Race differences in pain and pain-related risk factors among former professional American-style football players.
Race differences in pain and pain-related risk factors among former professional American-style football players.
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DOI：
10.1097/j.pain.0000000000002948
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发表时间：
2023-10-01
期刊：
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
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文本中提供了补充数字内容。在对前职业美式足球运动员的检查中，黑人和白人球员表现出了疼痛与生物心理社会风险因素之间的特定种族关联模式。不同人口群体的疼痛负担是不平等的，在美国，疼痛相关结果存在广泛且持续的种族差异。与大多数人相比，少数种族和族裔成员经常报告更普遍和更严重的疼痛，至少存在一些差异可归因于社会经济地位的差异。前职业足球运动员中与疼痛相关的健康结果是否存在种族差异尚不清楚。我们对 3995 名自认为是黑人或白人的前职业美式橄榄球运动员进行了种族与疼痛结果的关联研究。即使在控制了年龄、足球历史、合并症和社会心理因素之后，黑人球员仍报告比白人球员更剧烈的疼痛和更高水平的疼痛干扰。种族调节了多种生物心理社会因素与疼痛之间的关联；较高的体重指数与白人球员的更多疼痛相关，但黑人球员则不然。相对于白人球员，黑人球员的疲劳和社会心理因素与疼痛的相关性更强。总的来说，作为一名职业运动员所带来的巨大的社会和经济优势似乎并没有消除与种族相关的痛苦差异。我们强调了精英黑人职业橄榄球运动员的疼痛负担增加，并确定了疼痛与生物心理社会疼痛风险因素之间特定种族的关联模式。这些发现阐明了未来潜在的干预目标，这些干预措施可能有助于减少疼痛体验和影响方面持续存在的差异。
Supplemental Digital Content is Available in the Text. In an examination of former professional American-style football players, Black and White players demonstrated race-specific patterns of association between pain and biopsychosocial risk factors. The burden of pain is unequal across demographic groups, with broad and persisting race differences in pain-related outcomes in the United States. Members of racial and ethnic minorities frequently report more pervasive and severe pain compared with those in the majority, with at least some disparity attributable to differences in socioeconomic status. Whether race disparities in pain-related health outcomes exist among former professional football players is unknown. We examined the association of race with pain outcomes among 3995 former professional American-style football players who self-identified as either Black or White. Black players reported more intense pain and higher levels of pain interference relative to White players, even after controlling for age, football history, comorbidities, and psychosocial factors. Race moderated associations between several biopsychosocial factors and pain; higher body mass index was associated with more pain among White but not among Black players. Fatigue and psychosocial factors were more strongly related to pain among Black players relative to White players. Collectively, the substantial social and economic advantages of working as a professional athlete did not seem to erase race-related disparities in pain. We highlight an increased burden of pain among elite Black professional football players and identify race-specific patterns of association between pain and biopsychosocial pain risk factors. These findings illuminate potential future targets of interventions that may serve to reduce persistent disparities in the experience and impact of pain.
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