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Comparative Study
. 2008 May;22(5):475-83.
doi: 10.1155/2008/109218.

A comparison of self-perceived health status in inflammatory bowel disease and irritable bowel syndrome patients from a Canadian national population survey

Linda Y L Tang  1 , Alice Nabalamba, Leslie A Graff, Charles N Bernstein
Affiliations
Comparative Study

A comparison of self-perceived health status in inflammatory bowel disease and irritable bowel syndrome patients from a Canadian national population survey

Linda Y L Tang et al. Can J Gastroenterol. 2008 May.

Abstract
in English, French

Objective: To determine whether differences exist in perceptions of physical health, mental health and stress levels between patients with inflammatory bowel disease (IBD) and patients with irritable bowel syndrome (IBS).

Methods: Data were obtained from the 2005 Canadian Community Health Survey, which had a sample size of 132,947 Canadians. Information on 4441 participants aged 19 years or older who reported that they had been diagnosed with Crohn's disease (n=474), ulcerative colitis (n=637) or IBS (n=3330) was analyzed regarding perceptions of their physical health, mental health, stress levels and activity levels.

Results: Overall, IBD patients reported being in fair to poor health (P<0.01) more often than IBS patients. In addition, IBS patients were more likely than IBD patients to report poor mental health status (P<0.01) and greater stress levels (P<0.01). In multivariate analyses, having IBS or IBD along with another chronic disease significantly increased the odds of reporting poorer health status.

Conclusions: People with IBD were more likely to experience fair or poor general health. IBS patients reported higher levels of stress and poorer mental health than IBD patients. When IBS or IBD coexisted with another chronic condition, activity participation at home and at work was significantly more likely to be impaired.

OBJECTIF :: Déterminer s’il existe des différences de perception de l’état de santé, de la santé mentale et du niveau de stress entre les personnes atteintes d’une maladie inflammatoire de l’intestin (MII) et celles atteintes du syndrome du côlon irritable (SCI).

MÉTHODOLOGIE :: Les données sont tirées de l’Enquête de 2005 sur la santé dans les collectivités canadiennes, dont l’échantillon était de 132 947 Canadiens. Les auteurs ont analysé l’information au sujet des 4 441 participants de 19 ans ou plus qui ont déclaré être atteints d’une maladie de Crohn (n=474), d’une colite ulcéreuse (n=637) ou d’un SCI (n = 3 330) diagnostiqué afin de connaître leur perception de leur santé physique, de leur santé mentale, de leur niveau de stress et de leur taux d’activité.

RÉSULTATS :: Dans l’ensemble, les personnes atteintes d’une MII déclaraient davantage être en moyenne ou mauvaise santé que les personnes atteintes du SCI (P<0,01). Par ailleurs, les personnes atteintes du SCI étaient plus susceptibles que celles atteintes d’une MII de déclarer une mauvaise santé mentale (P<0,01) et un niveau de stress plus élevé (P<0,01). D’après les analyses multivariées, le fait d’avoir une MII ou un SCI en plus d’une autre maladie chronique augmentait considérablement le risque de se déclarer en moins bonne santé.

CONCLUSIONS :: Les personnes atteintes d’une MII risquent davantage d’être en moyenne ou mauvaise santé. Les personnes atteintes du SCI déclaraient un niveau de stress plus élevé et une moins bonne santé mentale que celles atteintes d’une MII. Lorsque le SCI ou la MII coexistait avec une autre maladie chronique, la participation active à la maison et au travail était considérablement plus susceptible d’être compromise.

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Figures

Figure 1)
Figure 1)
Self-perceived general health of inflammatory bowel disease (IBD) patients versus irritable bowel syndrome (IBS) patients in a Canadian household population aged 19 years and older, 2005. *IBD estimate differs significantly from that of IBS (P<0.01). Data from the 2005 Canadian Community Health Survey (Statistics Canada)
Figure 2)
Figure 2)
Self-perceived mental health of inflammatory bowel disease (IBD) patients versus irritable bowel syndrome (IBS) patients in a Canadian household population aged 19 years and older, 2005. *IBS estimate differs significantly from that of IBD (P<0.01). Data from the 2005 Canadian Community Health Survey (Statistics Canada)
Figure 3)
Figure 3)
Self-perceived stress in the daily life of inflammatory bowel disease (IBD) patients versus irritable bowel syndrome (IBS) patients in a Canadian household population aged 19 years and older, 2005. *IBS estimate differs significantly from that of IBD (P<0.01). Data from the 2005 Canadian Community Health Survey (Statistics Canada)
Figure 4)
Figure 4)
Frequency of activity limitations of inflammatory bowel disease (IBD) patients versus irritable bowel syndrome (IBS) patients in a Canadian household population aged 19 years and older, 2005. *IBD stimate differs significantly from that of IBS (P<0.01). Data from the 2005 Canadian Community Health Survey (Statistics Canada)
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