Aim To investigate existence of scientific support for linking differences in the experience of pain to ethnicity. Methods The study was designed as a systematic literature review of qualitative and quantitative studies. The inclusion criteria were scientific studies published in scientific journals and written in English. Studies that described children's experiences and animals were excluded. There were 10 studies, one qualitative and nine quantitative. Results The result was divided into two main sections. The first section presents the results of investigated material regarding different ethnic groups, the groups' different experiences with regard to pain and its treatment focusing entirely on the patients' perspective. Several studies have revealed major differences in the way individuals perceive their pain, using various pain evaluation tools. The second section explained different coping strategies depending on ethnicity and showed that different ethnic groups handle their pain in different ways. Conclusion Healthcare professionals have a duty to pay attention to and understand the patients' experience of their disease and suffering and, as far as possible, mitigate this using appropriate measures. For this purpose, ethnic, cultural and religious differences between different patients need to be understood. It is necessary to continue to study ethnic differences in reporting and predicting pain and its consequences, including the assessment of variables associated with pain, as well as examining the use of prayer as a form of dealing with pain, with an evaluation of various effects of such different influences.
Hälso & sjukvårdslagen Swedish Health Care Act. 1982;
2.
Norberg A. The mosaic of care. 2000;
3.
Grefberg N, Johansson L. The book of medicine, caring for patients with internal diseases. 2000;
4.
Andrews M, Boyle J. Transcultural concepts in nursing care. 1999;178–80.
5.
Almås H. Clinical care 1. 2004;
6.
White S, Asher M, Lai S, Burton D. Patients’ perceptions of overall function, pain, and appearance after primary posterior instrumentation and fusion for idiopathic scoliosis. Spine. 1999;1693–9.
7.
Carey T, Garrett J. The relation of race to outcomes and the use of health care services for acute low back pain. Spine. 2003;390–4.
8.
Sheffield D, Kirby D, Biles P, Sheps D. Comparison of perception of angina pectoris during exercise testing in African-Americans versus Caucasians. Am J Cardiol. 1999;106–8.
9.
Edwards R, Fillingim R. Ethnic differences in thermal pain responses. Psychosom Med. 1999;346–54.
10.
Sheffield D, Biles P, Orom H, Maixner W, Sheps D. Race and sex differences in cutaneous pain perception. Psychosom Med. 2000;517–23.
11.
Moore R, Brodsgaard I. Cross-cultural investigations of pain. Epidemiology of pain. 1999;53–80.
12.
Payne R, Medina E, Hampton J. Quality of life concerns in patients with breast cancer: Evidence for disparity of outcomes and experiences in pain management and palliative care among African-American women. Cancer. 2003;311–7.
13.
Selim A, Fincke G, Ren X, Deyo R, Lee A, Skinner K, et al. Racial differences in the use of lumbar spine radiographs: Results from the veterans health study. Spine. 2001;1364–9.
14.
Harlow B, Stewart E. A population-based assessment of chronic unexplained vulvar pain: Have we underestimated the prevalence of vulvodynia? J Am Med Womens Assoc. 2003;82–8.
15.
Burke-Ramirez P, Asgharnejad M, Webster C, Davis R, Laurenza A. Efficacy and tolerability of subcutaneous sumatriptan for acute migraine: A comparison between ethnic groups. Headache. 2001;873–82.
16.
Creamer P, Lethbridge-Cejku M, Hochberg M. Determinants of pain severity in knee osteoarthritis: effect of demographic and psychosocial variables using 3 pain measures. J Rheumatol. 1999;1785.
17.
Edwards R, Doleys D, Fillingim R, Lowery D. Ethnic differences in pain tolerance: Clinical implications in a chronic pain population. Psychosom Med. 2001;316–23.
18.
Mccracken L, Matthews A, Tang T, Cuba S. A comparison of blacks and whites seeking treatment for chronic pain. Clin J Pain. 2001;249–55.
19.
Krupic F, Rolfson O, Nemes S, Kärrholm J. Poor patient-reported outcome after hip replacement, related to poor perception of perioperative information, commoner in immigrants than in non-immigrants. Acta Orthop. 2016;218–24.
20.
Krupic F, Garellick G, Gordon M, Kärrholm J. Different patient-reported outcomes in immigrants and patients born in Sweden: 18,791 patients with 1 year follow-up in the Swedish Hip Arthroplasty Registry. Acta Orthop. 2014;221–8.
21.
Krupic F, Eisler T, Garellick G, Kärrholm J. Influence of ethnicity and socioeconomic factors on outcome after total hip replacement. Scand J Caring Sci. 2013;139–46.
22.
Kirmayer L, Young A. Culture and somatization: Clinical, epidemiological, and ethnographic perspectives. Psychosom Med. 1998;420–30.
23.
Allison T, Symmons D, Brammah T, Haynes P, Rogers A, Roxby M, et al. Musculoskeletal pain is more generalised among people from ethnic minorities than among white people in Greater Manchester. Ann Rheum Dis. 2002;151–6.
24.
Polit D, Beck C. Essentials of Nursing Research: Methods, Appraisal and Utilization. 2006;
25.
Ramer L, Richardson J, Cohen M, Bedney C, Danley K, Judge E. Multimeasure pain assessment in an ethnically diverse group of patients with cancer. J Transcult Nurs. 1999;94–101.
26.
Chen I, Kurz J, Pasanen M, Faselis C, Panda M, Staton J, et al. Racial differences in opioid use for chronic nonmalignant pain. J Gen Intern Med. 2005;593–8.
27.
Staton J, Panda M, Chen I, Genao I, Kurz J, Pasanen M, et al. When race matters: disagreement in pain perception between patients and their physicians in primary. J Natl Med Assoc. 2007;532–8.
28.
Edwards R, Moric M, Husfeldt B, Buvanendran A, Ivankovich O. Ethnic similarities and differences in the chronic pain experience: a comparison of African American, Hispanic, and white patients. Pain Med. 2005;88–9.
29.
Tan G, Jensen M, Thornby J, Ko A. Ethnicity, control appraisal, coping, and adjustment to chronic pain among black and white Americans. Pain Med. 2005;18–28.
30.
Riley, Wade J, Myers C, Sheffield D, Papas R, Price D. Racial/Ethnic differences in the experience of chronic pain. Pain. 2002;291–8.
31.
Kodiath M, Kodiath A. A comparative study of patients who experience chronic malignant pain in India and the United States. Cancer Nurs. 1995;189–96.
32.
Hacking I. The social construction -of what? 2004;
33.
Finnström B, Söderhamn O. Concepts of pain among Somali women. J Adv Nurs. 2006;418–25.
34.
Harper P. No pain, no gain: pain behavior in the armed forces. Br J Nurs. 2006;548–51.
35.
Jhhinze TS, Cydulka S, Baker R, D. Racial and ethnic disparities in emergency department analgesic prescription. Am J Public Health. 2003;2067–73.
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