Liu Z, Chuang TY, Wang S. Race and gender biases in assessing pain intensity and medication needs among Chinese observers.
Pain Rep 2025;
10:e1231. [PMID:
39734432 PMCID:
PMC11677614 DOI:
10.1097/pr9.0000000000001231]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 10/11/2024] [Accepted: 10/30/2024] [Indexed: 12/31/2024] Open
Abstract
Introduction
Pain-related decision-making can be influenced by the caregiver and sufferer's demographic factors, such as race and gender, which are commonly considered individually. However, such factors may influence pain assessment interdependently based on caregivers' stereotypical beliefs.
Objectives
This study investigated how sufferers' race and gender affect Chinese observers' evaluations of pain intensity and medication needs and the associations with the observers' race and gender-related stereotypical beliefs.
Methods
One hundred sixty-two Chinese participants completed a pain facial expression rating task assessing the level of pain intensity and the extent to which they believe the sufferer needs pain medication for East Asian, White, and Black sufferers, followed by a battery of questionnaires measuring their gender and race role expectation of pain.
Results
Chinese observers were more stringent on East Asians' pain intensity and needs for medication than Whites and Blacks'. However, when Black and East Asian sufferers were perceived to have a similar level of pain, East Asians were more likely to receive medication than Blacks, which is partly due to the observers' stereotypical beliefs that Blacks would have a speedier recovery than East Asians.
Conclusions
Our results provided evidence that in addition to the in-versus-out-group preferences, one's sociocultural-related stereotypical beliefs can account for racial disparities in pain-related decision-making.
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