Beliefs and behaviour about smoking among inflammatory bowel disease patients.
OBJECTIVE
We investigated the beliefs and behaviours about tobacco among inflammatory bowel disease (IBD) patients.


METHODS
A questionnaire of 18 items was developed and administered to all consecutive patients followed for IBD at Nancy University Hospital from October 2012 to March 2013.


RESULTS
Two hundred and thirty-one patients participated in the survey [Crohn's disease (CD)=171, ulcerative colitis (UC)=60]. Among IBD patients who were smokers at diagnosis, 10.5% of CD patients versus 14.3% of UC patients believed that tobacco could have triggered their IBD; about half the CD smokers at diagnosis were not aware that smoking might promote their disease. Three quarters of smokers after diagnosis knew that tobacco was not beneficial for their CD, whereas all UC were aware that smoking had a beneficial effect on their disease course. About half of the CD patients had stopped smoking during a flare-up. Four former smokers with UC (21.1%) resumed smoking during a relapse. Nearly 90% of IBD current smokers wished to quit smoking. About half the IBD patients were aware of the relation between smoking and IBD, and the Internet was a source for 24.3% of these patients.


CONCLUSIONS
The majority of IBD patients are unaware of the effects of tobacco on their disease. Better information through a therapeutic education programme should be systematically recommended in IBD.
aInserm U954, Department of Gastroenterology, University Hospital of Nancy, Université de Lorraine bMethodological and Biostatistical Support Unit, ESPRI cTobaccology Unit, Nancy University Hospital, Vandœuvre-Lès-Nancy, France.
Nafissa
N
Saadoune
Laurent
L
Peyrin-Biroulet
Cédric
C
Baumann
Marc-André
MA
Bigard
Nathalie
N
Wirth
Yves
Y
Martinet
Carina
C
Peyrin-Biroulet
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003093:Colitis, Ulcerative / Q000209:etiology / Q000523:psychology; D003424:Crohn Disease / Q000209:etiology / Q000523:psychology; D003430:Cross-Sectional Studies; D003469:Culture; D018450:Disease Progression; D005260:Female; D005602:France / Q000453:epidemiology; D015438:Health Behavior; D006801:Humans; D015994:Incidence; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects* / Q000453:epidemiology; D016540:Smoking Cessation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires