Health Locus Research Articles

An examination of health locus of control in relation to antibiotic resistance perceptions and antibiotic use behaviors among college students

Objective: The aim of the present study was to examine the role of health locus of control (HLOC; internal, chance, powerful others) in antibiotic resistance perceptions and antibiotic use behaviors among college students. Participants: Participants were 366 students recruited from the introductory psychology pool at a university in the northeastern United States. Methods: Participants completed the study via Qualtrics in 2015 (October–December). They completed the Multidimensional Health Locus of Control Scale (measuring internal, chance, powerful others HLOC) and questions about their antibiotic use and antibiotic resistance perceptions. Results: Linear regression analyses were employed to examine the role of the HLOC in antibiotic use behaviors and antibiotic resistance perceptions. With the exception of the regression with antibiotic resistance concern as an outcome, powerful others HLOC was the strongest predictor across all models. Conclusions: Antibiotic misuse was prevalent in our sample and powerful others HLOC was associated with problematic antibiotic use.

Interactive Health Messages Work Better for Those Who Feel Less in Control: The Role of External Health Locus of Control and Risk Perception

Interactive websites, which provide greater user control over a site’s interface, are commonly employed in health communication campaigns to deliver risk information in more vivid and engaging ways. The present study explored whether interactive health websites could increase risk perception and encourage systematic processing (i.e. analytical review of persuasive arguments based on prior knowledge and experience) and information seeking and sharing intentions of anti-sugar consumption content. We further investigated whether the effect of interactivity could be moderated by individuals’ beliefs in the role of external factors such as sheer luck in determining their health outcomes. A between-subjects design experiment compared a high interactive website (n = 94) to a low interactive website (n = 73). Results showed that interactivity increased risk perception regarding sugar consumption, especially for the individuals who reported a higher level of external health locus of control. Risk perception was a positive predictor of systematic processing, as well as information seeking and sharing intentions. Theoretical and practical implications of this study are discussed.

Subjective expectation of reaching age 85: agreement with population statistics and association with behavioral and psychological factors

BackgroundIt is not clearly known how well Danes estimate their chances of reaching the average life expectancy and whether identifiable population subgroups misestimate their life expectancy, and potentially also investments and savings in health and pensions. Therefore, in this study, we examined on the individual level whether subjective life expectancy is in line with the statistically calculated chance of reaching age 85, and further explored the psychological and behavioral factors associated with under or overestimation.MethodsWe opted for a cross-sectional survey design based on a sample of 5,379 Danish citizens aged 50–70 years, returning a web-based questionnaire with socio-demographic data supplemented from a national registry. Average participant estimates of their chance of reaching age 85 for each age range and sex group were compared with actuarial data. We then performed multiple linear regression analyses to examine factors associated with the subjective expectancy of reaching age 85 years.ResultsWe found that 32% of females and 23% of males reported 100% certainty of reaching age 85, and average expected survival chance exceeded the statistically predicted survival chance for 23% of males and 16% for females in age-ranges 50–60 and 61–70. Our multivariable analysis found that health literacy, internal health locus of control, willingness to take health risks, self-rated health, and health and life satisfaction all showed a significant positive association with expectation of reaching age 85. Moreover, those on daily medications, ex- or current smokers, and heavy drinkers were significantly less optimistic about reaching age 85.ConclusionsParticularly for the population groups with inaccurate life expectancies, the significant associations with psychological and behavioral factors open a way for initiatives based on behavior change theories to reach a better agreement between subjective and statistical life expectancy.

