The association of perceived discrimination with low back pain
The association of perceived discrimination with low back pain
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DOI：
10.1007/s10865-008-9160-9
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发表时间：
2008-10-01
影响因子：
3.1
通讯作者：
Edwards, Robert R.
中科院分区：
文献类型：
--
作者：
Edwards, Robert R.
最近的一些研究表明，少数族裔和种族群体中的歧视与身体和心理健康状况不佳有关。然而，迄今为止，尽管对多种持续性疼痛的严重程度和影响的种族差异进行了大量研究，但尚未有关于感知歧视与疼痛相关症状之间关联的报告。我们利用一项全国性调查（美国中年发展全国调查；MIDUS）的数据，探讨了非洲裔美国人和白人男性和女性中感知到的歧视事件与背痛报告之间的关系。正如预期的那样，非洲裔美国人参与者比白人参与者更容易感受到歧视。此外，在包含各种身心健康变量的模型中，一生中重大歧视事件的发生是非洲裔美国人背痛报告的最强预测因素，而感知到的日常歧视是非洲裔美国女性背痛报告的最强预测因素。在白人参与者中，歧视观念与背痛关系不大或无关。据我们所知，这些是第一个记录感知歧视与背痛报告之间关联的数据；对歧视的看法是比身体健康变量更强有力的预测因素，这一事实凸显了少数族裔和种族群体中感知到的歧视的潜在显着性和不利影响。
A handful of recent studies have documented perceived discrimination as a correlate of poor physical and mental health status among ethnic and racial minority groups. To date, however, despite a proliferation of research on ethnic disparities in the severity and impact of a number of persistent pain conditions, there have been no reports on associations between perceived discrimination and pain-related symptoms. Using data from a national survey (the National Survey of Midlife Development in the United States; MIDUS), we explore the relationships between perceived discriminatory events and the report of back pain among African-American and white men and women. As expected, African-American participants reported substantially greater perceptions of discrimination than white participants. Moreover, in models that included a variety of physical and mental health variables, episodes of major lifetime discriminatory events were the strongest predictors of back pain report in African-Americans, and perceived day-to-day discrimination was the strongest predictor of back pain report specifically in African-American women. Among white participants, perceptions of discrimination were minimally related or unrelated to back pain. To our knowledge, these are the first data documenting an association between perceived discrimination and report of back pain; the fact that perceptions of discrimination were stronger predictors than physical health variables highlights the potential salience and adverse impact of perceived discrimination in ethnic and racial minority groups.