摘要
Pain ManagementVol. 14, No. 1 CommentaryFrom stepping stones to scaling mountains: overcoming racialized disparities in pain managementStaja Q Booker, Ericka N Merriwether, Keesha Powell-Roach & Simone JacksonStaja Q Booker *Author for correspondence: E-mail Address: bookers@ufl.eduhttps://orcid.org/0000-0001-8934-1335Department of Biobehavioral Nursing Science, University of Florida, College of Nursing, PO Box 100197, Gainesville, FL 32610, USA, Ericka N Merriwether https://orcid.org/0000-0002-2507-6058Department of Physical Therapy, New York University, NYU Steinhardt School of Culture, Education, & Human Development, NY 10010, USADepartment of Medicine, NYU Grossman School of Medicine, NY 10010, USA, Keesha Powell-Roach https://orcid.org/0000-0001-8117-3445Department of Community & Population Health, University of Tennessee, Health Science Center, College of Nursing, College of Medicine, Genetics, Genomics & Informatics, Memphis, TN 38103, USA & Simone Jackson https://orcid.org/0000-0002-8953-6631Department of Biobehavioral Nursing Science, University of Florida, College of Nursing, PO Box 100197, Gainesville, FL 32610, USAPublished Online:9 Jan 2024https://doi.org/10.2217/pmt-2023-0098AboutSectionsView ArticleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinkedInRedditEmail View articleKeywords: African–AmericanBlackchronic painhealth disparitiespain disparitiespain inequitysocial determinants of healthReferences1. Macchia L. Pain trends and pain growth disparities, 2009–2021. Econ. Hum. Biol. 47, 101200 (2022).MedlineGoogle Scholar2. Morais CA, Aroke EN, Letzen JE et al. Confronting racism in pain research: A call to action. J. Pain 23(6), 878–892 (2022).MedlineGoogle Scholar3. Healthy People 2030. How Does Healthy People Define Health Equity and Health Disparities? https://health.gov/healthypeople/priority-areas/health-equity-healthy-people-2030Google Scholar4. Janevic MR, Mathur VA, Booker SQ et al. Making pain research more inclusive: why and how. J. Pain 23(5), 707–728 (2022).MedlineGoogle Scholar5. Hood AM, Morais CA, Fields LN et al. Racism exposure and trauma accumulation perpetuate pain inequities-advocating for change (RESTORATIVE): a conceptual model. Am. Psychol. 78(2), 143–159 (2023).MedlineGoogle Scholar6. Mathur VA, Trost Z, Ezenwa MO, Sturgeon JA, Hood AM. Mechanisms of injustice: what we (do not) know about racialized disparities in pain. Pain 163(6), 999–1005 (2022).MedlineGoogle Scholar7. Booker SQ, Baker TA, Esiaka DA et al. A historical review of pain disparities research: advancing toward health equity and empowerment. Nurs. Outlook 71(3), 101965 (2023).MedlineGoogle Scholar8. Meghani SH, Gallagher RM. Disparity vs inequity: toward reconceptualization of pain treatment disparities. Pain Med. 9(5), 613–623 (2008).MedlineGoogle Scholar9. Aroke EN, Joseph PV, Roy A et al. Could epigenetics help explain racial disparities in chronic pain? J. Pain Res. 12, 701–710 (2019).Medline CASGoogle Scholar10. Green CR, Anderson KO, Baker TA et al. The unequal burden of pain: confronting racial and ethnic disparities in pain. Pain Med. 4(3), 277–294 (2003).MedlineGoogle Scholar11. Forrester SN, Taylor JL, Whitfield KE, Thorpe RJ Jr. Advances in understanding the causes and consequences of health disparities in aging minorities. Curr. Epidemiol. Rep. 7(2), 59–67 (2020).MedlineGoogle Scholar12. Goyal MK, Drendel AL, Chamberlain JM et al. Pediatric Emergency Care Applied Research Network (PECARN) Registry Study Group. Racial/Ethnic differences in ED opioid prescriptions for long bone fractures: trends over time. Pediatrics 148(5), e2021052481 (2021).MedlineGoogle Scholar13. Resnick B, Boltz M, Galik E et al. Differences in medication use by gender and race in hospitalized persons living with dementia. J. Racial Ethn. Health Disparities doi: 10.1007/s40615-023-01745-9 (2023) (Epub ahead of print).Google Scholar14. Silverman S, Packnett E, Zagar A, Thakkar S et al. Racial variation in healthcare resource utilization and expenditures in knee/hip osteoarthritis patients: a retrospective analysis of a Medicaid population. J. Med. Econ. 26(1), 1047–1056 (2023).MedlineGoogle Scholar15. Lee J, Jotwani R, White RS. The economic cost of racial disparities in chronic pain. J. Comp. Eff. Res. 9(13), 903–906 (2020).MedlineGoogle Scholar16. Rambachan A, Noorulhuda H, Fang MC et al. Pain assessment disparities by race, ethnicity, and language in adult hospitalized patients. Pain Manag. Nurs. 24(4), 393–399 (2023).MedlineGoogle Scholar17. Overstreet DS, Pester BD, Wilson JM et al. The Experience of BIPOC living with chronic pain in the USA: biopsychosocial factors that underlie racial disparities in pain outcomes, comorbidities, inequities, and barriers to treatment. Curr. Pain Headache Rep. 27(1), 1–10 (2023).MedlineGoogle Scholar18. Meints SM, Cortes A, Morais CA, Edwards RR. