ArticleJournal of pain and symptom management2021
Racial/Ethnic Differences in Staff-Assessed Pain Behaviors Among Newly Admitted Nursing Home Residents.
Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes.Age and ageing · 2024Pooled it
- Integrating Nonpharmacologic Strategies for Pain with Inclusion, Respect, and Equity (INSPIRE): Cultural and linguistic tailoring for a digital health intervention.Internet interventions · 2026Article
- Nursing Home Profit Status and Pain Among Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026Article
- Article
- Disparities in Documentation: Evidence of Race-Based Biases in the Electronic Medical Record.Journal of racial and ethnic health disparities · 2025Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Medicaid Payments and Racial and Ethnic Disparities in Alzheimer Disease Special Care Units.JAMA network open · 2025Article
- Health Care Discrimination Affects Patient Activation, Communication Self-Efficacy, and Pain for Black Americans.The journal of pain · 2024Article
- Pain management inequities by demographic and geriatric-related variables in older adult inpatients.Journal of the American Geriatrics Society · 2024Article
- Sex bias in pain management decisions.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Racial Differences in Movement-Related Appraisals and Pain Behaviors Among Adults With Chronic Low Back Pain.The journal of pain · 2024Article
- Racial Disparities in Opioid Prescribing in the United States from 2011 to 2021: A Systematic Review and Meta-Analysis.Journal of pain research · 2024Review
- Association Between Documented Severe Pain and Cognitive Impairment in Home Health Care Patients: Results from the National Outcome and Assessment Information Set Data.Journal of palliative medicine · 2023Article
- Pain Assessment Disparities by Race, Ethnicity, and Language in Adult Hospitalized Patients.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2023Article
- Article
- Severe headache trajectory following aneurysmal subarachnoid hemorrhage: the association with lower sodium levels.Brain injury · 2022Article
- Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans.Journal of palliative medicine · 2022Review
- Prevalence and persistent prescription of analgesic drugs in persons admitted with dementia to a nursing home - A longitudinal study.PloS one · 2022Article
- Invariance of the PAINAD Scale Between the Black and White Residents Living With Dementia.Frontiers in pain research (Lausanne, Switzerland) · 2021Article
- Racial Disparities in Care Interactions and Clinical Outcomes in Black Versus White Nursing Home Residents With Dementia.Journal of nursing care qualityArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
contextNonverbal pain behaviors are effective indicators of pain among persons who have difficulty communicating. In nursing homes, racial/ethnic differences in self-reported pain and pain management have been documented.
objectivesWe sought to examine racial/ethnic differences in nonverbal pain behaviors and pain management among residents with staff-assessed pain.
methodsWe used the U.S. national Minimum Data Set 3.0 and identified 994,510 newly admitted nursing home residents for whom staff evaluated pain behaviors and pain treatments between 2010 and 2016. Adjusted prevalence ratios (aPRs) and 95% CIs estimated using robust Poisson models compared pain behaviors and treatments across racial/ethnic groups.
resultsVocal complaints were most commonly recorded (18.3% non-Hispanic black residents, 19.3% of Hispanic residents, and 30.3% of non-Hispanic white residents). Documentation of pain behaviors was less frequent among non-Hispanic black and Hispanic residents than non-Hispanic white residents (e.g., vocal complaints: aPR
conclusionAmong residents requiring staff assessment of pain because they are unable to self-report, nursing home staff documented pain and its treatment less often in Non-Hispanic blacks and Hispanics than in non-Hispanic white residents. Studies to understand the role of differences in expression of pain, explicit bias, and implicit bias are needed to inform interventions to reduce disparities in pain documentation and treatment.
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Registered trials
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