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Cited by 353Pain Management and Opioid UseCultural Competency in Health CarePediatric Pain Management Techniques

Defining racial and ethnic disparities in pain management

Open access
Mossey, Jana M.·2011·Clinical Orthopaedics & Related Research
DOI 10.1007/s11999-011-1770-9PMC PMC3111792
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Abstract

BACKGROUND: Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial/ethnic minority individuals are overrepresented among those who experience such pain and whose pain management is inadequate. QUESTIONS/PURPOSES: The objectives of this paper are to (1) define parameters of and summarize evidence pertinent to racial/ethnic minority disparities in pain management, (2) identify factors contributing to observed disparities, and (3) identify strategies to minimize the disparities. METHODS: Scientific literature was selectively reviewed addressing pain epidemiology, differences in pain management of non-Hispanic whites versus racial/ethnic minority groups, and patient and physician factors contributing to such differences. RESULTS: Racial/ethnic minorities consistently receive less adequate treatment for acute and chronic pain than non-Hispanic whites, even after controlling for age, gender, and pain intensity. Pain intensity underreporting appears to be a major contribution of minority individuals to pain management disparities. The major contribution by physicians to such disparities appears to reflect limited awareness of their own cultural beliefs and stereotypes regarding pain, minority individuals, and use of narcotic analgesics. CONCLUSIONS: Racial/ethnic minority patients with pain need to be empowered to accurately report pain intensity levels, and physicians who treat such patients need to acknowledge their own belief systems regarding pain and develop strategies to overcome unconscious, but potentially harmful, negative stereotyping of minority patients.

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  • Passive coping strategies are linked to poorer outcomes such as increased pain and depression.

    “while passive strategies are linked to poorer outcomes such as increased pain and depression 258, 267–270.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [269]

  • Active coping strategies are linked to positive affect, better psychological adjustment, and decreased depression.

    “Active coping strategies, for example, have been linked to positive affect, better psychological adjustment, and decreased depression while passive strategies are linked to poorer outcomes such as increased pain and depression 258, 267–270.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [269]

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Research works printed but not linked: 7

  1. [3]Anderson KO, Mendoza TR, Valero V, Richman SP, Russell C, Hurley J, DeLeon C, Washington P, Palos G, Payne R, Cleeland CS. Minority cancer patients and their providers: pain management attitudes and practice. Cancer. 2000;88:1929–1938. [PubMed] [Google Scholar]
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Authors
Mossey, J. M.
Affiliations
Drexel University (US)
Corresponding author
Mossey, Jana M.
Venue
Clinical Orthopaedics & Related Research
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2011-07
Volume
469
Issue
7
Pages
1859-1870
ISSN
0009-921X (ISSN-L)
DOI
10.1007/s11999-011-1770-9
PMC
PMC3111792
OpenAlex
W1996934828
Cited by
353
References
103
Citations by year
2026: 11 · 2025: 24 · 2024: 32 · 2023: 57 · 2022: 35 · 2021: 46 · 2020: 39 · 2019: 24 · 2018: 15 · 2017: 17 · 2016: 12 · 2015: 12 · 2014: 12 · 2013: 7 · 2012: 8
FWCI
12.62
Type
journal article
Language
en
Open access
Locations
  • Clinical Orthopaedics and Related Research (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
racial and ethnic disparities, pain management, chronic pain, acute pain, narcotic analgesic use, pain epidemiology, health disparities
MeSH terms
Acute Disease, Attitude of Health Personnel, Chronic Disease, Ethnicity, Female, Health Services Accessibility, Humans, Male, Minority Groups, Pain, Pain Measurement, Quality of Health Care, Stereotyping, Minority Health, Healthcare Disparities, Pain Management

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