Ethnic Variability in the Perception of Postoperative Pain In Jos, Plateau State, Nigeria

Main Article Content

Usman Y. M
Shugaba A. I
Zoakah A. I

Abstract

Background: Postoperative pain management is crucial to patient care and recovery after surgery. Effective pain control not only alleviates suffering but also facilitates quicker recovery, reducing the risk of complications such as chronic pain syndromes. By identifying ethnic differences in pain perception, healthcare providers can tailor their pain management strategies better to meet the needs of patients from diverse cultural backgrounds. This study therefore sought to determine and compare baseline and serial postoperative pain scores using a visual analogue scale among non-indigenous (Fulani, Hausa, Igbo, and Yoruba) and Indigenous ethnic groups (Berom, Tarok, Ngas, and Mwagavul) in Plateau State, Nigeria. Materials and Methods: This was a comparative cross-sectional study conducted among 88 adults of Indigenous and non-indigenous ethnic groups of Plateau State at the Jos University Teaching Hospital (JUTH) recruited through stratified random sampling. The equal proportion allocation technique was employed for gender and ethnic groups. Ethical clearance, informed verbal and written consent were obtained before the commencement of the study. Baseline pain scores were determined by a pressure algometer. A pressure of 20N was applied bilaterally on the trapezius muscle between the C7 spinous process and the acromial process, and then the subjects were asked to rate the pain they felt on a numeric rating scale (NRS). The average NRS score was taken as the baseline pain score. Serial 2-hourly postoperative pain scores were also assessed in the immediate 24-hour postoperative period. All analyses were conducted using Statistical Package for Social Sciences version 23 (SPSS Inc., Chicago, IL, USA). Significance was set at the α = 0.05 level. Results: A total of 88 patients participated in this study with an equal number of gender and ethnic group representation. The median (IQR) age of study participants was 21 (19.2–35.6) years. No significant statistical difference in median baseline pain scores between the entire indigenous (21.5) and non-indigenous (21.0) ethnic groups, U = 0.64, p = 0.22. There was a statistically significant difference in baseline median pain scores between females (3.5) and males (2.0), U = 3.0, p = 0.036 in the indigenous and females (3.0) and males (2.0) in the non-indigenous ethnic groups, U = 3.9, p = 0.013. This study revealed a statistically significant difference in the median serial postoperative pain scores in the different specific Indigenous ethnic groups (H (2) = 24.2, p = 0.001) and the different specific non-indigenous ethnic groups (H (2) = 24.8, p = 0.001) as well. Conclusion: This study has demonstrated ethnic and gender variability in the perception of pressure and postoperative pain among different ethnic groups resident in Plateau State. Clinicians need to be aware of the fact that different ethnic groups in Plateau State perceive pain differently and put it into consideration when treating pain.

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Article Details

How to Cite
M, U. Y., I, S. A., & I, Z. A. (2024). Ethnic Variability in the Perception of Postoperative Pain In Jos, Plateau State, Nigeria. African Multidisciplinary Journal of Sciences and Artificial Intelligence, 1(2), 766-779. https://doi.org/10.58578/amjsai.v1i2.3926

