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© 1993 Oxford University Press

other

Use of Oral Moist Snuff and Inflammatory Bowel Disease

PER-GUNNAR PERSSON*,**, GÖRAN HELLERS{dagger} and ANDERS AHLBOM*,**

*Division of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet Box 210, S-171 77 Stockholm, Sweden
**Epidemiologic Unit, Stockholm County Council Sweden
{dagger}Department of Surgery, Huddinge University Hospital Stockholm, Sweden

We examined the association between oral moist snuff use and inflammatory bowel disease in a case-control study based on the population in Stockholm County. The relative risk (RR) associated with ever use of moist snuff was 2.1 (95% Cl: 1.0–4.6) for Crohn's disease, and 2.2 (95% Cl: 1.1–4.4) for ulcerative colitis. Cigarette smoking indicated a synergistic relation with moist snuff: the RR estimate of Crohn's disease was 3.7(95% Cl: 1.1–13.1) and of ulcerative colitis 3.3(95% C : 1.0–10.9) for snuff dippers who were also current cigarette smokers, but only 0.9 and 1.1 respectively for snuff dippers who had never smoked.

Received 1 April 1993


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