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The Influence of Health Locus of Control, Social Support, and Self-Efficacy on Health Promoting Behavior in Middle-Aged Adults

중년성인의 건강통제위, 사회적지지, 자기효능감이 건강증진행위에 미치는 영향

  • Received : 2017.01.10
  • Accepted : 2017.04.07
  • Published : 2017.04.30

Abstract

This study was conducted to investigate the relationship between the Health Locus of Control (HLC), social support (SS), self-efficacy (SE) and Health Promoting Behavior (HPB) in middle-aged adults and the factors influencing their HPB. Data were collected from 137 middle-aged adults in the cities of Chungbuk and Chungnam for 2 months from July to August 2016 using structured questionnaires. The data collected were analyzed by descriptive statistics, the t-test, ANOVA, Pearson correlations, and multiple regression analysis. The results showed that the HPB varied significantly according to the subjective health (F=10.14, p<.001) and economic level (F=3.32, p= .039) among the general characteristics. In the relationship between the major variables, the HPB showed a significant positive correlation with the SE (r=.44, p<.001) and SS (r=.45, p<.001). A multiple regression analysis was conducted to examine the effects of the general characteristics, HLC, SE, and SS on the HPB, and the results showed that the factors influencing the HPB were the subjective health status (${\beta}=.24$, p=.002), SE (${\beta}=.29$, p<.001), and SS (${\beta}=.30$, p<.001), and these factors showed a combined explanatory power of 36.4%. The results of this study suggest that the SE and SS are important factors affecting the HPB. Therefore, it is necessary to develop and apply a health promotion program reflecting the SE and SS, in order to (promote) the (HPB) of middle-aged adults.

본 연구는 중년 성인의 건강통제위, 사회적 지지, 자기효능감과 건강증진행위 간의 관계와 건강증진행위 영향 요인을 파악하기 위해 시도되었다. 자료수집은 충북과 충남지역의 2개 도시의 중년 성인 137명을 대상으로 구조화된 설문지를 이용하여 2016년 7월부터 8월까지 2개월간 시행되었다. 수집한 자료는 기술통계와 t-test, ANOVA, Pearson correlations, 위계적 회귀분석으로 분석하였다. 연구결과 건강증진행위는 일반적 특성 중 주관적 건강(F=10.14, p<.001)과 경제 수준(F=3.32, p=.039)에 따라 유의한 차이를 나타냈다. 주요 변수 간의 관계에서 건강증진행위는 자기효능감 (r=.44, p<.001) 및 사회적 지지 (r=.45, p<.001)와 유의한 정적 상관관계를 나타내었다. 일반적 특성, 건강통제위, 자기효능감, 사회적 지지가 건강증진행위에 미치는 영향을 파악하기 위해 다중 회귀분석을 실시한 결과 주관적 건강상태 (${\beta}=.24$, p=.002), 자기효능감 (${\beta}=.29$, p<.001), 사회적 지지 (${\beta}=.30$, p<.001)가 주요 영향요인이었으며, 이 모델은 36.4%의 설명력을 나타내었다. 연구결과 자기효능감과 사회적 지지가 건강증진행위의 유의한 영향요인으로 나타났으므로 중년 성인의 건강행위 증진을 위해서는 자기효능감과 사회적 지지를 반영한 건강증진프로그램의 개발과 적용이 필요하다.

