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Abstract

BIPOC experience disparities in pain experience and impact; these disparities have been created and imposed upon them by a historical system whose sole function is to depreciate and oppress Black and Brown lives. Fully addressing BIPOC health disparities will require increased efforts to intervene at more distal levels of influence, as well as increased attention to prevention. This dissertation included two manuscripts that aimed to identify potential intervention pathways for BIPOC communities with chronic pain. The first, titled LASSOing Pain Injustice: Identifying Multi-level Intervention Targets for BIPOC Adult Pain Management, utilized adapted LASSO to identify candidate intervention targets across ecological levels for both pain severity and pain deviance at 18 months. The second, titled Exploring Economic Self-Sufficiency and Traumatic Stress Exposure as Pain Intervention Pathways, utilized a causal mediation approach to test intervention pathways identified by the previous analyses. Both studies highlighted the need for attention to structural, socioeconomic, and other contextual chronic stressors in pain intervention, such as household financial self-sufficiency and exposure to traumatic events. These two manuscripts may contribute to the gap in current research by offering discussion on the topic of addressing BIPOC pain disparities with some tangible next steps to explore in the way of intervention development.

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