Description of adults’ perceptions of Health and behavioural correlations in a Low-Income XXX Community
Silvia MASARYKOVÁ
Personal beliefs about control over health, Health Locus of control (HLOC), are significantly associated with health-promoting behaviours, including physical activity, smoking cessation, dietary choices, adherence to screening, and medication compliance.This study evaluates the impact of perceptions of health on health-seeking behaviours among low-income neighborhoods in XXX.A cross-sectional survey was conducted amongst XXX Rental Flat residents in October 2025. A 15-question validated scale utilising 5-point Likert Scale to measure adults’ perceptions of health distributed. The means of 4 subscales (Center of Control, Self-Awareness, Certainty, Importance of health). ANOVA was performed to analyse the associations with health associated behaviours. Outcomes were presented descriptively.The study comprised 116 residents (50.8% female) with a mean age of 64 (SD = 10.7). Aggregate of perspective of health survey yielded 4 subscales:Center of Control (2.90, 95%CI: 2.76-3.05) Self-Awareness (3.94, 95%CI: 3.82-4.06) Certainty (2.92, 95%CI: 2.78-3.06) Importance of Health (3.83, 95%CI: 3.70-3.95). After age adjustment, smokers with ≥20 pack-years did not differ significantly from those with <20 pack-years on any of the four health perspective subscales (all p ≥ 0.05), although a non-significant trend toward lower Certainty scores was observed in heavier smokers (p = 0.087). No significant differences emerged by exercise frequency (≥3 vs. <3 times/week), presence of chronic conditions, or among those with chronic conditions – whether lifestyle changes had been made post-diagnosis (all p > 0.05).In this sample, health-related beliefs were largely unrelated to smoking intensity, exercise frequency, presence of chronic illness, or post-diagnosis lifestyle change behaviour. Limitations include small sample size, cross-sectional design, convenience sampling, and self-reporting bias.In this study, health-related beliefs were largely unrelated to health-seeking behaviours. The only notable signal was a non-significant trend toward lower Certainty beliefs in heavier smokers (p = 0.087). Overall, these belief dimensions did not strongly drive or reflect behavioural differences in this older, low-income adult sample. Future research should use larger samples and adjust for key demographic confounders.
