scholarly journals Nutritional Behaviors, Health Literacy, and Health Locus of Control of Secondary Schoolers in Southern Poland: A Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4323
Author(s):  
Mariusz Duplaga ◽  
Marcin Grysztar

Nutritional behaviors remain an essential part of a healthy lifestyle. It seems obvious that unfavorable health behaviors adopted in adolescence are maintained late in adulthood and may have a profound effect on health status. The main aim of this study was to assess the association between nutritional behaviors and health literacy (HL), health locus of control (HLC), and socioeconomic variables in secondary school pupils from a voivodship (the main unit of territorial division) in southern Poland. The analysis was based on dataTable from a paper-and-pencil survey taken by 2223 pupils from schools selected as the result of cluster sampling. The survey questionnaire encompassed a set of five items asking about dietary patterns and the consumption of fruit and vegetables as well as fast food, a European Health Literacy Project Questionnaire consisting of 47 items, the Multidimensional Health Locus of Control (MHLC) scale, and items asking about sociodemographic and economic variables. Uni- and multivariate logistic regression models have been developed to assess the predictors of indicator nutrition behaviors. The adjusted models revealed that internal HLC was not significantly associated with any of analyzed nutritional behaviors. “Powerful other HLC” and “Chance HLC” (dimension of external HLC) were significant predictors of the selected dietary patterns. Furthermore, higher HL was associated with higher consumption of fruit and vegetables [odds ratio, 95% confidence interval (OR, 95% CI)]: 1.02 (1.01–1.04) and with lower consumption of fast food (OR, 95% CI, 0.98, 0.95–0.999). There was a significant relationship between gender, the size of the household, self-assessed economic situation, expenditures on mobile phones, and weekly duration of Internet use and selected nutrition behaviors. In conclusion, developed regression models confirmed a significant relationship between HL and the types of consumed food, but not with dieting patterns. Contrary to earlier studies, internal HLC was not associated with nutrition behaviors. In our study, boys showed more favorable nutritional behaviors than girls. More intense use of the Internet was associated with less beneficial nutritional behaviors. This study brings important results that should have an impact on health promotion interventions addressed to adolescents in southern Poland.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S962-S962
Author(s):  
Mary Louise Goodyear ◽  
Juan J Toral-Garcia ◽  
Amarilis Acevedo ◽  
Drenna Waldrup-Valverde ◽  
Raymond Ownby

Abstract In spite of expert recommendations that written material should be provided at a level of health literacy that matches that of the person receiving it, there have been few studies of matching. In this study we evaluated the utility of a new strategy to assess patients’ preference for information at different difficulties and assessed the relation of their preference to measured health literacy and health locus of control (LOC). We measured health literacy in participants then asked them to choose between pairs of texts with the same content but at the 3rd, 6th, or 8th-grade levels. Statistical analyses assessed the relation of participants’ health literacy to their preference as well as personal characteristics. Participants (n = 155) were 84 women and 71 men aged from 40 to 82 years (mean=57; 136 African Americans and 19 whites). Participants had clear preferences: those with lower levels of health literacy preferred texts at the 3rd grade level and those with higher levels preferred more difficult texts. Preference was not related to age, gender or race but was to education and health literacy (p < 0.05). Persons who chose more difficult texts reported higher levels of internal health locus of control (t [144] = 2.68, p = 0.01). A predictive analytic model using education and preference resulted in 80% correct classification of participants. Using this model may be a simple way to match information presentation to patients’ level of health literacy. Further research on this strategy is needed.


1993 ◽  
Vol 23 (4) ◽  
pp. 339-347 ◽  
Author(s):  
Thomas N. Wise ◽  
Lee S. Mann

Objective: Both locus of control and alexithymia have been considered personality factors fostering health concerns and behaviors. This study investigates the relationship between the health locus of control and alexithymia. Method: Seventy-eight psychiatric outpatients were administered the Wallston Health Locus of Control Scale (HLC), the Toronto Alexithymia Scale (HLC), and the Five Factor Inventory, which measures neuroticism, extraversion, openness, agreeableness, and conscientiousness. Depressive and anxious affect was also measured. Regression models were developed to assess the influence of the above variables upon alexithymia. Results: Although there was a significant bivariant correlation between an external locus of control and increased alexithymia, regression models found that HLC did not significantly predict TAS. Neuroticism, however, provided the most significant contribution to predict increased alexithymia. Conclusion: Neuroticism may link HLC and TAS due to the face validity of each construct. A sense of vulnerability is stated in each measure. This may foster somatic preoccupation. The data suggest HLC and TAS to be separate phenomena and further support the validity of alexithymia as a unique personality trait.


