ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2022
Do Limited English Proficiency and Language Moderate the Relationship Between Mental Health and Pain?
Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Understanding Multilevel Barriers to Healthcare Access Among Immigrants with Limited English Proficiency: A Qualitative Study.Journal of immigrant and minority health · 2026Article
- Article
- Directions for analgesic development.Journal of anesthesia and translational medicine · 2024Review
- Pain prevalence, intensity, and association with neuropsychiatric symptoms of dementia in immigrant and non-immigrant aged care residents in Australia.Scientific reports · 2024Article
- Translation and validation of urdu version short form-mcgill pain questionnaire-2.BMC sports science, medicine & rehabilitation · 2023Article
- The Impact of the Need for Language Assistance Services on the Use of Regional Anesthesia, Postoperative Pain Scores and Opioid Administration in Surgical Oncology Patients.Journal of personalized medicine · 2023Article
- Diabetes Complications and Pain Among Mexican Americans Aged 80 and Older.Innovation in aging · 2023Article
- Patient Race, Ethnicity, Language, and Pain Severity in Primary Care: A Retrospective Electronic Health Record Study.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022Article
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2 authors.
Funding
Abstract
aimTo explore whether the relationship between mental health diagnosis (i.e., mood or neurotic, stress-related, or somatoform disorder) and pain is moderated by language in patients with limited English proficiency (LEP). Southeast Asian languages (i.e., Hmong, Lao, Khmer) and Spanish were compared with English.
methodA retrospective data mining study was conducted (n = 79,109 visits). Pain scores, language, mental health diagnoses, age, sex, race, ethnicity, and pain diagnosis were obtained from electronic medical records. Cragg two-equation hurdle regression explored: (1) the effect of patient language and mental health diagnosis on pain and (2) the interaction between language and mental health diagnosis on pain.
resultsVisits were primarily for female (62.45%), White (80.10%), not Hispanic/Latino (96.06%), and English-speaking (97.85%) patients. Spanish or Southeast Asian language increased chances of reporting any pain (i.e., pain score of 0 versus ≥1) and pain severity in visits with pain scores ≥1, whereas mental health diagnosis decreased chances of reporting any pain and pain severity. The combination of Southeast Asian language and mood disorder contributed to higher chances of reporting any pain (odds ratio [OR] = 1.78, p<.001) but no difference in severity. A similar trend was observed for Southeast Asian language and neurotic disorder (OR = 1.29, p=.143). In contrast, the combination of Spanish language and mood (p = .066) or neurotic (p = .289) disorder contributed to lower pain severity but did not change the chances of reporting any pain.
conclusionsLEP and patient language should be considered during pain assessment within the context of mental health.
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