Keywords

References

  1. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription, 6th ed, pp. 2-16, Lippincott Williams & Wilkins, 2000.
  2. K. H. Lee, C. J. Chang, J. H. Yoo, "A study on the relationship among climacteric symptoms, knowledge of menopause and health promoting behavior in middle aged women", Korean Journal of Women's Health Nursing, vol. 9, no. 4, pp. 400-409, 2003.
  3. Y. H. Kang, "Health promoting lifestyle, self efficacy, and life satisfaction of middle aged women", Journal of the Korean Data Analysis Society, vol. 2, no. B, pp. 937-948, 2013.
  4. S. Bergvik, T. So̸rlie, R. Wynn. "Coronary patients who returned to work had stronger internal locus of control beliefs than those who did not return to work", British Journal of Health Psychology, vol. 17, no. 3, pp. 596-608, 2011. DOI: https://doi.org/10.1111/j.2044-8287.2011.02058.x
  5. S, Y, Hwang, Y. R. Kweon, A. L. Kim, "Perceptions of barriers to cardiovascular risk factors and decision to seek treatment among middle-aged men with acute myocardial infarction", The Korean Journal of Adult Nursing. vol. 22, no. 5, pp. 537-51, 2010.
  6. M. Staniute, J. Brozaitiene, R. Bunevicius, "Effects of social support and stressful life events on health- related quality of life in coronary artery disease patients", The Journal of Cardiovascular Nursing, vol. 28, no. 1, pp. 83-89, 2013. DOI: https://doi.org/10.1097/JCN.0b013e318233e69d
  7. M. Grotz, U. Hapke, T. Lampert, H. Baumeister, "Health locus of control and health behaviour: results from a nationally representative survey", Psychology, Health & Medicine, vol. 16, no. 2, pp. 129-140, 2011. DOI: https://doi.org/10.1080/13548506.2010.521570
  8. K. A. Wallston, B. S Wallston, R. Devellis, " Development of the multidimensional health locus of control (MHLC) scales", Health Education & Behaviour, vol. 6, no. 1, pp. 160-170, 1978. DOI: https://doi.org/10.1177/109019817800600107
  9. M. H Chung, T. Y. Chao, K. R. Chou, H. L. Lee, "Health-promoting lifestyle factors of cancer survivors in Taiwan", Cancer Nursing, vol. 32, no. 3, pp. 8-14, 2009. DOI: https://doi.org/10.1097/NCC.0b013e318199002b
  10. B. Y. Park, "Factors influencing the health promotion behaviors among middle-aged women", Unpublished master's thesis, Ewha Womans University, Seoul. 2008.
  11. J. H. Kim, S. N. Jang, H. J. Ji, G. J. Jung, Y. J. Seo, J.H. Kim, & Y. S. Choi, " The effect of parental support on the transition to college life and career identity of nursing undergraduate college students", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 9, pp. 6027-6035, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.9.6027
  12. J. E. Oh, H. S, Park, D. H. Kim, "The relationships among hostility, perceived social support and health behavior compliance of patients with coronary artery disease", The Korean Journal of Fundamentals of Nursing, vol. 17, no. 1, pp. 99-108. 2010.
  13. W. Wang, Y. Lau , A. Chow, "Thompson DR, He HG. Health- related quality of life and social support among Chinese patients with coronary heart disease in mainland China", European Journal of Cardiovascular Nursing, vol. 13, no. 1, pp. 48-54, 2014. DOI: https://doi.org/10.1177/1474515113476995
  14. A. Bandura, Social foundations of thought and action, Englewood Cliffis, NJ, Prectice-Hall, 1987.
  15. Y. H. Choi, C. S. Jung, "Relationship between Self-leadership, Self-efficacy and Empowerment in Nursing students", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, No. 7, pp. 4604-4613, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.7.4604
  16. J. H. Park, Y. Eun, K. S. Baek, S. S. Lee, S. C. Shin, "Determinations of factors influencing health promotion behaviors of middle aged rural women", Korean Public Health Research, vol. 33, no. 2, pp. 175-187, 2007.
  17. N. Lin, W. M. Ensel, R. S. Simeone, & W. Kuo, "Social support 63 stressful life events, and illness a model and an empirical test" Journal of Health and Social Behavior, Vol20, pp. 108-119, 1979. DOI: https://doi.org/10.2307/2136433
  18. The Enriched Investigators. "Enhancing recovery in coronary heart disease patients (ENRICHD): study design and methods", American Heart Journal, vol. 139, no. 1, pp. 1-9, 2000. DOI: https://doi.org/10.1067/mhj.2000.101778
  19. A. Bandura, "Health promotion by social cognitive means", Health Education & Behavior, vol. 31. no. 2, pp. 143-164, 2004. DOI: http://dx.doi.org/10.1177/1090198104263660
  20. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs, R. W. Rogers, "The self efficacy scale", construction & validation. Psychology Republic, 51, pp. 663-671, 1982. DOI: https://doi.org/10.2466/pr0.1982.51.2.663
  21. B. J. Oh, "Model for health promoting behaviors and quality of life in people with stomach cancer", Unpublished doctoral dissertation, Seoul: Seoul National Univ. 1994.
  22. S. N. Walker, K. R. Sechrist, N. J. Pender. "The health-promoting lifestyle profile: development and psychometric characteristics", Nursing Research, vol. 36, no. 2, pp. 76-81, 1987. DOI: https://doi.org/10.1097/00006199-198703000-00002
