Kabangu Jean-Luc K, Bah Momodou G, Enogela Ene M, Judd Suzanne E, Hobson Joanna M, Levitan Emily B, Eden Sonia V
Department of Neurological Surgery, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.
Michigan State University College of Human Medicine, East Lansing, MI, USA.
J Racial Ethn Health Disparities. 2024 Aug 19. doi: 10.1007/s40615-024-02130-w.
The relationship between experienced discrimination and its effects on pain interference and management among racial disparities is not well explored. This research investigated these associations among Black and White U.S. adults.
The analysis involved 9369 Black and White adults in the REasons for Geographic and Racial Differences in Stroke (REGARDS), assessing experiences of discrimination, pain interference (SF-12), and pain treatment, incorporating factors like demographics, comorbidities, and stress.
Black participants experiencing moderate discrimination were found to have a 41% increased likelihood of pain interference (aOR 1.41, 95% CI 1.02-1.95), similaritythose facing high levels of discrimination also showed a 41% increase (aOR 1.41, 95% CI 1.06-1.86) compared to those without such experiences. White individuals reporting moderate discrimination also faced a heightened risk, with a 21% greater chance of pain interference (aOR 1.21, 95% CI 1.01-1.45). Notably, the presence of moderate discrimination among Black participants correlated with a 12% reduced probability of receiving pain treatment (aOR 0.88, 95% CI 0.56-1.37). Furthermore, Black, and White individuals who reported discrimination when seeking employment had a 33% (aOR 0.67, 95% CI 0.45-0.98) and 32% (aOR 0.68, 95% CI 0.48-0.96) lower likelihood, respectively, of receiving treated pain.
The study elucidates how discrimination exacerbates pain interference and restricts access to treatment, affecting Black and White individuals differently. These findings underscore an urgent need for strategies to counteract discrimination's negative effects on healthcare outcomes. Addressing these disparities is crucial for advancing health equity and improving the overall quality of care.
在种族差异中，经历的歧视与其对疼痛干扰和管理的影响之间的关系尚未得到充分探讨。本研究调查了美国黑人和白人成年人之间的这些关联。
分析纳入了9369名参与“中风地理和种族差异原因”（REGARDS）研究的黑人和白人成年人，评估歧视经历、疼痛干扰（SF - 12）和疼痛治疗情况，并纳入人口统计学、合并症和压力等因素。
发现经历中度歧视的黑人参与者疼痛干扰的可能性增加41%（调整优势比[aOR]为1.41，95%置信区间[CI]为1.02 - 1.95），类似地，与没有此类经历的人相比，面临高度歧视的人也增加了41%（aOR为1.41，95% CI为1.06 - 1.86）。报告中度歧视的白人个体也面临更高风险，疼痛干扰的可能性增加21%（aOR为1.21，95% CI为1.01 - 1.45）。值得注意的是，黑人参与者中存在中度歧视与接受疼痛治疗的概率降低12%相关（aOR为0.88，95% CI为0.56 - 1.37）。此外，在求职时报告受到歧视的黑人和白人个体接受疼痛治疗的可能性分别降低33%（aOR为0.67，95% CI为0.45 - 0.98）和32%（aOR为0.68，95% CI为0.48 - 0.96）。
该研究阐明了歧视如何加剧疼痛干扰并限制治疗机会，对黑人和白人个体的影响有所不同。这些发现强调迫切需要采取策略来抵消歧视对医疗结果的负面影响。解决这些差异对于推进健康公平和提高整体护理质量至关重要。
