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John Henryism-racial stressors among older black men with low back pain.

Dottington FullwoodElizabeth FallonSydney MeansZachary L StickleyStaja BookerMarie-Carmelle Ellie-TurenneDiana J Wilkie
Published in: Geriatric nursing (New York, N.Y.) (2024)
The relationship between adaptive pain-coping skills, such as John Henryism, and pain and function remains unclear in non-Hispanic Black populations. This cross-sectional, observational study included sixty older Black men with low back pain in Jacksonville, Florida. Key measures were: self-reported 0-10 pain intensity in the past 24 h, 13-item pain catastrophizing, functional performance from the Back Performance Scale, and the John Henryism Active Coping Scale. Structural equation modeling was applied to 57 complete cases for analysis using R v4.2.0. There was a significant association for both John Henryism (β = -0.320, p = .038) and pain catastrophizing (β = 0.388, p = .007) with pain intensity but not functional performance (β = -0.095, p = .552; β = 0.274, p = .068, respectively) in the older Black men. The study underscores the future importance of evaluating John Henryism using longitudinal methods to explore causality with complex structural equation models among Black Americans.
Keyphrases
  • chronic pain
  • pain management
  • neuropathic pain
  • cross sectional
  • middle aged
  • depressive symptoms
  • emergency department
  • high intensity
  • spinal cord
  • social support
  • spinal cord injury
  • postoperative pain
  • current status