Factors Associated With Limited Digital Health Literacy Among Chinese Male Populations: Cross-sectional Study

eHealth resources and interventions promise to promote favorable behavior change, self-efficacy, and knowledge acquisition, thereby improving health literacy. However, individuals with limited eHealth literacy may find it difficult to identify, understand, and benefit from eHealth use. It is necessary to identify the self-assessed eHealth literacy of those who use eHealth resources to classify their eHealth literacy levels and to determine the demographic characteristics associated with higher and lower eHealth literacy skills. This study aimed to identify notable factors closely associated with limited eHealth literacy among Chinese male populations to provide some implications for clinical practice, health education, medical research, and public health policy making. We hypothesized that participants' eHealth literacy status was associated with various demographic characteristics. Therefore, we elicited the following information in the questionnaire: age and education, self-assessed disease knowledge, 3 well-developed health literacy assessment tools (ie, the All Aspects of Health Literacy Scale, eHealth Literacy Scale, and General Health Numeracy Test), and the 6 Internal items on health beliefs and self-confidence in the Multidimensional Health Locus of Control Scales. Using randomized sampling, we recruited survey participants from Qilu Hospital of Shandong University, China. After validating the data collected through a web-based questionnaire survey via wenjuanxing, we coded all valid data according to predefined coding schemes of Likert scales with different point (score) ranges. We then calculated the total scores of the subsections of the scales or the entire scale. Finally, we used logistic regression modeling to associate the scores of the eHealth Literacy Scale with the scores of the All Aspects of Health Literacy Scale, the General Health Numeracy Test-6, and age and education to ascertain factors considerably associated with limited eHealth literacy among Chinese male populations. All data from the 543 returned questionnaires were valid according to the validation criteria. By interpreting these descriptive statistics, we found that 4 factors were significantly correlated with participants' limited eHealth literacy: older age, lower education attainment, lower levels of all aspects of health literacy (functional, communicative, and critical), and weaker beliefs and self-confidence in internal drivers and strengths to stay healthy. By applying logistic regression modeling, we ascertained 4 factors that were significantly correlated with limited eHealth literacy among Chinese male populations. These relevant factors identified can inform stakeholders engaging in clinical practice, health education, medical research, and health policy making.

A Survey of Breastfeeding Attitudes and Health Locus of Control in the Nigerian Population

ObjectivesBreastfeeding is important to infant health and survival in sub-Saharan Africa. To promote breastfeeding effectively, understanding of psychological factors associated with infant feeding choices is required. This study investigated breastfeeding attitudes and health locus of control (HLoC) in a Nigerian community sample.MethodsMen and women (N = 400) (71% female; mean age 34.2 years/ range 18–86 years) were recruited through community groups in Nigeria. Self-report survey by questionnaire measured breastfeeding attitudes using the Iowa Infant Feeding Attitude Scale (IIFAS) and health locus of control using the Multidimensional Health Locus of Control Scale (MHLoCs).Results MeanIIFAS scores (mean = 57.7; sd = 7.8) became less favourable with increasing age (p = 0.02). Men had higher IIFAS scores (mean = 58.6; sd = 7.6) than women (mean = 56.6; sd = 8.0) indicating more favourable attitudes toward breastfeeding (p = 0.02). Women scored higher than men on external chance HLoC (ECHLoC) (p = 0.003) and external powerful others HLoC (EPHLoC) (p = 0.02). Increasing age was associated with higher scores on ECHLoC (p < 0.01) and EPHLoC (p < 0.01). Multiple linear regression analysis was significant (p < 0.001) and explained 7.8% of variance in breastfeeding attitude. Lower IIFAS scores, reflecting more negative attitudes to breastfeeding, were associated with higher ECHLoC (p < 0.01) and EPOHLoC (p < 0.05). Higher IIFAS scores, reflecting more positive attitudes to breastfeeding, were associated with greater IHLoC (p < 0.01). Neither age nor gender were associated with IIFAS scores in the final model.ConclusionsThis implies a need to explore health locus of control when promoting positive attitudes to breastfeeding and supporting families in breastfeeding advocacy.

Susceptibility to Breast Cancer Misinformation Among Chinese Patients: Cross-sectional Study.

