Schwartz et al. (J Pers Soc Psychol 103(4):663–688, 2012) proposed a refined value theory. Like earlier value inventories, however, their measure captures only one approach to health—avoidance of disease. A broader measure to capture the full spectrum of the importance people place on health was developed, which was based on the World Health Organization’s definition of health. It includes the components of physical, mental, social, and emotional health. Research materials comprised the answers of 1818 Estonian online-survey respondents, and multidimensional scaling was used. Association on the first two value dimensions showed that valuing health might be a consequence of different motivations. Health values were further found to disperse on a third dimension, which did not follow the conflicts and compatibilities ordering the original two value dimensions. Taken together, these findings indicate that health values operate in conjunction with other value types in guiding health-related attitudes, intentions, and behaviors, and therefore potentially relate to objective and perceived health outcomes.
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In Appendix S1 a test of the refined value theory (Schwartz et al. 2012) is presented.
Aavik, T., Aavik, A., & Punab, M. (2014). Personal values that support and counteract utilization of screening test for prostate cancer. Behavioral Medicine, 40(1), 22–28.
Abraham, S., & Sheeran, P. (2005). The health belief model. In M. Conner & P. Norman (Eds.), Predicting health behavior. Glasgow: Bell & Bain Ltd.
Ahola, S. (2015). Values and non-adherence to doctors’ instructions across Europe. Journal of Applied Social Psychology, 45(4), 214–225.
Amar, R., & Toledano, S. (1994). Hudap manual with mathematics. Jerusalem: The Hebrew University of Jerusalem, Computing Center.
Bobowik, M., Basabe, N., Paez, D., Jimenez, A., & Bilbao, M. A. (2011). Personal values and well-being among Europeans, Spanish Natives and immigrants to Spain: Does the culture matter? Journal of Happiness Studies, 12(3), 401–419.
Borg, I., Bardi, A., & Schwartz, S. H. (2015). Does the value circle exist within persons or only across persons? Journal of Personality. doi:10.1111/jopy.12228.
Bulley, C., Donaghy, M., Payne, A., & Mutrie, N. (2009). Personal meanings, values and feelings relating to physical activity and exercise participation in female undergraduates: A qualitative exploration. Journal of Health Psychology, 14(6), 751–760.
Chulef, A. S., Read, S. J., & Walsh, D. A. (2001). A hierarchical taxonomy of human goals. Motivation and Emotion, 25(3), 191–232.
De Clercq, S. (2006). Extending the Schwartz value theory for assessing supplementary person-organization fit. Unpublished doctoral dissertation, University of Gent-Belgium.
Dobewall, H., Aavik, T., Konstabel, K., Schwartz, S. H., & Realo, A. (2014). A comparison of self-other agreement in personal values versus the Big Five personality traits. Journal of Research in Personality, 50(1), 1–10.
Elizur, D., Borg, I., Hunt, R., & Beck, I. M. (1991). The structure of work values: A cross cultural comparison. Journal of Organizational Behavior, 12(1), 21–38.
Elizur, D., & Sagie, A. (1999). Facets of personal values: A structural analysis of life and work values. Applied Psychology: An International Review, 48(1), 73–87.
Eriksson, U., Linder, C., Airey, J., & Redfors, A. (2014). Who needs 3D when the universe is flat? Science Education, 98(3), 412–442.
Gebhardt, W. A., van der Doef, M. P., & Paul, L. B. (2001). The revised health hardiness inventory (RRHI-24): Psychometric properties and relationship with self-reported health and health behavior in two Dutch samples. Health Education Research, 16(5), 579–592.
Gollan, T., & Witte, E. H. (2014). From the interindividual to the intraindividual level: Is the circumplex model of values applicable to intraindividual value profiles? Journal of Cross-Cultural Psychology, 45(3), 452–467.
Goodwin, R., Realo, A., Kwiatkowska, A., Kozlova, K., Nguyen Luu, L. A., & Nizharadze, G. (2002). Values and sexual behavior in central and Eastern Europe. Journal of Health Psychology, 7(1), 45–56.
