Headache in African Americans: An Overlooked Disparity

Heckman, Bernadette Davantes; Britton, Ashley Joi

doi:10.1016/s0027-9684(15)30023-7

Cited by 6 publications

(4 citation statements)

References 53 publications

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“…Research on aging and mental health suggests, however, that the consequences of aging may be especially detrimental for racial and ethnic minorities, in what has been called a process of “double-jeopardy” (Carreon & Noymer, 2011). The question of double-jeopardy is likely to be particularly relevant when examining the consequences of pain because of a well-documented pattern in which pain among racial and ethnic minorities is less likely to receive adequate management from health-care providers (Heckman & Britton, 2015; Shavers, Bakos, & Sheppard, 2010). As a result, pain may have greater detrimental consequences among racial and ethnic minorities.…”

Section: Double-jeopardy Of Minority Race and Ethnicitymentioning

confidence: 99%

Chronic Pain and Psychological Distress Among Older Adults: A National Longitudinal Study

Bierman

Lee

2017

Res Aging

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This research examines whether unobserved time-stable influences confound the association between chronic pain and psychological distress in older adults as well as how race and ethnicity combine with subjective social status (SSS) to modify the association. In a nationally representative longitudinal survey, holistically controlling for unobserved time-stable influences using fixed-effects models substantially reduces the pain-depression relationship and eliminates the overall pain-anxiety relationship. The association with depression is stronger for Black and Hispanic elders, illustrating a process of double-jeopardy. Black elders with severe pain experience lower anxiety, as do Black elders with moderate pain and low SSS, which we suggest may be due to the enervating effects of undermanaged pain. Black elders at high SSS experience greater anxiety with moderate pain. This research suggests that undermanagement of chronic pain among racial and ethnic minorities differentiates the association between pain and distress in late life and especially creates stronger associations with depression.

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Section: Double-jeopardy Of Minority Race and Ethnicitymentioning

confidence: 99%

Chronic Pain and Psychological Distress Among Older Adults: A National Longitudinal Study

Bierman

Lee

2017

Res Aging

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“…Less dramatic CCM symptoms-mild functional neurological deficits, headache, and partial complex seizure-may not lead to diagnosis in Black patients possibly because patients may not receive appropriate referrals. 21 The Breaking Barriers program also conducted a preliminary qualitative study of B-CCM patients using semistructured interviews which were transcribed and coded. Contrary to expectations, this cohort did not report delayed diagnosis or limited access to quality acute care.…”

Section: The Needmentioning

confidence: 99%

What Rare Disease Patient Advocacy Groups Are Doing to Mitigate the Effects of Disparities

Drell

Silva

Lee

2022

Advances in Pulmonary Hypertension

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Compared with chronic diseases affecting larger populations, rare disease (RD) patients experience great inequities in diagnosis, care, and research. Within RDs, health disparities compound these inequities, as marginalized communities experience additional barriers in accessing clinical care and are often underrepresented from participation in research and clinical trials. For almost 40 years, the National Organization for Rare Disorders (NORD), a RD umbrella organization with over 300 nonprofit organizational members, has led efforts to understand and address inequities for the RD community through innovative research, programming, and collaboration with patients, caregivers, practitioners, and external stakeholders. The beginning of the COVID-19 pandemic in 2020 brought to light longstanding disparities and discrimination for marginalized communities as well as pivotal racial justice movements. These events spurred many RD nonprofit organizations’ interest in increasing outreach and engagement with minoritized communities within RDs and diversifying their organization internally. Building on the increased interest in diversity, equity, and inclusion (DEI), NORD has focused on collecting case studies from within NORD and its member organizations to capture current efforts to improve DEI within the RD ecosystem. One way clinicians can work to mitigate the effects of disparities is to collaborate with RD patient organizations; this article provides a means by which clinicians and researchers can understand some of the challenges RD nonprofit organizations face in bridging disparities and learn about solutions to supporting marginalized patients within their communities. Clinicians are encouraged to join NORD in our policy efforts advocating to ensure patient access to health care providers practicing in a different state vis-à-vis telehealth.

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“…This study shows that African Americans have more frequent and severe migraines and the condition is more likely to become chronic [ 23 ]. Therefore, race-related disparities prevent African American migraine patients from accessing available treatments [ 24 ]. A recent study conducted by Amico and colleagues (2022) that included 61,453 hospitalized migraine patients revealed that African American, Hispanic, or Native American patients were more likely to have lower household income ( p < 0.001), whereas Caucasian patients had a higher income [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, studies on race-related gaps and possible healthcare inequalities in people with headache disorders are virtually non-existent [ 26 ]. Understanding potential race-related disparities in migraine patients may inform the development of culturally contextualized health care policies and interventions that are more likely to reduce or eradicate race-related headache disparities [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Migraine and Quality of Life, Mental Health, Sleeping Disorders, and Health Care Utilization Among Older African American Adults

Bazargan,

Comini,

Kibe

et al. 2023

J. Racial and Ethnic Health Disparities

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Purpose This study examines the associations between migraine headaches, well-being, and health care use among a sample of underserved older African American adults. Controlling for relevant variables, the association between migraine headaches and (1) health care utilization, (2) health-related quality of life (HRQoL), and (3) physical and mental health outcomes was examined. Methods Our sample included 760 older African American adults from South Los Angeles recruited through convenience and snowball sampling. In addition to demographic variables, our survey included validated instruments, such as the SF-12 QoL, Short-Form McGill Pain Questionnaire, and the Geriatric Depression Scale. Data analysis included 12 independent multivariate models using multiple linear regression, log transferred linear regression, binary and multinomial logistic regression, and generalized linear regression with Poisson distribution. Results Having migraine was associated with three categories of outcomes: (1) higher level of health care utilization measured by (i) emergency department admissions and (ii) number of medication use; (2) lower level of HRQoL and health status measured by (i) lower self-rated health (ii) physical QoL, and (iii) mental QoL; and (3) worse physical and mental health outcomes measured by (i) higher number of depressive symptoms, (ii) higher level of pain, (iii) sleep disorder, and (iv) being disabled. Conclusions Migraine headache significantly was associated with quality of life, health care utilization, and many health outcomes of underserved African American middle-aged and older adults. Diagnoses and treatments of migraine among underserved older African American adults require multi-faceted and culturally sensitive interventional studies.

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Headache in African Americans: An Overlooked Disparity

Cited by 6 publications

References 53 publications

Chronic Pain and Psychological Distress Among Older Adults: A National Longitudinal Study

Chronic Pain and Psychological Distress Among Older Adults: A National Longitudinal Study

What Rare Disease Patient Advocacy Groups Are Doing to Mitigate the Effects of Disparities

Association between Migraine and Quality of Life, Mental Health, Sleeping Disorders, and Health Care Utilization Among Older African American Adults

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