Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Minneapolis, MN 55417, USA.
Pain Med. 2009 Nov;10(8):1341-52. doi: 10.1111/j.1526-4637.2009.00742.x.
We examined the extent to which experiences of racial discrimination are associated with bodily pain reported by African American men.
The study sample consisted of 393 African American male veterans who responded to a national survey of patients aged 50-75 who received care from the Veterans Health Administration (VHA). Veterans were surveyed by mail, with a telephone follow-up. The response rate for African Americans in the sample was 60.5%. Pain (assessed using the bodily pain subscale of the 36-item short-form health survey), experiences of discrimination, employment, education, and income were obtained through the survey. Age, race, and mental health comorbidities were obtained from VA administrative data. Multiple regression analysis adjusting for item non-response (via imputation) and unit non-response (via propensity scores and weighting) was used to assess the association between racial discrimination and likelihood of experiencing moderate or severe pain over the past 4 weeks.
Experiences of racial discrimination were associated with greater bodily pain (beta = -0.25, P < 0.0001), even after controlling for socioeconomic and health-related characteristics.
Perceived racial discrimination was associated with greater pain among a sample of older African American male patients in the VA. Additional research is needed to replicate this finding among other populations of African Americans.
我们研究了非裔美国男性所经历的种族歧视程度与身体疼痛之间的关系。
研究样本由 393 名非裔美国男性退伍军人组成，他们对接受退伍军人事务部（VHA）治疗的 50-75 岁患者进行了全国性调查。退伍军人通过邮件进行调查，并进行电话随访。该样本中非洲裔美国人的回复率为 60.5%。通过调查获得疼痛（使用 36 项简短健康调查的身体疼痛子量表评估）、歧视经历、就业、教育和收入。年龄、种族和精神健康合并症从 VA 行政数据中获得。采用多元回归分析调整项目无应答（通过插补）和单位无应答（通过倾向评分和加权），以评估种族歧视与过去 4 周内经历中度或重度疼痛的可能性之间的关联。
即使在控制了社会经济和健康相关特征后，经历种族歧视与更大的身体疼痛（β=-0.25，P<0.0001）相关。
在 VA 的老年非裔美国男性患者样本中，感知到的种族歧视与更大的疼痛相关。需要进一步的研究来复制其他非裔美国人人群中的这一发现。
