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Cited by 12Medication Adherence and ComplianceBlood Pressure and Hypertension StudiesHealth disparities and outcomes

An examination of John Henryism, trust, and medication adherence among African Americans with hypertension

Cuffee, Yendelela L., Hargraves, Lee, Rosal, Milagros, Briesacher, Becky A., Allison, Jeroan J., Hullett, Sandral·2020·Health Education & Behavior
DOI 10.1177/1090198119878778
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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.

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Crossref · 10.1177/1090198119878778

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  • Only a few studies examined samples of only women; and of the samples including men and women, most either adjusted for gender or did not include gender as a variable in the analysis.

    “Further, only a few studies examined samples of only women; and of the samples including men and women, most either adjusted for gender (Bernard et al., 2020;Cuffee et al., 2020;LeBrón et al., 2015;Wiist and Flack, 1992) or did not include gender as a variable in the analysis (Hudson et al., 2016;James et al., 1992;Volpe et al., 2020).”

    From Superwoman Schema and John Henryism among African American women: An intersectional perspective on coping with racism (2023) · cites this paper as Cuffee et al., 2020

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Authors
Cuffee, Y. L., Hargraves, L., Rosal, M., Briesacher, B. A., Allison, J. J., & Hullett, S.
Affiliations
  • Pennsylvania State University (US)
  • University of Massachusetts Boston (US)
  • University of Massachusetts Chan Medical School (US)
  • Northeastern University (US)
  • Physician, Eutaw, AL, USA
Corresponding author
Cuffee, Yendelela L.
ORCID
Venue
Health Education & Behavior
Publisher
SAGE Publications
Published
2019-10-08
Volume
47
Issue
1
Pages
162-169
ISSN
  • 1090-1981 (ISSN-L)
  • 1552-6127
DOI
10.1177/1090198119878778
OpenAlex
W2979429326
Cited by
12
References
38
Citations by year
2025: 3 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2
FWCI
1.54
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Health Education & Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders
  • Agency for Healthcare Research and Quality (R36 HS020755-01)
  • National Center for Advancing Translational Sciences (5 KL2 TR002015, 5 UL1 TR002014)
  • National Heart, Lung, and Blood Institute (U01 HL079171-01)
  • National Institute on Minority Health and Health Disparities (1P60MD006912)
Topics
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Social Sciences › Health › Health disparities and outcomes
Keywords
John Henryism, medication adherence, trust in providers, African Americans, hypertension, active coping, physician-patient trust, safety-net hospitals, health behavior, mediation
MeSH terms
Adaptation, Psychological, Black or African American, Female, Health Personnel, Humans, Hypertension, Male, Middle Aged, Surveys and Questionnaires, Health Behavior, Drug Monitoring, Trust, Self Report

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