Locus of control, health and healthcare utilization

• Published in: Economic modelling Vol. 86; pp. 227 - 238
• Main Authors: Kesavayuth, Dusanee, Poyago-Theotoky, Joanna, Tran, Dai Binh, Zikos, Vasileios
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01-03-2020
• Subjects: Health; Healthcare utilization; HILDA; Locus of control; HILDA; Locus of control; D01; Health; I10; D90; Healthcare utilization
• ISSN: 0264-9993; 1873-6122
• DOI: 10.1016/j.econmod.2019.06.014

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.
•We examine the importance of locus of control for health and healthcare use.•Individuals with an internal locus of control are healthier than their external counterparts.•Individuals with an internal locus of control rely less on medical care.•Key pathways are social capital and healthy behaviors.•Health policies should consider both the direct and indirect effects of locus of control.