RESUMO RACIONAL: O câncer colorretal (CCR) é um problema de saúde mundial cujo controle depende do estabelecimento de políticas públicas e programas de prevenção e rastreamento eficazes. No Brasil existem poucos estudos relacionados à adesão métodos de rastreamento. OBJETIVO: Avaliar a associação de características sócio-demográficas à realização de testes de sangue oculto nas fezes do tipo imunoquimicomecanizado (FIM) em população de médio risco para o desenvolvimento de câncer colorretal. MÉTODOS: Estudo observacional transversal, com coleta prospectiva de dados. Entre março de 2015 e abril de 2016, 1.254 indivíduos assintomáticos, com idade entre 50 e 75 anos, foram consecutivamente selecionados a partir de uma campanha hospitalar de rastreamento para neoplasias. RESULTADOS: As taxas de adesão ao teste FIM foi 55.6% (697/1254). Na análise de regressão logística múltipla os fatores independentes associados à adesão ao rastreamento do CCR foram: Idade entre 60–75 anos (oddsratio (OR)=1.30; intervalo de confiança de 95% (IC): 1.02–1.66; p=0.03), crença religiosa (OR=2.04; 95%IC: 1.34–3.11; p<0.01), realização prévia de exame de sangue oculto nas fezes (OR=2.07; 95%IC: 1.55–2.76; p<0.01) e vínculo empregatício em período integral ou parcial (OR=0.66; 95%IC: 0.49–0.89; p<0.01). CONCLUSÃO: Este estudo enfatiza a importância de considerar aspectos laborais ao implementar programas de rastreamento do câncer colorretal e sugere que campanhas de rastreamento implantadas no ambiente de trabalho e de maneira repetida ao longo dos anos podem ser mais efetivas. RACIONAL (CCR eficazes OBJETIVO sóciodemográficas sócio demográficas (FIM MÉTODOS transversal dados 201 2016 1254 1 254 1.25 assintomáticos 5 7 neoplasias RESULTADOS 556 55 6 55.6 697/1254. 6971254 697/1254 . 697 (697/1254) 6075 60 60–7 oddsratio OR=1.30 OR130 OR =1.30 30 (OR)=1.30 95 IC (IC) 1.02–1.66 102166 02 66 p=0.03, p003 p p=0.03 , 0 03 p=0.03) OR=2.04 OR204 2 04 (OR=2.04 95%IC 95IC 1.34–3.11 134311 34 3 11 p<0.01, p001 p<0.01 01 OR=2.07 OR207 07 (OR=2.07 1.55–2.76 155276 76 OR=0.66 OR066 (OR=0.66 0.49–0.89 049089 49 89 p<0.01. CONCLUSÃO efetivas 20 125 25 1.2 55. 697125 697/125 69 (697/1254 607 60– OR=1.3 OR13 130 =1.3 (OR)=1.3 9 (IC 1.02–1.6 10216 p00 p=0.0 OR=2.0 OR20 (OR=2.0 1.34–3.1 13431 p<0.0 1.55–2.7 15527 OR=0.6 OR06 (OR=0.6 0.49–0.8 04908 4 8 12 1. 69712 697/12 (697/125 OR=1. OR1 13 =1. (OR)=1. 1.02–1. 1021 p0 p=0. OR=2. OR2 (OR=2. 1.34–3. 1343 p<0. 1.55–2. 1552 OR=0. OR0 (OR=0. 0.49–0. 0490 6971 697/1 (697/12 OR=1 =1 (OR)=1 1.02–1 102 p=0 OR=2 (OR=2 1.34–3 134 p<0 1.55–2 155 OR=0 (OR=0 0.49–0 049 697/ (697/1 OR= = (OR)= 1.02– 10 p= (OR= 1.34– p< 1.55– 15 0.49– (697/ (OR) 1.02 (OR 1.34 1.55 0.49 (697 1.0 1.3 1.5 0.4 (69 0. (6 (

ABSTRACT BACKGROUND Colorectal cancer (CRC) is a worldwide health problem whose control depends on public policy establishment and effective prevention and screening programs. In Brazil, there are few studies related to adherence to screening methods. AIMS: The aim of this study was to evaluate the association between demographic and socioeconomic to adherence to CRC screening with fecal immunochemical test (FIT) among average-risk individuals for CRC. METHODS: In this prospective cross-sectional study, conducted between March 2015 and April 2016, 1,254 asymptomatic individuals aged 50–75 years, participating in a hospital screening campaign in Brazil, were invited to participate in the study. RESULTS: The adherence rate to FIT was 55.6% (697/1,254). In the multivariable logistic regression analysis, patients aged 60–75 years (odds ratio (OR)=1.30; 95% confidence interval (CI): 1.02–1.66; p=0.03), religious belief (OR=2.04; 95% CI: 1.34–3.11; p<0.01), previous fecal occult blood test (OR=2.07; 95% CI: 1.55–2.76; p<0.01), and full/part-time working status (OR=0.66; 95% CI: 0.49–0.89; p<0.01) were independently associated with adherence to CRC screening. CONCLUSION: The results of the present study highlight the importance of considering the labor aspects when implementing screening programs, suggesting that campaigns conducted in the workplace and repeated over the years may be more effective. (CRC programs Brazil methods AIMS (FIT averagerisk average risk METHODS crosssectional cross sectional 201 2016 1254 1 254 1,25 5075 50 75 50–7 RESULTS 556 55 6 55.6 697/1,254. 6971254 697/1,254 . 697 (697/1,254) analysis 6075 60 60–7 odds OR=1.30 OR130 OR =1.30 30 (OR)=1.30 95 CI (CI) 1.02–1.66 102166 02 66 p=0.03, p003 p p=0.03 , 0 03 p=0.03) OR=2.04 OR204 2 04 (OR=2.04 1.34–3.11 134311 34 3 11 p<0.01, p001 p<0.01 01 OR=2.07 OR207 07 (OR=2.07 1.55–2.76 155276 76 full/parttime fullparttime full/part time full part OR=0.66 OR066 (OR=0.66 0.49–0.89 049089 49 89 CONCLUSION 20 125 25 1,2 507 5 7 50– 55. 697125 697/1,25 69 (697/1,254 607 60– OR=1.3 OR13 130 =1.3 (OR)=1.3 9 (CI 1.02–1.6 10216 p00 p=0.0 OR=2.0 OR20 (OR=2.0 1.34–3.1 13431 p<0.0 1.55–2.7 15527 parttime fullpart OR=0.6 OR06 (OR=0.6 0.49–0.8 04908 4 8 12 1, 69712 697/1,2 (697/1,25 OR=1. OR1 13 =1. (OR)=1. 1.02–1. 1021 p0 p=0. OR=2. OR2 (OR=2. 1.34–3. 1343 p<0. 1.55–2. 1552 OR=0. OR0 (OR=0. 0.49–0. 0490 6971 697/1, (697/1,2 OR=1 =1 (OR)=1 1.02–1 102 p=0 OR=2 (OR=2 1.34–3 134 p<0 1.55–2 155 OR=0 (OR=0 0.49–0 049 697/1 (697/1, OR= = (OR)= 1.02– 10 p= (OR= 1.34– p< 1.55– 15 0.49– 697/ (697/1 (OR) 1.02 (OR 1.34 1.55 0.49 (697/ 1.0 1.3 1.5 0.4 (697 1. 0. (69 (6 (