Currently, breast cancer is the most commonly diagnosed cancer and the sixth-leading cause of cancer-related deaths among Chinese women. Worse still, misinformation contributes to the aggravation of the breast cancer burden in China. There is a pressing need to investigate the susceptibility to breast cancer misinformation among Chinese patients. However, no study has been performed in this respect. This study aims to ascertain whether some demographics (age, gender, and education), some health literacy skills, and the internal locus of control are significantly associated with the susceptibility to misinformation about all types of breast cancers among randomly sampled Chinese patients of both genders in order to provide insightful implications for clinical practice, health education, medical research, and health policy making. We first designed a questionnaire comprising 4 sections of information: age, gender, and education (section 1); self-assessed disease knowledge (section 2); the All Aspects of Health Literacy Scale (AAHLS), the eHealth Literacy Scale (eHEALS), the 6-item General Health Numeracy Test (GHNT-6), and the "Internal" subscale of the Multidimensional Health Locus of Control (MHLC) scales (section 3); and 10 breast cancer myths collected from some officially registered and authenticated websites (section 4). Subsequently, we recruited patients from Qilu Hospital of Shandong University, China, using randomized sampling. The questionnaire was administered via wenjuanxing, the most popular online survey platform in China. The collected data were manipulated in a Microsoft Excel file. We manually checked the validity of each questionnaire using the predefined validity criterion. After that, we coded all valid questionnaires according to the predefined coding scheme, based on Likert scales of different point (score) ranges for different sections of the questionnaire. In the subsequent step, we calculated the sums of the subsections of the AAHLS and the sums of the 2 health literacy scales (the eHEALS and GHNT-6) and the 10 breast cancer myths. Finally, we applied logistic regression modeling to relate the scores in section 4 to the scores in sections 1-3 of the questionnaire to identify what significantly contributes to the susceptibility to breast cancer misinformation among Chinese patients. All 447 questionnaires collected were valid according to the validity criterion. The participants were aged 38.29 (SD 11.52) years on average. The mean score for their education was 3.68 (SD 1.46), implying that their average educational attainment was between year 12 and a diploma (junior college). Of the 447 participants, 348 (77.85%) were women. The mean score for their self-assessed disease knowledge was 2.50 (SD 0.92), indicating that their self-assessed disease knowledge status was between "knowing a lot" and "knowing some." The mean scores of the subconstructs in the AAHLS were 6.22 (SD 1.34) for functional health literacy, 5.22 (SD 1.54) for communicative health literacy, and 11.19 (SD 1.99) for critical health literacy. The mean score for eHealth literacy was 24.21 (SD 5.49). The mean score for the 6 questions in the GHNT-6 was 1.57 (SD 0.49), 1.21 (SD 0.41), 1.24 (SD 0.43), 1.90 (SD 0.30), 1.82 (SD 0.39), and 1.73 (SD 0.44), respectively. The mean score for the patients' health beliefs and self-confidence was 21.19 (SD 5.63). The mean score for their response to each myth ranged from 1.24 (SD 0.43) to 1.67 (SD 0.47), and the mean score for responses to the 10 myths was 14.03 (SD 1.78). Through interpreting these descriptive statistics, we found that Chinese female patients' limited ability to rebut breast cancer misinformation is mainly attributed to 5 factors: (1) lower communicative health literacy, (2) certainty about self-assessed eHealth literacy skills, (3) lower general health numeracy, (4) positive self-assessment of general disease knowledge, and (5) more negative health beliefs and lower levels of self-confidence. Drawing on logistic regression modeling, we studied the susceptibility to breast cancer misinformation among Chinese patients. The predicting factors of the susceptibility to breast cancer misinformation identified in this study can provide insightful implications for clinical practice, health education, medical research, and health policy making.

Intrapersonal predictors of internalized stigma among school going adolescents living with HIV in southwestern Uganda

