{"title":"A \"DisJOINTed\" Relationship: Older African Americans' Osteoarthritis Pain Management Experiences with Healthcare Providers.","authors":"Staja Q Booker, Keela A Herr","doi":"10.1177/01640275261467445","DOIUrl":null,"url":null,"abstract":"<p><p>Managing debilitating chronic pain due to osteoarthritis often presents significant challenges for historically marginalized populations such as African American older adults. This qualitative analysis examined older African Americans' (N = 18) encounters with healthcare providers when seeking chronic pain treatment for osteoarthritis. A conventional thematic analysis identified five major themes: (1) Seeking treatment is a nuanced balance of overcoming personal delays to receive professional help and decision support, (2) Experiencing mistreatment diminishes faith in providers and increases faith in a higher power, (3) Advocating for informed care is a necessary challenge, (4) Receiving limited treatment options results in disjointed care and culturally informed self-care, and (5) Experiencing \"good\" care is rare but appreciated. The quality of patient-provider relationships varied considerably and resulted in dis<i>joint</i>ed care. These results illuminate the 21<sup>st</sup> century experiences of navigating a complex and biased healthcare system and emphasize opportunities for providers to increase advocacy and empathy.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"1640275261467445"},"PeriodicalIF":2.2000,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research on Aging","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1177/01640275261467445","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Managing debilitating chronic pain due to osteoarthritis often presents significant challenges for historically marginalized populations such as African American older adults. This qualitative analysis examined older African Americans' (N = 18) encounters with healthcare providers when seeking chronic pain treatment for osteoarthritis. A conventional thematic analysis identified five major themes: (1) Seeking treatment is a nuanced balance of overcoming personal delays to receive professional help and decision support, (2) Experiencing mistreatment diminishes faith in providers and increases faith in a higher power, (3) Advocating for informed care is a necessary challenge, (4) Receiving limited treatment options results in disjointed care and culturally informed self-care, and (5) Experiencing "good" care is rare but appreciated. The quality of patient-provider relationships varied considerably and resulted in disjointed care. These results illuminate the 21st century experiences of navigating a complex and biased healthcare system and emphasize opportunities for providers to increase advocacy and empathy.
期刊介绍:
Research on Aging is an interdisciplinary journal designed to reflect the expanding role of research in the field of social gerontology. Research on Aging exists to provide for publication of research in the broad range of disciplines concerned with aging. Scholars from the disciplines of sociology, geriatrics, history, psychology, anthropology, public health, economics, political science, criminal justice, and social work are encouraged to contribute articles to the journal. Emphasis will be on materials of broad scope and cross-disciplinary interest. Assessment of the current state of knowledge is as important as provision of an outlet for new knowledge, so critical and review articles are welcomed. Systematic attention to particular topics will also be featured.