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Master thesis

Croyances et comportements face au tabac au cours des maladies inflammatoires chroniques intestinales

Abstract : Background and Aim : Tobacco is the most established environmental factor associated with inflammatory bowel disease (IBD). We investigated beliefs and behaviours about tobacco among IBD patients and compared these beliefs and behaviours between crohn's disease (CD) and ulcerative colitis patients (UC).Methods : A questionnaire of 18 items was developed and administered to all consecutive patients adults followed for IBD at Nancy University Hospital from October 2012 to March 2013. Results : A total of 231 patients participated in the survey (CD = 171, UC = 60). Among IBD patients smokers at diagnosis (n = 109), 10.5% of CD patients (10/95) versus (vs) 14.3% of UC patients (2/14) believed tobacco could trigger their IBD (p = 0.56) ; about half CD smokers at diagnosis (51/95) were not aware smoking might initiate their disease. About one-third (36/106, CD = 33, UC = 3) of IBD patients smokers after diagnosis considered that smoking influenced the evolution of their IBD ; 75.8% (25/33) of smokers after diagnosis thought tobacco was not beneficial for their CD while 100% of UC (3/3) were aware that smoking had a positive effect on the course of their UC, (p = 0.001). About half (n = 39) of never smokers with IBD (n = 72) thought that smoking could play a role in the course of their disease. About half of CD patients (54/92) had stopped smoking during a flareup of their disease; improving their CD was mentioned for 37% of these 54 patients (20/54). Four previous smokers with UC (21.1%) restarted smoking during a relapse. Nearly 90% of IBD current smokers (63/72) wished quitting smoking, 39.7% (23/58) with the help of atobaccologist. About half of IBD patients (n = 107) had been informed about the relation between smoking and IBD and Internet was a source for 24.3% of them (n = 26).Conclusions : The majority of IBD patients are unaware about tobacco effects on their disease. Better information via a therapeutic education program should be systematically recommended in IBD
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Master thesis
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  • HAL Id : hal-01732761, version 1


Nafissa Saadoune. Croyances et comportements face au tabac au cours des maladies inflammatoires chroniques intestinales. Sciences du Vivant [q-bio]. 2014. ⟨hal-01732761⟩



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