ABSTRACT We assessed the association between internalized HIV stigma, resilience, health locus of control, coping self-efficacy and empowerment among adolescents living with HIV in Uganda. We conducted a cross-sectional study between August and October 2020 among 173 adolescents aged 13–18 years attending Mbarara Regional Referral Hospital’s HIV clinic. We used linear regression to determine the association between HIV stigma and intrapersonal factors adjusting for sociodemographic characteristics. The median age of the participants was 16 (IQR 3) years. There was a negative correlation between HIV stigma and resilience (β= −0.03, p < 0.001), internal health locus of control (β= −0.095, p < 0.001) and coping self-efficacy (β= −0.02, p < 0.001), while empowerment was positively correlated (β = 0.07, p < 0.001) with HIV stigma. After adjusting for the intrapersonal factors (resilience, health locus of control, coping self-efficacy and empowerment) and socio-demographic characteristics (education level and boarding school), only internal health locus of control (β=-0.044, p = 0.016) and coping self-efficacy (β=-0.015, p < 0.001) remained significantly correlated with HIV stigma. The findings suggest that interventions focusing on intrapersonal factors such as internal locus of control, empowerment and resilience may contribute towards reduction of HIV stigma among adolescents in boarding schools.

The evaluation of the role of diabetes health literacy and health locus of control on quality of life among type 2 diabetes using the Path analysis

Quality of life (QOL) in patients with diabetes is affected by multiple factors, and this study aimed to determine the effect of health locus of control points (HLOC) and diabetes health literacy (DHL) on QOL in Iranian patients with type 2 diabetes. This cross-sectional study was conducted between October 2021 and February 2022 among 564 people with type 2 diabetes. Patients were selected using proportional stratified sampling and simple random sampling methods. Data were collected using three questionnaires: (1) Multidimensional Health Locus of Control scale (form C), (2) World Health Organization Quality of Life Scale, and (3) Diabetes Health Literacy Scale. Data were analyzed by software’s of SPSS V22 and AMOS V24. There was a positive and significant correlation between DHL and QOL. There was a positive and significant correlation between the subscales of internal HLOC, and doctors HLOC with QOL. According to the Path analysis results, all variables showed 58.93% of the direct effects and 41.07% of indirect effects of the final model. Numerate health literacy, informational health literacy, communicative health literacy, internal HLOC, other powerful people HLOC, chance HLOC, and doctors HLOC were able to predicted 49% variance of diabetes QOL (R2 = 0.49). The subscales of communicative health literacy, informational health literacy, internal HLOC, doctors HLOC, and chance HLOC had the greatest impact on QOL of people with diabetes. Based on the results of Path analysis, diabetes health literacy and HLOC play an effective role in QOL of diabetic. Therefore, there is a need to design and implement programs to improve the health literacy of patients as well as HLOC to improve QOL of patients.

Orphanhood and Child Development: Evidence From India

This article provides the first systematic study of the short- and long-run effects of parental death on the cognitive, noncognitive (locus of control), and physical development of Indian children. Exploiting rich longitudinal data over 15 years, I use difference-in-differences with individual fixed effects to account for time-invariant unobserved heterogeneity between orphans and non-orphans and investigate the mechanisms. This method is an improvement over previous cross-sectional approaches to such explorations. I find that paternal death is negatively correlated with orphans' cognition but is not correlated with locus of control or physical health. Cognitive effects are mediated by a 10-percentage-point-lower probability of enrollment and a 20% decline in monetary investments in the child, eventually leading to one less year of schooling by age 22. These negative outcomes are concentrated among the least wealthy families, who respond to the shock by reducing consumption and increasing their labor supply.

E-Health Literacy Scale, Patient Attitudes, Medication Adherence, and Internal Locus of Control.

