The neurobiology of social stress resulting from Racism: Implications for pain disparities among racialized minorities

Q2 Medicine
Joanna M. Hobson , Myles D. Moody , Robert E. Sorge , Burel R. Goodin
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引用次数: 8

Abstract

Extant literature posits that humans experience two types of threat: physical threat and social threat. While describing pain as “physical” or “social” can be helpful for understanding pain origins (i.e., broken bone versus lost relationship), this dichotomy is largely artificial and not particularly helpful for understanding how the human brain experiences pain. One real world example of social exclusion and rejection that is threatening and likely to bring about significant stress is racism. Racism is a system of beliefs, practices, and policies that operates to disadvantage racialized minorities while providing advantage to those with historical power, particularly White people in the United States and most other Western nations. The objective of this Mini-Review is to present evidence in support of the argument that racism promotes physical pain in racialized minorities, which in turn promotes chronic pain disparities. First, we provide a theoretical framework describing how racism is a potent stressor that affects the health and well-being of racialized minorities. We will then address the neurobiological underpinnings linking racism to social threat, as well as that linking social threats and physical pain. Finally, we will discuss how the perception of social threat brought about by racism may undermine pain management efforts.

种族主义导致的社会压力的神经生物学:对种族化少数群体疼痛差异的影响
现存文献认为,人类经历两种类型的威胁:身体威胁和社会威胁。虽然将疼痛描述为“身体上的”或“社会上的”可能有助于理解疼痛的起源(即骨折与失去关系),但这种二分法在很大程度上是人为的,对理解人类大脑如何经历疼痛并没有特别的帮助。在现实世界中,一个具有威胁性并可能带来巨大压力的社会排斥和排斥的例子是种族主义。种族主义是一种信仰、实践和政策体系,它使种族化的少数民族处于不利地位,而使那些历史上有权势的人处于有利地位,特别是美国和大多数其他西方国家的白人。本迷你综述的目的是提供证据支持种族主义促进种族化少数群体身体疼痛的论点,这反过来又促进了慢性疼痛的差异。首先,我们提供了一个理论框架,描述种族主义如何成为影响种族化少数群体健康和福祉的强大压力源。然后,我们将讨论将种族主义与社会威胁联系起来的神经生物学基础,以及将社会威胁与身体疼痛联系起来的基础。最后,我们将讨论种族主义带来的社会威胁的感知如何破坏疼痛管理的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neurobiology of Pain
Neurobiology of Pain Medicine-Anesthesiology and Pain Medicine
CiteScore
4.40
自引率
0.00%
发文量
29
审稿时长
54 days
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