Determination of Colorectal Cancer Risk Levels, Colorectal Cancer Screening Rates, and Factors Affecting Screening Participation of Individuals Working in Agriculture in Turkey

Background: Colorectal cancer (CRC) is the fourth ranked malignancy leading to death in Turkey. Agricultural workers with low socioeconomic level are particularly at risk due to the intense use of pesticides. Objective: The aim of this study was to determine CRC risk levels, status of participation in CRC screenings, and the factors affecting participation in screenings among individuals between 50 and 70 years old working in agriculture. Methods: Data in this cross-sectional study were collected from 244 agricultural workers in Turkey. Results: The rate of participation in CRC screenings among these workers at high risk was low. Their knowledge and health beliefs did not affect their participation in CRC screenings. Having a friend or neighbor with CRC and knowing which doctor to consult increased participation in CRC screenings 10 times, and having abdominal pain increased participation in CRC screenings 4 times. Conclusions: The rate of participation in CRC screenings is low in this group of workers, but rates may increase when these individuals are directed to be screened. Implications for Practice: Health professionals should advise agricultural workers to participate in CRC screenings and should inform workers about the locations where screenings are conducted.