Dressler W W, Bindon J R, Neggers Y H
Department of Anthropology, The University of Alabama, Tuscaloosa 35487-0210, USA.
Psychosom Med. 1998 Sep-Oct;60(5):620-4. doi: 10.1097/00006842-199809000-00019.
To examine the interaction between gender and John Henryism in relationship to arterial blood pressure in an African American community in the Southern United States. It was hypothesized that, within this specific social and cultural context, John Henryism would be associated with blood pressure differently for men and women.
A cross-sectional survey of 600 persons, aged 25 to 65, was conducted in the African American community of a small Southern city. John Henryism was assessed using the 12-item John Henryism Scale for Active Coping. Blood pressure was assessed by conventional methods.
The interaction effect between gender and John Henryism was assessed as a cross-product term in ordinary least squares regression analysis using arterial blood pressure as the dependent variable, and with logistic regression using hypertension as the dependent variable. This interaction effect was significant (p < .05) in relation to systolic blood pressure and hypertension, with the effect evident (p < .07) in relation to diastolic blood pressure. For men, as John Henryism increases, blood pressure and the risk of hypertension increases. For women, as John Henryism increases, blood pressure and the risk of hypertension decreases.
The association of the behavioral disposition of John Henryism with blood pressure is dependent on the gender of the individual. Men and women face differing cultural expectations and social structural constraints in this community. The sociocultural context modifies the meaning of the behavioral disposition, and hence its effects.
在美国南部一个非裔美国人社区中，研究性别与约翰·亨利主义之间的相互作用对动脉血压的影响。研究假设为，在这一特定的社会文化背景下，约翰·亨利主义对男性和女性血压的影响存在差异。
对美国南部一个小城市的非裔美国人社区中600名年龄在25至65岁之间的人进行了横断面调查。使用包含12个条目的约翰·亨利主义积极应对量表对约翰·亨利主义进行评估。通过传统方法测量血压。
在以动脉血压为因变量的普通最小二乘法回归分析中，以及以高血压为因变量的逻辑回归分析中，将性别与约翰·亨利主义之间的交互作用作为交叉乘积项进行评估。这种交互作用在收缩压和高血压方面具有统计学意义（p < 0.05），在舒张压方面也有明显趋势（p < 0.07）。对于男性，随着约翰·亨利主义程度的增加，血压和患高血压的风险也增加。对于女性，随着约翰·亨利主义程度的增加，血压和患高血压的风险则降低。
约翰·亨利主义的行为倾向与血压之间的关联取决于个体的性别。在这个社区中，男性和女性面临着不同的文化期望和社会结构限制。社会文化背景改变了这种行为倾向的意义，进而影响其效果。
