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An Examination of John Henryism, Trust, and Medication Adherence Among African Americans With Hypertension
Authors
Cuffee, Yendelela L.Hargraves, Lee
Rosal, Milagros C
Briesacher, Becky A.
Allison, Jeroan J.
Hullett, Sandral
UMass Chan Affiliations
Prevention Research CenterDepartment of Population and Quantitative Health Sciences, Division of Health Informatics and Implementation Science
Department of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine
Document Type
Journal ArticlePublication Date
2019-10-08Keywords
African AmericansJohn Henryism
active coping
hypertension
medication adherence
Behavioral Medicine
Cardiovascular Diseases
Community Health and Preventive Medicine
Health Psychology
Health Services Research
Preventive Medicine
Psychiatry and Psychology
Public Health Education and Promotion
Metadata
Show full item recordAbstract
Background. John Henryism is defined as a measure of active coping in response to stressful experiences. John Henryism has been linked with health conditions such as diabetes, prostate cancer, and hypertension, but rarely with health behaviors. Aims. We hypothesized that reporting higher scores on the John Henryism Scale may be associated with poorer medication adherence, and trust in providers may mediate this relationship. Method. We tested this hypothesis using data from the TRUST study. The TRUST study included 787 African Americans with hypertension receiving care at a safety-net hospital. Ordinal logistic regression was used to examine the relationship between John Henryism and medication adherence. Results. Within our sample of African Americans with hypertension, lower John Henryism scores was associated with poorer self-reported adherence (low, 20.62; moderate, 19.19; high, 18.12; p < .001). Higher John Henryism scores were associated with lower trust scores (low John Henryism: 40.1; high John Henryism: 37.9; p < .001). In the adjusted model, each 1-point increase in the John Henryism score decreased the odds of being in a better cumulative medication adherence category by a factor of 4% (odds ratio = 0.96, p = .014, 95% confidence interval = 0.93-0.99). Twenty percent of the association between medication adherence and John Henryism was mediated by trust (standard deviation = 0.205, 95% confidence interval = 0.074-0.335). Discussion. This study provides important insights into the complex relationship between psychological responses and health behaviors. It also contributes to the body of literature examining the construct of John Henryism among African Americans with hypertension. Conclusion. The findings of this study support the need for interventions that promote healthful coping strategies and patient-provider trust.Source
Health Educ Behav. 2019 Oct 8:1090198119878778. doi: 10.1177/1090198119878778. Link to article on publisher's site
DOI
10.1177/1090198119878778Permanent Link to this Item
http://hdl.handle.net/20.500.14038/44554PubMed ID
31592686Related Resources
ae974a485f413a2113503eed53cd6c53
10.1177/1090198119878778