Reliability and Validity of the Multidimensional Health Locus of Control Scale in Japan: Relationship with Demographic Factors and Health-Related Behavior
AYA KUWAHARA,1,2 YOSHIKAZU NISHINO,2 TAKAYOSHI OHKUBO,2 ICHIRO TSUJI,2 SHIGERU HISAMICHI2 and TORU HOSOKAWA3
1Department of Life Style Studies, Shuko Junior College, Ichinoseki 021-0902, 2Division of Public Health, Tohoku University School of Medicine, Sendai 980-8575, and 3Department of Applied Human Development, Faculty of Education, Tohoku University, Sendai 980-8576
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, health-related 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 lifestyle-related disease.
keywords health locus of control; health behavior; validity; reliability
© 2004 Tohoku University Medical Press
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Tohoku J. Exp. Med., 2004, 203, 37-45
Address for reprints: Kuwahara Aya, Department of Food and Nutritional Science, Shuko Junior College, 49-1, Ichinoseki 021-0902, Japan.
e-mail: ayaken@cat-v.ne.jp