Dissertations and Theses @ UNI


Open Access Thesis


Women--Iowa--Cerro Gordon County--Attitudes; Medical screening--Iowa--Cerro Gordo County; Women--Health and hygiene--Iowa--Cerro Gordo County; Medical screening; Women--Attitudes; Women--Health and hygiene; Iowa--Cerro Gordo County;


The purpose of this study was to determine if there is a relationship between Health Locus of Control (HLC) and preventive cancer screening practices in women who reside in Cerro Gordo County. The cancer screening practices in question were breast self-examination (BSE) and cervical cancer screenings (Pap smears). Demographic factors included age, education level, annual income, and occupation. This study utilized a quasi experimental design. One hundred twenty-seven females between the ages of 18 and 85 completed a 27- item questionnaire eliciting responses to demographic information, HLC, and preventive cancer screening practices. The Multidimensional Health Locus of Control Questionnaire (Wallston, Wallston, & DeVellis, 1978) was used to obtain HLC scores. The scale is comprised of the internal health locus of control (IHLC) scores, powerful others health locus of control (PHLC) scores, and chance health locus of control (CHLC) scores. Chi square statistics were utilized to determine if the specific demographic variables had a statistically significant relationship to HLC or preventive cancer screening practices. A Mann-Whitney U was utilized to determine if there was an overall statistically significant relationship between HLC orientation and preventive cancer screening practices (BSE or Pap smears). All statistical analyses were executed at the 0.05 level of significance. Ten respondents scores were eliminated due to their not having a dominant HLC orientation. No statistically significant relationship was found between HLC orientation and cancer screening practices (BSE or Pap smears). A statistically significant relationship was found between cervical cancer screening and age. These findings are discussed with reference to recommendations and limitations of this study.

Year of Submission


Degree Name

Master of Arts


School of Health, Physical Education, and Leisure Services

First Advisor

Thomas M. Davis

Second Advisor

Dennis C. Cryer

Third Advisor

Michele Yehieli


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Date Original


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1 PDF file (65 leaves)



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