Gouveia, V. V., Milfont, T. L., & Guerra, V. M. (2014). Functional theory of human values: Testing its content and structure hypotheses. Personality and Individual Differences, 60, 41–47.
Grad, F. P. (2002). The preamble of the constitution of the world health organization. Bulletin of the World Health Organization, 80(12), 981–984.
Guttman, L. (1968). A general nonmetric technique for finding the smallest coordinate space for a configuration of points. Psychometrika, 33(4), 469–506.
Harris, S. M. (2004). The effect of health value and ethnicity on the relationship between hardiness and health behaviors. Journal of Personality, 72(2), 379–412.
Higgins, E. T. (1997). Beyond pleasure and pain. American Psychologist, 52(12), 1280–1300.
Hill, T., & Lewicki, P. (2006). Statistics: Methods and applications—A comprehensive reference for science, industry, and data mining. Tulsa, OK: StatSoft.
Huxley, C., & Grogan, S. (2005). Tattooing, piercing, healthy behaviours and health value. Journal of Health Psychology, 10(6), 831–841.
Klages, H. (1984). Wertorientierungen im Wandel. Frankfurt/Main: Campus-Verlag.
Klages, H., & Gensicke, T. (2005). Wertewandel und die Big-Five-Dimensionen. In S. Schumann (Ed.), Persönlichkeit: Eine vergessene Größe in der empirischen Sozialforschung (pp. 279–299). Wiesbaden: VS Verlag.
Kreuter, F., Presser, S., & Tourangeau, R. (2008). Social desirability bias in CATI, IVR, and web surveys: The effects of mode and question sensitivity. International Journal of Public Opinion Research, 72(5), 847–865.
Lau, R. R., Hartman, K. A., & Ware, J. E, Jr. (1986). Health as a value: Methodological and theoretical considerations. Health Psychology, 5(1), 25–43.
Lauristin, M., & Vihalemm, T. (1997). Changing value systems: Civilizational shift and local differences. In M. Lauristin & P. Vihalemm (Eds.), Return to the Western world: Cultural and political perspectives on the Estonian post-communist transition (pp. 243–261). Tartu: Tartu University Press.
Lilleoja, L., & Saris, W. E. (2014). Testing a new operationalization of the basic values on Estonian-and Russian-speaking subpopulations in Estonia. Social Indicators Research, 116(1), 153–172.
Lyons, S. T., Higgins, C. A., & Duxbury, L. (2010). Work values: Development of a new three-dimensional structure based on confirmatory smallest space analysis. Journal of Organizational Behavior, 31(7), 969–1002.
Maslow, A. H. (1954). Motivation and personality. New York: Harper and Row.
Mueller, D. J., & Wornhoff, S. A. (1990). Distinguishing social and personal values. Educational and Psychological Measurement, 50(3), 691–699.
Petrovic, K., Burney, S., & Fletcher, J. (2011). The relationship of knowledge, health value and health self-efficacy with men’s intentions to receive the Human Papillomavirus (HPV) vaccine. Journal of Health Psychology, 16(8), 1198–1207.
Rokeach, M. (1973). The nature of human values. New York: Free Press.
Rüütel, K., Lõhmus, L., Valk, A., Parker, R. D., & Aavik, T. (2016). HIV and STI testing and related factors among men who have sex with men in Estonia. AIDS and Behavior. doi:10.1007/s10461-016-1313-1.
Schwartz, S. H. (1992). Universals in the content and structure of values: Theoretical advances and empirical tests in 20 countries. Advances in Experimental Social Psychology, 25, 1–65.
Schwartz, S. H. (2007). Value orientations: Measurement, antecedents and consequences across nations. In R. Jowell, C. Roberts, & R. Fitzgerald (Eds.), Measuring attitudes crossnationally—Lessons from the European Social Survey (pp. 161–193). London: Sage.
