In response to the dual public health crises of chronic pain and opioid use, providers have become more vigilant about assessing patients for risk of opioid-related problems. Little is known about how providers are making these risk assessments. Given previous studies indicating that Black patients are at increased risk for suboptimal pain care, which may be related to stereotypes about drug abuse, the current study examined how patient race and previous opioid misuse behaviors impact providers' risk assessments for future prescription opioid-related problems. Physician residents and fellows (N = 135) viewed videos and read vignettes about 8 virtual patients with chronic pain who varied by race (Black/White) and history of prescription opioid misuse (absent/present). Providers rated patients' risk for future prescription opioid-related adverse events, misuse/abuse, addiction, and diversion, and also completed measures of implicit racial attitudes and explicit beliefs about race differences in pain. Two significant interactions emerged indicating that Black patients were perceived to be at greater risk for future adverse events (when previous misuse was absent) and diversion (when previous misuse was present). Significant main effects indicated that Black patients and patients with previous misuse were perceived to be at greater risk for future misuse/abuse of prescription opioids, and that patients with previous misuse were perceived to be at greater risk of addiction. These findings suggest that racial minorities and patients with a history of prescription opioid misuse are particularly vulnerable to any unintended consequences of efforts to stem the dual public health crises of chronic pain and opioid use. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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患者种族和阿片类药物滥用历史影响提供者对未来阿片类药物相关问题的风险认知。


为了应对慢性疼痛和阿片类药物使用的双重公共卫生危机，医疗服务提供者在评估患者阿片类药物相关问题的风险方面变得更加警惕。人们对提供商如何进行这些风险评估知之甚少。鉴于之前的研究表明黑人患者接受次优疼痛护理的风险增加，这可能与药物滥用的刻板印象有关，当前的研究探讨了患者种族和之前的阿片类药物滥用行为如何影响提供者对未来处方阿片类药物相关问题的风险评估。住院医师和研究员 (N = 135) 观看了视频并阅读了有关 8 名患有慢性疼痛的虚拟患者的小插图，这些患者因种族（黑人/白人）和处方阿片类药物滥用史（缺席/存在）而异。提供者评估了患者未来发生处方阿片类药物相关不良事件、误用/滥用、成瘾和转移的风险，并完成了对隐性种族态度和关于疼痛种族差异的明确信念的测量。出现了两种显着的相互作用，表明黑人患者被认为未来发生不良事件（当以前不存在误用时）和转移（当以前存在误用时）的风险更大。显着的主效应表明，黑人患者和以前滥用过处方阿片类药物的患者被认为未来误用/滥用处方阿片类药物的风险更大，并且以前滥用过的患者被认为面临更大的成瘾风险。这些研究结果表明，少数族裔和有处方阿片类药物滥用史的患者特别容易因遏制慢性疼痛和阿片类药物使用的双重公共卫生危机而受到任何意外后果的影响。 （PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。