Health Locus of Control among Students of Isfahan University of Medical Sciences (2018)

Document Type : Original Research

Authors
1 Health Education & Promotion Department, Health Faculty, Isfahan University of Medical Sciences, Isfahan, Iran
2 “Student Research Committee” and “Health Education & Promotion Department, Health Faculty”, Isfahan University of Medical Sciences, Isfahan, Iran
3 “Dental Materials Research Center” and “Operative Dentistry Department, Dentistry Faculty”, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Aims: Locus of control (LOC) refers to the extent to which individuals believe that they can control events that affect them. Health Locus of Control (HLOC) refers to beliefs that related to how one’s health is affected by oneself, others, or fate; and also it is one of the most broadly measured factors of health beliefs for the scheduling of health education programs. The aim of this study was to assess HLOC among Students at Isfahan University of Medical Sciences.

Materials and Methods: This cross‑sectional study was conducted in 297 students in Isfahan University of Medical Sciences in Iran selected by simple random sampling method in 2018. Data collection was done by the demographic questionnaire and Form “B” of Multidimensional Health Locus of Control (MHLC) scale. Statistical analysis includes (ANOVA, t-test, Pearson test) was performed using SPSS version 20 and p<0.05 was considered statistically significant.

Findings: The mean±SD of three dimensions of HLOC were 26.41±3.98, 16.64±4.36 and 21.67±4.37 for internal, chance and powerful others respectively. There was a significant relationship between internal and powerful others locus of control dimensions with sex (p=0.035, p=0.041). Further, there was not a significant relationship between HLOC dimensions with students’ age, major, parent’s education and occupation.

Conclusion: Since the most scores were relating to an internal locus of control dimension and fewer scores were relating to the chance locus of control dimension, it can be concluded that personal behavioral factors have more influence on students' health and their beliefs about chance, luck or fate has less influence on their health.

