Culture and Symptoms--An Analysis of Patient's Presenting Complaints

Zola, Irving Kenneth

doi:10.2307/2091854

Cited by 663 publications

(223 citation statements)

References 2 publications

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“…The presence of ethnic/cultural differences in the perception of and reaction to pain has been recognized since the seminal works of Zborowski [107] and Zola [108] more than 50 years ago. In considering disparities in the present context, the four-stage model for processing pain proposed by Riley et al [78,79,101] provides an organizing framework.…”

Section: Individual Level Contributorsmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

282

215

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Background Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial/ethnic minority individuals are overrepresented among those who experience such pain and whose pain management is inadequate. Questions/purposes The objectives of this paper are to (1) define parameters of and summarize evidence pertinent to racial/ethnic minority disparities in pain management, (2) identify factors contributing to observed disparities, and (3) identify strategies to minimize the disparities. Methods Scientific literature was selectively reviewed addressing pain epidemiology, differences in pain management of non-Hispanic whites versus racial/ethnic minority groups, and patient and physician factors contributing to such differences.

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Section: Individual Level Contributorsmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

282

215

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“…For example, studies have shown that among individuals with similar doctor diagnoses there are systematic differences in how symptoms are perceived and reported across ethnic groups (Zola 1966). A study of immigrant and U.S.-born women of Mexican and Puerto Rican origin shows that reports of self-assessed health are inconsistent with doctor-assessed health (with doctors reporting better health than the individuals), and that the difference is greater among immigrants than it is among the U.S.-born, suggesting that there may be a process of norming to U.S. standards of health assessment (Angel and Guarnaccia 1989).…”

Section: Explanations For Health Assimilationmentioning

confidence: 99%

Assimilation and emerging health disparities among new generations of U.S. children

Hamilton

Cardoso

Hummer³

et al. 2011

DemRes

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“…It is important to recognize that perceptions of health, or ill health, are partially driven by cultural assumptions [55]. Therefore, racial differences in symptom reporting, or help seeking for symptoms, may be a function of culturally driven norms and expectations about health and illness [56]. In turn, help seeking may affect the likelihood of an individual being recruited into a research study.…”

Section: Brief Background Of the Usphs-tuskegee Syphilis Study And Rementioning

confidence: 99%

The Tuskegee Legacy Project: history, preliminary scientific findings, and unanticipated societal benefits

Katz

Kegeles

Green

et al. 2003

Dental Clinics of North America

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SummaryThis article is intended to provide a relatively complete picture of how a pilot study-conceived and initiated within an NIDCR-funded RRCMOH-matured into a solid line of investigation within that center and "with legs"into a fully funded study within the next generation of NIDCR centers on this topic of health disparities, the Centers for Research to Reduce Oral Health Disparities. It highlights the natural opportunity that these centers provide for multicenter, cross-disciplinary research and for research career pipelining for college and dental school students; with a focus, in this case, on minority students.Furthermore, this series of events demonstrates the rich potential that these types of research centers have to contribute in ways that far exceed the scientific outcomes that form their core. In this instance, the NMOHRC played a central-and critical, if unanticipated-role in contributing to two events of national significance, namely the presidential apology to the African American community for the research abuses of the USPHS-Tuskegee syphilis study and the establishment of the National Center for Bioethics in Research and Health Care at Tuskegee University. Origins of the Tuskegee Legacy ProjectThe Tuskegee Legacy Project (TLP) has its origins in casual Web surfing by a biomedical reference librarian on her laptop computer on a fall evening in 1993 while relaxing in the dormer room, which served as the family den. Ms. B.J. Frey, Head Reference Librarian at the * Corresponding author. E-mail address: ralph.katz@nyu.edu (R.V. Katz).This research project was supported by NIDCR/NIH grant #P50 DE10592 (University of Medicine and Dentistry of New Jersey/ University of Connecticut Northeastern Minority Oral Health Research Center), and is currently supported in the analysis phase by NIDCR/NIH grant #U54 DE 14257 (NYU Oral Cancer RAAHP Center).Research Centers supported by the NIH are fully intended to create a vortex of scientific activity that goes well beyond the direct scientific aims of the studies initially funded within those centers. The maxim is that the whole should be greater than the sum of its initial constituent studies or parts. We believe that NMOHRC did indeed achieve that maxim-even extending "the whole" to include broad societal impact, well beyond the scope of important, but mere, scientific outcomes-all within the concept and appropriate functions of a scientific NIHfunded research center. NIH Public Access

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Culture and Symptoms--An Analysis of Patient's Presenting Complaints

Cited by 663 publications

References 2 publications

Defining Racial and Ethnic Disparities in Pain Management

Defining Racial and Ethnic Disparities in Pain Management

Assimilation and emerging health disparities among new generations of U.S. children

The Tuskegee Legacy Project: history, preliminary scientific findings, and unanticipated societal benefits

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