{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:10Z","timestamp":1788815350176,"version":"build-2803163510"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"General Directorate of Public Health"},{"name":"Fundaci\u00f3n para la Investigaci\u00f3n e Innovaci\u00f3n Biosanitaria de Atenci\u00f3n Primaria de la Comunidad de Madrid"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The colorectal cancer screening programme was fully implemented in the Community of Madrid in 2019. This study aimed to analyse factors related to participation during the subsequent 4 years. We conducted a cross-sectional study using data from the Community of Madrid\u2019s Noncommunicable Disease Risk-Factor Surveillance System (SIVFRENT) (2020\u201323). Study population included individuals aged 50\u201369\u2009years. We analysed the association between faecal occult blood test (FOBT) performance and demographic, socioeconomic, and lifestyle variables. Crude and adjusted prevalence ratios (aPR) were calculated using Poisson regression models, stratified by sex. Among 3813 participants, 52.1% were women. Overall, 55.3% (95% CI: 53.6\u201357.0) underwent an FOBT for screening purposes, with a greater proportion of men (57.8%) than women (53.1%) (P\u2009&amp;lt;\u2009.05). The highest participation occurred during 2023. Among men, being separated or divorced (aPR: 0.80; 95% CI: 0.67\u20130.94) and being aged 50\u201359\u2009years old (aPR: 0.92; 95% CI: 0.85\u20130.99) were associated with a lower likelihood of undergoing an FOBT. Among women, lower participation was associated with being underweight (aPR: 0.63; 95% CI: 0.40\u20130.97), widowed (aPR: 0.78; 95% CI: 0.66\u20130.93), born outside Spain (aPR: 0.82; 95% CI: 0.72\u20130.95), a current smoker (aPR: 0.84; 95% CI: 0.75\u20130.95), and being under 60\u2009years of age (aPR: 0.86; 95% CI: 0.79\u20130.94). Overall, a gradual improvement in colorectal cancer screening participation was observed, with men participating at higher rates than women. The associated factors differ between men and women and need to be accounted for when strategies to increase programme coverage are implemented.<\/jats:p>","DOI":"10.1093\/eurpub\/ckag060","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T11:35:48Z","timestamp":1775561748000},"source":"Crossref","is-referenced-by-count":0,"title":["Factors related to participation in colorectal cancer screening in a Southern European region: a prevalence survey"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-3885","authenticated-orcid":false,"given":"Paula","family":"Mart\u00edn-Garc\u00eda","sequence":"first","affiliation":[{"name":"Preventive Medicine Department, Hospital General Universitario Gregorio Mara\u00f1\u00f3n , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1855-5728","authenticated-orcid":false,"given":"Myrian","family":"Pichiule-Casta\u00f1eda","sequence":"additional","affiliation":[{"name":"Sub-Directorate General for the Surveillance of Public Health, Directorate General of Public Health, Regional Ministry of Health of Madrid , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3551-0660","authenticated-orcid":false,"given":"Mar\u00eda-Felicitas","family":"Dom\u00ednguez-Berj\u00f3n","sequence":"additional","affiliation":[{"name":"Sub-Directorate General for the Surveillance of Public Health, Directorate General of Public Health, Regional Ministry of Health of Madrid , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3933-4721","authenticated-orcid":false,"given":"Ana","family":"Gandarillas-Grande","sequence":"additional","affiliation":[{"name":"Sub-Directorate General for the Surveillance of Public Health, Directorate General of Public Health, Regional Ministry of Health of Madrid , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,18]]},"reference":[{"key":"2026090716342160500_ckag060-B1","volume-title":"Patrones de mortalidad en Espa\u00f1a, 2021","author":"Ministerio de Sanidad"},{"key":"2026090716342160500_ckag060-B2","volume-title":"Informe del Estado de Salud de la Poblaci\u00f3n de la Comunidad de Madrid","author":"Unidad T\u00e9cnica de Informe de Estado de Salud y Registros","year":"2025"},{"key":"2026090716342160500_ckag060-B3","author":"Lin","year":"2021"},{"key":"2026090716342160500_ckag060-B4","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1258\/jms.2008.008024","article-title":"Predicting the impact of the screening programme for colorectal cancer in the UK","volume":"15","author":"Parkin","year":"2008","journal-title":"J Med Screen"},{"key":"2026090716342160500_ckag060-B5","author":"VA Office of Research and Development","year":"2024"},{"key":"2026090716342160500_ckag060-B6","author":"Antoni Castells","year":"2024"},{"key":"2026090716342160500_ckag060-B7","year":"2014"},{"key":"2026090716342160500_ckag060-B8"},{"key":"2026090716342160500_ckag060-B9"},{"key":"2026090716342160500_ckag060-B10"},{"key":"2026090716342160500_ckag060-B11","doi-asserted-by":"publisher","first-page":"1494","DOI":"10.1053\/j.gastro.2019.08.023","article-title":"Effect of sex, age, and positivity threshold on fecal immunochemical test accuracy: a systematic review and meta-analysis","volume":"157","author":"Selby","year":"2019","journal-title":"Gastroenterology"},{"key":"2026090716342160500_ckag060-B12","year":"2023"},{"key":"2026090716342160500_ckag060-B13","volume-title":"A Conceptual Framework for Action on the Social Determinants of Health: Social Determinants of Health Discussion Paper 2","author":"Solar O, Irwin A.","year":"2010"},{"key":"2026090716342160500_ckag060-B14","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.gaceta.2018.07.006","article-title":"Incorporation of the gender perspective in community health. 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