Health literacy is related to a variety of health outcomes, including disease control, health-related quality of life, and risk for death. Few studies have investigated the relation of electronic health literacy (e-health literacy) to outcomes or the mechanism by which they may be related. Secondary data were drawn from participants in a larger study on chronic disease self-management who were age 40 years and older, had at least one chronic health condition and a health literacy score of 8th grade or below on the validated short form of the Rapid Estimate of Adult Literacy in Medicine. Participants completed the e-Health Literacy Scale (eHEALS), the Multidimensional Health Locus of Control scale, a modified version of the Attitudes Toward Health Care Providers Scale (ATHCPS), the Wake Forest Physician Trust Scale (WFPTS), and the Gonzalez-Lu adherence questionnaire. Hypothesized relations were evaluated in a bootstrapped path analytic model using the Mplus statistical software. Participants included 334 individuals (mean age: 57.5 years; 173 women and 161 men) with Black, Indigenous, and People of Color accounting for 83.3% of the participants and White individuals making up 16.7% of the participants. Model results showed that after controlling for age, education, gender, and race, the eHEALS score was significantly related to the ATHCPS and WFPTS but not to the Gonzalez-Lu adherence questionnaire (p < .05). The eHEALS score was significantly related to the Multidimensional Health Locus of Control scale. Analysis of indirect effects showed that a portion of the relation between e-health literacy and patient attitude and adherence was mediated by internal locus of control (all p < .05). In this study, e-health literacy was related to important patient attitude and behavior variables via locus of control. This finding has implications for the importance of improving patients' ability to use the internet to access and effectively use health information. [HLRP: Health Literacy Research and Practice. 2023;7(2):e80-e88.].

Influence of Self-Motivation and Health Locus of Control on Adherence to Medication Among Hypertension Patients

Hypertension is one of the more common comorbidities among patients infected with the Sars-CoV-2 virus, which causes COVID-19, but many hypertensive patients do not comply with taking medication. This study analyzed the relationship of self-motivation and health locus of control with self-management (medication adherence) among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The research adopted a correlative analytic design with a cross-sectional approach, and the study’s population comprised 74 hypertensive patients recruited by simple random sampling who were treated at Private Hospital Surabaya, Indonesia The instruments used included the Treatment Self-Regulation Questionnaire to measure self-motivation, the Multidimensional Health Locus of Control Scale to measure locus of control, and the Morisky Medication Adherence Scale–8 to measure self-management (medication adherence). Spearman’s rank correlation coefficient was employed for data analysis to measure the relationships between self-motivation, locus of control, and with self-management (adherence to taking medication). The results reveal a relationship between self-motivation and adherence to medication at a level of p = 0.000 and a relationship between health locus of control and adherence to taking medication at a level of p = 0.000 among hypertensive patients during the COVID-19 pandemic at Private Hospital Surabaya, Indonesia. The findings suggest the value of efforts to provide motivation to patients and support their being more responsible in controlling their health conditions by adherence to medication. Abstrak Pengaruh Motivasi Diri dan Locus of Control pada Kepatuhan Minum Obat Pasien dengan Hipertensi. Hipertensi merupakan salah satu penyakit dengan komorbiditas tertinggi pada pasien yang terinfeksi virus Sars-CoV-2 penyebab COVID-19, diperparah dengan masih banyaknya pasien hipertensi yang tidak patuh minum obat. Penelitian ini bertujuan untuk menganalisis hubungan motivasi diri dan health locus of control dengan self-management (kepatuhan minum obat) pada pasien hipertensi pada era pandemi COVID-19 di rumah sakit swasta Surabaya. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross-sectional. Populasi penelitian ini adalah pasien hipertensi yang dirawat di rumah sakit swasta Surabaya Indonesia dengan simple random sampling sebanyak 74 orang. Instrumen yang digunakan dalam penelitian ini adalah the Treatment Self-Regulation Questionnaire untuk mengukur motivasi diri, Multidimensional Health Locus of Control Scale untuk mengukur locus of control, dan Morisky, Medication Adherence Scale untuk mengukur selfmanagement (kepatuhan pengobatan). Analisis data yang digunakan untuk mengukur self-motivation, locus of control dengan self-management (kepatuhan minum obat) adalah tes Rank Spearman. Hasil penelitian menunjukkan bahwa ada hubungan antara motivasi diri dengan kepatuhan minum obat pada pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya dengan taraf (p = 0,000), dan ada hubungan antara lokus kesehatan dengan pengendalian dan kepatuhan minum obat bagi pasien hipertensi di era pandemi COVID-19 di rumah sakit swasta Surabaya (p = 0,000). Hasil penelitian menunjukkan bahwa upaya dengan memberikan motivasi dan dukungan untuk lebih bertanggung jawab dalam mengontrol kondisi kesehatannya (patuh minum obat). Kata Kunci: kepatuhan minum obat, locus of control, pasien hipertensi, self-motivation

