SynthesisJournal of urban health : bulletin of the New York Academy of Medicine2019
High-Effort Coping and Cardiovascular Disease among Women: A Systematic Review of the John Henryism Hypothesis.
Synthesis in Journal of urban health : bulletin of the New York Academy of Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Black People Coping With Racism: Approaches, Analysis, and Empowerment.Perspectives on psychological science : a journal of the Association for Psychological Science · 2023Pooled it
- CVD Environmental Health Disparities Tool: systematic evidence mapping of psychosocial stressors, environmental exposures, and cardiovascular diseases to inform disparities research and action.Environmental health : a global access science source · 2026Review
- Role of Ethnicity and Sex in Hypertension-Mediated Organ Damage in a Dual-Ethnic Cohort of Individuals With Hypertension.Hypertension (Dallas, Tex. : 1979) · 2026Article
- Understanding the "Paradox" in Black-White Alcohol Outcomes: Examining High-Effort Coping and Health Behaviors with a Focus on Black Populations and College Students.Journal of racial and ethnic health disparities · 2025Review
- Everywhere and every day: the impact of navigating racialization on Black German children's mental health.Frontiers in public health · 2025Article
- Examining associations among daily discrimination, psychosocial risk factors, and pain outcomes in people with chronic low back pain.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Association between adaptive capacity and readiness for hospital discharge among patients with acute myocardial infarction: a cross-sectional study.Frontiers in public health · 2025Observational
- Are there sociodemographic-specific associations of coping with heart disease and diabetes incidence?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- Understanding the role of childhood nurture, abuse, and stability on gestational diabetes in the Coronary Artery Risk Development in Young Adults study (CARDIA).Annals of epidemiology · 2024Article
- Article
- A meta-synthesis of the cycle of financial strain, coping behaviors and health outcomes across the life course.Social sciences & humanities open · 2024Article
- Peripheral and Cerebral Vasodilation in Black and White Women: Examining the Impact of Psychosocial Stress Exposure Versus Internalization and Coping.Hypertension (Dallas, Tex. : 1979) · 2023Article
- A scoping review of the concept of resilience among African American women.Archives of psychiatric nursing · 2023Article
- Investigating the Joint Effect of Allostatic Load among Lesbian, Gay, and Bisexual Adults with Risk of Cancer Mortality.International journal of environmental research and public health · 2023Article
- Brain Aging Among Racially and Ethnically Diverse Middle-Aged and Older Adults.JAMA neurology · 2023Article
- The Association Between John Henryism and Depression and Suicidal Ideation Among African-American and Caribbean Black Adolescents in the United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Exploring racial disparities on the association between allostatic load and cancer mortality: A retrospective cohort analysis of NHANES, 1988 through 2019.SSM - population health · 2022Article
- Childhood Socioeconomic Status and Cardiometabolic Health: A Test of the John Henryism Hypothesis in African American Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Stress Overload and DNA Methylation in African American Women in the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure Study.Epigenetics insights · 2022Article
- Predictors of Successful Memory Aging in Older Mexican Adults.Behavioural neurology · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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.
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Registered trials
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