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Journal of Urban Health
Published in: Journal of Urban Health 1/2019

01-03-2019

High-Effort Coping and Cardiovascular Disease among Women: A Systematic Review of the John Henryism Hypothesis

Authors: Ashley S. Felix, Robert Shisler, Timiya S. Nolan, Barbara J. Warren, Jennifer Rhoades, Kierra S. Barnett, Karen Patricia Williams

Published in: Journal of Urban Health | Special Issue 1/2019

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Abstract

African-American women living in the United States experience higher cardiovascular disease risk (CVD) mortality compared to White women. Unique mechanisms, including prolonged high-effort coping in the face of discriminatory stressors might contribute to these racial disparities. The John Henryism hypothesis is a conceptual framework used to explain poor health outcomes observed among individuals with low resources who repeatedly utilize active coping to overcome barriers. The aims of our study were to summarize the literature related to John Henryism and CVD-related factors with a particular focus on women and to identify gaps for areas of future inquiry. We searched MEDLINE, EMBASE, Scopus, and CINAHL to identify literature that used the John Henryism Active Coping scale. Reviewers independently reviewed eligible full-text study articles and conducted data extraction. We qualitatively summarized the literature related to John Henryism and cardiovascular disease (CVD)-related health behaviors (e.g., smoking or physical activity) and risk factors (e.g., hypertension) with a focus on study populations inclusive of women. Our review included 21 studies that used the John Henryism Active Coping scale, of which 10 explicitly reported on the interaction between John Henryism and socioeconomic status (SES) and CVD-related factors. With respect to the original hypothesis, three studies reported results in line with the hypothesis, four were null, and three reported findings in opposition to the hypothesis. The remaining studies included in the review examined the main effects of John Henryism, with similarly mixed results. The literature related to the interaction between John Henryism and SES on CVD-related factors among women is mixed. Additional studies of John Henryism that incorporate biological measures, varied indicators of resources, and larger study populations may illuminate the relationship between coping and deleterious health outcomes among women.
Literature
1.
Mensah GA, Wei GS, Sorlie PD, Fine LJ, Rosenberg Y, Kaufmann PG, et al. Decline in cardiovascular mortality: possible causes and implications. Circ Res. 2017;120(2):366–80.
2.
3.
Murphy SL, Xu JQ, Kochanek KD, Curtin SC, Arias E. Deaths: final data for 2015, in National Vital Statistics Reports. Hyattsville, MD: National Center for Health Statistics; 2017.
4.
5.
Wyatt SB, Williams DR, Calvin R, Henderson FC, Walker ER, Winters K. Racism and cardiovascular disease in African Americans. Am J Med Sci. 2003;325(6):315–31.CrossRefPubMed
6.
Woods-Giscombe CL, Lobel M. Race and gender matter: a multidimensional approach to conceptualizing and measuring stress in African American women. Cultur Divers Ethnic Minor Psychol. 2008;14(3):173–82.CrossRefPubMedPubMedCentral
7.
James SA, Hartnett SA, Kalsbeek WD. John Henryism and blood pressure differences among black men. J Behav Med. 1983;6(3):259–78.CrossRefPubMed
8.
9.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009;62(10):1006–12.CrossRef
10.
Bennett GG, Merritt MM, Sollers Iii JJ, Edwards CL, Whitfield KE, Brandon DT, et al. Stress, coping, and health outcomes among African-Americans: a review of the John Henryism hypothesis. Psychol Health. 2004;19(3):369–83.
11.
James SA. John Henryism and the health of African-Americans. Cult Med Psychiatry. 1994;18(2):163–82.CrossRefPubMed
12.