Author(s):  
Shania Adhanty ◽  
Dian Ayubi ◽  
Dien Anshari

Latar Belakang. Diabetes Mellitus (DM) telah menyebabkan 4,2 juta kematian pada tahun 2019. Di Indonesia, penyakit DM merupakan salah satu PTM yang menyebabkan kematian utama. Kepatuhan diet menjadi perilaku yang sangat penting dan diperlukan kendali diri.Tujuan. Tujuan penelitian adalah mengetahui hubungan lokus kendali diri untuk sehat baik dimensi internal, orang berpengaruh, keberuntungan dan faktor lainnya dengan kepatuhan diet pasien DM tipe 2 di RSUD Kota Depok tahun 2020.Metode. Penelitian menggunakan desain cross-sectional, pengambilan data dilakukan melalui convenience sampling pada 52 pasien DM tipe 2 yang berkunjung ke poli penyakit dalam RSUD Kota Depok.Hasil. Pasien memiliki nilai kepatuhan diet yang cukup yaitu 66,23 dari skala 100. Hasil uji korelasi pearson menunjukkan terdapat hubungan yang signifikan dengan kekuatan sedang dan positif antara lokus kendali untuk sehat dimensi internal dan dimensi orang berpengaruh dengan kepatuhan diet (r= 0,46 dan r= 0,28) diikuti dengan dimensi keberuntungan menunjukkan kekuatan sedang dan negatif terhadap kepatuhan diet (r= -0,28).Kesimpulan. Terdapat hubungan yang signifikan antara health locus of control dimensi internal, powerful others dan chance dengan kepatuhan diet dengan kekuatan hubungan sedang dan arah korelasi positif pada dimensi internal dan powerful others sedangkan negatif pada dimensi chance. ABSTRACTBackground. Diabetes Mellitus (DM) caused 4.2 million deaths in 2019. In Indonesia, DM is an NCD that causes major deaths. Dietary adherence becomes a vital behavior and requires self-control. Objective. This study aimed to determine the relationship between health locus of control on internal, powerful-others, chance dimensions and other factors with dietary adherence among type 2 DM patients at Depok City Hospital in 2020.Method. This study used a cross-sectional design and data collection through convenience sampling on 52 type 2 DM patients who visited internist poly in Depok City Hospital.Results. This study indicates that patients have adequate dietary adherence values 66,23 on a scale of 100. Pearson correlation test results show a significant relationship between health locus of control on internal and powerful-others dimensions with a moderate and positive relationship with dietary adherence (r= 0,46 and r= 0,28). Meanwhile, the chance dimension shows an average and negative relationship with dietary adherence (r= -0,28).Conclusion: There is a significant relationship between health locus of control internal dimensions, powerful others and chance with dietary compliance with moderate strength. The direction of the correlation is positive on the internal dimension and powerful others while negative on the chance dimension.


2019 ◽  
Author(s):  
Azam Namdar ◽  
Mohammad Mehdi Naghizadeh ◽  
Marziyeh Zamani ◽  
Ali Montazeri

Abstract Background Having appropriate health literacy may affect the consumption of fast food. We aimed to evaluate the effect of health literacy on fast food consumption among the general population.Methods We evaluated health literacy and fast food consumption using an appropriate questionnaire in 421 adult participants with the age range of 18-65 years old in Fasa city, Fars Province, southern Iran. Two-step cluster sampling and, then, systematic sampling were performed. Data collection was done through demographic information questionnaire, checklist on fast food consumption, and the Health Literacy for Iranian Adults (HELIA) questionnaire. Data were harvested by face-to-face conversations. Population data across groups with/without fast food intake were compared.Results Most of our participants used fast food every few months (49.9%). People with low or unstable income consumed more fast food than others (P<0.05). Sandwich and hotdog were the most consumed fast food (60.8%) and pizza was in the next step (34.9%). Sausage and soda were the most seasoning food (66.7%). Most of our participants used fast food as dinner (67.9%) and along with their family (72.2%), suggesting the institutionalized consumption of this type of food in the family. Fun was the most frequent reason for the use of fast food (66.5%). Most of the participants completely knew about the raw materials for fast food and their adverse effects. Finally, we found that health literacy among those who used fast food was less than those who did not consumed fast food. This difference was also observed in the subscales of reading skills, critique, and decision-making.Conclusion Differences in health literacy and its components may affect fast food consumption. In addition, there was a negative relationship between health literacy and fast food consumption, which was also observed in reading skills, critique, and decision-making.


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