不平等的负担:性和性别少数群体青少年的慢性疼痛差异
Lauren E Harrison1, Ardin S Berger2, Courtney W Hess1
1Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
Pain
|December 11, 2025
概括
与 cisgender,异性恋青年相比,性和性别少数群体的年轻人经历了更大的功能性疼痛负担,包括干扰,移动性,疲劳和睡眠问题. 心理困扰部分解释了这些差异,但其他因素,如少数民族压力,也导致了儿童慢性疼痛护理的差异.
科学领域:
- 儿科健康 儿科健康
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 性和性别少数群体青年 (SGMY) 面临着独特的压力因素,导致健康差异.
- 一个社会生态-生物心理社会模型将少数群体的压力与SGMY中慢性疼痛脆弱性的增加联系在一起.
- 关于慢性疼痛如何在SGMY中表现的研究有限.
研究的目的:
- 在患有慢性疼痛的青少年中检查性取向和性别认同 (SOGI).
- 为了比较SGMY和cisgender之间的疼痛相关结果,异性恋青年 (CHY).
- 评估心理痛苦对SGMY与疼痛相关的结果的间接影响.
主要方法:
- 对382名年轻人 (平均年龄15.41岁) 的横截面数据的二次分析.
- SOGI使用最佳实践方法进行评估,以确定SGMY (25.4%的样本).
- 在SGMY和CHY之间比较疼痛干扰,身体功能,疲劳和睡眠障碍,包括对心理痛苦的调解分析.
主要成果:
- 与CHY相比,SGMY报告的疼痛干扰,运动障碍,疲劳和睡眠障碍显著增加 (P < 0.01).
- 两组之间没有发现疼痛严重程度或持续时间的显著差异.
- 心理困扰部分调解了群体状态和疼痛干扰之间的关系;在考虑困扰后,身体功能差异仍然存在.
结论:
- 与CHY相比,SGMY的慢性疼痛功能负担不成比例地更高.
- 心理痛苦有助于这些差异,但不能完全解释这些差异,这表明少数群体的压力影响至关重要.
- 常规的,包容性的SOGI评估对于确认儿科疼痛护理和解决系统性不平等至关重要.
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