Mustafa Nida, Einstein Gillian, MacNeill Margaret, Watt-Watson Judy
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Department of Psychology, University of Toronto, Toronto, Ontario, Canada.
Can J Pain. 2020 Sep 24;4(3):40-50. doi: 10.1080/24740527.2020.1768835.
: Chronic pain is a growing public health concern affecting 1.5 million people in Canada. In particular, it is a concern among the expanding immigrant population, because immigrant groups report higher pain intensity than non-immigrants. In 2011, the Indian population became the largest visible minority group and continues to be the fastest growing. Though the prevalence of chronic pain among Canadian Indians is unknown, research has found a higher prevalence among Indian women than men in India, Malaysia, Singapore, and the United Kingdom, with women reporting more severe pain. An understanding of how pain is experienced by this particular group is therefore important for providing culturally sensitive care.
This study explores the lived experiences of chronic pain among immigrant Indian women in Canada.
Thirteen immigrant Indian women participated in one-on-one interviews exploring daily experiences of chronic pain.
Using thematic analysis informed by van Manen's phenomenology of practice, four themes emerged: (1) the body in pain, (2) pain in the context of lived and felt space, (3) pain and relationships, and (4) pain and time. Women revealed that their experiences were shaped by gender roles and expectations enforced through culture. Specifically, a dual gender role was identified after immigration, in which women had to balance traditional household responsibilities of family labor and care alongside employment outside the home, exacerbating pain.
This research uncovers the multifaceted nature of chronic pain and identifies factors within the sociocultural context that may place particular groups of women at greater risk of living with pain.
慢性疼痛是一个日益严重的公共卫生问题，影响着加拿大150万人。特别是在不断扩大的移民群体中，这是一个令人担忧的问题，因为移民群体报告的疼痛强度高于非移民。2011年，印度裔人口成为加拿大最大的可见少数群体，并且仍然是增长最快的群体。虽然加拿大印第安人中慢性疼痛的患病率尚不清楚，但研究发现，在印度、马来西亚、新加坡和英国，印度女性的慢性疼痛患病率高于男性，且女性报告的疼痛更为严重。因此，了解这个特定群体如何体验疼痛对于提供具有文化敏感性的护理非常重要。
本研究探讨了加拿大移民印度女性慢性疼痛的生活经历。
13名移民印度女性参与了一对一访谈，探讨慢性疼痛的日常经历。
采用基于范曼实践现象学的主题分析方法，出现了四个主题：（1）疼痛的身体，（2）生活和感知空间中的疼痛，（3）疼痛与人际关系，（4）疼痛与时间。女性们透露，她们的经历受到文化所强化的性别角色和期望的影响。具体而言，移民后出现了双重性别角色，女性必须在家庭劳动和照顾的传统家庭责任与外出工作之间取得平衡，这加剧了疼痛。
本研究揭示了慢性疼痛的多面性，并确定了社会文化背景中可能使特定女性群体面临更高疼痛生活风险的因素。
