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Influencing factors of health-related productivity loss among patients with inflammatory bowel disease in paid employment based on the theory of social ecosystem: a mixed-methods study.
Minerva gastroenterology

Cure8 research brief

Influencing factors of health-related productivity loss among patients with inflammatory bowel disease in paid employment based on the theory of social ecosystem: a mixed-methods study.

2 min read
Mental health and quality of life Fatigue Anxiety Depression Stricture Clinical study Adult patients Clinicians

Why This Matters

Work-related productivity loss was common in this study and linked to both clinical (disease activity, strictures, fatigue) and psychosocial factors (anxiety, depression, self-efficacy, social support).

That suggests interventions beyond medications — like mental-health care, workplace support, and self-management — could help people with IBD stay productive at work.

Who Should Pay Attention

Adult patients with IBD who are working, employers and occupational health teams, gastroenterology clinicians, and researchers studying IBD outcomes and quality of life.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This study (mixed-methods, single tertiary hospital in Suzhou, China) examined factors linked with health-related productivity loss among 291 patients with IBD who were in paid employment. Two-thirds (67.7%) of participants were classified as having overall productivity loss.

Quantitative analysis found higher odds of productivity loss with female sex, older age, higher disease activity, intestinal stricture, fatigue, anxiety, depression, and working in business/service roles; protective factors included a diagnosis of ulcerative colitis, greater self-efficacy, and stronger social support.

The authors also conducted qualitative interviews using social ecosystem theory to explore influences at micro, meso, and macro levels; coder agreement for themes was reported at 92.9%.

These findings support multilevel approaches (self-management, mental health support, family/workplace accommodations, and broader structural support) to reduce productivity loss but were collected in an inpatient single-center sample and should not be overgeneralized to all people with IBD or to unpaid work domains.

Keep In Mind

This is a single-center, hospital-based inpatient sample from China; results may not generalize to all people with IBD, to outpatients, or to unpaid productivity (household/caregiver) roles. The content depth is based on the article abstract.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationMinerva gastroenterology
AuthorsLiyun Shang, Rulan Yin, Lifen Mao +4 more
InstitutionDepartment of Oncology, First Affiliated Hospital of Soochow University, Suzhou, China - znwu2004@163.com.
Study typeJournal article
Indexed viaPubMed
Source typeResearch paper
PublishedSep 29, 2026, 12:00 AM
Content availableJournal abstract

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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