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. 2019 Feb;21(1):21-29.
doi: 10.1007/s10903-018-0715-8.

Perceived Racial Discrimination and Pain Intensity/Disability Among Economically Disadvantaged Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity

Jafar Bakhshaie  1 , Andrew H Rogers  1 , Nubia A Mayorga  1 , Joseph Ditre  2 , Rubén Rodríguez-Cano  3 , Ana C Ruiz  1 , Andres G Viana  1 , Monica Garza  4 , Chad Lemaire  4 , Melissa Ochoa-Perez  4 , Daniel Bogiaizian  5 , Michael J Zvolensky  6   7   8
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Perceived Racial Discrimination and Pain Intensity/Disability Among Economically Disadvantaged Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity

Jafar Bakhshaie et al. J Immigr Minor Health. 2019 Feb.

Abstract

The present study examined the role of anxiety sensitivity (AS; fear of the negative consequences of anxiety) in the relation between perceived racial discrimination and pain-related problems among Latinos seeking health services at a Federally Qualified Health Center. Participants included 145 adult Latinos (87.80% female, Mage = 38.07 years, SD = 11.98, and 96.2% reported Spanish as their first language). Results indicated that perceived racial discrimination was indirectly related to the pain intensity and pain disability through AS. These effects were evident above and beyond the variance accounted for by gender, age, marital status, educational status, employment status, years living in the United States, and number of axis I diagnoses. Overall, the present findings highlight the merit in focusing further scientific attention on the interplay between perceived racial discrimination and AS to better understand and inform interventions to reduce pain problems among Latinos in primary care.

Keywords: Anxiety sensitivity; Disparity; Latino; Pain disability; Pain intensity; Perceived discrimination.

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Figures

Fig. 1
Fig. 1
Proposed model: Anxiety Sensitivity as the Proposed Mediator of the Relationship between Perceived Discrimination and Pain problems. a Effect of X on M; b Effect of M on Yi; c Total effect of X on Yi; c’ Direct effect of X on Yi controlling for M; a*b Indirect effect of M Note: a = Effect of X on M; b = Effect of M on Yi; c = Total effect of X on Yi; c’ = Direct effect of X on Yi controlling for M; a*b = Indirect effect of M.
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