Racial differences in pain-related health outcomes and healthcare participation
department or school: Pharmaceutical Sciences, Faculty of
data provider: DSpace
degree campus: UBCV
creator: Vo, Anh Khoa
issued: 2024-07-25T20:42:05Z
issued: 2024
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: Background: Historically, race was believed to be biologically determined, which has permeated various facets of society, including health care and health research. Despite the contemporary notion of race as a social construct lacking a biological basis, racial disparities continue to exist in health outcomes and participation in health research. However, there are knowledge gaps with respect to racial disparities within the field of acute and chronic pain. Objective: To examine racial differences in health outcomes and health research participation within the framework of race as a social construct, and with a focus on acute and chronic pain contexts. Methods: Data were compiled from various sources including the Healthcare Cost and Utilization Project, Canadian Community Health Survey, Clinicaltrials.gov, PubMed, and others. Several analytical methods were used, including: multivariable logistic regression, multivariable linear regression, and causal mediation analysis. Results: Findings from Chapter 4 showed that emergency department visits (for complex regional pain syndrome type 1) by Black individuals were significantly negatively associated with immediate hospitalization and hospitalizations by Black patients were independently associated with increased length of stay. Chapter 5 demonstrated that racialized individuals in Canada were less likely to use prescription opioids (compared with non-racialized individuals), even after adjusting for potential confounders. In Chapter 6, the results showed that less than half of pain clinical trials in the US reported race, and that sample size, year of publication, and funding sponsorship were associated with race reporting practices. Moreover, Black participation in pain clinical trials aligned with national demographics in the US, with increased representation corresponding with health conditions more prevalent among Black individuals (e.g., cardiovascular disease) and with a diverse study team composition. Chapter 7…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/88699
note: RACIAL DIFFERENCES IN PAIN-RELATED HEALTH OUTCOMES AND HEALTHCARE PARTICIPATION by Anh Khoa Vo B.A., Kwantlen Polytechnic University, 2016 MSc, University of British Columbia, 2019 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in The Faculty of Graduate and Postdoctoral Studies (Pharmaceutical Sciences) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) July 2024 ©Anh Khoa Vo, 2024 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the thesis entitled: Racial Differences in Pain-Related Health Outcomes and Healthcare Participation submitted by Anh Khoa Vo in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Pharmaceutical Sciences Examining Committee: Jacquelyn Cragg, Assistant Professor, Faculty of Pharmaceutical Sciences, UBC Supervisor Brian Cairns, Professor, Faculty of Pharmaceutical Sciences, UBC Co-supervisor Gerry Veenstra, Professor, Department of Sociology, UBC University Examiner Donald Griesdale, Associate Professor, Faculty of Medicine, UBC University Examiner Hance Clarke, Associate Professor, Faculty of Medicine, University of Toronto External Examiner Additional Supervisory Committee Members: Annalijn Conklin, Associate Professor, Faculty of Pharmaceutical Sciences, UBC Supervisory Committee Member Lerato Chondoma, Associate Director, Indigenous Research Support Initiative, UBC Supervisory Committee Member Jonathan Loree, Assistant Professor, Faculty of Medicine, UBC Supervisory Committee Member iii Abstract Background: Historically, race was believed to be biologically determined, which has permeated various facets of society, including health care and health research. Despite the contemporary notion of race as a social construct lacking a biological basis, racial disparities continue to exist in health outcomes and participation in health research. However, there are knowledge gap…
has type: Thesis/Dissertation
date issued: 2024-11
is shown at: 10.14288/1.0444816
language: eng
degree discipline: Pharmaceutical Sciences
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
scholar level: Graduate
contributor: Cragg, Jacquelyn J.
contributor: Cairns, Brian E.
type: Text
identifier URI: http://hdl.handle.net/2429/88699