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 9(3), 317–334 (2019).Google Scholar19. Jackson P, Spector AL, Strath LJ et al. Epigenetic age acceleration mediates the relationship between neighborhood deprivation and pain severity in adults with or at risk for knee osteoarthritis pain. Soc. Sci. Med. 331, 116088 (2023).MedlineGoogle Scholar20. Powell-Roach KL, Yao Y, Wallace MR et al. Human study COMT and DRD3 haplotype-associated pain intensity and acute care utilization in adult sickle cell disease. Exp. Biol. Med. (Maywood) 247(17), 1601–1608 (2022).Medline CASGoogle Scholar21. Tanner JJ, Cardoso J, Terry EL et al. Chronic Pain Severity and Sociodemographics: an evaluation of the neurobiological interface. J. Pain 23(2), 248–262 (2022).MedlineGoogle Scholar22. Tanner JJ, Hanchate S, Price CC et al. Relationships between chronic pain stage, cognition, temporal lobe cortex, and sociodemographic variables. J. Alzheimers Dis. 80(4), 1539–1551 (2021).MedlineGoogle Scholar23. Pierson E, Cutler DM, Leskovec J, Mullainathan S, Obermeyer Z. An algorithmic approach to reducing unexplained pain disparities in underserved populations. Nat. Med. 27(1), 136–140 (2021).Medline CASGoogle Scholar24. Cénat JM, Kouamou LN, Moshirian Farahi SMM et al. Perceived racial discrimination, psychosomatic symptoms, and resilience among Black individuals in Canada: a moderated mediation model. J. Psychosom. Res. 163, 111053 (2022).MedlineGoogle Scholar25. Austin CA, Sanderson K, Crona D, Kistler C. Pharmacogenetics: using science to reduce racial bias in pain management? J. Am. Geriat. Soc. 71(12), 3973–3975 (2023).MedlineGoogle Scholar26. Rukavina K, Ocloo J, Skoric MK et al. Ethnic disparities in the treatment of chronic pain in individuals with Parkinson's Disease living in the United Kingdom. Mov. Disord. Clinl. Pract. 9(3), 369–374 (2022).MedlineGoogle Scholar27. Meghani SH, Polomano RC, Tait RC et al. Advancing a national agenda to eliminate disparities in pain care: directions for health policy, education, practice, and research. Pain Med. 13(1), 5–28 (2012).MedlineGoogle Scholar28. Institute of Medicine. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. National Academies Press, D.C., USA (2011).Google Scholar29. Interagency Pain Research Coordinating Committee and the Office of Pain Policy of the National Institutes of Health. Federal pain research strategy. (2017). www.iprcc.nih.gov/sites/default/files/iprcc/FPRS_Research_Recommendations_Final_508C.pdf Google Scholar30. Interagency Pain Research Coordinating Committee and the Office of Pain Policy of the National Institutes of Health. National pain strategy report: A comprehensive high-level strategy for pain. (2017). www.iprcc.nih.gov/sites/default/files/HHSNational_Pain_Strategy_508C.pdf Google Scholar31. Booker SQ, Morais CA, Merriwether EN. Editorial: advancing critical discovery of novel approaches to understanding and eliminating pain inequities. Front. Pain Res. (Lausanne). 4, 1209573 (2023).MedlineGoogle Scholar32. Smith GS, Breakstone H, Dean LT, Thorpe RJ Jr. Impacts of gentrification on health in the US: a systematic review of the literature. J. Urban Health 97(6), 845–856 (2020).MedlineGoogle Scholar33. Mays A, Byars-Winston A, Hinton A Jr et al. Juneteenth in STEMM and the barriers to equitable science. Cell 186(12), 2510–2517 (2023).Medline CASGoogle Scholar34. Bowleg L. "The Master's Tools Will Never Dismantle the Master's House": ten critical lessons for Black and other health equity researchers of color. Health Educ. Behav. 48(3), 237–249 (2021).MedlineGoogle Scholar35. Edwards RR, Schreiber KL, Dworkin RH et al. Optimizing and accelerating the development of precision pain treatments for chronic pain: IMMPACT review and recommendations. J. Pain 24(2), 204–225 (2023).MedlineGoogle Scholar36. Diatchenko L, Parisien M, Jahangiri Esfahani S, Mogil JS. Omics approaches to discover pathophysiological pathways contributing to human pain. Pain 163(Suppl. 