Chronic Pelvic Pain in Black Women: A Literature Review Using the Health Equity Implementation Framework

Below is the abstract for a literature review I did on Black women and Chronic Pelvic Pain (CPP). Unfortunately, i was unable to complete a more comprehensive lit review with the articles listed on the reference page of the paper (also attached). Can you please (instead), rewrite the paper I attached utilizing the new articles (attached) with the following research question and hypothesis?

research question: What are the disparities in diagnosis, treatment, and outcomes for Black women with chronic pelvic pain, and how do factors such as racial and gender discrimination, socioeconomic status, and healthcare access influence these disparities?


hypothesis: Black women with chronic pelvic pain experience significant disparities in healthcare,
characterized by delays in diagnosis, inadequate treatment, and poorer outcomes compared to
non-Black women. Analyzing the treatment experiences of women of color will help advance
intervention research into opportunities for improved treatments, ultimately promoting health
equity and enhancing standards of care.


Abstract


This literature review examines the disparities in the diagnosis, treatment, and management of Chronic Pelvic Pain (CPP) among Black women, utilizing the Health Equity Implementation Framework (HEIF). The research questions focus on identifying the socioeconomic, racial, and gender-based factors contributing to these disparities and their impacts on healthcare outcomes. Participants in the reviewed studies include Black women diagnosed with CPP, compared to their non-Black counterparts. Methods involve a systematic search and thematic analysis of relevant literature from databases such as PubMed and Google Scholar, focusing on studies from the last 10-15 years. Results reveal significant delays in diagnosis, inadequate treatment, and poorer outcomes for Black women, largely due to implicit biases, lack of culturally competent care, and structural barriers in the healthcare system. Data analysis highlights the critical role of socioeconomic status and historical mistrust in medical institutions in exacerbating these issues. Conclusions confirm that Black women experience considerable disparities in CPP care, supporting the initial hypothesis. This review suggests targeted interventions and policy reforms to improve health equity. Possible implications of this research include the development of culturally sensitive healthcare practices and enhanced provider education on implicit biases. Future work should involve longitudinal studies to understand the progression of CPP in Black women and community-based participatory research to ensure culturally relevant interventions. This comprehensive review aims to promote health equity and improve standards of care for Black women suffering from CPP.


Keywords: chronic pelvic pain, Black women, racial disparities, healthcare access, treatment outcomes, socioeconomic status


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