Abstract：
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.
摘要：
适应性疼痛应对技能之间的关系，比如约翰·亨利主义，非西班牙裔黑人人群的疼痛和功能仍不清楚。这个横截面，观察性研究包括杰克逊维尔60名患有腰痛的老年黑人男性，佛罗里达关键指标是：过去24小时自我报告的0-10疼痛强度，13项痛苦灾难，BackPerformanceScale的功能性能，和约翰·亨利主义积极应对量表。结构方程模型应用于57个完整案例，使用Rv4.2.0进行分析。在老年黑人男性中，JohnHenryism（β=-0.320，p=.038）和疼痛灾难化（β=0.388，p=.007）与疼痛强度显着相关，但与功能表现无关（β=-0.095，p=.552；β=0.274，p=.068）。该研究强调了使用纵向方法评估约翰·亨利主义的未来重要性，以探索美国黑人之间复杂的结构方程模型的因果关系。
