Abstract
The personality predisposition “John Henryism” (JH) is a self-perception that one can meet demands of the environment through hard work and determination. The JH scale measures “efficacy of mental and physical vigor, commitment to hard work, and determination to reach one's goals.” Previous research found an increased prevalence of hypertension among African-Americans with high JH scores and low socioeconomic status (SES). Six hundred fifty-three adult African-Americans in a church-based cardiovascular risk factor screening program completed the JH questionnaire. The prevalence of cholesterol ≥240 mg/dl was highest (27%) among the high-JH/low-SES group when adjusted for age, sex, and body mass index. High JH/low SES was not associated with a greater prevalence of high blood pressure. Findings of this study suggest the need for additional research on John Henryism, socioeconomic factors, and cardiovascular risk among randomly selected samples of geographically and economically diverse African-Americans.
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References
Broom, L. (1960), Urbanization and the plural society. In Rubin, V. (consult, ed), Social and Cultural Pluralism in the Caribbean.Ann. N.Y. Acad. Sci. 83(5): 880–886.
Cassel, J., Patrick, R., and Jenkins, D. (1960). Epidemiological analysis of the health implications of cultural change: a conceptual model. In Rubin, V. (conf. ed.), Culture, Society and Health.Ann. N.Y. Acad. Sci. 84(17): 938–948.
Centers for Disease Control (1990). Mortality patterns — United States.Morbid. Mortal. Week. Rep. 39: 194–196.
Duijkers, T. J., Drijver, M., Kromhout, D., and James, S. A. (1988). “John Henryism” and blood pressure in a Dutch population.Psychosom. Med. 50: 353–359.
Expert Panel (1988). Report of the National Cholesterol Education Program on detection, evaluation and treatment of high blood cholesterol in adults.Arch. Intern. Med. 148: 36–39.
Flack, J. M., and Wiist, W. H. (1991). Cardiovascular risk factor prevalence in African-American adult screenees for a church-based cholesterol education Program.Ethnic. Dis. 1: 78–90.
Frazier, E. F. (1948).The Negro Family in the United States, rev. abridg. ed., University of Chicago Press, Chicago.
Heyman, A., Tyroler, H. A., Cassel, J. C., O'Fallon, W. M., Davis, L., and Muhlbaier, L. (1976). Geographic differences in mortality from stroke in North Carolina. 1. Analysis of death certificates.Stroke 7: 41–45.
Hollingshead, A. B. (1975). Four factor index of social status (unpublished working paper). Department of Sociology, Yale University, New Haven, Conn.
James, S. A. (1986). John Henryism: The JH Active Coping Scale (JHAC12) (unpublished scoring instructions).
James, S. A. (1987). Psychosocial precursors of hypertension: A review of the epidemiologic evidence.Circulation 76 (Suppl. I): I-60–I-66.
James, S. A., LaCroix, A. Z., Kleinbaum, D. G., and Strogatz, D. S. (1984). John Henryism and blood pressure differences among men. II. The role of occupational Stressors.J. Behav. Med. 7: 259–275.
James, S. A., Strogatz, D. S., Wing, S. B., and Ramsey, D. L. (1987). Socioeconomic status, John Henryism, and hypertension in blacks and whites.Am. J. Epidemiol. 126: 664–673.
James, S. A., Harnett, S. A., and Kalsbeek, W. D. (1983). John Henryism and blood pressure differences among black men.J. Behav. Med. 6: 259–278.
Oklahoma State Health Department (1986).Oklahoma Health Statistics, Oklahoma City.
Shapiro, A. P. (1988). Psychological factors in hypertension: An overview.Am. Heart J. 116: 632–637.
Wagner, E. H., James, S. A., Beresford, A. A., Strogatz, D. S., Grimson, R. C., Kleinbaum, D. G., Williams, C. A., Cutchin, L. M., and Ibrahim, M. A. (1984). The Edgecombe County high blood control program: I.Am. J. Public Health 74: 237–242.
Weinrich, S. P., Weinrich, M. C., Keil, J. E., Gazes, P. C., and Potter, E. (1988). The John Henryism and Framingham Type A Scales.Am. J. Epidemiol. 128: 165–178.
Wiist, W. H., and Flack, J. M. (1990). A church-based cholesterol education program.Public Health Rep. 105: 381–388.
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This research was supported in part by NIH Biomedical Research Support Grant 1S07RR05975, Pfizer Pharmaceutical, and the Oklahoma City-County and State Health Departments.
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Wiist, W.H., Flack, J.M. A test of the John Henryism hypothesis: Cholesterol and blood pressure. J Behav Med 15, 15–29 (1992). https://doi.org/10.1007/BF00848375
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DOI: https://doi.org/10.1007/BF00848375