Based on the information provided, which of the following social determinants of health is most likely to be related to the observed disparity in both studies? 0 0 0 0 Stress Social and material environment Discrimination Socioeconomic status

Human Anatomy & Physiology (11th Edition)
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Chapter1: The Human Body: An Orientation
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In 1993, Dr Knox Todd, an emergency physician on the medical staff of the UCLA Emergency Center in Los Angeles,
reported study findings on a pain study. In the study, they looked at treatment given to all emergency department patients at
UCLA between the ages of 15 and 55 over a two-year period for the treatment of an isolated long-bone fracture to arm or
leg. They selected this injury because it is one of the most consistently painful. The patients had no other serious injuries.
Given the community served, these patients were either Hispanic (31 patients) or White (108 patients). They found:
- 17 of the 31 Hispanic patients (55%) received no medication for pain during treatment
- 28 of the 108 White patients (26%) received no medication for pain during treatment
Many professional colleagues criticized the study and suggested that different ethnic groups respond to pain differently. That
Hispanic patients may be more stoic in the face of their injury, expressing fewer symptoms of pain to their physician than
White patients. Dr. Todd later joined the faculty of Emory University in Atlanta, Georgia. There, he was able to repeat his
earlier study in a large, inner-city community hospital in 2000. He evaluated records of 217 individuals presenting to the
emergency room for treatment of an isolated long-bone fracture (no other serious injuries) over 40 months. This included
127 Black and 90 White patients. They found that:
- 54 of the 107 Black patients (43%) received no medication for pain during treatment
- 23 of the 90 White patients (26%) received no medication for pain during treatment
Because of feedback on the prior study, the investigators were sure to document the extent to which the patents expressed
painful symptoms. They found that 54% of the Black patients and 59% of the White patients expressed painful symptoms.
Based on the information provided, which of the following social determinants of health is most likely to be related to the observed
disparity in both studies?
Stress
Social and material environment
Discrimination
Socioeconomic status
Transcribed Image Text:In 1993, Dr Knox Todd, an emergency physician on the medical staff of the UCLA Emergency Center in Los Angeles, reported study findings on a pain study. In the study, they looked at treatment given to all emergency department patients at UCLA between the ages of 15 and 55 over a two-year period for the treatment of an isolated long-bone fracture to arm or leg. They selected this injury because it is one of the most consistently painful. The patients had no other serious injuries. Given the community served, these patients were either Hispanic (31 patients) or White (108 patients). They found: - 17 of the 31 Hispanic patients (55%) received no medication for pain during treatment - 28 of the 108 White patients (26%) received no medication for pain during treatment Many professional colleagues criticized the study and suggested that different ethnic groups respond to pain differently. That Hispanic patients may be more stoic in the face of their injury, expressing fewer symptoms of pain to their physician than White patients. Dr. Todd later joined the faculty of Emory University in Atlanta, Georgia. There, he was able to repeat his earlier study in a large, inner-city community hospital in 2000. He evaluated records of 217 individuals presenting to the emergency room for treatment of an isolated long-bone fracture (no other serious injuries) over 40 months. This included 127 Black and 90 White patients. They found that: - 54 of the 107 Black patients (43%) received no medication for pain during treatment - 23 of the 90 White patients (26%) received no medication for pain during treatment Because of feedback on the prior study, the investigators were sure to document the extent to which the patents expressed painful symptoms. They found that 54% of the Black patients and 59% of the White patients expressed painful symptoms. Based on the information provided, which of the following social determinants of health is most likely to be related to the observed disparity in both studies? Stress Social and material environment Discrimination Socioeconomic status
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