University students’ sleep during the COVID-19 pandemic in the State of Hawaiʻi

Objectives: This study assessed undergraduates’ sleep in Hawaiʻi during the COVID-19 pandemic and whether demographic characteristics, health locus of control, substance use and campus features related to sleep outcomes. Implications are considered for programs to support students’ sleep and health during pandemic conditions. Participants: About 1,288 undergraduate students from six universities in Hawai’i. Methods: Surveys assessing sleep, emotional wellbeing, ethnicity, body mass index, locus of health control, and substance use. Results: Students’ reported increased sleep time but decreased sleep quality during the pandemic. Sleep disruption related to anxiety, depression, ethnicity, substance use, BMI, health locus of control, class rank, and whether students lived at home. All campuses were associated with disrupted sleep, regardless of size, location, religious affiliation, term structure, or method of instruction. Conclusions: In response to public health crises, such as the COVID-19 pandemic, all Hawaiʻi universities should screen students for sleep disruption, emotional adjustment, social isolation and substance misuse. Programs to promote sleep and behavioral health appear particularly warranted for graduating seniors, Pacific Islanders, students with high BMI, and students who commute to college.

Comparing Coping Strategies in People Between Inflammatory Bowel Disease and Healthy People in Terms of Health Locus of Control

Background: Inflammatory bowel disease (IBD) is a group of disorders that cause chronic inflammation (pain and swelling) in the intestines. IBD includes Crohn disease and ulcerative colitis. Both types affect the digestive system. This study aims to compare coping strategies in people with inflammatory bowel disease and healthy people, according to internal and external sources of health control. Methods: The present study method was causal-comparative. The study population included all patients with inflammatory bowel disease and healthy people referred to the Bowel Department of the Jam Hospital in Tehran City, Iran, from April to September 2020. The research sample included 200 subjects (87 healthy people and 113 people with inflammatory bowel disease) selected by purposeful sampling. The participants completed the multidimensional health locus of control and the Folkman and Lazarus coping strategies inventory. For the data analysis, statistical indices of mean, standard deviation, distribution indices, and univariate and multivariate analysis of variance were performed in SPSS software, version 24. Results: The findings showed that of 8 coping strategies, two problem-oriented coping strategies, namely positive reappraisal, and responsibility, were seen more in people with IBD, and no difference was seen in other coping strategies between patients and healthy groups (P&gt;0.05). About the variable of the source of health control, it was found that of 8 coping strategies, only the emotion-oriented coping strategy of avoidance was more common in people with an internal locus of control and in using other coping strategies between the two study groups with a source of control no difference was observed between internal and external control. Conclusion: In the present study, according to research, coping strategies are statistically similar in 4 groups of inflammatory bowel disease patients and healthy people.