1), S69–S78 (2022).MedlineGoogle Scholar37. Raja SN, Carr DB, Cohen M et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 161(9), 1976–1982 (2020).MedlineGoogle Scholar38. Baker TA, Janevic M, Booker SQ. Chronic pain and the movement towards progressive healthcare. In: HEALTH FOR EVERYONE: A guide to politically and socially progressive healthcare. Berger Z (Ed.). Rowman & Littlefield, MD, USA, 19–26 (2022).Google Scholar39. Wild CP. The exposome: from concept to utility. Int. J. Epidemiol. 41(1), 24–32 (2012).MedlineGoogle Scholar40. Around Him D, Aguilar TA, Frederick A et al. Tribal IRBs: a framework for understanding research oversight in American Indian and Alaska Native communities. Am. Indian Alsk. Native Ment. Health Res. 26(2), 71–95 (2019).MedlineGoogle Scholar41. Vo AK, Cerdeña JP, Loree JM et al. Race-based reporting and participation of Black individuals in registered pain clinical trials, United States, 2000 to 2019. Pain 164(9), 1976–1984 (2023).MedlineGoogle Scholar42. Booker SQ, Bartley EJ, Powell-Roach K et al. The imperative for racial equality in pain science: a way forward. J. Pain 22(12), 1578–1585 (2021).MedlineGoogle Scholar43. Hood AM, Booker SQ, Morais CA et al. Confronting racism in all forms of pain research: a shared commitment for engagement, diversity, and dissemination. J. Pain 23(6), 913–928 (2022).MedlineGoogle Scholar44. Sutton RM, Jones D et al. The past does matter: a nursing perspective on post Traumatic Slave Syndrome (PTSS). J. Racial Ethn. Health Disparities 4(5), 779–783 (2017).Google Scholar45. James SA. John Henryism and the health of African-Americans. Cult. Med. Psychiatry 18(2), 163–182 (1994).Medline CASGoogle Scholar46. Mullings L. The Sojourner Syndrome: race, class, and gender in health and illness. Voices 6(1), 32–36 (2002).Google Scholar47. Woods-Giscombé CL. Superwoman schema: african American women's views on stress, strength, and health. Qual. Health Res. 20(5), 668–683 (2010).MedlineGoogle Scholar48. Schubiner H, Jackson B, Molina KM et al. Racism as a source of pain. J. Gen. Intern. Med. 38(7), 1729–1734 (2023).MedlineGoogle Scholar49. Jones KF, Laury E, Sanders JJ et al. Top ten tips palliative care clinicians should know about delivering antiracist care to Black Americans. J. Palliat. Med. 25(3), 479–487 (2022).MedlineGoogle Scholar50. Matthias MS, Daggy JK, Perkins AJ et al. Communication and activation in pain to enhance relationships and treat pain with equity (COOPERATE): a randomized clinical trial. Pain doi: 10.1097/j.pain.0000000000003021 (2023) (Epub ahead of print).MedlineGoogle Scholar51. Allen KD, Somers TJ, Campbell LC et al. Pain coping skills training for African Americans with osteoarthritis: results of a randomized controlled trial. Pain 160(6), 1297–1307 (2019).MedlineGoogle Scholar52. Janevic M, Robinson-Lane SG, Murphy SL, Courser R, Piette JD. A pilot study of a chronic pain self-management program delivered by community health workers to underserved African American older adults. Pain Med. 23(12), 1965–1978 (2022).MedlineGoogle ScholarFiguresReferencesRelatedDetails Vol. 14, No. 1 STAY CONNECTED Metrics Downloaded 45 times History Received 29 September 2023 Accepted 21 December 2023 Published online 9 January 2024 Published in print January 2024 Information© 2024 Future Medicine LtdKeywordsAfrican–AmericanBlackchronic painhealth disparitiespain disparitiespain inequitysocial determinants of healthAuthor contributionsSQ Booker (conceptualization, supervision, writing-original draft, writing-review & editing, final approval); EN Merriwether, K Powell-Roach and S Jackson (conceptualization, writing-original draft, writing-review & editing, final approval).DisclaimerThe content is solely the responsibility of the author and does not necessarily represent the official views of the National Institutes of Health or their respective academic institutions.Financial disclosureThis work is supported by NIAMS: K23AR076463 [SQB]; K23AR080846 [ENM] and NHLBI: K01HL153210 [KPR]. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.Competing interests disclosureThe authors have no competing interests or relevant affiliations with any organization or entity with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, stock ownership or options and expert testimony.Writing disclosureNo writing assistance was utilized in the production of this manuscript.PDF download