Leader(s): Kenneth D. Craig
Institution(s): University of British Columbia
Other Members: PainBC

Why was the study done?
Access to pain management is not equitably distributed, with people in socially marginalized populations less likely to receive care for persistent pain, to not endeavour to seek care themselves, and to suffer from social stigma when in pain. We have sought to investigate these challenges through literature reviews, assembling current knowledge, self-report of representatives of socially marginalized populations in the LGBTQ2S, refugees and immigrant newcomers, and Indigenous populations using focus groups, and examining how Pain BC’s programs can be adapted for effectiveness with marginalized populations. The commitment is to building trust and improving care for people living with chronic pain who also experience social marginalization.

How was the study done?
We have undertaken literature reviews, focus groups with LGBTQ2S, refugee and newcomer, and Indigenous people, and revision of Pain BC instructional and publicity materials.

What were the study results?
The literature review (referenced in highlights) and the focus group qualitative data (referenced in highlights) were consistent with systematic inequities in delivery of care for chronic pain to socially marginalized populations. Trainer manuals and self-management materials are being adapted through use of images of diverse populations.


Recent Updates:
Photographs depicting people from diverse populations have been produced to enable people in marginalized populations to recognize themselves in images and instructional materials. 
Last updated: May 2021

Selected Publications:
  • Craig, K.D., Holmes, C., Hudspith, M., Moor, G., Moosa-Mitha, M., Varcoe, C., & Wallace, B. (2020). Pain in persons who are marginalized by social conditions. Pain, 161, 261-265.
  • Wallace, B., Varcoe, C., Holmes, C., Moosa-Mitha, M., Moor, G., Hudspith, Craig, K.D. (submitted for publication). Towards health equity for people experiencing chronic pain and social marginalization.