title: Health promoting behavior and influencing factors in Iranian breast cancer survivors.
abstract: BACKGROUND
  The purpose of this study was to investigate the associations among the internal health locus of control, depression, perceived health status, self efficacy, social support, and health-promoting behavior in Iranian breast cancer survivors and to determine influential variables.
  
  
  METHODS
  A predictive design was adopted. By convenient sampling the data of 262 breast cancer survivors in Iran were collected by questionnaires during 2014. Data were analyzed applying descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression.
  
  
  RESULTS
  The internal health locus of control, depression, perceived health status, self efficacy, social support and undergoing chemotherapy all correlated significantly with the health-promoting lifestyle. Stepwise multiple regression analysis revealed that social internal health locus of control, depression, perceived health status, self efficacy and social support and chemotherapy accounted for about 39.8% of the variance in health promoting lifestyle. The strongest influence was social support, followed by self efficacy, perceived health status, chemotherapy and depression.
  
  
  CONCLUSIONS
  The results of the study clarifed the seriousness of social support, self efficacy, perceived health status and depression in determining the health-promoting lifestyle among Iranian breast cancer survivors. Health professionals should concentrate on these variables in designing plans to promoting a healthy lifestyle.
authors.affiliation: Nursing and Midwifery Department, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran E-mail : fmtabrizi@gmail.com.
authors.forename: Fatemeh Moghaddam
authors.initials: FM
authors.lastname: Tabrizi
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D003863:Depression / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D007492:Iran; D008019:Life Style; D008875:Middle Aged; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*