Locus of illness control: a cross-cultural study

A comparative study of rural Haitian and southern Appalachian health beliefs revealed significant differences both within and between groups regarding perceived control over illness. Data consisted of scores (N = 293) on the Locus of Illness Control Scale, a 15-item forced-choice instrument designed to include two subscales, one focused on illness prevention, the other on cure. Both cultural groups scored more externally on the cure dimension than they did on prevention. Group differences, however, were reversed for the subscales. While Appalachians apparently expect greater success in preventing illness, interestingly, Haitians show greater perceived ability to cure illness. The findings have implications for traditional views of "fatalistic" cultures, for the refinement of concepts related to health locus of control, and for the practical utility of standardized instruments among populations that vary in health problems and therapeutic resources.