Applying the NIA Health Disparities Research Framework to Identify Needs and Opportunities in Chronic Musculoskeletal Pain Research.

Applying the NIA Health Disparities Research Framework to Identify Needs and Opportunities in Chronic Musculoskeletal Pain Research.
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DOI:
10.1016/j.jpain.2021.06.015
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发表时间:
2022-01
期刊:
The journal of pain
影响因子:
--
通讯作者:
Sibille KT
Sibille KT
中科院分区:
其他
文献类型:
--
作者:
Patel M;Johnson AJ;Booker SQ;Bartley EJ;Palit S;Powell-Roach K;Terry EL;Fullwood D;DeMonte L;Mickle AM;Sibille KT

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在美国,慢性肌肉骨骼疼痛的经验差异源于一系列广泛因素的汇合。在国家老龄健康差距研究框架内组织的一项文献审查完成了一项文献审查,以评估哪些是已知的,哪些是需要推动慢性肌肉骨骼疼痛研究向前推进的,具体针对受影响不成比例的人群。2000年至2019年在美国进行的以英语发表的关于成人的同行评议研究摘自PubMed和Web of Science。对NIA健康差距研究框架中确定的健康因素术语应用四个层次的分析:1)环境、2)社会文化、3)行为和4)生物--对聚焦于代表性不足的患有慢性肌肉骨骼疼痛的民族/种族群体的文章进行综述。共有52篇文章符合纳入标准。专门针对各级慢性肌肉骨骼疼痛的代表性不足的族裔/种族群体的出版物有限,在社会文化和生物学类别下有特别的研究空白。目前证据的局限性可能会得到针对更广泛的“慢性疼痛”主题的发现基础的补充,这为未来的研究提供了指导。研究设计,包括对保护因素的关注和多层次的分析,将特别有价值。观点:慢性肌肉骨骼疼痛的负担不平等,代表的族裔/种族群体不足。为了推进研究并系统地调查导致健康差距的复杂因素,有必要采取有组织的方法。应用NIA健康差异研究框架,概述了慢性肌肉骨骼疼痛和代表性不足的族裔/种族群体的证据现状,并确定了未来的方向。
Disparities in the experience of chronic musculoskeletal pain in the United States stem from a confluence of a broad array of factors. Organized within the National Institute on Aging Health Disparity Research Framework, a literature review was completed to evaluate what is known and what is needed to move chronic musculoskeletal pain research forward specific to disproportionately affected populations. Peer-reviewed studies published in English, on human adults, from 2000 to 2019, and conducted in the United States were extracted from PubMed and Web of Science. Articles were reviewed for key words that focused on underrepresented ethnic/race groups with chronic musculoskeletal pain applying health factor terms identified in the NIA Health Disparity Research Framework four levels of analysis: 1) environmental, 2) sociocultural, 3) behavioral, and 4) biological. A total of 52 articles met inclusion criteria. There were limited publications specific to underrepresented ethnic/race groups with chronic musculoskeletal pain across all levels with particular research gaps under sociocultural and biological categories. Current limitations in evidence may be supplemented by a foundation of findings specific to the broader topic of “chronic pain” which provides guidance for future investigations. Study designs including a focus on protective factors and multiple levels of analyses would be particularly meritorious. Perspective: Chronic musculoskeletal pain unequally burdens underrepresented ethnic/race groups. In order to move research forward and to systematically investigate the complex array of factors contributing toward health disparities, an organized approach is necessary. Applying the NIA Health Disparities Research Framework, an overview of the current state of evidence specific to chronic musculoskeletal pain and underrepresented ethnic/race groups is provided with future directions identified.
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