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• W2020006687 abstract "Neighborhood socioeconomic status (nSES) is more strongly associated to pain outcomes than race in an older sample (> 50 years old), but the same relationships have not been examined in younger people. There is evidence that race may play a stronger role among younger people due to mortality disparities and accelerated aging. We assessed the relative roles of nSES and race in the chronic pain experience for working age adults (< 50 years old). Using the UM Pain Clinic Database from 1993-2000, 9.6% black, 60.9% female, aged 37.2±7.6 (range 18-49) and the 2000 Census, we examined the role of black or white race, education and nSES on chronic pain and its sequelae. We used structural equation modeling (SEM) to examine disparities and the relative contributions of race and nSES to chronic pain. Measures included the McGill Pain Questionnaire (MPQ), Pain Disability Index (PDI) and Brief Symptoms Inventory. Univariate analysis showed blacks had significantly more pain, disability, and signs and symptoms consistent with several psychiatric disorders than whites. SEM showed blacks and less educated people lived in lower SES neighborhoods. Living in a lower SES neighborhood was associated with increased sensory and affective pain, pain-related disability, and mood disorders. Race was independently associated with ‘other’ pain on the MPQ scales as well as both disability factors. Additionally, racial disparities in affective pain and mood disorders were mediated by nSES. In every case, race, personal education and neighborhood SES played important roles in chronic pain outcomes. Age was unrelated to chronic pain outcomes while gender was only associated with mood disorders, with men displaying higher levels. Interventions designed to improve nSES are likely to reduce racial disparities in the chronic pain experience. These results support the importance of assessing neighborhood resources in improving the quality of chronic pain care. Neighborhood socioeconomic status (nSES) is more strongly associated to pain outcomes than race in an older sample (> 50 years old), but the same relationships have not been examined in younger people. There is evidence that race may play a stronger role among younger people due to mortality disparities and accelerated aging. We assessed the relative roles of nSES and race in the chronic pain experience for working age adults (< 50 years old). Using the UM Pain Clinic Database from 1993-2000, 9.6% black, 60.9% female, aged 37.2±7.6 (range 18-49) and the 2000 Census, we examined the role of black or white race, education and nSES on chronic pain and its sequelae. We used structural equation modeling (SEM) to examine disparities and the relative contributions of race and nSES to chronic pain. Measures included the McGill Pain Questionnaire (MPQ), Pain Disability Index (PDI) and Brief Symptoms Inventory. Univariate analysis showed blacks had significantly more pain, disability, and signs and symptoms consistent with several psychiatric disorders than whites. SEM showed blacks and less educated people lived in lower SES neighborhoods. Living in a lower SES neighborhood was associated with increased sensory and affective pain, pain-related disability, and mood disorders. Race was independently associated with ‘other’ pain on the MPQ scales as well as both disability factors. Additionally, racial disparities in affective pain and mood disorders were mediated by nSES. In every case, race, personal education and neighborhood SES played important roles in chronic pain outcomes. Age was unrelated to chronic pain outcomes while gender was only associated with mood disorders, with men displaying higher levels. Interventions designed to improve nSES are likely to reduce racial disparities in the chronic pain experience. These results support the importance of assessing neighborhood resources in improving the quality of chronic pain care." @default.
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• W2020006687 date "2008-04-01" @default.
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• W2020006687 title "(381) Neighborhood SES, race, education, and chronic pain in working aged blacks and whites" @default.
• W2020006687 doi "https://doi.org/10.1016/j.jpain.2008.01.305" @default.
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