College of Nursing, The University of Florida, Gainesville, FL.
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Nurs Outlook. 2023 May-Jun;71(3):101965. doi: 10.1016/j.outlook.2023.101965. Epub 2023 Apr 5.
This theory-guided review draws on 30 years of published data to examine and interrogate the current and future state of pain disparities research.
Using the Hierarchy of Health Disparity Research framework, we synthesize and present an overview of "three generations" of pain disparities scholarship, while proposing directions for adopting a "fourth generation" that redefines, explains, and theorizes future pain disparities research in a diverse society.
Prior research has focused on describing the scope of disparities, and throughout the historical context of human existence, racialized groups have been subjected to inadequate pain care. It is imperative that research not only illuminates existing problems but also provides solutions that can be implemented and sustained across varying social milieus.
We must invest in new theoretical models that expand on current perspectives and ideals that position all individuals at the forefront of justice and equity in their health.
本理论导向性综述借鉴了 30 年来发表的数据，旨在审视和探究当前和未来的疼痛差异研究状况。
我们运用健康差异研究层次框架，综合并呈现了“三代”疼痛差异研究文献的概述，同时提出了采用“第四代”的方向，该代研究重新定义、解释和构建多元化社会中未来疼痛差异研究的理论。
先前的研究侧重于描述差异的范围，纵观人类历史的发展，种族化群体一直受到不充分的疼痛护理。至关重要的是，研究不仅要揭示现有问题，还要提供可以在不同社会环境中实施和维持的解决方案。
我们必须投资于新的理论模型，这些模型扩展了当前的观点和理想，将所有人置于健康公正和平等的前沿。
