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    An Examination of John Henryism, Trust, and Medication Adherence Among African Americans With Hypertension

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    Authors
    Cuffee, Yendelela L.
    Hargraves, Lee
    Rosal, Milagros C.
    Briesacher, Becky A.
    Allison, Jeroan J.
    Hullett, Sandral
    UMass Chan Affiliations
    Prevention Research Center
    Department 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 Article
    Publication Date
    2019-10-08
    Keywords
    African Americans
    John 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
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    Link to Full Text
    https://doi.org/10.1177/1090198119878778
    Abstract
    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
    10.1177/1090198119878778
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44554
    PubMed ID
    31592686
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1177/1090198119878778
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    Prevention Research Center Publications
    Population and Quantitative Health Sciences Publications

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