Saunders Lee L, Gregory-Bass Rosalind, Krause James S
J Health Care Poor Underserved. 2013 Aug;24(3):1257-65. doi: 10.1353/hpu.2013.0119.
Assess the relationship of race and gender with subjective well-being (SWB) and determine if pain severity and pain interference mediated that relationship.
Cross-sectional study of 2,416 people with traumatic SCI. Subjective well-being (home life, vocational, and global) was measured by the Life Situation Questionnaire.
Pain severity and pain interference were significantly correlated with each SWB domain. Race was initially significantly associated with home life and vocational SWB. Blacks were more likely to report lower scores on home life and vocational SWB than whites. After accounting for pain severity and pain interference, race was still associated with vocational and home life SWB. Gender differences were seen in relation to vocational SWB, even after controlling for pain severity and interference.
Pain severity and pain interference only partially mediated SWB. Gender and race were associated with lower vocational SWB. Future research should assess potential explanations for this disparity.
评估种族和性别与主观幸福感（SWB）之间的关系，并确定疼痛严重程度和疼痛干扰是否介导了这种关系。
对2416名创伤性脊髓损伤患者进行的横断面研究。主观幸福感（家庭生活、职业和总体）通过生活状况问卷进行测量。
疼痛严重程度和疼痛干扰与每个主观幸福感领域显著相关。种族最初与家庭生活和职业主观幸福感显著相关。黑人在家庭生活和职业主观幸福感方面的得分比白人更有可能更低。在考虑疼痛严重程度和疼痛干扰后，种族仍与职业和家庭生活主观幸福感相关。即使在控制了疼痛严重程度和干扰之后，职业主观幸福感方面仍存在性别差异。
疼痛严重程度和疼痛干扰仅部分介导了主观幸福感。性别和种族与较低的职业主观幸福感相关。未来的研究应评估这种差异的潜在解释。
