Streltzer J, Wade T C
Psychosom Med. 1981 Oct;43(5):397-403. doi: 10.1097/00006842-198110000-00002.
Culture is widely recognized to be an important determinant of pain response, yet little is known about the interactions of culture with other variables or about the relationship between culture and the treatment of pain in the clinical setting. This study analyzes the variance in postcholecystectomy narcotic requirements accounted for by racial group in a multiethnic setting. Caucasians and Hawaiians received significantly more analgesics than Filipinos, Japanese, or Chinese. Race and its interactions with age and sex accounted for 11% of the variance. All groups were notably undertreated for pain. While individual factors are probably of greatest importance in the treatment of postoperative pain, cultural factors do contribute to the variability. Whether this reflects ethnic differences in analgesic requirements or reflects cultural bias in treatment remains to be determined. In a milieu of undertreatment of pain, some cultural styles may be more susceptible to undertreatment than others.
文化被广泛认为是疼痛反应的一个重要决定因素，但对于文化与其他变量之间的相互作用，以及在临床环境中文化与疼痛治疗之间的关系，人们却知之甚少。本研究分析了在多民族环境中，种族群体对胆囊切除术后麻醉剂需求差异的影响。白种人和夏威夷人比菲律宾人、日本人或中国人接受了明显更多的镇痛药。种族及其与年龄和性别的相互作用占差异的11%。所有群体的疼痛治疗都明显不足。虽然个体因素在术后疼痛治疗中可能最为重要，但文化因素确实导致了这种变异性。这是反映了镇痛需求的种族差异，还是反映了治疗中的文化偏见，仍有待确定。在疼痛治疗不足的环境中，一些文化方式可能比其他方式更容易受到治疗不足的影响。
