Jackson L A, Adams-Campbell L L
Howard University Cancer Center, Division of Epidemiology and Cancer Control, Washington, DC 20060.
J Behav Med. 1994 Feb;17(1):69-79. doi: 10.1007/BF01856883.
Previous research on John Henryism, a coping mechanism linked to hypertension in blacks, has focused almost exclusively on rural, low-socioeconomic status (SES), adult populations. Furthermore, these studies have not evaluated mediating influences of John Henryism except in terms of SES. The primary focus of the current investigation was to examine the influence of John Henryism on cardiovascular disease risk factors among a relatively healthy sample of 421 urban, black college students. A second component of the study was to determine the role of social support as a mediating influence on those with limited coping resources and high John Henryism scores. Approximately 30% of males and 9% of females had systolic blood pressures > or = 140 mm Hg or diastolic blood pressures > or = 90. Females had higher John Henryism scores than males. John Henryism was also correlated with social support in females. Gender-specific regression models revealed that John Henryism was not an independent predictor of blood pressure in black college students. The results are discussed in terms of apparent gender differences with regard to overall coping mechanisms in black students and possible explanations for the lack of a John Henryism-blood pressure relationship in this population.
先前关于“约翰·亨利主义”(一种与黑人高血压相关的应对机制)的研究几乎完全集中在农村、社会经济地位较低(SES)的成年人群体。此外,这些研究除了社会经济地位外,并未评估“约翰·亨利主义”的中介影响。当前调查的主要重点是在421名相对健康的城市黑人大学生样本中,研究“约翰·亨利主义”对心血管疾病风险因素的影响。该研究的第二个部分是确定社会支持作为一种中介影响,对那些应对资源有限且“约翰·亨利主义”得分较高者所起的作用。大约30%的男性和9%的女性收缩压≥140毫米汞柱或舒张压≥90。女性的“约翰·亨利主义”得分高于男性。“约翰·亨利主义”在女性中也与社会支持相关。特定性别的回归模型显示,“约翰·亨利主义”并非黑人大学生血压的独立预测因素。针对黑人学生整体应对机制方面明显的性别差异以及该人群中“约翰·亨利主义”与血压缺乏关联的可能解释,对研究结果进行了讨论。