Evidence map›Paper›PMID 39158830›Full record

ArticleJournal of racial and ethnic health disparities2025

The Association Between Experienced Discrimination and Pain in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study.

Jean-Luc K Kabangu, Momodou G Bah, Ene M Enogela, Suzanne E Judd, Joanna M Hobson, Emily B Levitan, Sonia V Eden

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Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jean-Luc K KabanguDepartment of Neurological Surgery, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA. Jkabangu@kumc.edu.ORCID 0009-0005-5209-9289
Momodou G BahMichigan State University College of Human Medicine, East Lansing, MI, USA.
Ene M EnogelaDepartment of Epidemiology, School of Public Health, University of Alabama Birmingham, Birmingham, AL, USA.
Suzanne E JuddDepartment of Biostatistics, School of Public Health, University of Alabama Birmingham, Birmingham, AL, USA.
Joanna M HobsonDepartment of Psychology, College of Arts and Science, University of Alabama Birmingham, Birmingham, AL, USA.
Emily B LevitanDepartment of Epidemiology, School of Public Health, University of Alabama Birmingham, Birmingham, AL, USA.
Sonia V EdenSemmes-Murphey Clinic, Memphis, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between experienced discrimination and its effects on pain interference and management among racial disparities is not well explored. This research investigated these associations among Black and White U.S. adults.

methodsThe analysis involved 9369 Black and White adults in the REasons for Geographic and Racial Differences in Stroke (REGARDS), assessing experiences of discrimination, pain interference (SF-12), and pain treatment, incorporating factors like demographics, comorbidities, and stress.

resultsBlack participants experiencing moderate discrimination were found to have a 41% increased likelihood of pain interference (aOR 1.41, 95% CI 1.02-1.95), similaritythose facing high levels of discrimination also showed a 41% increase (aOR 1.41, 95% CI 1.06-1.86) compared to those without such experiences. White individuals reporting moderate discrimination also faced a heightened risk, with a 21% greater chance of pain interference (aOR 1.21, 95% CI 1.01-1.45). Notably, the presence of moderate discrimination among Black participants correlated with a 12% reduced probability of receiving pain treatment (aOR 0.88, 95% CI 0.56-1.37). Furthermore, Black, and White individuals who reported discrimination when seeking employment had a 33% (aOR 0.67, 95% CI 0.45-0.98) and 32% (aOR 0.68, 95% CI 0.48-0.96) lower likelihood, respectively, of receiving treated pain.

conclusionThe study elucidates how discrimination exacerbates pain interference and restricts access to treatment, affecting Black and White individuals differently. These findings underscore an urgent need for strategies to counteract discrimination's negative effects on healthcare outcomes. Addressing these disparities is crucial for advancing health equity and improving the overall quality of care.

Indexed as

Black or African AmericanHealthcare DisparitiesHealth Status DisparitiesPainRacismStrokeWhiteAdultAgedFemaleHumansMaleMiddle AgedPain ManagementUnited StatesDiscriminationHealthcare outcomesHealth equityPain interferencePain managementRacial disparitiesREGARDS study

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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.