TY - JOUR
T1 - An Examination of John Henryism, Trust, and Medication Adherence Among African Americans With Hypertension
AU - Cuffee, Yendelela L.
AU - Hargraves, Lee
AU - Rosal, Milagros
AU - Briesacher, Becky A.
AU - Allison, Jeroan J.
AU - Hullett, Sandral
N1 - Funding Information:
https://orcid.org/0000-0001-7150-0086 Cuffee Yendelela L. PhD, MPH 1 Hargraves Lee PhD 2 Rosal Milagros PhD 3 Briesacher Becky A. PhD 4 Allison Jeroan J. MD, MSci 3 Hullett Sandral MD, MPH 5 1 Penn State University College of Medicine, Hershey, PA, USA 2 The University of Massachusetts Boston, Boston, MA, USA 3 University of Massachusetts Medical School, Worcester, MA, USA 4 Northeastern University, Boston, MA, USA 5 Physician, Eutaw, AL, USA Yendelela L. Cuffee, Department of Public Health Sciences, Division of Epidemiology, Penn State College of Medicine, 90 Hope Drive, Suite 2200, Hershey, PA 17033-0855, USA. Email: [email protected] 10 2019 1090198119878778 © 2019 Society for Public Health Education 2019 Society for Public Health Education 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. active coping African Americans hypertension John Henryism medication adherence Agency for Healthcare Research and Quality https://doi.org/10.13039/100000133 R36 HS020755-01 National Center for Advancing Translational Sciences https://doi.org/10.13039/100006108 5 KL2 TR002015 National Center for Advancing Translational Sciences https://doi.org/10.13039/100006108 5 UL1 TR002014 National Heart, Lung, and Blood Institute https://doi.org/10.13039/100000050 U01 HL079171-01 National Institute on Minority Health and Health Disparities https://doi.org/10.13039/100006545 1P60MD006912 edited-state corrected-proof Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by a Dissertation Grant from the Agency for Healthcare Research and Quality (R36 HS020755-01), and the TRUST study was funded by a grant from the National Heart, Lung, and Blood Institute (U01 HL079171-01). Dr. Cuffee was funded by a grant from the National Center for Advancing Translational Sciences (5 KL2 TR002015) and (5 UL 1 TR002014). Support was also provided by the Center for Health Equality and Intervention Research (CHEIR) at the University of Massachusetts Medical School, funded by the National Institute on Minority Health and Health Disparities (1P60MD006912). ORCID iD Yendelela L. Cuffee https://orcid.org/0000-0001-7150-0086
Publisher Copyright:
© 2019 Society for Public Health Education.
PY - 2020/2/1
Y1 - 2020/2/1
N2 - 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.
AB - 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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U2 - 10.1177/1090198119878778
DO - 10.1177/1090198119878778
M3 - Article
C2 - 31592686
AN - SCOPUS:85074464434
SN - 1090-1981
VL - 47
SP - 162
EP - 169
JO - Health Education and Behavior
JF - Health Education and Behavior
IS - 1
ER -