A team from Alberta, Canada, examined the smoking behaviors of Crohn's disease patients.
In active smokers, they measured their willingness to quit, their degree of nicotine dependence, and the proportion that made an attempt to quit within 6 months. This was to determine if they were refractory to smoking cessation in comparison to the general population.
The researchers also examined factors that were important in their decision to smoke.
A cross-sectional survey of out-patients was conducted. Telephone interviews and a 6-month follow-up questionnaire of active smokers supplemented this.
|59% of Crohn's patients were considering quitting smoking within 6 months.|
|American Journal of Gastroenterology|
Disease activity, current smoking behavior, intentions (stage of change), Fagerstrom Test for Nicotine Dependence, and factors related to their decision to smoke (decisional balance), were all measured.
115 patients (78% response rate) completed the questionnaire. 40% were active smokers.
Of active smokers, 59% were considering quitting within the next 6 months, and of these 15% were planning on quitting within the next 30 days.
Those with moderate disease activity were more likely to be considering quitting than those with mild or severe activity.
The researchers found that nicotine dependence was rated as high in 33% and as moderate in 43%.
Factors unrelated to Crohn's disease were found to be more important in their decision to smoke than were Crohn's disease-related factors.
After 6 months, 23% had made an attempt to quit. This attempt was strongly associated with their stated intentions at the baseline questionnaire.
Two of three patients who had recently quit at baseline had resumed smoking.
Researcher R. J. Hilsden, of the University of Calgary, Alberta, concluded, "When compared to similar data for the general population, patients with Crohn's disease are no more refractory to smoking cessation."