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http://dx.doi.org/10.5932/JKPHN.2021.35.2.268

Factors influencing health behavior of residents in Lao People's Democratic Republic: Focusing on mediating effect of health locus of control  

Lee, Mee Sun (College of Nursing, Ewha Womans University)
Lee, Gun Jeong (College of Nursing, Ewha Womans University)
Publication Information
Journal of Korean Public Health Nursing / v.35, no.2, 2021 , pp. 268-282 More about this Journal
Abstract
Purpose: This study sought to investigate health behavior (HB) and its affecting factors based on Anderson's behavioral model in Lao People's Democratic Republic (PDR). Also, it attempted to identify the mediation of the health locus of control (HLC) between HB and the affecting factors. Methods: Secondary data from 694 people without noncommunicable diseases (NCDs) from a survey conducted by the Ewha Womans and the Laos University were used. The measurements included predisposing, enabling, and needs factors, HLC, HB (current non-smoking, low-risk drinking, physical activity, fruit and vegetable consumption, medical checkup). The mediating effect was analyzed using Baron and Kenny's method and the Sobel test. Results: Predisposing (gender, educational level, ethnic), enabling (social support, item ownership in household) and the needs factors (body mass index) were affecting HB. Internal HLC had a positive influence on HB. The stronger the others and chance HLC, the lower the HB. Chance HLC mediated the relationship between the educational level and HB. Conclusion: There is a need to recognize the importance of chance HLC as a mediator between the educational level and HB. Through this result, high-quality nursing education for the prevention of NCDs should be developed considering the impact of chance HLC.
Keywords
Health behavior; Health locus of control; Noncommunicable disease (NCDs);
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