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约翰·亨利 城市黑人的积极应对、教育与血压

John Henry Active Coping, education, and blood pressure among urban blacks.

作者信息

Fernander Anita F, Durán Ron E F, Saab Patrice G, Schneiderman Neil

机构信息

University of Kentucky, College of Medicine, Department of Behavioral Science, 103 COMOB, Lexington, KY 40536, USA.

出版信息

J Natl Med Assoc. 2004 Feb;96(2):246-55.

Abstract

The John Henryism hypothesis posits that individuals who actively cope with psychosocial stressors in the face of low socioeconomic resources are more likely to exhibit higher blood pressure levels than those with greater socioeconomic resources. It has been proposed that John Henryism may contribute to the disproportionately high rates of hypertension among blacks. Previous studies which support the John Henryism hypothesis have been conducted among blacks who reside in primarily southern rural settings. However, more recent studies conducted among urban blacks, have yielded contrasting results. This study examined the John Henryism hypothesis in a middle-aged urban sample of blacks in south Florida. The results of the study confirmed that there is indeed a relationship among John Henry Active Coping, years of education, and blood pressure among urban blacks in south Florida. Upon closer examination, higher John Henry Active Coping scores were associated with higher systolic and diastolic blood pressure among higher educated men, and John Henry Active Coping scores were associated with higher systolic and diastolic blood pressure among women with lower levels of education. The findings are discussed in terms of sociocultural factors that may influence the coping styles of black men and women in different communities and environments.

摘要

约翰·亨利主义假说认为,在社会经济资源匮乏的情况下积极应对心理社会压力源的个体,比社会经济资源更丰富的个体更有可能表现出更高的血压水平。有人提出,约翰·亨利主义可能是导致黑人高血压发病率过高的原因之一。此前支持约翰·亨利主义假说的研究是在主要居住在南部农村地区的黑人中进行的。然而,最近在城市黑人中进行的研究得出了相反的结果。本研究在南佛罗里达的一个中年城市黑人样本中检验了约翰·亨利主义假说。研究结果证实,在南佛罗里达的城市黑人中,约翰·亨利积极应对方式、受教育年限和血压之间确实存在关联。进一步研究发现,在受教育程度较高的男性中,较高的约翰·亨利积极应对得分与较高的收缩压和舒张压相关;在受教育程度较低的女性中,约翰·亨利积极应对得分与较高的收缩压和舒张压相关。研究结果从社会文化因素的角度进行了讨论,这些因素可能会影响不同社区和环境中黑人男性和女性的应对方式。

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