Cultural variation in health locus of control

Wrightson, Keith; Wardle, Jane

doi:10.1080/13557858.1997.9961811

Cited by 49 publications

(37 citation statements)

References 14 publications

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“…This does not conflict with previous studies, including that of Wrightson and Wardle (1997), which showed that Asian women had higher "external" belief than Caucasian women. In their study, South Asian women scored higher on PHLC and CHLC than European or Afro-Caribbean women, perhaps reflecting cultural influences.…”

Section: Cross-validity Of the Mhlc Scalecontrasting

confidence: 55%

Reliability and Validity of the Multidimensional Health Locus of Control Scale in Japan: Relationship with Demographic Factors and Health-Related Behavior

Kuwahara

Nishino

Ohkubo

et al. 2004

Tohoku J. Exp. Med.

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We assessed the reliability and validity of the Multidimensional Health Locus of Control Scale (MHLC scale) in a rural Japanese community. The study subjects were 2388 men and 2454 women aged 40-79 years, who completed a questionnaire regarding socio-demographics, healthrelated behavior, such as smoking and drinking, and the MHLC. The Cronbach α of the MHLC scale, which is an indicator of the internal consistency of the scale, was within the range 0.62-0.76. Elderly subjects, women, and subjects with fewer years of education showed more "external" belief, which is generally consistent with previous reports from overseas. Subjects with adverse health behavior, such as smoking and excess drinking, also had more "external" belief. These results indicate that the MHLC scale has sufficient reliability and validity among the Japanese population. Use of the MHLC scale should help to provide a better understanding of health belief among Japanese, and development of health education programs to prevent lifestylerelated disease.health locus of control; health behavior; validity; reliability

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Section: Cross-validity Of the Mhlc Scalecontrasting

confidence: 55%

Reliability and Validity of the Multidimensional Health Locus of Control Scale in Japan: Relationship with Demographic Factors and Health-Related Behavior

Kuwahara

Nishino

Ohkubo

et al. 2004

Tohoku J. Exp. Med.

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show abstract

“…A study about cultural variation in HLC among Caucasian, Asian and AfroCaribbean women found that Asian women had higher scores on chance and powerful others HLC than other groups. Moreover among Asian women, being highly religious seemed to explain some of their higher scores (Wrightson and Wardle, 1997). Indonesian people are known to be highly influenced by their religion in relation to their health and illness behavior (Rahmah et al, 2008;Yuniarti et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Health Locus of Control in Indonesian Women with Breast Cancer: a Comparison with Healthy Women

Iskandarsyah

Klerk²,

Suardi³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Asian Pac J Cancer Prev, 15 (21), 9191-9197 IntroductionBreast cancer is a serious health condition among women worldwide. In 2008, approximately 1.38 million new cases were diagnosed and approximately 458,000 deaths were recorded both in developed and developing countries (Ferlay et al., 2010). Receiving a breast cancer diagnosis is a life threatening negative event and potentially causes considerable psychological problems. Affected women are faced with multiple stressors throughout their illness trajectory, such as having a biopsy, awaiting diagnosis, having surgery, experiencing treatment side effects, anticipating the possibility of cancer metastasizing, coping with financial, family and social problems and facing the risk of recurrence and/or death. A previous comparative study found that women with breast cancer experienced more psychological problems than healthy women (Pan et al., 2013). The most prevalent psychological problems among women with breast cancer are anxiety and depression, with reported prevalences of 21.1% to 53% (Montazeri et al., 2001;Zabora et al., 2001;Osborne et al., 2003;So et al., 2010 AbstractThe aims of this study were to assess whether Indonesian women with breast cancer havea higher external health locus of control (HLC) than healthy women, and to explore the association between HLC and symptoms of anxiety and depression. In this study, 120 consecutive women with breast cancer were recruited at the outpatient surgical oncology clinic at the Hasan Sadikin Hospital in Bandung. One hundred and twenty two healthy women were recruited from the Bandung area as controls. A standard demographic form, Form C of the Multidimensional Health Locus of Control, as well as the Hospital Anxiety and Depression Scale and patients' medical records were used. Data were analyzed using descriptive statistics, t-test, Pearson's correlation, MANOVA and multiple linear regressions. Women with breast cancer had higher scores on all external HLC subscales, i.e. chance, doctor, powerful others and God, and lower internal HLC compared to healthy women. High God LHC scores were associated with a high level of anxiety (β=0.21, p<0.05), whereas none of the HLC subscales were associated with depression. Our results suggest that women with breast cancer tend to have high external HLC, while healthy women tend to have high internal HLC. A strong belief in an external source of control, i.e. God, might be negatively associated with patient emotional adjustment. Further research is needed to give an insight into the direction of this association.

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“…In Western countries, our job performance and level of education are a large part of our identity, which may partially explain why infertility becomes a large part of individuals' identity. Western cultures value a belief in internal health locus of control, where individuals control their lives, rather than fate or chance (Wrightson & Wardle, 1997). Using a culturecentered approach to explore the meaning of fertility and infertility in other countries (Basnyat & Dutta, 2012), it would be interesting to see which metaphors for wellbeing (i.e., competence, autonomy, and relatedness) are most salient among infertile individuals across cultures.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Dancing Around Infertility: The Use of Metaphors in a Complex Medical Situation

Palmer-Wackerly

Krieger

2014

Health Communication

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Cultural variation in health locus of control

Abstract: South Asians may differ from British caucasians in relation to their beliefs about internal and external influences on health.

Cited by 49 publications

References 14 publications

Reliability and Validity of the Multidimensional Health Locus of Control Scale in Japan: Relationship with Demographic Factors and Health-Related Behavior

Reliability and Validity of the Multidimensional Health Locus of Control Scale in Japan: Relationship with Demographic Factors and Health-Related Behavior

Health Locus of Control in Indonesian Women with Breast Cancer: a Comparison with Healthy Women

Dancing Around Infertility: The Use of Metaphors in a Complex Medical Situation

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