John Henryism connotes a strong behavioral predisposition to engage in effortful, active coping with difficult social and economic stressors. This behavioral predisposition is measured by the 12 item John Henryism Scale for Active Coping (JHAC). The John Henry hypothesis predicts that the well-known inverse socioeconomic status (SES)-blood pressure association will be stronger among persons who score high rather than low on the JHAC. We tested this hypothesis in a large African American cohort using baseline data from the Jackson Heart Study. Unlike previous studies, we used multiple indicators of SES: income, education, occupation, childhood SES and cumulative SES. Because the hypothesis is most relevant for adults still in the labor force, we excluded retired participants, yielding a sample size of 3978. Gender-specific Poisson regression models for hypertension adjusting for age, John Henryism, SES, and a John Henryism-SES interaction term, were fit to examine associations. Separate models were fit for each SES indicator. We found some evidence that John Henryism modified the association between income and hypertension in men: low income was associated with higher prevalence of hypertension in men who scored high on John Henryism (prevalence ratio (PR) for low vs. high income tertile 1.12), but with lower hypertension prevalence among men who scored low on John Henryism (PR 0.85, one sided P value for multiplicative interaction <0.05). For women, the association of low income with higher hypertension prevalence was stronger at lower than higher levels of John Henryism (PR 1.27 and 1.06 at low and high levels of John Henryism respectively, P value<0.05). There was no evidence that John Henryism modified the associations of hypertension with other SES indicators in men or women. The modest support of the John Henryism Hypothesis in men only, adds to the literature on this subject, but underscores questions regarding the gender, spatial, socioeconomic and historical contexts in which the hypothesis is valid.

译文

约翰·亨利主义 (John Henryism) 表示强烈的行为倾向,可以努力,积极应对困难的社会和经济压力。这种行为倾向是通过12项约翰·亨利主义积极应对量表 (JHAC) 来衡量的。约翰·亨利 (John Henry) 假说预测,在JHAC得分高而不是低的人中,众所周知的反向社会经济地位 (SES)-血压关联将更强。我们使用杰克逊心脏研究的基线数据在一个大型非裔美国人队列中检验了这一假设。与以前的研究不同,我们使用了SES的多个指标: 收入,教育程度,职业,童年SES和累积SES。由于该假设与仍在劳动力中的成年人最相关,因此我们排除了退休参与者,得出的样本量为3978。调整年龄,John Henryism,SES和John Henryism-SES交互作用项的高血压的性别特定Poisson回归模型适合检查关联。每个SES指标都适合单独的模型。我们发现一些证据表明John Henryism改变了男性收入与高血压之间的关联: 在John Henryism得分高的男性中,低收入与高血压患病率较高相关 (低收入与高收入1.12的患病率 (PR)),但是,在John Henryism得分较低的男性中,高血压患病率较低 (PR 0.85,乘法相互作用的单侧p值 <0.05)。对于女性而言,较低的John Henryism水平下,低收入与较高的高血压患病率的关联更强 (PR 1.27和1.06分别在John Henryism的低水平和高水平下,p值 <0.05)。没有证据表明John Henryism改变了男性或女性的高血压与其他SES指标的关联。约翰·亨利主义 (John Henryism) 假设仅在男性方面的适度支持,增加了有关该主题的文献,但强调了有关该假设有效的性别,空间,社会经济和历史背景的问题。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录