concerned with not bothering anyone. [. . .]

    Zborowski (1952) believed that attitudes towards pain are part of any culture's child-rearing practices. He found that both Jewish-American and Italian-American parents in his study were generally overprotective and overly concerned about their child's health and their children were frequently reminded to avoid fights, possible injuries and catching colds. Crying elicited considerable sympathy.

    However, Old-American parents were less concerned and expected that the child would not run to the parent with a small problem. Children were taught to anticipate some pain while playing and they were expected not to show excessive distress.

    [Pain. Jenny Strong, Anita M. Unruh, Anthony Wright, G. David Baxter, Patrick D. (FRW) Wall]
    (Via Mangan.)

  3. #3
    Senior Member
    Neophyte's Avatar
    Join Date
    Sep 2007
    Last Online
    Wednesday, March 16th, 2022 @ 02:01 PM
    Nordic + some Atlantid
    Sweden Sweden
    Blut und Boden
    Thanks Thanks Given 
    Thanks Thanks Received 
    Thanked in
    133 Posts
    People I know in health care has told me the same things. Immigrants are much more fussy about pain and illness. In some instances they more or less expect an Arab or a Slav to stay an extra week or so.

Similar Threads

  1. The Pain
    By Hoarsewhisper in forum Psychology, Behavior, & Neuroscience
    Replies: 0
    Last Post: Monday, March 13th, 2017, 01:19 PM
  2. Communist Friend a Pain in the Ass
    By Mvix in forum The Hearth
    Replies: 10
    Last Post: Thursday, September 29th, 2011, 07:12 AM
  3. Dreamerion - The Pain Without Name (Kaos Ex Machina)
    By Argmator in forum Music & Hymns
    Replies: 0
    Last Post: Thursday, February 28th, 2008, 04:26 PM
  4. Why Women Feel More Pain
    By Zyklop in forum Bio-Anthropology & Human Variation
    Replies: 8
    Last Post: Friday, October 28th, 2005, 01:13 PM
  5. [SOLVED] mes through pain
    By Damon in forum Health, Fitness & Nutrition
    Replies: 3
    Last Post: Monday, September 16th, 2002, 06:42 PM


Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts