Evidence map›Paper›PMID 33531018›Full record

ArticleInternational journal for equity in health2021

Towards health equity for people experiencing chronic pain and social marginalization.

Bruce Wallace, Colleen Varcoe, Cindy Holmes, Mehmoona Moosa-Mitha, Gregg Moor, Maria Hudspith, Kenneth D Craig

Abstract read
In one paragraph

Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Cultural tailoring of pain management approaches: a scoping review.International journal for equity in health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Bruce WallaceSchool of Social Work, University of Victoria, PO Box 1700, STN CSC, BC, Victoria, Canada. barclay@uvic.ca.
Colleen VarcoeSchool of Nursing, University of British Columbia, T153-2211 Wesbrook Mall, BC, V6T 2B5, Vancouver, Canada.
Cindy HolmesSchool of Social Work, University of Victoria, PO Box 1700, STN CSC, BC, Victoria, Canada.
Mehmoona Moosa-MithaSchool of Social Work, University of Victoria, PO Box 1700, STN CSC, BC, Victoria, Canada.
Gregg MoorPain BC, 1508 W Broadway, V6J 1W8, BC , Vancouver, Canada.
Maria HudspithPain BC, 1508 W Broadway, V6J 1W8, BC , Vancouver, Canada.
Kenneth D CraigDepartment of Psychology, University of British Columbia, 2136 West Mall, BC, V6T 1Z4, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFor people who experience social inequities and structural violence, pain and related care are inexorably linked to experiences of injustice and stigma. The purpose of this study was to examine in greater depth the experiences of pain and discrimination and stigma across diverse marginalized communities in order to recommend equity-oriented healthcare approaches.

methodsThis community-based qualitative study reports on four focus groups that included 36 people living with pain. All participants identified with one of three groups known to experience high levels of inequities and structural violence including an Indigenous group, a LGBTQ2S group, and two newcomer and refugee groups.

resultsPain was entangled with and shaped by: social locations and identities, experiences of violence, trauma and related mental health issues, experiences of discrimination, stigma and dismissal, experiences of inadequate and ineffective health care, and the impacts of these intersecting experiences.

conclusionsEquity-oriented responses to chronic pain would recognize pain not only as a biomedical issue but as a social justice issue. The EQUIP Framework is an approach to integrating trauma- and violence-informed care; culturally-safe care; and harm reduction in health care that may hold promise for being tailored to people experiencing pain and social marginalization.

Indexed as

Health EquitySocial MarginalizationAdultAgedChronic PainCommunity-Based Participatory ResearchDelivery of Health CareHumansQualitative ResearchChronic painCommunity‐based participatory research (CBPR)Health equityIndigenousLGBTQ2SRefugeeSocial marginalizationStructural violence

Identifiers

PMID33531018
PMCPMC7852178

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.