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      The Relationship between Health Locus of Control and Health Behaviors in Emergency Medicine Personnel

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          A BSTRACT

          Background:

          Health locus of control defined as individual beliefs based on past experiences in health issues and having external or internal control over them, could affect health. Health locus of control plays a role in health behaviors. We aimed to investigate the relationship between health locus of control and health behavior in emergency medical personnel in Ahvaz during 2016.

          Methods:

          This is a cross-sectional descriptive study, which began in August 2016 for a period of six months on 215 emergency medical personnel in Ahvaz who were selected randomly. The data were collected by a demographic questionnaire, Rotter’s locus of control questionnaire, and health behavior questionnaire and analyzed using SPSS software, version 22. The correlation between variables was estimated by Pearson’s correlation coefficient and independent t test. The level of significance for all statistical tests was set at 0.05.

          Results:

          We found no significant relationship between health locus of control (external and internal) and health behavior (P>0.05).Health behaviors were very good in terms of personal health (86.5%), nutrition (53%), and sleep and rest (48.4%), and poor in terms of physical activity (52.6%) and stress management (79.5%). Furthermore, 79.5% of the emergency personnel, in general, had poor heath behaviors.

          Conclusion:

          Leaders and officials in the field of health must necessarily design programs in relation to health locus of control and the factors developing and affecting it as well as the role of health locus of control in doing correct behaviors.

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          Most cited references35

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          Understanding differences in health behaviors by education.

          Using a variety of data sets from two countries, we examine possible explanations for the relationship between education and health behaviors, known as the education gradient. We show that income, health insurance, and family background can account for about 30 percent of the gradient. Knowledge and measures of cognitive ability explain an additional 30 percent. Social networks account for another 10 percent. Our proxies for discounting, risk aversion, or the value of future do not account for any of the education gradient, and neither do personality factors such as a sense of control of oneself or over one's life. Copyright 2009 Elsevier B.V. All rights reserved.
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            Hocus-pocus, the focus isn't strictly on locus: Rotter's social learning theory modified for health

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              Does cognitive training improve internal locus of control among older adults?

              We evaluated the effect of cognitive training among 1,534 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomized controlled trial (RCT) on 5-year improvements in 3 cognitive-specific measures of locus of control-internal, chance, and powerful others. ACTIVE was a multisite RCT (age > or = 65), with 4 groups (memory, reasoning, speed of processing, and no-contact control). Complete 5-year follow-up data were available for 1,534 (55%) of the 2,802 participants. A propensity score model was used to adjust for potential attrition bias. Clinically important improvements (and decrements) in the cognitive-specific locus of control scale scores were defined as greater than or equal to 0.5 SD (medium) and greater than or equal to 1.0 SD (large). Multinomial logistic regression was used to simultaneously contrast those who improved and those who declined with those whose locus of control scale score was unchanged. Statistically significant effects reflecting medium-sized (> or = 0.5 SD) improvements in internal locus of control between baseline and the 5-year follow-up were found for the reasoning and speed of processing intervention groups who were 76% (p < .01) and 68% (p < .05) more likely, respectively, to improve than the no-contact control group. No improvement effects were found on the chance or powerful others locus of control measures or for the memory intervention group. Cognitive training that targets reasoning and speed of processing can improve the cognitive-specific sense of personal control over one's life in older adults.
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                Author and article information

                Journal
                Int J Community Based Nurs Midwifery
                Int J Community Based Nurs Midwifery
                International Journal of Community Based Nursing and Midwifery
                Shiraz University of Medical Sciences (Iran )
                2322-2476
                2322-4835
                October 2017
                : 5
                : 4
                : 397-407
                Affiliations
                [1 ]Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;
                [2 ]Department of Biostatistics and Epidemiology, School of Health Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
                Author notes
                Corresponding author:Mehrnaz Moradikalboland, PhD candidate; Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, P. O. Box: 61357-15794, Ahvaz, Iran. Tel:+98 61 33738331; Fax:+98 61 33738331
                Article
                IJCBNM-5-4
                5635559
                29043285
                1b70139f-9bf5-4d02-9740-c2c6e44f0014
                Copyright: © Shiraz University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 2 May 2017
                : 10 May 2017
                : 22 February 2017
                Categories
                Original Article

                internal-external control, health behaviors, emergency medical technicians

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