They are more apt to conceal pain and withdraw socially. Pain has both personal and cultural meanings. It is a subjective and universal experience of human existence that individuals of every age and every culture experience. Pain has physical, emotional, social, and spiritual components. There are vast differences in the expression of pain and culture plays a major role in these pain experiences.
Culture significantly affects the assessment and management of people in pain.
Jan. Davidhizar R, Giger J. Pain and the Culturally Diverse Patient. Today's Surgical Nurse. Nov. Dec. 1997. Galanti G. Caring for Patients from Different Cultures. University of Pennsylvania Press.