The Relationship between Pain, Disability, and Sex in African Americans

Janiece L Walker; Roland J Thorpe Jr; Tracie C Harrison; Tamara A Baker; Michael Cary; Sarah L Szanton; Jason C Allaire; Keith E Whitfield

doi:10.1016/j.pmn.2016.05.007

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The Relationship between Pain, Disability, and Sex in African Americans

Journal article

Peer reviewed

The Relationship between Pain, Disability, and Sex in African Americans

Janiece L Walker, Roland J Thorpe Jr, Tracie C Harrison, Tamara A Baker, Michael Cary, Sarah L Szanton, Jason C Allaire and Keith E Whitfield

Pain management nursing, Vol.17(5), pp.294-301

10/2016

DOI: 10.1016/j.pmn.2016.05.007

PMCID: PMC5035583

PMID: 27553130

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https://www.ncbi.nlm.nih.gov/pmc/articles/5035583View

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Abstract

Older African Americans consistently report diminished capacities to perform activities of daily living (ADL) compared with other racial groups. The extent to which bodily pain is related to declining abilities to perform ADL/ADL disability in African Americans remains unclear, as does whether this relationship exists to the same degree in African American men and women. For nurses to provide optimal care for older African Americans, a better understanding of the relationship between bodily pain and ADL disability and how it may differ by sex is needed. The aim of this study was to examine whether pain, age, education, income, marital status and/or comorbid conditions were associated with ADL disabilities in older African American women and men. This was a cross-sectional descriptive study. The sample included 598 participants (446 women, 152 men) from the first wave of the Baltimore Study on Black Aging. African American women (odds ratio [OR] = 4.06; 95% confidence interval [CI] 2.63-6.26) and African American men (OR = 6.44; 95% CI = 2.84-14.57) who reported bodily pain had greater ADL disability than those who did not report bodily pain. Having two or more comorbid conditions also was significantly associated with ADL disability in African American women (OR = 3.95; 95% CI: 2.09-7.47). Further work is needed to understand pain differences between older African American women and men to develop interventions that can be tailored to meet the individual pain needs of both groups.

Comorbidity

Activities of Daily Living

African Americans - ethnology

African Americans - psychology

Aged

Aging - physiology

Aging - psychology

Chronic Pain - complications

Chronic Pain - ethnology

Chronic Pain - psychology

Cross-Sectional Studies

Disabled Persons - psychology

Female

Humans

Male

Middle Aged

Sexual Behavior - ethnology

Sexual Behavior - psychology

United States - ethnology

Details

Title: Subtitle: The Relationship between Pain, Disability, and Sex in African Americans
Creators: Janiece L Walker - Johns Hopkins University
Roland J Thorpe Jr - Johns Hopkins University
Tracie C Harrison - The University of Texas at Austin
Tamara A Baker - University of Kansas
Michael Cary - Duke University
Sarah L Szanton - Johns Hopkins University
Jason C Allaire - North Carolina State University
Keith E Whitfield - Duke University
Resource Type: Journal article
Publication Details: Pain management nursing, Vol.17(5), pp.294-301
DOI: 10.1016/j.pmn.2016.05.007
PMID: 27553130
PMCID: PMC5035583
NLM abbreviation: Pain Manag Nurs
ISSN: 1524-9042
eISSN: 1532-8635
Grant note: T32 NS070201 / NINDS NIH HHS R01 AG024108 / NIA NIH HHS
Language: English
Date published: 10/2016
Academic Unit: Nursing
Record Identifier: 9984696716802771

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10 Times Cited - Web of Science