References

Audu, B., Yahaya, U., Bukar, M., El-Nafaty, A., Abdullahi, H., & Kyari, O. (2009). Desire for pain relief in labour in Northeastern Nigeria. Journal of Public Health and Epidemiology, 1(2), 53-57.
Averbuch, M., & Katzper, M. (2001). Gender and the placebo analgesic effect in acute pain. Clinical Pharmacology & Therapeutics, 70, 287-291.
Bolaji, O. O., Ayodiipo, O., Adekunle, A. J., & Ajayi-Vincent, O. (2014). Gender differences in pain perception and coping strategies among patients with knee and or hip osteoarthritis. Merit Research Journal of Medicine and Medical Sciences, 2(7), 146-151.
Campbell, C. M., & Edwards, R. R. (2012). Ethnic differences in pain and pain management. Pain Management, 2(3), 219-230.
de-Araujo-Palmeira, C. C., Ashmawi, H. A., & de-Paula-Posso, I. (2011). Sex and pain perception and analgesia. Brazilian Journal of Anaesthesiology, 61(6), 814-828.
Fillingim, R. B. (2010). Individual differences in pain: The roles of gender, ethnicity and genetics. In J. D. Loeser, S. H. Butler, & C. R. Chapman (Eds.), Bonica's Management of Pain (4th ed., pp. 86-97). Lippincott Williams & Wilkins.
Garimella, V., & Cellini, C. (2013). Postoperative pain control. Clinics in Colon and Rectal Surgery, 26(3), 191-196.
Givler, A., Bhatt, H., & Maani-Fogelman, P. A. (2024). The importance of cultural competence in pain and palliative care. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493154/
Grossi, G. B., Maiorana, C., Gerramone, R. A., Borgonoro, A., Creminelli, L., & Santoro, F. (2007). Assessing postoperative discomfort after third molar surgery: A prospective study. Journal of Oral and Maxillofacial Surgery, 65(5), 901-917.
Ibrahim, S. A., Burant, C. J., Siminoff, L. A., Stoller, E. P., & Kwoh, C. K. (2008). Self-assessed global quality of life: A comparison between African-American and white older patients with arthritis. Journal of Clinical Epidemiology, 55(5), 512-517.
Iliyasu, Z., Galadanci, H. S., Abubakar, I. S., Isah, H., & Aliyu, M. H. (2012). The desire for obstetric analgesia among women in Northern Nigeria. Tropical Journal of Obstetrics and Gynaecology, 29(2), 53-61.
Jagadamba, A., Kutty, K., Shankar, V., Annamalai, N., & Madhusudhana, R. (2011). Gender variation in pain perception after intravenous cannulation in adults. International Journal of Anesthesiology, 28(1), 1-4.
Jain, Y., Lanjewar, R., Lamture, Y., & Bawiskar, D. (2023). Evaluation of different approaches for pain management in postoperative general surgery patients: A comprehensive review. Cureus, 15(11), Article e48573. https://doi.org/10.7759/cureus.48573
Kamaleri, Y., Natvig, B., Ihlebaek, C. M., Benth, J. S., & Bruusgaard, D. (2008). The number of pain sites is associated with demographic, lifestyle, and health-related factors in the general population. European Journal of Pain, 12(6), 742-748.
LeResche, L. (2000). Epidemiologic perspectives on sex differences in pain. In R. B. Fillingim (Ed.), Sex, Gender, and Pain. IASP Press.
Meints, S. M., & Edwards, R. R. (2018). Evaluating psychosocial contributions to chronic pain outcomes. Progress in neuro-psychopharmacology & biological psychiatry, 87(Pt B), 168–182.
Meints, S.M., Cortes, A., Morais, C.A., & Edwards, R.R. (2019). Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Management, 9(3), 317-334.
Nascimento, M. G., Kosminsky, M., & Chi, M. (2020). Gender role in pain perception and expression: An integrative review. Brazilian Journal of Pain, 3(1), 58-62.
Olayemi, O., Morhason-Bello, I. O., Adedokun, B. O., & Ojengbede, O. A. (2009). The role of ethnicity on pain perception in labour among parturients at the University College Hospital Ibadan. Journal of Obstetrics and Gynaecology Research, 35(2), 277-281.
Oniyide, A. A., & Owoyele, B. V. (2019). Gender differences in pain perception and endogenous pain inhibitory pathway among healthy Nigerian subjects. IBRO Reports, 7, 46.
Portenoy, R. K., Ugarte, C., Fuller, I., & Haas, G. (2004). Population-based survey of pain in the United States: Differences among White, African-American, and Hispanic subjects. The Journal of Pain, 5(6), 317-328.
Rogger, R., Bello, C., Romero, C. S., Urman, R. D., Luedi, M. M., & Filipovic, M. G. (2023). Cultural framing and the impact on acute pain and pain services. Current Pain and Headache Reports, 27(9), 429 - 436.
Senn, S., & Bretz, F. (2007). Power and sample size when multiple endpoints are considered. Pharmaceutical Statistics, 6(3), 161-170.
Shabat, S., Folman, Y., Arinzon, Z., Adunsky, A., Catz, A., & Gepstein, R. (2006). Gender differences as an influence on patients' satisfaction rates in spinal surgery of elderly patients. European Spine Journal, 14, 1027-1032.
Shah, N., Qazi, R., & Chu, X. P. (2024). Unravelling the tapestry of pain: A comprehensive review of ethnic variations, cultural influences, and physiological mechanisms in pain management and perception. Cureus, 16(5), Article e60692. https://doi.org/10.7759/cureus.60692
Umar, A. H., Aliyu, K., Jimoh, O. I., Isyaku, A. A., & Saleh, N. M. (2017). Individual differences in perception and responses to experimental pain in a young Nigerian population. Journal of the African Association of Physiological Sciences, 5(2), 121-127.
Wandner, L. G., Scipio, C. D., Hirsh, A. T., Torres, C. A., & Robinson, M. E. (2012). The perception of pain in others: How gender, race, and age influence pain expectation. The Journal of Pain, 13(3), 220-227.
Wang, P. C., Rempel, D. M., Harrison, R. J., Chan, J., & Ritz, B. R. (2007). Work-organizational and personal factors associated with upper body musculoskeletal disorders among sewing machine operators. Occupational and Environmental Medicine, 64(12), 806-813.
Yelton, M. J., & Jildeh, T. R. (2023). Cultural competence and the postoperative experience: Pain control and rehabilitation. Arthroscopy, Sports Medicine, and Rehabilitation, 5(4), Article 100733. https://doi.org/10.1016/j.asmr.2023.04.016

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