The Relationship of the Health Locus of Control, eHealth Literacy, and Health-Promoting Lifestyle in Predicting the Quality of Life among the Iranian Population in Northeast Iran: A Path Analysis
نویسندگان
1 Department of Health Education and Health Promotion, School of Health, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Student Research Committee, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran.
3 Department of Health Education and Health Promotion, School of Health, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
4 Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
5 Student Research Committee, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran.
6 Student Research Committee, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran.
doi
10.22038/jhl.2025.87956.1771چکیده
Background and Objectives: Quality of life (QOL) is multidimensional. Adopting a healthy lifestyle has a profoundly positive impact on people's QOL. factors such as the health locus of control (HLOC) and electronic health literacy (eHL) can play a significant role in adopting healthy behaviors, improving lifestyle, and ultimately enhancing QOL. Therefore, this study determined the relationship between HLOC, eHL, and health-promoting lifestyle with QOL.Materials and Methods: This study was a cross-sectional study performed among 753 participants 18 years or over referred to comprehensive health service centers in Gonabad in 2023. Five standard questionnaires were used to collect information: demographic profile questionnaire, an HLOC questionnaire, an eHL questionnaire, a health-promotion lifestyle questionnaire, and a QOL questionnaire. SPSS version 21 and the AMOS version 24 were used for data analysis. Results: The mean (± standard deviation) age of the participants was 34.39 (± 12.43). Based on the results of the path analysis, the variables of chance HLOC, internal HLOC, powerful people HLOC, and eHL were able to predict 12% of the variance of a health-promoting lifestyle (R2 = 0.12) and powerful people HLOC (estimate total effect = 0.243) had the greatest impact on health-promoting lifestyle. Also, the variables of chance HLOC, internal HLOC, powerful people HLOC, eHL, and health-promoting lifestyle predicted 38% of the variance of QOL (R2 = 0.38) and health-promoting lifestyle (estimated total effect = 0.615) had the greatest impact on QOL. Conclusion: The results of this research indicate the effectiveness of the variables of HLOC, eHL, and health-promoting lifestyle in improving the QOL. Therefore, considering that a healthy promotion lifestyle plays a key role in strengthening and maintaining the health of individuals in society, it is necessary to guide societal actions and health policies to promote and improve the QOL. Therefore, educational programs should focus on these variables to enhance people’s quality of life.
