Department of Medicine, Division of Hematology and Oncology, The University of Alabama at Birmingham, Birmingham, Alabama.
School of Nursing, Nurse Anesthesia Program, Department of Acute, Chronic, and Continuing Care, The University of Alabama at Birmingham, Birmingham, Alabama.
J Pain. 2022 Jun;23(6):878-892. doi: 10.1016/j.jpain.2022.01.009. Epub 2022 Feb 26.
Racism is an established health determinant across the world. In this 3-part series, we argue that a disregard of how racism manifests in pain research practices perpetuates pain inequities and slows the progression of the field. Our goal in part-1 is to provide a historical and theoretical background of racism as a foundation for understanding how an antiracism pain research framework - which focuses on the impact of racism, rather than "race," on pain outcomes - can be incorporated across the continuum of pain research. We also describe cultural humility as a lifelong self-awareness process critical to ending generalizations and successfully applying antiracism research practices through the pain research continuum. In part-2 of the series, we describe research designs that perpetuate racism and provide reframes. Finally, in part-3, we emphasize the implications of an antiracism framework for research dissemination, community-engagement practices and diversity in research teams. Through this series, we invite the pain research community to share our commitment to the active process of antiracism, which involves both self-examination and re-evaluation of research practices shifting our collective work towards eliminating racialized injustices in our approach to pain research. PERSPECTIVE: We call on the pain community to dismantle racism in our research practices. As the first paper of the 3-part series, we introduce dimensions of racism and its effect on pain inequities. We also describe the imperative role of cultural humility in adopting antiracism pain research practices.
种族主义是一个在全球范围内存在的既定健康决定因素。在这篇由三部分组成的系列文章中，我们认为，不关注种族主义在疼痛研究实践中的表现形式，会使疼痛的不平等现象持续存在，并减缓该领域的发展。我们在第一部分的目标是提供种族主义的历史和理论背景，作为理解反种族主义疼痛研究框架的基础，该框架侧重于种族主义对疼痛结果的影响，而不是“种族”对疼痛结果的影响，这种框架可以贯穿整个疼痛研究的连续体。我们还将文化谦逊描述为一种至关重要的终身自我意识过程，这种过程对于消除对疼痛研究的一般化和成功应用反种族主义研究实践至关重要。在本系列文章的第二部分，我们描述了延续种族主义的研究设计，并提供了重新设计。最后，在第三部分，我们强调了反种族主义框架对研究传播、社区参与实践以及研究团队多样性的影响。通过这一系列文章，我们邀请疼痛研究界与我们一起致力于积极的反种族主义过程，这既涉及自我反省，也涉及重新评估研究实践，将我们的集体工作转向消除在疼痛研究方法中存在的种族化不公正现象。观点：我们呼吁疼痛界在我们的研究实践中消除种族主义。作为三部分系列文章的第一篇，我们介绍了种族主义的各个层面及其对疼痛不平等的影响。我们还描述了文化谦逊在采用反种族主义疼痛研究实践中的重要作用。
