TY - JOUR
T1 - The Intersections of Chronic Noncancer Pain
T2 - Culturally Diverse Perspectives on Disease Burden
AU - Brady, Bernadette
AU - Veljanova, Irena
AU - Chipchase, Lucinda
N1 - Funding Information:
Correspondence to: Bernadette Brady, MManTherapy, Department of Pain Medicine, Liverpool Hospital, Locked Bag 7103, Liverpool BC NSW 1871, Australia. Tel: +61-2-8738-7200; Fax: +61-2-8738-7205; E-mail: [email protected] Funding sources: This work was supported by a research scholarship awarded to the primary author from South West Sydney Local Health District and The Ingham Institute (Liverpool, NSW, Australia). The primary author is a recipient of a Sir Robert Menzies Memorial Research Scholarship in the Allied Health Sciences from The Menzies Foundation.
Publisher Copyright:
© 2018 American Academy of Pain Medicine. All rights reserved.
PY - 2019
Y1 - 2019
N2 - Objective: This study highlights the burden of chronic non-cancer-related pain from the perspectives of three culturally and linguistically diverse communities, using an intersectionality analysis. Specifically, we identify how multiple social identities intersect to account for the unequal distribution of the burden of chronic pain. Design and methods: Six focus groups of 41 culturally and linguistically diverse participants (Mandaean, Assyrian, and Vietnamese) living with chronic noncancer pain were conducted in South-West Sydney, Australia, between February and July 2015. Data were analyzed using inductive and intersectional methodology. Results: The interaction between a patient with chronic pain from a culturally and linguistically diverse background and the health system is influenced by four identified social identities that interact to create relative positions of disadvantage for the patient within the health system and with health care providers. The social identities identified were ethnoculture, social class, migration status, and gender. Conclusions: Health care providers must consider how the intersectionality of social identities related to ethnoculture, social class, migration status, and gender can factor into the creation and maintenance of chronic pain disparities. A greater, more thoughtful incorporation of intersectionality in chronic pain research and clinical practice will ensure that pain management approaches are designed and applied in a way that reflects the social context of affected communities and individuals from those communities.
AB - Objective: This study highlights the burden of chronic non-cancer-related pain from the perspectives of three culturally and linguistically diverse communities, using an intersectionality analysis. Specifically, we identify how multiple social identities intersect to account for the unequal distribution of the burden of chronic pain. Design and methods: Six focus groups of 41 culturally and linguistically diverse participants (Mandaean, Assyrian, and Vietnamese) living with chronic noncancer pain were conducted in South-West Sydney, Australia, between February and July 2015. Data were analyzed using inductive and intersectional methodology. Results: The interaction between a patient with chronic pain from a culturally and linguistically diverse background and the health system is influenced by four identified social identities that interact to create relative positions of disadvantage for the patient within the health system and with health care providers. The social identities identified were ethnoculture, social class, migration status, and gender. Conclusions: Health care providers must consider how the intersectionality of social identities related to ethnoculture, social class, migration status, and gender can factor into the creation and maintenance of chronic pain disparities. A greater, more thoughtful incorporation of intersectionality in chronic pain research and clinical practice will ensure that pain management approaches are designed and applied in a way that reflects the social context of affected communities and individuals from those communities.
KW - Chronic Pain
KW - Culturally and Linguistically Diverse
KW - Ethnoculture
KW - Intersectionality
KW - Qualitative Research
KW - Sociocultural
KW - Linguistically Diverse
KW - Culturally
KW - Humans
KW - Middle Aged
KW - Cost of Illness
KW - Cultural Diversity
KW - Male
KW - Socioeconomic Factors
KW - Australia/ethnology
KW - Adult
KW - Female
KW - Aged
KW - Chronic Pain/ethnology
UR - http://www.scopus.com/inward/record.url?scp=85062060888&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/intersections-chronic-noncancer-pain-culturally-diverse-perspectives-disease-burden
U2 - 10.1093/pm/pny088
DO - 10.1093/pm/pny088
M3 - Article
C2 - 29846709
AN - SCOPUS:85062060888
SN - 1526-2375
VL - 20
SP - 434
EP - 445
JO - Pain medicine (Malden, Mass.)
JF - Pain medicine (Malden, Mass.)
IS - 3
ER -