Discrimination, Vigilance and Experimental Pain Sensitivity in People Living with and Without Human Immunodeficiency Virus

The Journal of Pain(2024)

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摘要
The purpose of this study is to examine associations between discrimination and experimental pain sensitivity in HIV+ and HIV- adults. A total of 121 participants were recruited including 52 HIV+ and 69 HIV- individuals. HIV+ individuals were recruited from the largest HIV healthcare unit in Alabama, and HIV- individuals were recruited by hanging flyers surrounding UAB. Daily discrimination over the past 3 months was measured via the Everyday Discrimination Scale. Pain was measured via a Medoc thermode machine in a laboratory setting. Spearman’s Rho correlations were run while controlling for age. Results indicate that in HIV+ individuals, discrimination was associated with pain habituation at 46 degrees (r = -.391, p =.005) and 48 degrees (r = -.291, p =.040), but not at 44 degrees (r = -.168, p =.242). Daily discrimination was also associated with being a younger age (r = -.342, p =.013). In HIV- individuals, there was no association between discrimination and pain at 44 degrees (r = -.015, p =.906), 46 degrees (r =.094, p =.446), or 48 degrees (r = -.100, p =.415). There is still a disparity in the amount of discrimination and pain that people living with HIV experience. Future work will intervene with exercise therapy and community-based interventions.
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