Typology of Chronic Pain Among Overweight Mexican Americans

Zettel‐Watson, Laura; Rutledge, Dana N.; Aquino, Jordan; Cantero, Patricia J; Espinoza, Alejandro; Leal, Francisca; Jones, Claire

doi:10.1353/hpu.2011.0092

Cited by 8 publications

(22 citation statements)

References 41 publications

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“…56 Compared to NHWs, HAs are also more likely to report that financial concerns prevent them from seeking pain treatment. 101,136 During qualitative interviews, HAs discussed that treating pain often requires missing a day of paid work, paying for the hospital visit, and paying for medications, which leaves less money for housing, food, and transportation. 31,136 …”

Section: Seeking Pain Treatment and Pain Managementmentioning

confidence: 99%

The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model

Hollingshead

Ashburn-Nardo

Stewart

et al. 2016

The Journal of Pain

103

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Although Hispanics are a burgeoning ethnic group in the United States, little is known about their pain-related experience. In order to address this gap, we critically reviewed the existing literature on the pain experience and management among Hispanic Americans (HAs). We focused our review to the literature on non-malignant pain, pain behaviors, and pain treatment seeking among HAs. Pain management experiences were examined from HA patients’ and healthcare providers’ perspectives. Our literature search included variations of the term “Hispanic” with “AND pain” in PubMed, Embase, Web of Science, ScienceDirect, and PsycINFO databases. A total of 117 studies met our inclusion criteria. We organized the results into a conceptual model with separate categories for biological/psychological and sociocultural/systems-level influences on HAs’ pain experience, response to pain, and seeking and receiving pain care. We also included information on healthcare providers’ experience of treating HA patients with pain. For each category, we identified future areas of research. We conclude with a discussion of limitations and clinical implications.

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Section: Seeking Pain Treatment and Pain Managementmentioning

confidence: 99%

The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model

Hollingshead

Ashburn-Nardo

Stewart

et al. 2016

The Journal of Pain

103

View full text Add to dashboard Cite

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“…The reluctance of most participants to take medications for pain was not surprising given our earlier finding of minimal analgesic use [1] and of earlier findings related to the social unacceptability of taking medications for pain [16]. However, the frequency of interview comments about dislike of taking medications was high.…”

Section: Discussionmentioning

confidence: 89%

“…This study enriches findings from our prior Centers for Disease Control initiative, 1 which used community participatory research methods through partnership with Latino Health Access (LHA). We aimed to further understand the chronic pain experience from the perspective of underserved Latinos who were overweight and had chronic pain.…”

Section: Study Purposementioning

confidence: 82%

“…The sample was drawn from participants in a 2010 study [1] of overweight low income Latinos with chronic pain. Two LHA staff members contacted participants regarding interest in participating in a group interview about pain management strategies.…”

Section: Methodsmentioning

confidence: 99%

“…In an earlier study [1], we found that only 20% of low-income overweight Latino adults with chronic pain used pain-relieving medications. This triggered our need to discover how these adults managed their pain and what prevented them from using pain-relieving medications.…”

Section: Introductionmentioning

confidence: 99%

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Chronic pain management strategies used by low-income overweight Latinos

2012

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Objectives In group interviews, we examined strategies used to manage chronic pain from the perspective of the individual. Methods Sixteen low income overweight Latino adults participated in two group interviews facilitated by a trained moderator who inquired about the type of chronic pain suffered by participants, followed by more specific questions about pain management. Interviews were audio-recorded, transcribed verbatim (Spanish), back-translated into English, and analyzed using thematic analysis. Results Participants’ pain varied in type, location, and intensity. Participants discussed pain-related changes in activities and social life, and difficulties with health care providers, and as a result, we discovered five major themes: Pain-related Life Alterations, Enduring the Pain, Trying Different Strategies, Emotional Suffering, and Encounters with Health Care System/Providers. Discussion Findings indicated that there are opportunities for providers to improve care for low income overweight Latinos with chronic pain by listening respectfully to how pain alters their daily lives and assisting them in feasible self management strategies.

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Pain, obesity, and physical function in Mexican American older adults during 20 years of follow‐up

Afunugo

Chou

et al. 2022

PM&R

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Introduction Pain remains largely undertreated in older adults irrespective of health care setting. Mexican American adults in the United States have a high age‐adjusted prevalence of obesity. However, the association of pain and obesity with physical function is understudied in this population. Objective To examine the association of co‐occurring pain and obesity with physical function over 20 years of follow‐up in a cohort of older Mexican Americans who scored ≥7 (moderate to high) in the Short Physical Performance Battery (SPPB) test and were nondisabled at baseline. Design Longitudinal population‐based study. Setting Community‐dwelling older adults from Southwestern United States. Participants Mexican American adults age 65 years and older. Interventions Not Applicable. Main Outcome Measures Physical function was assessed with the SPPB test (standing balance, timed 8‐ft walk, and five repeated timed chair stands). Participants at baseline were divided into four groups: no pain–no obesity (n = 869), obesity only (n = 282), pain only (n = 216), and pain‐obesity (n = 159). Generalized Estimating Equation models were used to estimate the odds ratio (OR) and 95% confidence interval (CI) of lower performance in physical function over 20 years as a function of pain‐obesity grouping. Results Participants with pain only (OR = 1.61, 95% CI = 1.34–1.95) and with co‐occurring pain and obesity (OR = 2.32, 95% CI = 1.83–2.95) had significantly greater odds of physical function impairment over those with no pain–no obesity or obesity only, after controlling for all covariates. Conclusion Older Mexican American adults were at high risk for physical function impairment over time if they had pain or co‐occurring pain and obesity. Early assessment and proper pain management as well as maintaining a healthy weight may reduce declines in physical function in older Mexican American adults.

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Typology of Chronic Pain Among Overweight Mexican Americans

Cited by 8 publications

References 41 publications

The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model

The Pain Experience of Hispanic Americans: A Critical Literature Review and Conceptual Model

Chronic pain management strategies used by low-income overweight Latinos

Pain, obesity, and physical function in Mexican American older adults during 20 years of follow‐up

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