  23. Y. O. Suh, A structural model for health promoting lifestyle in middle-aged women. Unpublished doctoral dissertation, Kyung Hee University, Seoul. 1995.
  24. H. K. Lee, E. H. Shin. "The Effect of Work-Family Conflict, Fatigue and Perceived Health on the Health Promoting Behavior of Married Working Women a Rural Population." The Korean journal of stress research, vol. 24, no. 3, pp. 167-176, 2016. DOI: http://dx.doi.org/10.17547/kjsr.2016.24.3.167
  25. K. J. Lee, C. J. Chang, J. H. Yoo, Y. J. Yi. "Factors Effecting Health Promoting Behaviors in Middle-Aged Women." Journal of Korean Academy of Nursing, vol. 35, no. 3, pp. 494-502, June, 2005. https://doi.org/10.4040/jkan.2005.35.3.494
  26. Y. S. Kang, M. J. Chung, Y. S. Park, Y. S. Lee, H. S. Kim, D. M. Lee, D. W. Lee. "An Analysis of Articles for Health Promotion Behaviors of Korean Middle-Aged." Journal of Korean Academic Community Health Nursing, vol. 20, no. 1, pp. 75-86, Mar. 2009.
  27. H. J. Oh, D. H. Kim. "Research on The Influential Factors in Senior Citizens", Health Promotion Behaviors, vol. 32, pp. 173-197, Dec. 2012.
  28. H. K. Lee, S. H. Cho, J. H. Kim, Y. K. Kim, H. I. Choo, "Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community", Journal of Korean Academy of Nursing, vol. 44, no. 6, pp. 608-616, 2014. DOI: https://doi.org/10.4040/jkan.2014.44.6.608
  29. K. Glanz, B. K. Rimer, K. Viswanath, "Health behavior and health education: Theory, research, and practice. 4th ed." San Francisco, CA: Jossey-Bass; 2008.
  30. M. O. Kim, K. S. Kim, "Effects of Marital Intimacy, Self-efficacy, and Psychological Sense of Crisis on the Depression of Middle-Aged Men", Journal of the Korean society for Wellness, vol. 11, no. 1, pp. 165-174, Feb. 2016. https://doi.org/10.21097/ksw.2016.02.11.1.165
  31. Y. H. Kang, "Effects of Family Support and Social Support on Life Satisfaction of Middle-Aged Men", Journal of the korea contents association, vol. 16, no. 2 pp. 344-353, Feb. 2016. DOI: http://dx.doi.org/10.5392/JKCA.2016.16.02.344
  32. H. J. Choi, Y. J. Hak, "The Effect of Depression and Self-efficacy on Health Promotion Behavior among the Elderly Living Alone in Rural Area", Journal of East-West Nursing Research, vol. 17, no. 2, pp. 149-155, 2011.
  33. E. K. Oh, J. Y. Yu, J. E.. Lee, I. S. Ko, S. H. Chou, "Bone Health Knowledge, Self-Efficacy, and Behaviors inMiddle-Aged Korean Women Korean", Journal of Health Promotion, vol. 12, no. 2, pp. 90-99, 2012.
  34. H. M. Seo, Y. S. Hah, "A study of factors influencing on health promoting lifestyle in the elderly: application of pender's health promotion model", Journal of Korean Academy of Nursing, vol. 34, pp. 1288-1297, 2004. https://doi.org/10.4040/jkan.2004.34.7.1288
  35. J. H. Kim, K. S. Park. "Influence on Health Promotion Behavior among Government-funded Research Institute's Employee according to Perceptive Health Status and Social Support", Korean Journal of Occupational Health Nursing, vol. 24, no. 4, pp. 270-280, 2015. DOI: https://doi.org/10.5807/kjohn.2015.24.4.270
  36. Y. M. Ha, Y. K. Choi. "Relationships among Self Efficacy, Social Support, and Health Promoting Behaviors in Correctional Officers Korean", Journal of occupational health nursing, vol. 23, no. 3, pp. 163-170, 2014. https://doi.org/10.5807/kjohn.2014.23.3.163
  37. K. E. Burke, R. Schnittger, B. O'Dea, V. Buckley, J. P. Wherton, B. A. Lawlor, "Factors associated with perceived health in older adult Irish population", Aging Ment Health, vol. 16, no. 3, pp. 288-95, Nov. 2011. DOI: https://doi.org/10.1080/13607863.2011.628976
  38. E. K. Kim, B. G. Kim, J. T. Park, H. R. Kim, J. W. Koo, "Factors Affecting the Health Promotion Activities of Workers", Annals of Occupational and Environmental Medicine, vol. 19, no. 1, pp. 56-64, 2007.
  39. C. H. Choi, Influence on the promotion behavior of health by the attitude toward health and the control behavior of health in adult people, Unpublished doctoral dissertation, Kwangju: Chosun Univ. 2005.
  40. Y. H. Choi. "The Sense of Mastery and Health-Promoting Behaviors in the Vulnerable Female Elderly of Urban Areas", Journal of Korean Academic Community Health Nursing, vol. 20, no. 3, pp. 335-342, Sep. 2009.
  41. S. H. Kim, K. R. Bae, "The effects of health control behavior of middle-aged people on the health promotion behavior", Journal of the Korean Academy of Health and Welfare for Elderly, vol. 5, no. 1, pp. 61-82, 2013.
  42. E. Y. Hong, "The Mediating Effect of Self-efficacy in the Relationship between Diabetes Knowledge and Health Promoting Behaviors: Focus on Gender Differentiation", The Journal of Korean Academic Society of Nursing Education, vol. 21, no. 4, pp. 508-516, Nov. 2016.
  43. J. K. Ko, "Analysis of Factors Affecting the Health Behavior of Taxi-drivers", Journal of East-West Nursing Research, vol. 15, no. 2, pp. 71-81, 2009.