The Difference of Locus-of-control among Western Medical School Student, Oriental Medical School Students, and Non-Medical School Students

의과대학생과 한의과대학생, 일반대학생들의 건강통제위에 대한 차이

  • Choi, Kui-Son (National Cancer Center Research Institute, Cancer Prevention & Early Detection Branch) ;
  • Lee, Han-Joon (Marketing Department, Haworth College of Business, Western Michigan University) ;
  • Lee, Sun-Hee (Department of Preventive Medicine, Ewha Womans University College of Medicine)
  • 최귀선 (국립암센터 연구소) ;
  • 이한준 (웨스턴미시간대학 경영학과) ;
  • 이선희 (이화여자대학교 의과대학 예방의학교실)
  • Published : 2003.09.01

Abstract

Objectives : The objectives of this study were to examine the difference in attitude toward health-specific locus-of-control and medical care among western medical students, oriental Medical students, and non-medical school students. Methods : The subjects of this study were 667 students who agreed to respond the questionnaire :212 western medical school students, 190 oriental medical school students, and 205 non-medical school students. The health-specific locus of control was measured by the structured questionnaire developed by Lau and Ware. The attitude toward western and oriental medicine was also measured by the questionnaire. Results : Western medical students and non-medical school students were more likely than oriental medical students to place high value on 'the provider control over health' and 'the general threat to health' scales (F=20.47, F=19.98). But oriental medical school students ranked 'the self control of health' scale as more important than any other locus of control scale (F=19.34). The health specific locus of control was also different from the grade. When trte grade was increased, 'the provider control over health' scale was slowly decreased, especially in western medical students and non medical school students. However, the 'general threat to health' scale was increased in oriental medical students. Western medical school students expressed more positive attitude toward western medicine. Oriental medical school students put a higher score on oriental medicine. Nevertheless, as the grade was increased, the positive attitude toward oriental medicine slightly decreased in oriental medical school students. Conclusions : There is a difference in health-specific locus of control and attitude toward medicine among western medical students, oriental medical students, and non-medical students. The locus of control and attitude of medical students towards medicine may affect both how they behave towards patients and how they help shape future public policy. Therefore, interdisciplinary educational initiatives may be the best way to handle this issue.

Keywords

References

  1. Kessler RC, Davis RB, Foster DF, Van Rompay MI, Walters EE, Willkey SA, Kaptchuk TJ, Eisenberg DM. Long-term trends in the use of complementary and alternative medical therapiesun the United States. Ann Intern Med (2001)135(4): 262-68 https://doi.org/10.7326/0003-4819-135-4-200108210-00011
  2. Williams SJ. Calnan M. The limit of medicalization? modem medicine and the lay populace in latemodernity. SocSciMed 1996; 42(12): 1609-1620 https://doi.org/10.1016/0277-9536(95)00313-4
  3. Wetzel MS, Kaptchuk TJ, Haramati A, Eisenberg DM. Complementary and alternative medical therapies : implications for medical education. Ann Intern Med 2003; 138(3): 191-196 https://doi.org/10.7326/0003-4819-138-3-200302040-00011
  4. Sohn TY. Ohrr H. Potential for integrated medical school and oriental medical school curriculum. Korean Med Edu 1998; 10(2): 337-49
  5. Lau RR. Origins of health locus of control beliefs. J Pers Soc Psychol 1982; 42(2): 322-34 https://doi.org/10.1037/0022-3514.42.2.322
  6. Hallal J. The relationship of health beliefs, health locus of control, and self concept ti the practice of breast self-examination in adultwomen. NursRes 1982; 31: 137-42
  7. Galgut PN, Waite 1M, Todd-Pokropek A, Bamby GJ. The relationship between the multidimensional health locus of control and the performance of subjects on a preventive periodontal programme. J Clin Periodontol 1987; 14(3): 171-5 https://doi.org/10.1111/j.1600-051X.1987.tb00962.x
  8. EiserJR,EiserC, Gammage P, Morgan M. Healthlocusof control andhealth beliefs in relation to adolescent smoking. Br J Addict 1989; 84(9): 1059-65 https://doi.org/10.1111/j.1360-0443.1989.tb00789.x
  9. Raja SN, Williams S, McGee R. Multidimensional health locus of control beliefs and psychological health for a sample of mothers. SocSciMed1994; 39(2): 213-20 https://doi.org/10.1016/0277-9536(94)90330-1
  10. Bennett P, Norman P, Moore L, Murphy S, Tudor-Smith C. Healthlocusof control and value for health in smokers and nonsmokers. Health Psycho. 1997; 16(2): 179-82 https://doi.org/10.1037/0278-6133.16.2.179
  11. Callsghan P. Social support and locus of control as correlates of UK nurses' health related behaviours. J AdvNurs 1998; 28(5): 1127-33 https://doi.org/10.1046/j.1365-2648.1998.00811.x
  12. Redeker NS.Helathbeliefs, healthlocus of control, and the frequency of practice of breastself-examination in women. J Obstet Gynecol Neonatal Nurs1989; 18(1): 45-51 https://doi.org/10.1111/j.1552-6909.1989.tb01616.x
  13. Muhlenkamp AF, Nelson AM. Health locus of control, values, and weight reduction behavior. J Psychosoc Nurs Ment Health Serv 1981; 19(11): 21-5
  14. Neaves Il. The reltionship of locus of control to decision making in nursing students. J NursEduc 1989; 28(1): 12-7
  15. Smith IK, Lancaster CJ, Delbene VE, Fleming GA. The relationship between medical students' locus of control andpromotion of breast self-examination.Med Educ 1990; 24(2): 164-70 https://doi.org/10.1111/j.1365-2923.1990.tb02516.x
  16. Eachus P. Multidimensional health locusof control in nurses. J Adv Nurs 1991; 16(2): 165-71 https://doi.org/10.1111/j.1365-2648.1991.tb01620.x
  17. Reuben DB. Influence on medical students health beliefs. RIMed J 1989; 72(11): 407-10
  18. Rotter JB. Social learning and clinical psychology. Englewood Cliffs: Prentice Hall,1954
  19. Rotter JB. Generaliied expectancies for internal versus external control of reinforcement. Psychological Monographs 1960;80:609
  20. Wallston K, Kaplan G, Madies S. Development and validation of healtli locus of control scales. J Consul ClinPsy 1976; 44: 580-585 https://doi.org/10.1037/0022-006X.44.4.580
  21. Lau RR, Ware IE. Healthbeliefs andhealth locus of control : a conceptual overview and summary of six studies. SantaMonica, CA; TheRandCorporation, 1981
  22. Lau RR, Ware IE. Refinements in the measurement of health-specific locus-of-control beliefs. Med Care 1981; 19(11): 1147-1158 https://doi.org/10.1097/00005650-198111000-00007
  23. Ware IE, Snow KK, Kosinski M, Gand다B. SF-36 health survey: manual and interpreting guide. Messachusetts, Nimrod Press, 1993
  24. Baugniet J, Boon H, 0 stbye T. Complementary/alternative medicine: comparing the views of mdeical students with students in other health care professions. FamMed 2000; 32(3): 178-84