Evidence map›Paper›PMID 40287584›Full record

ArticleJournal of racial and ethnic health disparities2026

The Role of Discrimination, Childhood Maltreatment, and Social Determinants of Health in Adult BIPOC Pain Disparities.

Andrea N Trejo, Allan D Tate, Amy E Noser, Elizabeth Wieling, Alicia Kunin-Batson, Amanda Trofholz, Jerica M Berge

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Andrea N TrejoDepartment of Human Development and Family Science, East Carolina University College of Health and Human Performance, Greenville, NC, USA. trejoa24@ecu.edu.ORCID 0000-0001-5005-6078
Allan D TateDepartment of Epidemiology and Biostatistics, School of Public Health, University of Georgia, Athens, GA, USA.
Amy E NoserDepartment of Family Medicine & Community Health, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Elizabeth WielingDepartment of Human Development and Family Science, School of Family and Consumer Sciences, University of Georgia, Athens, GA, USA.
Alicia Kunin-BatsonDepartment of Pediatrics, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Amanda TrofholzCenter for Learning Health System Sciences, University of Minnesota Medical School, Minneapolis, MN, USA.
Jerica M BergeDepartment of Family Medicine and Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Funding

Addressing Unanswered Questions About the Home Environment and Childhood Obesity DisparitiesR01HL126171 · NHLBI · UNIVERSITY OF MINNESOTA · PI BERGE, JERICA M · 2015 to 2019
$3.8M
Research Supplements to Promote Diversity in Health-Related Research (Admin Supp - Clinical Trial Not Allowed)R01AT012164 · NCCIH · UNIVERSITY OF MINNESOTA · PI Jerica M Berge, Angela Rice Fertig · 2022 to 2026
$3.5M
Testing Validity of Virtual Data Collection Methods to Inform Best Practice: In Person versus Zoom measured Anthropometry (Admin Supp Yang_Lily)R01HL156994 · NHLBI · UNIVERSITY OF MINNESOTA · PI Jerica M Berge · 2022 to 2026
$3.5M
University of MN Building Interdisciplinary Research Careers in Women's HealthK12AR084223 · NIAMS · UNIVERSITY OF MINNESOTA · PI SHARON S ALLEN, Kristen Patricia Mark · 2023 to 2026
$2.2M
NCCIH NIH HHS R01AT01164NCCIH NIH HHS R01 AT012164NHLBI NIH HHS R01 HL126171NHLBI NIH HHS R01HL126171NHLBI NIH HHS R01 HL156994NHLBI NIH HHS R01HL156994NIAMS NIH HHS K12AR084223
6 · The paper itself

Abstract

objectivesChronic pain disproportionately affects Black and Indigenous people and other people of color (BIPOC). Disparities may be related to increased chronic stress due to discrimination, trauma exposure, and social determinants of health (SDoH).

methodsUsing data from families (n = 1307) in the family matters study (collected 2017-2019), a secondary data analysis explored SDoH of baseline pain severity and change in pain at 18 months, and the moderating effects of childhood maltreatment and discrimination on SDoH-pain relationships. General estimating equations (GEE) modeling was used.

resultsChildhood maltreatment was associated with higher baseline pain severity, and discrimination was the strongest correlate of worse pain 18 months later. Childhood maltreatment exacerbated risk for higher pain severity for women, individuals under the federal poverty line, and individuals living in areas with low financial privilege. Discrimination increased risk for higher baseline pain for Black and Latinx individuals.

conclusionsDiscrimination and traumatic event exposure may be important contributors to BIPOC pain disparities. Pain interventions may benefit from additional attention to the toll of oppressive systems and chronic stressors on BIPOC health.

Indexed as

Adult Survivors of Child AbuseChild AbuseChronic PainHealth Status DisparitiesIndigenous PeoplesSocial Determinants of HealthAdultBlack or African AmericanChildFemaleHispanic or LatinoHumansMaleMiddle AgedRacismWhiteBIPOC health disparitiesChildhood maltreatmentChronic pain disparitiesDiscrimination and painSocial determinants of health (SDoH)Trauma and chronic stress

Identifiers

PMID40287584
PMCPMC12754585

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Registered trials

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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.