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Abstracts 3427203

(#15) Community Violence Exposure and Pain Among Black Populations: An Integrative Review

Danielle Walker - Assistant Professor |Program Director, Boston College
Christina Sanon - Clinical Educator, Boston College
Psych Congress Elevate 2026
Abstract: Background: Community violence exposure (CVE) is a significant public health issue that disproportionately affects Black communities in the United States. While its mental health impacts are well documented, less is known about its relationship to physical outcomes, particularly pain. Racial disparities in pain assessment and management persist, with evidence that some medical trainees endorse false biological beliefs contributing to undertreatment. Intergroup anxiety has also been shown to influence pain treatment decisions. Given disparities in both CVE and pain care, examining their intersection is critical.


Purpose: To synthesize literature on the impact of CVE on pain outcomes in Black populations.


Theoretical Framework: The Theory of Unpleasant Symptoms guided this review.


Methods: An integrative review using Whittemore and Knafl's methodology was conducted. CINAHL, PubMed, and Web of Science were searched for studies published within the past 10 years. Of 35 studies identified, four met inclusion criteria. The JHNEBP Research Evidence Appraisal Tool was used to assess study quality. Two reviewers independently evaluated and extracted data.


Results: All studies were non-experimental (Level III) and high quality (A). Samples ranged from adolescents to older adults. CVE was consistently associated with increased chronic pain, general pain, and chest pain.


Conclusions and Implications: CVE may contribute to heightened pain experiences in Black populations. Findings support the need for trauma-informed care, culturally responsive pain assessment, and efforts to address false biological beliefs to improve equity in pain management.

Short Description: This poster presents an integrative review examining the relationship between community violence exposure (CVE) and pain outcomes among Black populations. Findings indicate that CVE is associated with increased reports of chronic, general, and chest pain. The review underscores the importance of trauma-informed, culturally responsive pain assessment and management, while highlighting the broader psychological and physiological impact of violence exposure in disproportionately affected communities.

Name of Sponsoring Organization(s): N/A