{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Jesdale BM"],"funding":["NCATS NIH HHS","NHLBI NIH HHS","National Cancer Institute","NCI NIH HHS"],"pagination":["1302-1308.e7"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC8098520"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["21(9)"],"pubmed_abstract":["<h4>Objectives</h4>To estimate pain reporting among residents with cancer in relation to metropolitan area segregation and NH racial and ethnic composition.<h4>Design</h4>Cross-sectional study.<h4>Setting and participants</h4>383,757 newly admitted black (B), Hispanic (H), or white (W) residents with cancer in 12,096 US NHs (2011-2013).<h4>Methods</h4>Using the Minimum Data Set 3.0, pain in past 5 days was determined by self-report or use of pain management. The Theil entropy index, a measure of metropolitan area segregation, was categorized [high (up to 0.20), very high (0.20-0.30), or extreme (0.30-0.53)].<h4>Results</h4>Pain prevalence decreased across segregation level (black: high = 77%, very high = 75%, extreme = 72%; Hispanic: high = 79%, very high = 77%, extreme = 70%; white: high = 80%, very high = 77%, extreme = 74%). In extremely segregated areas, all residents were less likely to have recorded pain [adjusted prevalence ratios: blacks, 4.6% less likely, 95% confidence interval (CI) 3.1%-6.1%; Hispanics, 6.9% less likely, 95% CI 4.2%-9.6%; whites, 7.4% less likely, 95% CI 6.5%-8.2%] than in the least segregated areas. At all segregation levels, pain was recorded more frequently for residents (black or white) in predominantly white (>80%) NHs than in mostly black (>50%) NHs or residents (Hispanic or white) in predominantly white NHs than mostly Hispanic (>50%) NHs.<h4>Conclusions and implications</h4>We observed decreased pain recording in metropolitan areas with greater racial and ethnic segregation. This may occur through the inequitable distribution of resources between NHs, resident-provider empathy, provider implicit bias, resident trust, and other factors."],"journal":["Journal of the American Medical Directors Association"],"pubmed_title":["Cancer Pain in Relation to Metropolitan Area Segregation and Nursing Home Racial and Ethnic Composition."],"pmcid":["PMC8098520"],"funding_grant_id":["KL2 TR000160","R21 CA198172","TL1 TR001454","T32 HL120823","1R21CA198172","KL2 TR001455"],"pubmed_authors":["Forrester SN","Mack DS","Jesdale BM","Lapane KL"],"additional_accession":[]},"is_claimable":false,"name":"Cancer Pain in Relation to Metropolitan Area Segregation and Nursing Home Racial and Ethnic Composition.","description":"<h4>Objectives</h4>To estimate pain reporting among residents with cancer in relation to metropolitan area segregation and NH racial and ethnic composition.<h4>Design</h4>Cross-sectional study.<h4>Setting and participants</h4>383,757 newly admitted black (B), Hispanic (H), or white (W) residents with cancer in 12,096 US NHs (2011-2013).<h4>Methods</h4>Using the Minimum Data Set 3.0, pain in past 5 days was determined by self-report or use of pain management. The Theil entropy index, a measure of metropolitan area segregation, was categorized [high (up to 0.20), very high (0.20-0.30), or extreme (0.30-0.53)].<h4>Results</h4>Pain prevalence decreased across segregation level (black: high = 77%, very high = 75%, extreme = 72%; Hispanic: high = 79%, very high = 77%, extreme = 70%; white: high = 80%, very high = 77%, extreme = 74%). In extremely segregated areas, all residents were less likely to have recorded pain [adjusted prevalence ratios: blacks, 4.6% less likely, 95% confidence interval (CI) 3.1%-6.1%; Hispanics, 6.9% less likely, 95% CI 4.2%-9.6%; whites, 7.4% less likely, 95% CI 6.5%-8.2%] than in the least segregated areas. At all segregation levels, pain was recorded more frequently for residents (black or white) in predominantly white (>80%) NHs than in mostly black (>50%) NHs or residents (Hispanic or white) in predominantly white NHs than mostly Hispanic (>50%) NHs.<h4>Conclusions and implications</h4>We observed decreased pain recording in metropolitan areas with greater racial and ethnic segregation. This may occur through the inequitable distribution of resources between NHs, resident-provider empathy, provider implicit bias, resident trust, and other factors.","dates":{"release":"2020-01-01T00:00:00Z","publication":"2020 Sep","modification":"2024-11-21T06:36:00.142Z","creation":"2022-02-11T10:01:28.921Z"},"accession":"S-EPMC8098520","cross_references":{"pubmed":["32224259"],"doi":["10.1016/j.jamda.2020.02.001"]}}