Division of Epidemiology, College of Public Health, The Ohio State University, 1841 Neil Avenue, 346 Cunz Hall, Columbus, OH, 43210, USA.
Center for Women, Children, and Youth, College of Nursing, The Ohio State University, Columbus, OH, USA.
J Urban Health. 2019 Mar;96(Suppl 1):12-22. doi: 10.1007/s11524-018-00333-1.
African-American women living in the United States experience higher cardiovascular disease risk (CVD) mortality compared to White women. Unique mechanisms, including prolonged high-effort coping in the face of discriminatory stressors might contribute to these racial disparities. The John Henryism hypothesis is a conceptual framework used to explain poor health outcomes observed among individuals with low resources who repeatedly utilize active coping to overcome barriers. The aims of our study were to summarize the literature related to John Henryism and CVD-related factors with a particular focus on women and to identify gaps for areas of future inquiry. We searched MEDLINE, EMBASE, Scopus, and CINAHL to identify literature that used the John Henryism Active Coping scale. Reviewers independently reviewed eligible full-text study articles and conducted data extraction. We qualitatively summarized the literature related to John Henryism and cardiovascular disease (CVD)-related health behaviors (e.g., smoking or physical activity) and risk factors (e.g., hypertension) with a focus on study populations inclusive of women. Our review included 21 studies that used the John Henryism Active Coping scale, of which 10 explicitly reported on the interaction between John Henryism and socioeconomic status (SES) and CVD-related factors. With respect to the original hypothesis, three studies reported results in line with the hypothesis, four were null, and three reported findings in opposition to the hypothesis. The remaining studies included in the review examined the main effects of John Henryism, with similarly mixed results. The literature related to the interaction between John Henryism and SES on CVD-related factors among women is mixed. Additional studies of John Henryism that incorporate biological measures, varied indicators of resources, and larger study populations may illuminate the relationship between coping and deleterious health outcomes among women.
生活在美国的非裔美国女性经历更高的心血管疾病风险（CVD）死亡率比白人女性。独特的机制，包括在面对歧视性压力源时长期的高努力应对，可能导致这些种族差异。约翰·亨利主义假说（John Henryism hypothesis）是一个用于解释资源匮乏的个体观察到的不良健康结果的概念框架，这些个体反复利用积极应对来克服障碍。我们研究的目的是总结与约翰·亨利主义和与 CVD 相关的因素相关的文献，特别关注女性，并确定未来研究领域的差距。我们搜索了 MEDLINE、EMBASE、Scopus 和 CINAHL，以确定使用约翰·亨利主义积极应对量表的文献。审查员独立审查了符合条件的全文研究文章，并进行了数据提取。我们定性地总结了与约翰·亨利主义和心血管疾病（CVD）相关的健康行为（例如吸烟或体力活动）和风险因素（例如高血压）相关的文献，重点是包括女性在内的研究人群。我们的综述包括 21 项使用约翰·亨利主义积极应对量表的研究，其中 10 项明确报告了约翰·亨利主义与社会经济地位（SES）和 CVD 相关因素之间的相互作用。关于原始假设，有三项研究的结果与假设一致，四项为零，三项则与假设相反。综述中纳入的其余研究检验了约翰·亨利主义的主要效应，结果也相似，有混合结果。关于女性中约翰·亨利主义与 SES 对 CVD 相关因素的相互作用的文献是混杂的。纳入更多的关于约翰·亨利主义的研究，包括生物学措施、资源的不同指标和更大的研究人群，可能会阐明应对策略与女性不良健康结果之间的关系。
