{"doi":"10.1093/pm/pnae114","title":"The intersectionality of chronic pain stigma and racial discrimination in Black and White adults with chronic low back pain","abstract":"OBJECTIVE: We examined the intersection between chronic pain stigma and racial discrimination, separately among Black and White US adults with chronic low back pain. METHODS: Participants completed measures of chronic pain stigma, lifetime experiences of racial discrimination, pain severity and interference. A composite variable representing the intersectionality of stigma and discrimination was created, and Black and White participants were separately categorized into 4 groups. Black participants were categorized as: (1) high discrimination/high stigma, (2) high discrimination/low stigma, (3) low discrimination/high stigma, and (4) low discrimination/low stigma. White participants were categorized as: (1) any discrimination/high stigma, (2) any discrimination/low stigma, (3) no discrimination/high stigma, and (4) no discrimination/low stigma. RESULTS: Black participants reported more frequent experiences of racial discrimination than White participants (P < .05), but there was not a racial difference in chronic pain stigma (P > .05). Among Black participants, those in the high discrimination/high stigma and low discrimination/high stigma groups reported greater pain severity and interference than those in the high discrimination/low stigma and low discrimination/low stigma groups (P < .05). Among White participants, those in the any discrimination/high stigma group reported greater pain severity and interference than those in the no discrimination/low stigma group (P < .05), but there were no differences in pain severity or interference between the any discrimination/no stigma and no discrimination/high stigma groups (P > .05). CONCLUSION: Our findings suggest that the relationship of intersectional chronic pain stigma and racial discrimination with pain is nuanced and differs across racial groups.","journal":"Pain Medicine","year":2024,"id":447834,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.933,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":634233,"name":"Staja Q. Booker","orcid":"0000-0001-8934-1335","position":1,"is_corresponding":false},{"id":430081,"name":"Burel R. Goodin","orcid":"0000-0002-8159-1310","position":2,"is_corresponding":false},{"id":1052056,"name":"Pavithra A. Thomas","orcid":"0000-0002-7932-1960","position":3,"is_corresponding":false},{"id":289537,"name":"Robert E. Sorge","orcid":"0000-0003-4989-9697","position":4,"is_corresponding":false},{"id":688402,"name":"Tammie Quinn","orcid":"0000-0001-6002-597X","position":5,"is_corresponding":false},{"id":318464,"name":"Matthew C. Morris","orcid":"0000-0003-1670-4080","position":6,"is_corresponding":false},{"id":362412,"name":"Edwin N. Aroke","orcid":"0000-0002-8355-0870","position":7,"is_corresponding":false},{"id":634234,"name":"Samantha M. Meints","orcid":"0000-0002-6020-6671","position":8,"is_corresponding":false},{"id":875001,"name":"Jenna M. Wilson","orcid":"0000-0003-3154-0467","position":0,"is_corresponding":true}],"reference_count":48,"raw_metadata":null,"created_at":"2026-07-19T02:02:03.354708Z","pmid":"39520539","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}