Health Locus of Control and Health Anxiety in Patients with COVID-19

IntroductionPerceived sense of control over one’s health contributes to determining health-related behaviors and an individual’s health status. Therefore, it may enhance vulnerability to health anxiety in response to COVID-19 and influence implementation of preventive strategies and adherence to them. Health anxiety may serve as one of the factors that increase the perception of COVID-19 as dangerous and life-threatening. We hypothesized that external health locus of control may demonstrate a connection with higher levels of health anxiety, whereas internal health locus of control may be considered a protective factor alongside some personality traits due to its role in determination of coping strategies.ObjectivesTo assess health locus of control (HLC) in patients with COVID-19 and evaluate its connection with the levels of health anxiety.MethodsThe study has involved 62 participants, average age is 23,4±8,2, with 36 of them being diagnosed with COVID-19 one or more times, average age is 24,5±8,9, whereas 26 of them were healthy, average age is 21,8±7,1. The following methods were used: Brief Illness Perception Questionnaire (modified for COVID-19), Perceived Stress Scale, the state scale from the State-Trait Anxiety Inventory, Short Health Anxiety Inventory, Illness- and Treatment-Related Locus of Control Scale, HEXACO-24 Personality Inventory, Self-Government Test.ResultsCOVID-19 patients differed from healthy participants by the following parameters: perceived danger of COVID-19 (31,53±9,51 vs 33,92±11,5; p&gt;0,05); perceived stress (28±8,68 vs 26,5±7,3; p&gt;0,05); state anxiety level (23,3±11,1 vs 25,1±12,5; p&gt;0,05); health anxiety (14,3±6,76 vs 13,8±5,7; p&gt;0,05); internal HLC (18,8±3,24 vs 17,8±4,67; p&gt;0,05); external HLC (5,97±1,89 vs 5,81±1,92; p&gt;0,05); extraversion (11,8±3,36 vs 13,10±3,71; p&gt;0,05).Correlation analysis has revealed mild positive correlations between health anxiety level and both external HLC (0,32; p&lt;0,05) and chance HLC (0,25; p&lt;0,05), mild negative correlation between health anxiety and internal HLC (-0,18; p&gt;0,05). Analysis of COVID-19 related variables found that health anxiety levels were positively correlated with perceived danger of coronavirus disease (0,37; p&lt;0,01), perceived stress (0,59; p&lt;0,001) in the whole sample. Negative correlation was observed between extraversion and health anxiety (-0,49; p&lt;0,05) in the group of COVID-19 patients.ConclusionsThe results obtained in our study demonstrate the connection of the higher levels of health anxiety in COVID-19 patients with more external orientation of HLC. The connection between extraversion and health anxiety is also observed. Our study indicates that participants diagnosed with COVID-19 one or more times tend to have higher health anxiety levels in comparison to healthy participants.Disclosure of InterestNone Declared

Health behavior profiles: A person-centered approach to employee health

ABSTRACT Employee health and well-being scholars have investigated employee health behaviors such as diet, exercise, and sleep and how they may influence work outcomes. Such research has taken a variable-centered approach to investigate the health behaviors as co-existing variables in a model or as moderators of one another. However, a person-centered approach considers the variables collectively for individuals and provides important insight into the role of health behavior profiles. In this paper, we draw on the work-life literature and take a holistic, person-centered approach to investigating employee health behaviors. We conducted two studies, one with a U.S. sample and one with an international sample and analyzed the data using latent profile analysis. In both studies, four health profiles emerged. We further discovered that health locus of control is a predictor of profile membership, and that general health and work performance are outcomes. Overall, our findings contribute to a better, more holistic understanding of health behaviors.

Acceptance of Pregnancy-Induced Disease and Intrapersonal Resistance Resources of Pregnant Women—Preliminary Report

The health problems complicating pregnancy are a source of anxiety and concern about the developing fetus' health and life. The aim of the study was to assess the acceptance of illness and selected intrapersonal resistance resources for women whose pregnancies are complicated by gestational diabetes or pregnancy-induced hypertension and their determinants. The study was conducted from April 2019 to January 2021 in 688 pregnant women who were patients of the pregnancy pathology department and gynecology-obstetrics outpatient clinics in Lublin (Poland), using a diagnostic survey method with the use of the following research tools: Acceptance Illness Scale, Generalized Self-Efficacy Scale, Multidimensional Health Locus of Control Scale, and the standardized interview questionnaire. The study group included 337 women with gestational diabetes and pregnancy-induced hypertension. The control group included 351 women with an uncomplicated course of pregnancy. The level of acceptance of illness in pregnant women with pregnancy-induced diseases is on the border between medium and high acceptance (29.36 ± 7.82). The respondents in the control group had lower levels of self-efficacy (28.47 vs. 29.62) and health locus of control in the internal dimension (24.61 vs. 26.25) (p < 0.05). Respondents with pregnancy-induced diseases are characterized by the internal dimension of locus of health control.

The Association of Health Locus of Control with Clinical and Psychosocial Aspects of Living with Multiple Sclerosis.