Keywords

Subjects


  1. 1. Amidi Mazaheri M, Hosseini M. Locus Of Control And General Self-Efficacy In Students Of Isfahan University Of Medical Sciences. Armaghane danesh. 2013;18(2):115-25. [persian].
    2. Norman P. Health locus of control and health behaviour: An investigation into the role of health value and behaviour-specific efficacy beliefs. Personality and Individual Differences. 1995;18(2):213-8. doi: https://doi.org/10.1016/0191-8869(94)00140-N.
    3. Moshki M, Ghofranipour F. Iranian version of Form B of the Multidimensional Health Locus of Control Scales among the youth. Journal of clinical nursing. 2011;20(11‐12):1561-7. doi: 10.1111/j.1365-2702.2010.03479.x.
    4. Grantz M. Do you have the power to succeed? Locus of control and its impact on education: Retrieved; 2006 [updated March 11, 2014 ]. Available from: https://www.units.miamioh.edu/psybersite/control/education.shtml.
    5. Kuwahara A, Nishino Y, Ohkubo T, Tsuji I, Hisamichi S, Hosokawa T. Reliability and validity of the Multidimensional Health Locus of Control Scale in Japan: relationship with demographic factors and health-related behavior. Tohoku J Exp Med. 2004;203(1):37-45. Epub 2004/06/10. PubMed PMID: 15185970; PubMed Central PMCID: PMC15185970.
    6. Luszczynska A, Schwarzer R. Multidimensional health locus of control: comments on the construct and its measurement. J Health Psychol. 2005;10(5):633-42. Epub 2005/07/22. doi: 10.1177/1359105305055307. PubMed PMID: 16033785.
    7. Wallston KA, Wallston BS, DeVellis R. Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Educ Monogr. 1978;6(2):160-70. Epub 1978/01/01. PubMed PMID: 689890.
    8. Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychological monographs: General and applied. 1966;80(1):1. doi: http://dx.doi.org/10.1037/h0092976.
    9. Kee Tony TS. Locus of control, attributional style and discipline problems in secondary schools. Early Child Development and Care. 2003;173(5):455-66. doi: 10.1080/0300443032000088203.
    10. Gomez R. Locus of control and avoidant coping: direct, interactional and mediational effects on maladjustment in adolescents. Personality and Individual Differences. 1998;24(3):325-34. doi: https://doi.org/10.1016/S0191-8869(97)00161-X.
    11. Owrangi A, yousliani G, Zarnaghash M. The relationship between the desired disciplinary behavior and family functioning locus of control and self esteem among high school students in cities of tehran province. Procedia - Social and Behavioral Sciences. 2011;30:2438-48. doi: https://doi.org/10.1016/j.sbspro.2011.10.476.
    12. Janowski K, Kurpas D, Kusz J, Mroczek B, Jedynak T. Health-related behavior, profile of health locus of control and acceptance of illness in patients suffering from chronic somatic diseases. PloS one. 2013;8(5):e63920. doi: https://doi.org/10.1371/journal.pone.0063920.
    13. Roddenberry A, Renk K. Locus of control and self-efficacy: potential mediators of stress, illness, and utilization of health services in college students. Child Psychiatry & Human Development. 2010;41(4):353-70. doi: https://doi.org/10.1007/s10578-010-0173-6.
    14. Bagherian R, Ahmadzadeh G, Baghbanian A. Relationship between Dimensions of Locus of Control and Mental Health in Iranian University Students. IJPBS. 2009;3(1):33-7.
    15. Cheng C, Cheung MW, Lo BC. Relationship of health locus of control with specific health behaviours and global health appraisal: a meta-analysis and effects of moderators. Health psychology review. 2016;10(4):460-77. Epub 2016/10/30. doi: 10.1080/17437199.2016.1219672. PubMed PMID: 27556686; PubMed Central PMCID: PMCPMC5214986.
    16. Moshki M, Ghofranipour F, Azadfallah P, Hajizadeh E. Validity and Reliability of the Multidimensional Health Locus of Control (Form B) Scale in Iranian Medical Students. Quarterly of Horizon of Medical Sciences. 2006;12(1):33-42.[persian].
    17. Moshki M, Ashtarian H. Perceived health locus of control, self-esteem, and its relations to psychological well-being status in Iranian students. Iranian journal of public health. 2010;39(4):70-7. Epub 2010/01/01. PubMed PMID: 23113040; PubMed Central PMCID: PMCPMC3481683.
    18. Moshki M, NOORI SM, Peyman N. Association of health locus control theory and self-esteem with physical activity in university students. J Sabzevar Univ Med Sci. 2009;16:142-9. [persian].
    19. Aflakseir AA, Mohammad-Abadi MS. The Role of Health Locus of Control in Predicting Depression Symptoms in a Sample of Iranian Older Adults with Chronic Diseases. Iranian journal of psychiatry. 2016;11(2):82-6. Epub 2016/07/21. PubMed PMID: 27437004; PubMed Central PMCID: PMCPMC4947224.
    20. Aghamolaei T, Tavafian S, Ghanbarnejad A. Health locus of control and its relation with health-promoting behaviors among people over 15 in Bandar Abbas, Iran. J Health Adm (JHA). 2014;17(55):7-16. [persian].
    21. Grotz M, Hapke U, Lampert T, Baumeister H. Health locus of control and health behaviour: results from a nationally representative survey. Psychology, health & medicine. 2011;16(2):129-40. Epub 2011/02/18. doi: 10.1080/13548506.2010.521570. PubMed PMID: 21328142.
    22. Ganjoo M, Kamal F, Hashemi S, Nasiri M. Assessment of Health Locus of Control among Students of Bushehr University of Medical Sciences: A Short Report. J Rafsanjan Univ Med Sci. 2014;12(12):1033-42. [persian].
    23. Mirzaei Alavijeh M, Rajaei N, Rezaei F, Hasanpoor S, Pirouzeh R, Babaei Borzabadi M. Comparison of self-esteem, locus of control and their relationship with university students’ educational status at Shahid Sadoughi University of Medical Sciences-Yazd. J Med Educ(jmed). 2012;7(1):58-70. [persian].
    24. Strickland BR. Internal-external expectancies and health-related behaviors. Journal of consulting and clinical psychology. 1978;46(6):1192-211. Epub 1978/12/01. PubMed PMID: 153349.
    25. Cohen M, Azaiza F. Health-promoting behaviors and health locus of control from a multicultural perspective. Ethnicity & disease. 2007;17(4):636-42. Epub 2007/12/13. PubMed PMID: 18072372.
