Connoy Laura, Solomon Michelle, Longo Riana, Sud Abhimanyu, Katz Joel, Dale Craig, Stanley Meagan, Webster Fiona
Arthur and Sonia Labatt Family School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada.
Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Can J Pain. 2024 Mar 28;8(2):2335500. doi: 10.1080/24740527.2024.2335500. eCollection 2024.
There has been a recent and, for many within the chronic pain space, long-overdue increase in literature that focuses on equity, diversity, inclusion, and decolonization (EDI-D) to understand chronic pain among people who are historically and structurally marginalized.
In light of this growing attention in chronic pain research, we undertook a scoping review of studies that focus on people living with chronic pain and marginalization to map how these studies were carried out, how marginalization was conceptualized and operationalized by researchers, and identify suggestions for moving forward with marginalization and EDI-D in mind to better support people living with chronic pain.
We conducted this scoping review using critical analysis in a manner that aligns with dominant scoping review frameworks and recent developments made to scoping review methodology as well as reporting guidelines.
Drawing on 67 studies, we begin with a descriptive review of the literature followed by a critical review that aims to identify fissures within the field through the following themes: (1) varying considerations of sociopolitical and socioeconomic contexts, (2) conceptual conflations between sex and gender, and (3) differing approaches to how people living with chronic pain and marginalization are described.
By identifying strengths and limitations in the research literature, we aim to highlight opportunities for researchers to contribute to a more comprehensive understanding of marginalization in chronic pain experiences.
最近,对于慢性疼痛领域的许多人来说,关注公平、多样性、包容性和去殖民化(EDI-D)以了解历史上和结构上处于边缘地位的人群中的慢性疼痛的文献有所增加,且早就应该增加了。
鉴于慢性疼痛研究中这种日益增加的关注,我们对关注慢性疼痛患者和边缘化问题的研究进行了一项范围综述,以梳理这些研究是如何开展的,研究人员如何对边缘化进行概念化和操作化,并确定在考虑边缘化和EDI-D的情况下推进研究以更好地支持慢性疼痛患者的建议。
我们以符合主流范围综述框架以及范围综述方法和报告指南的最新发展的方式,采用批判性分析进行了这项范围综述。
基于67项研究,我们首先对文献进行描述性综述,然后进行批判性综述,旨在通过以下主题识别该领域内的分歧:(1)对社会政治和社会经济背景的不同考量,(2)性别之间的概念混淆,以及(3)描述慢性疼痛患者和边缘化人群的不同方法。
通过识别研究文献中的优势和局限性,我们旨在突出研究人员为更全面理解慢性疼痛经历中的边缘化做出贡献的机会。