Gender, Race, Pain, and Subjective Well-being of Adults with Spinal Cord Injury

Assess the relationship of race and gender with subjective well-being (SWB) and determine if pain severity and pain interference mediated that relationship. Cross-sectional study of 2,416 people with traumatic SCI. Subjective well-being (home life, vocational, and global) was measured by the Life Si...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2013-08, Vol.24 (3), p.1257-1265
Main Authors: Saunders, Lee L, Gregory-Bass, Rosalind, Krause, James S
Format: Article
Language:English
Subjects:
Adult
Continental Population Groups
Cross-Sectional Studies - instrumentation
Female
Gender differences
Health Status Disparities
Humans
Interference
Male
Middle Aged
Pain
Pain - psychology
Pain Perception
Participation
Personal Satisfaction
Population
Race
Racial differences
Severity
Sex Factors
Spinal Cord Injuries - ethnology
Spinal Cord Injuries - psychology
Studies
Subjective wellbeing
White people
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Summary:Assess the relationship of race and gender with subjective well-being (SWB) and determine if pain severity and pain interference mediated that relationship. Cross-sectional study of 2,416 people with traumatic SCI. Subjective well-being (home life, vocational, and global) was measured by the Life Situation Questionnaire. Pain severity and pain interference were significantly correlated with each SWB domain. Race was initially significantly associated with home life and vocational SWB. Blacks were more likely to report lower scores on home life and vocational SWB than whites. After accounting for pain severity and pain interference, race was still associated with vocational and home life SWB. Gender differences were seen in relation to vocational SWB, even after controlling for pain severity and interference. Pain severity and pain interference only partially mediated SWB. Gender and race were associated with lower vocational SWB. Future research should assess potential explanations for this disparity.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2013.0119