    26. Serin NB, Serin O, Şahin FS. Factors affecting the locus of control of the university students. Procedia - Social and Behavioral Sciences. 2010;2(2):449-52. doi: https://doi.org/10.1016/j.sbspro.2010.03.041.
  2. Amidi Mazaheri M, Hosseini M. Locus Of Control And General Self-Efficacy In Students Of Isfahan University Of Medical Sciences. Armaghane Danesh. 2013;18(2):115-25. [Persian] [Link]
  3. Norman P. Health locus of control and health behaviour: An investigation into the role of health value and behaviour-specific efficacy beliefs. Personal Individ Differ. 1995;18(2):213-8. [Link] [DOI:10.1016/0191-8869(94)00140-N]
  4. Moshki M, Ghofranipour F. Iranian version of form b of the multidimensional health locus of control scales among the youth. J Clin Nurs. 2011;20(11‐12):1561-7. [Link] [DOI:10.1111/j.1365-2702.2010.03479.x]
  5. Grantz M. Do you have the power to succeed? Locus of control and its impact on education [Internet]. Miami: Miami university; 1999 [cited 2018 Nov 13]. Available from: https://www.units.miamioh.edu/psybersite/control/education.shtml [Link]
  6. Kuwahara A, Nishino Y, Ohkubo T, Tsuji I, Hisamichi S, Hosokawa T. Reliability and validity of the multidimensional health locus of control scale in Japan: Relationship with demographic factors and health-related behavior. Tohoku J Exp Med. 2004;203(1):37-45. [Link] [DOI:10.1620/tjem.203.37]
  7. Luszczynska A, Schwarzer R. Multidimensional health locus of control: comments on the construct and its measurement. J Health Psychol. 2005;10(5):633-42. [Link] [DOI:10.1177/1359105305055307]
  8. Wallston KA, Wallston BS, DeVellis R. Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Educ Monogr. 1978;6(2):160-70. [Link] [DOI:10.1177/109019817800600107]
  9. Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychological monographs: Gen Appl. 1966;80(1):1-28. [Link] [DOI:10.1037/h0092976]
  10. Kee Tony TS. Locus of control, attributional style and discipline problems in secondary schools. Early Child Dev Care. 2003;173(5):455-66. [Link] [DOI:10.1080/0300443032000088203]
  11. Gomez R. Locus of control and avoidant coping: direct, interactional and mediational effects on maladjustment in adolescents. Personal Individ Differ. 1998;24(3):325-34. [Link] [DOI:10.1016/S0191-8869(97)00161-X]
  12. Owrangi A, Yousliani G, Zarnaghash M. The relationship between the desired disciplinary behavior and family functioning locus of control and self esteem among high school students in cities of tehran province. Procedia Soc Behav Sci. 2011;30:2438-48. [Link] [DOI:10.1016/j.sbspro.2011.10.476]
  13. Janowski K, Kurpas D, Kusz J, Mroczek B, Jedynak T. Health-related behavior, profile of health locus of control and acceptance of illness in patients suffering from chronic somatic diseases. PloS One. 2013;8(5):e63920. [Link] [DOI:10.1371/journal.pone.0063920]
  14. Roddenberry A, Renk K. Locus of control and self-efficacy: potential mediators of stress, illness, and utilization of health services in college students. Child Psychiatry Hum Dev. 2010;41(4):353-70. [Link] [DOI:10.1007/s10578-010-0173-6]
  15. Bagherian R, Ahmadzadeh G, Baghbanian A. Relationship between Dimensions of locus of control and mental health in Iranian university students. Iran J Psychiatry Behav Sci. 2009;3(1):33-7. [Link]
  16. Cheng C, Cheung MW, Lo BC. Relationship of health locus of control with specific health behaviours and global health appraisal: a meta-analysis and effects of moderators. Health Psychol Rev. 2016;10(4):460-77. [Link] [DOI:10.1080/17437199.2016.1219672]
  17. Moshki M, Ghofranipour F, Azadfallah P, Hajizadeh E. Validity and Reliability of the Multidimensional Health Locus of Control (Form B) Scale in Iranian Medical Students. Ofogh-E-Danesh. 2006;12(1):33-42. [Persian] [Link] [DOI:10.1186/1471-2458-7-295]
  18. Moshki M, Ashtarian H. Perceived health locus of control, self-esteem, and its relations to psychological well-being status in Iranian students. Iran J public health. 2010;39(4):70-7. [Link]
  19. Noori Sistani M, Moshki M, Nooshin P. Association of health locus control theory and self-esteem with physical activity in university students. J Sabzevar Univ Med Sci. 2009;16(3):142-9. [Persian]. [Link]
  20. Aflakseir AA, Mohammad-Abadi MS. The Role of Health Locus of Control in Predicting Depression Symptoms in a Sample of Iranian Older Adults with Chronic Diseases. Iran J Psychiatry. 2016;11(2):82-6. [Link] [DOI:10.21859/jgn.2.4.35]
  21. Aghamolaei T, Tavafian S, Ghanbarnejad A. Health locus of control and its relation with health-promoting behaviors among people over 15 in Bandar Abbas, Iran. J Health Adm. 2014;17(55):7-16. [Persian] [Link]
  22. Grotz M, Hapke U, Lampert T, Baumeister H. Health locus of control and health behaviour: results from a nationally representative survey. Psychol Health Med. 2011;16(2):129-40. [Link] [DOI:10.1080/13548506.2010.521570]
  23. Ganjoo M, Kamal F, Hashemi SM, Nasiri M. Assessment of Health Locus of Control among Students of Bushehr University of Medical Sciences: A Short Report. J Rafsanjan Univ Med Sci. 2014;12(12):1033-42. [Persian] [Link]
  24. Mirzaei Alavijeh M, Rajaei N, Rezaei F, Hasanpoor S, Pirouzeh R, Babaei Borzabadi M. Comparison of self-esteem, locus of control and their relationship with university students' educational status at Shahid Sadoughi University of Medical Sciences-Yazd. J Med Educ Dev. 2012;7(1):58-70. [Persian] [Link]
  25. Strickland BR. Internal-external expectancies and health-related behaviors. J Consul Clin Psychol. 1978;46(6):1192-211. [Link] [DOI:10.1037/0022-006X.46.6.1192]
  26. Cohen M, Azaiza F. Health-promoting behaviors and health locus of control from a multicultural perspective. Ethn Dis. 2007;17(4):636-42. [Link]
  27. Serin NB, Serin O, Şahin FS. Factors affecting the locus of control of the university students. Procedia Soc Behav Sci. 2010;2(2):449-52. [Link] [DOI:10.1016/j.sbspro.2010.03.041]