title: Determinants of responsibility for health, spiritual health and interpersonal relationship based on theory of planned behavior in high school girl students.
abstract: BACKGROUND
  Adolescence is a sensitive period of acquiring normal and abnormal habits for all oflife. The study investigates determinants of responsibility for health, spiritual health and interpersonal relations and predictive factors based on the theory of planned behavior in high school girl students in Tabriz.
  
  
  METHODS
  In this Cross-sectional study, 340 students were selected thorough multi-stage sampling. An author-made questionnaire based on standard questionnaires of Health Promotion and Lifestyle II (HPLPII), spiritual health standards (Palutzian & Ellison) and components of the theory of planned behavior (attitudes, subjective norms, perceived behavioral control, and behavioral intention) was used for data collection. The questionnaire was validated in a pilot study. Data were analyzed using SPSS v.15 and descriptive and analytical tests (Chi-square test, Pearson correlation co-efficient and liner regression test in backward method).
  
  
  RESULTS
  Students' responsibility for health, spiritual health, interpersonal relationships, and concepts of theory of planned behavior was moderate. We found a significant positive correlation (p<0/001) among all concepts of theory of planned behavior. Attitude and perceived behavioral control predicted 35% of intention of behavioral change (p<0.001). Attitude, subjective norms, and perceived behavioral control predicted 74% of behavioral change in accountability for health (p<0.0001), 56% for behavioral change in spiritual health (p<0.0001) and 63% for behavioral change in interpersonal relationship (p<0.0001).
  
  
  CONCLUSIONS
  Status of responsibility for health, spiritual health and interpersonal relationships of students was moderate. Hence, behavioral intention and its determinants such as perceived behavioral control should be noted in promoting intervention programs.
authors.affiliation: MSc, Department of Education and Health Promotion, School of Health, Tehran University of Medical Sciences, Tehran, Iran. afsane.rezazadeh@yahoo.com.
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Rezazadeh
authors.affiliation: Associate Professor, Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran. solhi.m@iums.ac.ir.
authors.forename: Mahnaz
authors.initials: M
authors.lastname: Solhi
authors.affiliation: Assistant Professor, Department of Epidemiology and Biostatistics, School of health, Tehran University of medical science, Tehran, Iran. kazam@tums.ac.ir.
authors.forename: Kamal
authors.initials: K
authors.lastname: Azam
keywords: Accountability in the health; Girl students; Interpersonal relationship; Spiritual health; Theory of planned behavior