[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-501228-105":59,"doc-detail-501228-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","caring-for-refugees-chronic-pain-and-employment-may-2017","Caring for Refugees - Chronic Pain and Employment - May 2017","","Caring for Refugees addresses how chronic pain affects employment and self-sufficiency for refugees, highlighting the added job insecurity and the treatment challenges caused by unclear pain etiologies. Employment is presented as a key factor linked to improved physical and mental health, especially during the early years in the U.S. The paper reviews research on prevalence, pain-related depression, patient control, and healthcare barriers, and it notes specific considerations for refugees entering through Special Immigrant Visas.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/caring-for-refugees-chronic-pain-and-employment-may-2017/501228/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/caring-for-refugees-chronic-pain-and-employment-may-2017/501228.png","ImageObject",300,407,{"name":92,"@type":93},"Jasmine","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is chronic pain a concern for refugees regarding employment?","Question",{"text":112,"@type":113},"Chronic pain can be debilitating and increase job insecurity. It may also present treatment difficulties due to unclear etiologies, complicating patients’ ability to maintain or find work.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is employment connected to refugee health in the paper?",{"text":117,"@type":113},"Employment and self-sufficiency are described as crucial for integration into U.S. society. Studies cited in the paper associate employment with better somatic and mental health, and longer time in the U.S. correlates with higher employment rates.",{"name":119,"@type":110,"acceptedAnswer":120},"What relationship does the paper describe between pain, depression, and mental health?",{"text":121,"@type":113},"The paper reports evidence that chronic pain in immigrant or refugee populations is linked with higher depression incidence. It also notes that, after controlling for age and gender, the number of pain locations shows the highest correlation with depression.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},501228,1791386633,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},2336478487870,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Caring for Refugees: Chronic Pain and Employment  \nMay 2017  \nCharlotte Heppner  \nIntroduction  \nA frequent presentation to primary care doctors from any patient population is chronic pain. This can be debilitating, and in the case of the refugee, can add to job insecurity. At the same time, chronic pain can have unclear etiologies, presenting difficulty in treatment. This project aims to provide information to help providers best serve refugees with chronic pain and employment concerns.  \nA crucial step in integration of refugees into U.S. society is employment and self-sufficiency. Studies have demonstrated that employment is associated with better somatic and mental health.1 The nature of this relationship is complex and multifactorial, but there is certainly a role for the health care provider to promote health and the ability to work for his/her patients. This is particularly relevant in the first several years of entering the U.S.—studies have demonstrated that length of time [in the U.S. is](in the U.S. is) correlated with increased rate of employment. 1,2 The following sections will expand on some of the issues in the relationship between work, pain and health, examine the common presenting concerns of chronic, work-related pain, provide resources for counseling patients and outline resources available for patients who are struggling with entering the workforce due to poor health.  \nWork and chronic pain in refugee populations  \nA brief review of literature in OVID Medline was conducted, searching for “chronic pain” and “activities of daily living” as well as “chronic pain” and “refugee.”Additional literature was found in relevant works cited or other works by these authors. The goal was to gain insight into the relationship of chronic pain, work and healthcare in the refugee experience. Where possible, statistics on prevalence are from U.S. refugee populations, but themes of refugee experience with employment and chronic pain are from studies in multiple countries.  \nVarious studies have demonstrated that chronic medical conditions are more common than acute communicable disease in refugee populations. Of these chronic conditions, most are musculoskeletal complaints.3 The most common musculoskeletal complaint is neck and lower back pain, others include chronic headaches and less well defined pain.4 The prevalence of pain with activity limitation in one survey of over 4000 refugees was 11.8%, which is similar to the general U. S. population.5,6 Taloyan et al found a higher incidence of depression in populations of immigrants  \nwith chronic pain. Further, after controlling for age and gender, the number of locations of pain had the highest correlation to depression.7  \nSeveral qualitative surveys collected interviews from refugee women living with chronic pain. Notably, controlling the pain was closely linked to regaining control in life.8,9,10 Healthcare appointments and extensive work ups were viewed as one method to be proactive about addressing pain.9 This is an important observation, as the cause and effect relationship cannot be determined by these surveys—it is possible that helping refugees gain a sense of control in the rest of life will also help in gaining a sense of control over pain. This would indicate that multiple concurrent approaches could provide benefit, with both pharmacologic and nonpharmacologic treatments. At the same time, healthcare was considered frustrating when patients felt unheard, not taken seriously, or if there were dissimilar perceptions ofthe origin of the pain. 9 This highlights the need for thorough explanations of evaluations and therapies, with good patient involvement in care plans. For example, referrals to Family Stress Clinic could be promoted as a therapy for helping to manage pain acceptance and control, not an implication that stress is causing pain.  \nAnother population in the IFMC clinic includes patients coming to the U.S. with Special Immigrant Visas (SIVs) . These pati","cbCaid0P3xayI6gs","https://ap.wps.com/l/cbCaid0P3xayI6gs","pdf",924350,"English","# Introduction\n## Work and chronic pain in refugee populations\n## Work, chronic pain, and coping mechanisms","[{\"question\":\"Why is chronic pain a concern for refugees regarding employment?\",\"answer\":\"Chronic pain can be debilitating and increase job insecurity. It may also present treatment difficulties due to unclear etiologies, complicating patients’ ability to maintain or find work.\"},{\"question\":\"How is employment connected to refugee health in the paper?\",\"answer\":\"Employment and self-sufficiency are described as crucial for integration into U.S. society. Studies cited in the paper associate employment with better somatic and mental health, and longer time in the U.S. correlates with higher employment rates.\"},{\"question\":\"What relationship does the paper describe between pain, depression, and mental health?\",\"answer\":\"The paper reports evidence that chronic pain in immigrant or refugee populations is linked with higher depression incidence. It also notes that, after controlling for age and gender, the number of pain locations shows the highest correlation with depression.\"}]","Caring for Refugees - Chronic Pain and Employment - May 2017 | PDF",1791018196,23]