Schwartz, S. H. (2009). Draft users manual: Proper use of the Schwarz Value Survey, version 14 January 2009. Compiled by Romie F. Littrell. Auckland, New Zealand: Centre for Cross Cultural Comparisons. http://www.crossculturalcentre.homestead.com
Schwartz, S. H., & Bilsky, W. (1987). Toward a universal psychological structure of human values. Journal of Personality and Social Psychology, 53(3), 550–562.
Schwartz, S. H., Cieciuch, J., Vecchione, M., Davidov, E., Fischer, R., Beierlein, C., & Konty, M. (2012). Refining the theory of basic individual values: New concepts and measurements. Journal of Personality and Social Psychology, 103(4), 663–688.
Schwartz, S. H., Melech, G., Lehmann, A., Burgess, S., & Harris, M. (2001). Extending the cross-cultural validity of the theory of basic human values with a different method of measurement. Journal of Cross Cultural Psychology, 32(5), 519–542.
Schwartz, S. H., Verkasalo, M., Antonovsky, A., & Sagiv, L. (1997). Value priorities and social desirability: Much substance, some style. British Journal of Social Psychology, 36(1), 3–18.
Seeman, M., & Seeman, T. E. (1983). Health behavior and personal autonomy: A longitudinal study of the sense of control in illness. Journal of Health and Social Behavior, 24(2), 144–160.
Shi, H.-J., Nakamura, K., & Takano, T. (2004). Health values and health-information-seeking in relation to positive change of health practice among middle-aged urban men. Preventive Medicine, 39(6), 1164–1171.
Shye, S., & Elizur, D. (1994). Introduction to facet theory: Content design and intrinsic data analysis in behavioral research. Thousand Oaks, CA: Sage.
Sortheix, F. M., & Lönnqvist, J.-E. (2014). Personal value priorities and life satisfaction in Europe: The moderating role of socioeconomic development. Journal of Cross-Cultural Psychology, 45(2), 282–299.
Steinmetz, H., Isidor, R., & Baeuerle, N. (2012). Testing the circular structure of human values: A meta-analytical structural equation modelling approach. Survey Research Methods, 6(1), 61–75.
Strack, M., & Dobewall, H. (2012). The value structure in less developed European countries still remains an ellipse. Europe’s Journal of Psychology, 8(4), 587–602.
Tart, I. (2013). Basic human values quasi-circular model reconsidered: Do MDS with dimensions over two matters? Paper presented at the fifth Conference of the European Survey Research Association (ESRA), Ljubljana-Slovenia (July 15th–19th, 2013).
Ugland, J. H. (1989). Health as a value: Implications for practice. Professional Psychology: Research and Practice, 20(6), 415–416.
Van Looij-Jansen, P. M., & de Wilde, E. J. (2008). Comparison of web-based versus paper-and-pencil self-administered questionnaire: Effects on health indicators in Dutch adolescents. Health Service Research, 43(5 Pt 1), 1708–1721.
Ware, J. E., & Young, J. A. (1977). Studies of the value placed on health. Derived from www.rand.org/content/dam/rand/pubs/./P5987.pdf
Wolman, C., Resnick, M., Harris, L., & Blum, R. W. (1994). Emotional well-being among adolescents with and without chronic conditions. Journal of Adolescent Health, 15(3), 199–204.
The research project, entitled “The Location of Health in a Refined Basic Individual Values Model and Testing the Model’s Three-Dimensionality”, was supported by a Grant from the Estonian Ministry of Education and Research (PUT78). We thank Shalom H. Schwartz for his helpful comments and for checking the translation and back translation into English. We are also grateful to Beth Sullins and English Proofreading OÜ for proof-reading/editing of this paper. Henrik Dobewall was project manager at the Department of Psychology, University of Tartu, Estonia when the data were collected.
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Aavik, T., Dobewall, H. Where is the Location of “Health” in the Human Values System? Evidence from Estonia. Soc Indic Res 131, 1145–1162 (2017). https://doi.org/10.1007/s11205-016-1287-4
- Health as a value
- Personal values (PVQ-R)
- Health psychology