00000ctm a22000001a 4500 UP-1685523046125372940 Buklod 20230503092606.0 m o j ta 071031s xx d r |||| u| (iLib)UPMNL-00000051713 UPM-CPH eng LG 996 2003 P9 S25 Salazar, Rommel L. Effects of worksite health promotion and education intervention program on preventive health behaviors related to male reproductive tract cancers Rommel L. Salazar. 2003 553 leaves. Thesis (DrPH, Health Promotion and Education)--University of the Philippines, Manila OBJECTIVE OF THE STUDY: The general objective of the study was to find out the effects of two packages of health promotion and education interventions on the preventive health behaviors of military personnel in Sangley Point and Fort San Felipe, Cavite City regarding male reproductive tract cancers. Specifically it aimed to compare the preventive health behaviors related to male reproductive tract cancers with respect to penile and testicular self-examination, compliance with digital rectal examination, and consumption of dietary fat; ascertain the effects of the health promotion and education interventions immediately after and three months after on knowledge, beliefs, attitude, behavioral intention, self-efficacy, health locus of control and preventive health behaviors; determine the association between the subjects' preventive health behaviors related to male reproductive tract cancers and socio-demographic psychosocial variables, knowledge, beliefs, attitudes, behavioral intentions, self-efficacy and health locus of control; and to design a model to predict the preventive health behaviors like most recent penile testicular self-examination, most recent compliance to digital rectal examination and reduced consumption of dietary fat. SAMPLE: The study sample consisted of 410 subjects in military worksite in Cavite City: 140 in control or Philippine Fleet, 135 in the traditional group or Philippine Air Force, and 135 in enhanced group or Philippine Navy. METHOD: The study utilized a quasi-experimental control group pretest-posttest research design with three month follow-up. One treatment group was enrolled in traditional program (traditional group), one treatment group for the enhanced program (enhanced group), and one control group without intervention. Outcome variables were measured using interview schedule and questionnaire. The comparability of three study groups were determined using one-way ANOVA and chi-square tests. To determine the trend of change in variable responses during baseline, post and follow-up surveys, Mc Nemar Change test was utilized. The effects of health production and education intervention programs were analyzed using General Estimating Equations (GEEs) and Significant Differences tests were used to determine association of each independent variables to dependent variables. Multiple logistic regression was done to predict variables that could influence preventive health behaviors related to male reproductive tract cancers. RESULTS: The enhanced health promotion and education intervention produced more significant improvement in the level of knowledge, perceived severity of male reproductive tract cancers, perceived availability and accessibility of information, attitude, self-efficacy regarding penile and testicular self-examination compared to traditional program. The traditional program effected significant improvement in behavioral intentions compared to the control group. There was significant improvement in the enhanced group compared to the control group in most recent penile and testicular self-examination and most recent compliance with digital rectal examination. There was no significant change in reduced consumption of dietary fat for all groups between baseline and follow-up. The best predictors of most recent penile and testicular self-examination are attendance to traditional and enhanced program, external (powerful others) health locus of control, and perceived availability and accessibility of information regarding male reproductive tract cancers. The predictors of most recent compliance with digital rectal examination are external (powerful others) health locus of control, perceived cost, knowledge and self-efficacy. Attendance in enhanced intervention are availability and accessibility of information were identified as predictors of reduced consumption of dietary fat. CONCLUSIONS: The two packages of health promotion and education interventions had significant positive effects on knowledge, benefits, attitude, self-efficacy concerning dietary modifications and chance (powerful others) health locus of control. The enhanced intervention was significantly better in enriching attitude and beliefs about severity of male reproductive tract cancers and accessibility and availability of information compared to the traditional program. The traditional intervention had significantly improved the behavioral intentions related to preventive health behaviors. Where there was significant improvement, these effects were sustained over a three-month follow-up period. RECOMMENDATIONS: Recommendations to enrich the traditional approach to male reproductive tract cancer prevention and control program were offered by utilizing innovative methods/strategies such as peer education and counseling, skills training, and contracting. Recommendations were also offered that a similar study be undertaken in a different work-based and community-based setting with a longer follow-up period. Health promotion. Health education. Genital diseases, Male. Health behavior. UP Fi UPMNL CPH LG 996 2003 P9 S25 Thesis