Minority Health Archive

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

Green, Carmen R. and Anderson, Karen O. and Baker, Tamara A. and Campbell, Lisa C. and Decker, Sheila and Fillingim, Roger B. and Kaloukalani, Donna A. and Lasch, Kathyrn E. and Myers, Cynthia and Tait, Raymond C. and Todd, Knox H. and Vallerand, April H. (2003) The Unequal Burden of Pain: Confronting Racial and Ethnic Disparities in Pain. Pain Medicine, 4 (3). pp. 277-294. ISSN 1526-2375

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Abstract

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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Racial and Ethnic Disparities;Pain;Pain Perception;Pain Assessment and Treatment;Health Care Provider;Health Care System
Subjects: Health > Disparities
Research
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Depositing User: Users 141 not found.
Date Deposited: 28 Jul 2011 11:49
Last Modified: 28 Jul 2011 11:49
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/2888

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