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

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Defining Racial and Ethnic Disparities in Pain Management

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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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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: green
www.ncbi.nlm.nih.gov
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
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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