IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v374y2025ics0277953625003417.html
   My bibliography  Save this article

Race and gender disparities in pain treatment and opioid prescribing

Author

Listed:
  • Torres, Peter Joseph

Abstract

This study employs corpus-based discourse analysis to investigate racial and gender disparities in opioid prescribing practices. Analysis of 171 medical interactions in the United States from 2008 to 2020, drawn from the Verilogue corpus of doctor-patient dialogue, revealed a significant relationship between patients' race and physicians' prescribing behaviors. By systematically examining the stages in which patients were either prescribed or denied opioids, this study quantifies the challenges faced by patients as they navigate opioid-related discussions.

Suggested Citation

  • Torres, Peter Joseph, 2025. "Race and gender disparities in pain treatment and opioid prescribing," Social Science & Medicine, Elsevier, vol. 374(C).
  • Handle: RePEc:eee:socmed:v:374:y:2025:i:c:s0277953625003417
    DOI: 10.1016/j.socscimed.2025.118011
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953625003417
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2025.118011?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Mitchell, D.A. & Lassiter, S.L., 2006. "Addressing health care disparities and increasing workforce diversity: The next step for the dental, medical, and public health professions," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2093-2097.
    2. Jaworska, Sylvia & Ryan, Kath, 2018. "Gender and the language of pain in chronic and terminal illness: A corpus-based discourse analysis of patients' narratives," Social Science & Medicine, Elsevier, vol. 215(C), pages 107-114.
    3. Jones, C.P., 2000. "Levels of racism: A theoretic framework and a gardener's tale," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1212-1215.
    4. Gollust, Sarah E. & Haselswerdt, Jake, 2023. "Who does COVID-19 hurt most? Perceptions of unequal impact and political implications," Social Science & Medicine, Elsevier, vol. 323(C).
    5. Block, Eryn Piper & Wong, Mitchell David & Kataoka, Sheryl Harumi & Zimmerman, Frederick J., 2022. "A symphony within: Frequent participation in performing arts predicts higher positive mental health in young adults," Social Science & Medicine, Elsevier, vol. 292(C).
    6. Wilkes, Rima & Karimi, Aryan, 2023. "Multi-group data versus dual-side theory: On race contrasts and police-caused homicides," Social Science & Medicine, Elsevier, vol. 327(C).
    7. Tait, Raymond C. & Chibnall, John T., 1997. "Physician judgments of chronic pain patients," Social Science & Medicine, Elsevier, vol. 45(8), pages 1199-1205, October.
    8. Sharman, Zena & Johnson, Joy, 2012. "Towards the inclusion of gender and sex in health research and funding: An institutional perspective," Social Science & Medicine, Elsevier, vol. 74(11), pages 1812-1816.
    9. Ryan, Megan & Gallagher, Stephen & Jetten, Jolanda & Muldoon, Orla T., 2022. "State level income inequality affects cardiovascular stress responses: Evidence from the Midlife in the United States (MIDUS) study," Social Science & Medicine, Elsevier, vol. 311(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    2. Das, Abhery & Singh, Parvati & Kulkarni, Anju K. & Bruckner, Tim A., 2021. "Emergency Department visits for depression following police killings of unarmed African Americans," Social Science & Medicine, Elsevier, vol. 269(C).
    3. D. G. Webster & Semra A. Aytur & Mark Axelrod & Robyn S. Wilson & Joseph A. Hamm & Linda Sayed & Amber L. Pearson & Pedro Henrique C. Torres & Alero Akporiaye & Oran Young, 2022. "Learning from the Past: Pandemics and the Governance Treadmill," Sustainability, MDPI, vol. 14(6), pages 1-26, March.
    4. Slaughter-Acey, Jaime C. & Brown, Tony N. & Keith, Verna M. & Dailey, Rhonda & Misra, Dawn P., 2020. "A tale of two generations: Maternal skin color and adverse birth outcomes in Black/African American women," Social Science & Medicine, Elsevier, vol. 265(C).
    5. Anuli Njoku & Marcelin Joseph & Rochelle Felix, 2021. "Changing the Narrative: Structural Barriers and Racial and Ethnic Inequities in COVID-19 Vaccination," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    6. Nazan Ulusoy & Anja Schablon, 2020. "Discrimination in In-Patient Geriatric Care: A Qualitative Study on the Experiences of Employees with a Turkish Migration Background," IJERPH, MDPI, vol. 17(7), pages 1-14, March.
