Abstract / Summary
To evaluate social barriers experienced by celiac patients in Iran and their emotional and psychological impacts, and to identify and analyze these challenges across interpersonal, societal, institutional, and psychological dimensions while proposing strategies for improving their social integration and well-being. We performed a qualitative content analysis using semi-structured interviews with 25 adults with celiac disease, purposively sampled from support groups and clinics. Data were collected January–June 2024, transcribed verbatim, and analyzed with MAXQDA 10 using Graneheim and Lundman’s (2004) approach. The central theme, “Navigating Social Isolation and Stigma in a Gluten-Dominant Society,” emerged from 1,247 codes in four categories: interpersonal disruptions, societal barriers, institutional shortcomings, and internalized struggles. Practices like taarof and scarce gluten-free products heightened alienation and stigma. Iranian celiac patients encounter complex social challenges rooted in cultural food traditions and systemic gaps. Effective interventions require public awareness campaigns, enhanced post-diagnosis support, policy advocacy for gluten-free accommodations, and community support groups to foster integration and reduce stigma.