John Henryism Active Coping as a Cultural Correlate of Substance Abuse Treatment Participation Among African American Women

Danelle Stevens-Watkins, Joi Sheree Knighton, Kristin Allen, Sycarah Fisher, Candice Crowell, Carlos Mahaffey, Carl Leukefeld, Carrie Oser

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The rates of illicit drug use among African American women are increasing, yet African American women are least likely to participate in treatment for substance use disorders when compared to women of other racial groups. The current study examined family history of substance use, perceived family support, and John Henryism Active Coping (JHAC) as correlates to seeking treatment for substance abuse. The underlying theoretical frame of JHAC (James et al., 1983) suggests that despite limited resources and psychosocial stressors, African Americans believe that hard work and self-determination are necessary to cope with adversities. The current study is a secondary data analyses of 206 drug-using African American women (N = 104 urban community women with no criminal justice involvement and N = 102 women living in the community on supervised probation) from urban cities in a southern state. It was expected that African American women with a family history of substance abuse, higher levels of perceived family support, and more active coping skills would be more likely to have participated in substance abuse treatment. Step-wise logistic regression results reveal that women on probation, had children, and had a family history of substance abuse were significantly more likely to report participating in substance abuse treatment. Perceived family support and active coping were significant negative correlates of participating in treatment. Implication of results suggests coping with psychosocial stressors using a self-determined and persistent coping strategy may be problematic for drug-using women with limited resources.

Original languageEnglish
Pages (from-to)54-60
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume63
DOIs
StatePublished - Apr 1 2016

Bibliographical note

Funding Information:
The authors gratefully acknowledge research support from the National Institute on Drug Abuse with the National Institutes of Health under award numbers K08DA032296, T32DA035200, K02DA035116, R01DA022967, and P50DA005312. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Funding Information:
The authors gratefully acknowledge research support from the National Institute on Drug Abuse with the National Institutes of Health under award numbers K08DA032296, T32DA035200, K02DA035116, R01DA022967, and P50DA005312. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Publisher Copyright:
© 2016 Elsevier Inc.

Keywords

  • African American
  • Coping
  • Culture
  • Treatment
  • Women

ASJC Scopus subject areas

  • Psychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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