James SA, Keenan NL, Strogatz DS, Browning SR, Garrett JM. Socioeconomic status, John Henryism, and blood pressure in black adults. The Pitt County Study. Am J Epidemiol. 1992;135(1):59–67.CrossRefPubMed
13.
James SA, Strogatz DS, Wing SB, Ramsey DL. Socioeconomic status, John Henryism, and hypertension in blacks and whites. Am J Epidemiol. 1987;126(4):664–73.CrossRefPubMed
14.
Duijkers TJ, Drijver M, Kromhout D, James SA. “John Henryism” and blood pressure in a Dutch population. Psychosom Med. 1988;50(4):353–9.CrossRefPubMed
15.
Wiist WH, Flack JM. A test of the John Henryism hypothesis: cholesterol and blood pressure. J Behav Med. 1992;15(1):15–29.CrossRefPubMed
16.
Light KC, Brownley KA, Turner JR, Hinderliter AL, Girdler SS, Sherwood A, et al. Job status and high-effort coping influence work blood pressure in women and blacks. Hypertension. 1995;25(4 Pt 1):554–9.
17.
McKetney EC, Ragland DR. John Henryism, education, and blood pressure in young adults. The CARDIA study. Coronary artery risk development in young adults study. Am J Epidemiol. 1996;143(8):787–91.CrossRefPubMed
18.
Markovic N, Bunker CH, Ukoli FA, Kuller LH. John Henryism and blood pressure among Nigerian civil servants. J Epidemiol Community Health. 1998;52(3):186–90.CrossRefPubMedPubMedCentral
19.
Fernander AF, Duran RE, Saab PG, Schneiderman N. John Henry active coping, education, and blood pressure among urban blacks. J Natl Med Assoc. 2004;96(2):246–55.PubMedPubMedCentral
20.
Fernander AF, Patten CA, Schroeder DR, Stevens SR, Eberman KM, Hurt RD. Exploring the association of John Henry active coping and education on smoking behavior and nicotine dependence among blacks in the USA. Soc Sci Med. 2005;60(3):491–500.CrossRefPubMed
21.
Merritt MM, Dillon SE. Depression and estimated functional aerobic capacity in young women: the good and the bad of John Henryism active coping. J Appl Biobehav Res. 2012;17(1):23–37.CrossRef
22.
Subramanyam MA, James SA, Diez-Roux AV, Hickson DA, Sarpong D, Sims M, et al. Socioeconomic status, John Henryism and blood pressure among African-Americans in the Jackson Heart Study. Soc Sci Med. 2013;93:139–46.
23.
Brody GH, Yu T, Miller GE, Ehrlich KB, Chen E. John Henryism coping and metabolic syndrome among young black adults. Psychosom Med. 2018;80(2):216–21.CrossRefPubMedPubMedCentral
24.
Bild DE, Jacobs DR Jr, Sidney S, Haskell WL, Anderssen N, Oberman A. Physical activity in young black and white women the CARDIA study. Ann Epidemiol. 1993;3(6):636–44.CrossRefPubMed
25.
Jackson LA, Adams-Campbell LL. John Henryism and blood pressure in black college students. J Behav Med. 1994;17(1):69–79.CrossRefPubMed
26.
Nordby G, Ekeberg O, Knardahl S, Os I. A double-blind study of psychosocial factors in 40-year-old women with essential hypertension. Psychother Psychosom. 1995;63(3–4):142–50.CrossRefPubMed
27.
Dressler WW, Bindon JR, Neggers YH. John Henryism, gender, and arterial blood pressure in an African American community. Psychosom Med. 1998;60(5):620–4.CrossRefPubMed
28.
van Loon AJM, Tijhuis M, Surtees PG, Ormel J. Personality and coping: their relationship with lifestyle risk factors for cancer. Personal Individ Differ. 2001;31(4):541–53.CrossRef
29.
Williams D, Lawler KA. Stress and illness in low-income women: the roles of hardiness, John Henryism, and race. Women Health. 2001;32(4):61–75.CrossRefPubMed
30.
Clark R, Adams JH, Clark VR. Effects of John Henryism and anger-coping on mean arterial pressure changes in African American women. Int J Behav Med. 2001;8(4):270–81.CrossRef
31.
Clark R, Adams JH. Moderating effects of perceived racism on John Henryism and blood pressure reactivity in black female college students. Ann Behav Med. 2004;28(2):126–31.CrossRefPubMed
32.
Merritt MM, McCallum TJ, Fritsch T. How much striving is too much? John Henryism active coping predicts worse daily cortisol responses for African American but not white female dementia family caregivers. Am J Geriatr Psychiatry. 2011;19(5):451–60.CrossRefPubMedPubMedCentral
