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

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 ۷۵۳ participants ۱۸ years or over referred to comprehensive health service centers in Gonabad in ۲۰۲۳. 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 ۲۱ and the AMOS version ۲۴ were used for data analysis. Results: The mean (± standard deviation) age of the participants was ۳۴.۳۹ (± ۱۲.۴۳). Based on the results of the path analysis, the variables of chance HLOC, internal HLOC, powerful people HLOC, and eHL were able to predict ۱۲% of the variance of a health-promoting lifestyle (R۲ = ۰.۱۲) and powerful people HLOC (estimate total effect = ۰.۲۴۳) 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 ۳۸% of the variance of QOL (R۲ = ۰.۳۸) and health-promoting lifestyle (estimated total effect = ۰.۶۱۵) 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.

کلیدواژه ها:

Quality of life ، Health locus of control ، Health Literacy ، health-promoting lifestyle