Difficulties in eating out of home while diagnosed with inflammatory bowel disease: A qualitative interview study from China

PLoS One. 2023 Dec 5;18(12):e0288908. doi: 10.1371/journal.pone.0288908. eCollection 2023.

Abstract

Background: Meeting healthy dietary needs while eating out can be a challenging experience for adults with inflammatory bowel disease. This study examined the barriers experienced by adults with inflammatory bowel disease (IBD) when eating out.

Objective: This study aimed to explore the perceptions of people with IBD on eating out barriers.

Design: A qualitative study among individuals affected by IBD was conducted through semi-structured interviews.

Results: Sixteen adults from China were diagnosed with IBD between 6 months and 20 years prior to the study. They were recruited from four tertiary care hospitals in Nanjing, China. The participants completed a semi-structured interview between April and September 2022. Self-perceived difficulties with eating and drinking when eating out were varied. After thematic analysis of the data, five main themes emerged: limited access to healthy and hygiene food; no pleasure of food enjoyment; financial strain; not feeling loved, supported or understood; and coping strategies for not meeting demand.

Conclusions: This study highlights the various barriers encountered by patients with inflammatory bowel disease when eating out. These findings will help people with IBD to encourage the formation of targeted health and well-being-related interventions. Knowledge of nutrition and diet should be provided in education and training programs administered to IBD.

MeSH terms

  • Adult
  • China / epidemiology
  • Diet*
  • Health Status
  • Humans
  • Inflammatory Bowel Diseases* / diagnosis
  • Qualitative Research

Grants and funding

This research was funded by the National Natural Science Foundation of China with grant number 72204124. This study was funded by Nanjing University of Chinese Medicine National Natural Youth Fund Matching Project: XPT72204124. This study was funded by the Youth Program of Humanities and Social Sciences, Ministry of Education, China, Project No. 19YJCZH147 and the Research Fund of Jiangsu Province Postgraduate Practice Innovation Program, Project No. SJCX22_0814.The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.