长期疼痛退伍军人的交叉疼痛差异和弹性
Mackenzie L Shanahan1, Bridget Zimmerman2, Merlyn Rodrigues3
1Center for Innovations in Quality Effectiveness and Safety, Michael E. DeBakey VA Medical Center.
概括
种族显著影响退伍军人的疼痛结果,但社会经济地位和农村位置没有显示差异. 弹性可以改善黑人患者的疼痛结果.
科学领域:
- 健康差距 研究 研究 研究 研究
- 疼痛管理 疼痛管理
- 退伍军人健康的医疗服务
背景情况:
- 种族和民族的痛苦差异已被记录下来,但农村和社会经济差异以及交叉身份的研究较少.
- 弹性在减轻健康差距方面的作用需要进一步研究.
研究的目的:
- 调查跨界的种族,种族,农村和社会经济差异.
- 检查弹性在减少这些疼痛差异中的作用,以布克的健康差异研究框架的层次结构为指导.
主要方法:
- 评估了498名患有骨关节炎的退伍军人进行全膝关节整形手术的多样样样样本.
- 经过验证的仪器测量了随机对照试验中的人口统计,疼痛结果和弹性 (疼痛接受,价值调整行为).
主要成果:
- 种族与跨界群体的疼痛结果有显著的关联;没有发现农村疼痛差异.
- 社会经济地位缓和了种族和疼痛结果,减少了不平等,增加了劣势. 弹性与种族群体之间的更好的疼痛结果有关,而不是作为调节者.
结论:
- 种族与退伍军人的疼痛结果密切相关.
- 在退伍军人中,社会经济和农村疼痛差异可能不那么普遍.
- 弹性显示出作为改善疼痛结果的可修改因素的潜力,特别是在黑人患者中.
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