Factors Influencing the Intention of Female Staff to Participate in Cancer Screening Programs at the Queen Sirikit National Institute of Child Health

Abstract

This research aimed to study the intention to undergo cervical cancer and breast cancer screening among female personnel at the Queen Sirikit National Institute of Child Health. It was a descriptive cross-sectional study using questionnaires for data collection. Female personnel aged 25 - 60 years were selected through proportional stratified random sampling, yielding a sample of 280 participants. Data were collected between December 2025 and January 2026. Reliability was assessed using Cronbach's alpha coefficient, which yielded a value of 0.95. Factors associated with cancer screening intention were analyzed using Multiple Linear Regression.

            The results showed that female personnel aged 25-60 years accounted for 43.2% of the sample, with a mean age of 39.03 years. The majority were single (61.4%), held a bachelor's degree (76.1%), were government officers (63.6%), worked in nursing (42.1%), had 1 - 5 years of service (35.4%), and earned between 20,001-30,000 baht per month. Knowledge regarding cervical cancer and breast cancer was reported at 98.3% and 98.1%, respectively. Multiple regression analysis revealed that variables significantly predicting screening intention at p < 0.05 were: breast cancer examination by a physician, nurse, or specialist (β = 0.344, p < 0.001), age (β = 0.319, p < 0.001), personal norms (β = 0.244, p < 0.001), marital status (β = 0.214, p < 0.001), and education level (β = 0.126, p = 0.023), respectively. The findings should be used as a guideline for developing training programs on cervical and breast cancer awareness for personnel, in order to promote self-health care. Additionally, on-site screening services by physicians or specialists such as mobile screening units should be organized to reduce barriers to healthcare access for female personnel.