Health Locus of control (LOC) refers to one's beliefs regarding control over one's health. This study aimed to determine the relationship between LOC on clinical and psychosocial aspects associated with multiple sclerosis (MS). 5059 participants with MS completed a questionnaire pack including the Multidimensional Health Locus of Control Scale. Associations between LOC and sociodemographic (age, gender, educational level) and clinical variables (duration, disability, depression, anxiety, self-efficacy, QoL) were explored. LOC was found to be significantly associated with all of the clinical variables and age, but not gender or educational level. When controlling for level of disability, Chance (CLOC) was associated with higher self-efficacy, lower anxiety and higher QoL than Powerful Others (PLOC), while Internal (ILOC) had no association. The proportion with ILOC preference was lower in increased disability. In MS, believing that health is controlled mainly by chance confers the most benefit with regard to quality of life. There is prima-facie evidence that LOC preference changes with MS progression, in a pattern that is protective against psychological distress.

Health locus of control, self-efficacy and dispositional optimism in patients with diabetes mellitus 2 - review of the literature

In the literature on prevention, health promotion and psychology, much attention is paid to the determinants of health, with particular emphasis on lifestyle and practiced health behaviors [1]. The individual choice of the type of behavior adopted depends on the patient's level of general knowledge, in particular knowledge of health care, as well as experience, motivation, recognized values ​​and set goals. An important element of considerations on this subject is to recognize the beliefs and motives of patients' actions in the area of ​​life that significantly affects health [2]. An important factor modifying activity in the process of maintaining biopsycho-social health or preventing complications of an existing chronic disease is the locus of health control and the sense of self-efficacy, as well as a sense of optimism in life. The paper analyzes selected psychological resources, health locus of control, self-efficacy and a sense of optimism in patients with type 2 diabetes, which are related to the process of coping with a chronic disease. A chronic disease confronts the patient with many tasks and challenges that change over time. They depend, among others on: type of disease, method of treatment, cognitive characteristics of the sick person, emotional and behavioral reaction as well as socio-cultural conditions in which the person functions. [3]

Health Locus of Control With Diet Compliance In Diabetes Mellitus Patients

Diabetes mellitus (DM) is a chronic disease caused by the pancreas not being able to produce insulin effectively which is characterized by hyperglycemia. Blood sugar control can be done by adhering to the DM diet. Factors that influence adherence to diet include health locus of control (HLOC). The purpose of this study was to determine the relationship between HLOC and adherence to a diet in DM sufferers in the working area of the Telaga Health Center. This type of research is quantitative using the Cross Sectional approach method. The study population consisted of 194 DM sufferers in the working area of the Telaga Health Center. The number of samples was 66. The sampling technique was Simple Random Sampling. The results showed that 27 respondents (41%) had high HLOC, 39 respondents (59%) had moderate HLOC, and found no low HLOC (0%). Respondents with adherence to a good diet were 15 respondents (22.7%), adherence to an adequate diet were 48 respondents (72.7%) and adherence to a bad diet were 3 respondents (4.6%). Using the Somers'D test, a p-value = (0.000) is obtained so that there is a relationship between HLOC and adherence to diet in DM sufferers in the working area of the Telaga Health Center

Hubungan Health Locus Of Control Dengan Self-Care Behavior Pasien Diabetes Mellitus Tipe 2

Background: Diabetes Mellitus is a chronic metabolic disease characterized by an increase in glucose levels in the blood, so it is required to carry out a series of DM management independently with the aim of avoiding the risk of complications and controlling glucose levels in the blood. Health locus of control is a belief in controlling the good and bad of a person's health behavior.The objective: This research is to determine the relationship between health locus of control and self-care behavior of Diabetes Mellitus type 2 patients in working area of Penimbung public health centerMethods: The method uses a cross-sectional study design. The sample consisted of 81 respondents with purposive sampling method. Results: The results of the spearman rank correlation test showed that there was a significant relationship with positive strength between HLoC and self-care behavior (ρ-value 0.005).Conclusion: There was a significant relationship between the health locus of control and the self-care behavior of patients with Diabetes Meilitus type 2.Keywords: DM type 2; Health Locus Of Control; self-care behavior