33.
Barksdale DJ, Woods-Giscombe C, Logan JG. Stress, cortisol, and nighttime blood pressure dipping in nonhypertensive Black American women. Biol Res Nurs. 2013;15(3):330–7.CrossRefPubMed
34.
LeBron AM, Schulz AJ, Mentz G, White PD. John Henryism, socioeconomic position, and blood pressure in a multi-ethnic urban community. Ethn Dis. 2015;25(1):24–30.PubMedPubMedCentral
35.
Mujahid MS, James SA, Kaplan GA, Salonen JT. Socioeconomic position, John Henryism, and incidence of acute myocardial infarction in Finnish men. Soc Sci Med. 2017;173:54–62.CrossRefPubMed
36.
Verma R, Balhara YP, Gupta CS. Gender differences in stress response: role of developmental and biological determinants. Ind Psychiatry J. 2011;20(1):4–10.PubMedPubMedCentral
37.
Myers HF, Lewis TT, Parker-Dominguez T. Stress, coping and minority health: biopsychosocial perspective on ethnic health disparities. In: Bernal G, et al., editors. Handbook of Racial and Ethnic Minority Psychology. Thousand Oaks, CA: Sage Publications; 2002.
38.
Warren BJ. How culture is assessed in the DSM-5. J Psychosoc Nurs Ment Health Serv. 2013;51(4):40–5.CrossRefPubMed
39.
Uchino BN, Cacioppo JT, Kiecolt-Glaser JK. The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychol Bull. 1996;119(3):488–531.CrossRefPubMed
40.
Lepore SJ, Revenson TA, Weinberger SL, Weston P, Frisina PG, Robertson R, et al. Effects of social stressors on cardiovascular reactivity in Black and White women. Ann Behav Med. 2006;31(2):120–7.
41.
McNeilly M, Anderson NB, Robinson EF, McManus CF, Armstead CA, Clark R, et al. The convergent, discriminant, and concurrent criterion validity of the perceived racism scale: a multidimensional assessment of White racism among African Americans. In: Jones RL, editor. Handbook of Tests and Measurements for Black Populations. Hampton, VA: Cobb and Henry; 1996.
42.
Jones JM. Prejudice and Racism. 2nd ed. New York, NY: McGraw-Hill; 1997.
43.
Clark R. Perceived racism and vascular reactivity in black college women: moderating effects of seeking social support. Health Psychol. 2006;25(1):20–5.
44.
McEwen BS, Gianaros PJ. Central role of the brain in stress and adaptation: links to socioeconomic status, health, and disease. Ann N Y Acad Sci. 2010;1186:190–222.CrossRefPubMedPubMedCentral
45.
McEwen BS, Stellar E. Stress and the individual. Mechanisms leading to disease. Arch Intern Med. 1993;153(18):2093–101.CrossRefPubMed
46.
Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. JAMA. 2007;298(14):1685–7.CrossRef
47.
Warnecke RB, Oh A, Breen N, Gehlert S, Paskett E, Tucker KL, et al. Approaching health disparities from a population perspective: the National Institutes of Health Centers for Population Health and Health Disparities. Am J Public Health. 2008;98(9):1608–15.
48.
Geronimus AT. The weathering hypothesis and the health of African-American women and infants: evidence and speculations. Ethn Dis. 1992;2(3):207–21.PubMed
49.
Geronimus AT, Hicken M, Keene D, Bound J. “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. Am J Public Health. 2006;96(5):826–33.CrossRefPubMedPubMedCentral
50.
51.
Romero RE. The icon of the strong Black woman: the paradox of strength. In: Jackson LC, Greene B, editors. Psychotherapy with African American Women: innovations in psychodynamic perspective and practice. New York, NY: Guilford Press; 2000. p. 225–238.
Metadata
Title
High-Effort Coping and Cardiovascular Disease among Women: A Systematic Review of the John Henryism Hypothesis
Authors
Ashley S. Felix
Robert Shisler
Timiya S. Nolan
Barbara J. Warren
Jennifer Rhoades
Kierra S. Barnett
Karen Patricia Williams
Publication date
01-03-2019
Publisher
Springer US
Published in
Journal of Urban Health / Issue Special Issue 1/2019
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-018-00333-1

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