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标题：Awareness of smoking in adolescents with inflammatory bowel disease
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作者：Marcin Dziekiewicz ; Kinga Kowalska-Duplaga ; Marta Baranowska-Nowak 等
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2020
卷号：27
期号：1
页码：61-65
DOI：10.26444/aaem/105821
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction and objectives. Inflammatory bowel disease (IBD) is long life disease that results from an interaction betweena polygenetic predisposition and environmental factors, including smoking. The aim of this study was to evaluate beliefsabout and awareness of smoking among adolescents with IBD compared to healthy controls.Materials and method. Patients with IBD, Crohn’s disease (CD) and ulcerative colitis (UC), and healthy controls were askedto complete a questionnaire on demographic data and smoking status. The questionnaire also included data on beliefsand awareness of smoking-related health effects, including effects on IBD.Results. A total of 139 IBD patients and 108 controls were enrolled in the study. Of the IBD patients, 17/139 (12.2%) weresmokers compared to 18/108 (16.7%) of controls (p=0.3). Patients with IBD were nine times more likely to be everyday smokersthan occasional smokers (OR=9.2, 95% CI: 1.9- 45.1, p=0.004). No difference was found between patients with CD and UCin their answers to the question of whether “smoking increases the risk for surgery in your type of IBD” (17/28 (60.7%) vs.10/29 (34.5%), respectively (p=0.047). More patients with CD than UC were aware of the risks of smoking on their disease:extra-intestinal manifestations and disease exacerbation, OR=11.3 (95% CI: 4.1 – 30.9; p=0.000) and OR=19.3 (95% CI: 6.7 –55.1; p=0.000), respectively.Conclusions. The data obtained demonstrated that adolescents with CD are much more aware of the role of smoking on CDthan are their peers with UC; however, this awareness is still unsatisfactory. Therefore, there is an unmet need to implementbetter anti-smoking strategies for this group of patients.
关键词：Crohn’s disease; ulcerative colitis; environmental factors; tobacco