Cited by 491Pain Management and Opioid UseCultural Competency in Health CarePediatric Pain Management Techniques

Ethnic Differences in Pain and Pain Management

Open access
Campbell, Claudia M, Edwards, Robert R·2012·Pain Management

Abstract

Considerable evidence demonstrates substantial ethnic disparities in the prevalence, treatment, progression and outcomes of pain-related conditions. Elucidating the mechanisms underlying these group differences is of crucial importance in reducing and eliminating disparities in the pain experience. Over recent years, accumulating evidence has identified a variety of processes, from neurophysiological factors to structural elements of the healthcare system, that may contribute to shaping individual differences in pain. For example, the experience of pain differentially activates stress-related physiological responses across various ethnic groups, members of different ethnic groups appear to use differing coping strategies in managing pain complaints, providers' treatment decisions vary as a function of patient ethnicity and pharmacies in predominantly minority neighborhoods are far less likely to stock potent analgesics. These diverse factors, and others may all play a role in facilitating elevated levels of pain-related suffering among individuals from ethnic minority backgrounds. Here, we present a brief, nonexhaustive review of the recent literature and potential physiological and sociocultural mechanisms underlying these ethnic group disparities in pain outcomes.

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  • A primarily biomedical approach does not address the wholeness of the person experiencing chronic pain or their layered challenges, including socioeconomic and structural inequities and inadvertent consequences of opioid analgesics.

    “A primarily biomedical approach does not address the wholeness of the person experiencing chronic pain, nor their layered challenges including socioeconomic and structural inequities and inadvertent consequences of opioid analgesics which may have been prescribed for lack of better options.12-16”

    From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [14]

    The Abstract and Sociocultural section describe structural healthcare disparities, socioeconomic factors and discrimination that shape pain experiences. The Sociocultural section also mentions lethal opioid overdose as an adverse event. The paper does not assess a primarily biomedical approach or say opioids were prescribed for lack of better options; no page numbers are available in our copy. (LLM, conf=0.85)

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Authors
Campbell, C. M., & Edwards, R. R.
Affiliations
Johns Hopkins University (US)
Corresponding author
Edwards, Robert R
Venue
Pain Management
Published
2012-05
Volume
2
Issue
3
Pages
219-230
ISSN
  • 1758-1869 (ISSN-L)
  • 1758-1877
OpenAlex
W2153747004
Cited by
491
References
103
Citations by year
2026: 23 · 2025: 41 · 2024: 53 · 2023: 97 · 2022: 43 · 2021: 48 · 2020: 42 · 2019: 41 · 2018: 32 · 2017: 34 · 2016: 18 · 2015: 11 · 2014: 3 · 2013: 4
FWCI
7.71
Type
journal article
Language
en
Open access
Locations
  • Pain Management (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Health NIH to C Campbell (K23NS070933)
  • R Edwards (R21CA120500, R01AG034982)
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
ethnic disparities, pain, ethnic minorities, stress physiology, coping strategies, sociocultural processes

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