By: Teamur Aghamolaei, Amin Ghanbarnejad

1. Title:RELATION BETWEEN HEALTH LOCUS OF CONTROL WITH HEALTH-PROMOTING BEHAVIORS of PEOPLE OVER 15 YEARS OLD By: Teamur Aghamolaei, Amin Ghanbarnejad Reserch Center for Social determinants of Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2. Introduction • Julian B Rotter in 1954. • locus of control refers to the extent to which individuals believe they can control events affecting them.

3. Introduction • Individuals with a strong internal locus of control believe events in their life derive primarily from their own actions. • People with a strong external locus of control tend to praise or blame external factors

4. Introduction • Wallston et al. (Health Locus of Control) • Internal • Powerful Other • Chance

5. Aim • To Study relation between Health Locus of Control (HLC) with Health Promoting Behaviors (HPB) of people over 15 years old in Bandar Abbas, Iran.

6. Methods • Population based study • Population study: people over 15 years old • Be able to answer the items • Cluster sampling

7. Methods • Sample Size: 753 • To omit cluster sampling effect: +10% • 38 cluster from different areas of the city • In each cluster 22 individual • Totally: 836

8. Data Collection • Wallston scales • Forms: A, B, C • In This Study: Form A • Form A: • Internal • Chance • Powerful Other

9. Data Collection • Form A including 18 items: Likert 1(strongly disagree) to 6 (Strongly Agree) • Internal: Six items, 6-36 • Chance: Six items, 6-36 • Powerful Other, Six Items, 6-36

10. Data Collection • Health Promoting Behaviors was assessed by Health Promoting Lifestyle Profile II • This scale has 52 items: Likert: 1-5 • Six subscales including: • Social Support • Spiritual Growth • Health Responsibility • Stress Management • Nutrition Behaviors • Physical Activity

11. Data Analysis • SPSS 19 Software • Repeated measure Design • T-test • Pearson Correlation • Multiple Regression

12. Results • From 836 subjects 687 answered all of items of scales (Response rate=82.8%) • The mean age of subjects was 34.3 years (SD=12.1) ranging from 15 to 82. • 49.8% male and 50.2% female

13. Table 1: Health Locus of Control in studied people

14. Table 2: Comparison of HLC between males and females

15. Table 3: Correlation Between HLC with age (Pearson Correlation) با بالا رفتن سن باور به کانون کنترل درونی و قدرت دیگران افزایش می یابد.

16. Table 4: Correlation between HPB with HLC *significant

17. Table 5: Prediction of HPB throw HLC

18. Table 6: Prediction of Social Support throw HLC

19. Table 7: Prediction of Nutritional behaviors throw HLC

20. Table 8: Prediction of Health Responsibility throw HLC

21. Table 9: Prediction of Physical Activity throw HLC

22. Table 10: Prediction of Stress Management throw HLC

23. Table 11: Prediction of Spiritual growth throw HLC

24. Discussion • As the result showed there was direct correlation between age with internal health locus of control and powerful other. • In Grotz et al. study in Germany there was direct correlation between age with powerful other and chance. • In Kuwahara et al. study in Japan there was direct correlation between age with all subscales of HLC.

25. Discussion • As the results showed Internal health locus of control and powerful other predict HPB. • Studies have shown that people with Internal health locus of control, more intend to take behaviors that can prevent disease and promote their health. • In Grotz et al. study, people with high scores in chance had less physical activity. • In Norman et al. study, people with high scores in internal health locus of control had more physical activity and better nutritional behaviors.

26. Conclusion • HLC of Studied people is more internal followed by powerful other and is less by chance. • Internal health locus of control and powerful other predict HPB. • To increase knowledge of people regarding determinants of health and empower of them in order to promote internal health locus of control and finally improve HPB is recommended.

27. Thanks for Your Attention