Locus of control, health and healthcare utilization

Locus of control, health and healthcare utilization
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DOI:
10.1016/j.econmod.2019.06.014
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发表时间:
2020-03-01
期刊:
影响因子:
4.7
通讯作者:
Zikos, Vasileios
Zikos, Vasileios
中科院分区:
经济学2区
文献类型:
--
作者:
Kesavayuth, Dusanee;Poyago-Theotoky, Joanna;Zikos, Vasileios

文献摘要

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在本文中,我们分析了个人的控制点对他们的健康和医疗保健使用的重要性。我们估计控制点的直接影响。我们还研究了控制点对健康和医疗保健使用的影响是否可以通过生活方式选择和社会资本来解释。我们的分析表明,具有内部控制点的个体具有更好的自我评估健康以及身心健康。他们较少依赖预防性和治疗性的医疗服务。控制点通过不同的途径预测健康,包括社会资本和与吸烟,饮酒和体育活动有关的健康行为。类似的途径可以解释控制点和治疗性护理之间的联系,但不一定是预防性护理。不仅考虑到控制点的直接影响,而且考虑到控制点的间接影响的干预措施是促进更好健康的有希望的途径。
In this paper we analyze the importance of individuals' locus of control for their health and healthcare use. We estimate the direct effects of locus of control. We also examine whether the effects of locus of control on health and healthcare use are explained by lifestyle choices and social capital. Our analysis reveals that individuals with an internal locus of control have better self-assessed health as well as physical and mental health. They rely less on medical care, both preventive and curative. Locus of control predicts health through different pathways, including social capital and health behaviors related to smoking, drinking and physical activity. Similar pathways can explain the link between locus of control and curative care but not necessarily preventive care. Interventions considering not only the direct but also the indirect effects of locus of control are promising avenues for promoting better health.