    7. Ebrahimi, Chantel T. & Song, Hannah & Machado, Monica & Segura, Pamela & Espinosa, Adriana & Polanco-Roman, Lillian, 2024. "Racism-related experiences and substance use: A systematic and meta-analytic review," Social Science & Medicine, Elsevier, vol. 362(C).
    8. Chambers, Brittany D. & Fontenot, Jazmin & McKenzie-Sampson, Safyer & Blebu, Bridgette E. & Edwards, Brittany N. & Hutchings, Nicole & Karasek, Deborah & Coleman-Phox, Kimberly & Curry, Venise C. & Ku, 2023. "“It was just one moment that I felt like I was being judged”: Pregnant and postpartum black Women's experiences of personal and group-based racism during the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 322(C).
    9. Joohyun Justine Park & Ah-Hyun Angela Lee & Lynne Soon-Chean Park & Rebekah Jaung & Changzoo Song, 2024. "Korean Residents’ Experiences of Racism in Germany During the COVID-19 Pandemic: Association with Life Satisfaction and Sense of Belonging," Journal of International Migration and Integration, Springer, vol. 25(4), pages 2299-2320, December.
    10. Amy Hillier & Bing Han & Theodore S. Eisenman & Kelly R. Evenson & Thomas L. McKenzie & Deborah A. Cohen, 2016. "Using Systematic Observations to Understand Conditions that Promote Interracial Experiences in Neighbourhood Parks," Urban Planning, Cogitatio Press, vol. 1(4), pages 51-64.
    11. Shelley White-Means & Adole Muruako, 2023. "GIS Mapping and Breast Cancer Health Care Access Gaps for African American Women," IJERPH, MDPI, vol. 20(8), pages 1-23, April.
    12. Hicken, Margaret T. & Kravitz-Wirtz, Nicole & Durkee, Myles & Jackson, James S., 2018. "Racial inequalities in health: Framing future research," Social Science & Medicine, Elsevier, vol. 199(C), pages 11-18.
    13. Priest, Naomi & Doery, Kate & Lim, Chiao Kee & Lawrence, Jourdyn A. & Zoumboulis, Georgia & King, Gabriella & Lamisa, Dewan & He, Fan & Wijesuriya, Rushani & Mateo, Camila M. & Chong, Shiau & Truong, , 2024. "Racism and health and wellbeing among children and youth–An updated systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 361(C).
    14. repec:plo:pone00:0099900 is not listed on IDEAS
    15. S. Michelle Ogunwole & Habibat A. Oguntade & Kelly M. Bower & Lisa A. Cooper & Wendy L. Bennett, 2023. "Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (HEAL): A Qualitative Study Applying a Critical Race Feminist Theoretical Framework," IJERPH, MDPI, vol. 20(13), pages 1-29, July.
    16. Grazielle C. M. Mattos & Cleiton G. Sirineu & Bruno R. Teixeira & Jennifer E. Gallagher & Saul M. Paiva & Mauro H. N. G. Abreu, 2014. "A Survey of the Perception of Comprehensiveness among Dentists in a Large Brazilian City," IJERPH, MDPI, vol. 11(4), pages 1-13, April.
    17. Burns, Ailish & DeAtley, Teresa & Short, Susan E., 2023. "The maternal health of American Indian and Alaska Native people: A scoping review," Social Science & Medicine, Elsevier, vol. 317(C).
    18. Sarah E. Roth & Diana J. Govier & Katherine Marsi & Hannah Cohen-Cline, 2022. "Differences in Outpatient Health Care Utilization 12 Months after COVID-19 Infection by Race/Ethnicity and Community Social Vulnerability," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    19. Sparkle Springfield-Trice & Grishma Reddy & Cara Joyce & Benito M. Garcia & Palak Shah & Sean Agbor-Enoh & Hannah Valantine, 2025. "Barriers to Immunosuppressant Medication Adherence in Thoracic Transplant Recipients: Initial Findings," IJERPH, MDPI, vol. 22(7), pages 1-30, July.
    20. Shellae Versey, H. & Cogburn, Courtney C. & Wilkins, Clara L. & Joseph, Nakita, 2019. "Appropriated racial oppression: Implications for mental health in Whites and Blacks," Social Science & Medicine, Elsevier, vol. 230(C), pages 295-302.
    21. Dunleavy, Spencer & Douchee, Jeremiah & Liu, Tina & Johnson, Natrina L. & Komaromy, Miriam & Chatterjee, Avik, 2024. "Racism, not race: Quantitative analysis of the use of race and racism in the addiction literature," Social Science & Medicine, Elsevier, vol. 360(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:374:y:2025:i:c:s0277953625003417. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.