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在中风的地理和种族差异的原因中,经历歧视和疼痛之间的关联 (REGARDS) 研究

Jean-Luc K Kabangu¹, Momodou G Bah², Ene M Enogela³

¹Department of Neurological Surgery, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA. Jkabangu@kumc.edu.

Journal of racial and ethnic health disparities

|August 19, 2024

概括

对黑人和白人成年人来说,歧视显著增加了疼痛干扰. 它还减少了对疼痛治疗的准入,特别是对于黑人来说,强调了对健康公平干预的关键需求.

科学领域:

健康差异在健康上的差异
健康的社会决定因素
疼痛管理疼痛管理

背景情况:

有限的研究探讨了经历歧视如何影响跨种族群体的疼痛干扰和管理.
这项研究调查了美国黑人和白人成年人之间的歧视,疼痛干扰和疼痛治疗之间的联系.

研究的目的:

检查经历过的歧视及其对疼痛干扰的影响之间的关系.
调查歧视如何影响获得疼痛治疗的机会.
了解美国黑人和白人成年人群中的这些关联.

主要方法:

分析了9369名黑人和白人成年人从中风的地理和种族差异原因 (REGARDS) 研究.
评估自我报告的歧视经历,疼痛干扰 (使用SF-12) 和疼痛治疗.
在分析中包括人口因素,并发症和压力水平.

主要成果:

中度至高的歧视增加了疼痛干扰的可能性,在黑人参与者中增加了41%,在白人参与者中增加了21%.
经历中度歧视的黑人参与者接受疼痛治疗的可能性降低了12%.
在求职期间的歧视与黑人接受疼痛治疗的可能性降低了33%,而白人则降低了32%.

结论:

歧视显著加剧了疼痛干扰,并阻碍了黑人和白人获得疼痛治疗的机会,尽管影响因种族而异.
调查结果强调,迫切需要采取干预措施,以减轻歧视对医疗保健结果的不利影响.
解决这些差异对于促进健康公平和提高患者护理质量至关重要.

关键词:

歧视行为歧视行为卫生公平性健康公平性医疗保健结果的结果疼痛干扰疼痛干扰疼痛管理疼痛管理关于REGARDS研究的研究种族差异是种族差异.

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