scholarly journals In harm’s way: Non-migration decisions of people at risk of slow-onset coastal hazards in Bangladesh

AMBIO ◽  
2021 ◽  
Author(s):  
Bishawjit Mallick ◽  
Kimberly G. Rogers ◽  
Zakia Sultana
Keyword(s):  
At Risk ◽  
Social Connectedness ◽  
Adaptive Strategy ◽  
Coastal Hazards ◽  
Structured Interviews ◽  
Farming Communities ◽  
Coastal Bangladesh ◽  
Migration Decisions ◽  
And Coping ◽  
Slow Onset

AbstractNon-migration is an adaptive strategy that has received little attention in environmental migration studies. We explore the leveraging factors of non-migration decisions of communities at risk in coastal Bangladesh, where exposure to both rapid- and slow-onset natural disasters is high. We apply the Protection Motivation Theory (PMT) to empirical data and assess how threat perception and coping appraisal influences migration decisions in farming communities suffering from salinization of cropland. This study consists of data collected through quantitative household surveys (n = 200) and semi-structured interviews from four villages in southwest coastal Bangladesh. Results indicate that most respondents are unwilling to migrate, despite better economic conditions and reduced environmental risk in other locations. Land ownership, social connectedness, and household economic strength are the strongest predictors of non-migration decisions. This study is the first to use the PMT to understand migration-related behaviour and the findings are relevant for policy planning in vulnerable regions where exposure to climate-related risks is high but populations are choosing to remain in place.

scholarly journals Encountering suicide in primary healthcare rehabilitation: the experiences of physiotherapists

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Åse Lundin ◽  
Anna Bergenheim
Keyword(s):  
At Risk ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Content Analysis ◽  
Western Hemisphere ◽  
Mental Wellbeing ◽  
Healthcare Personnel ◽  
Public Health Issue ◽  
Structured Interviews ◽  
Patients At Risk

Abstract Background Suicide is a serious public health issue and one of the most common causes of death globally. Suicide has long-lasting impact on personal, relational, community and societal levels. Research has shown that patients often seek help in the primary healthcare system preceding a suicide. Studies exploring the experiences of encountering patients at risk for suicide have been performed among various categories of healthcare personnel, such as nurses and psychiatry residents as well as emergency room staff. There is a lack of research regarding primary healthcare rehabilitation staff, despite the fact that physiotherapists are the third largest health profession in the Western hemisphere and often work with patients experiencing mental health symptoms. The aim of this study was to explore the experiences of encountering patients at risk for suicide among physiotherapists working in a primary healthcare rehabilitation setting. Methods Semi-structured interviews were conducted with 13 physiotherapists working in primary healthcare rehabilitation clinics in the Gothenburg area, Sweden. The interviews were recorded on audio and transcribed into written text. A qualitative content analysis was performed on the material collected. Results The analysis of the material revealed an overarching theme, Through barriers and taboos – the physiotherapist finds a way, with five main categories: possibilities for identification, obstacles in meeting suicide, workplace environment matters, where does the patient belong? and education and experience are keys. Conclusions The present study indicates that physiotherapists in the primary healthcare system encounter patients experiencing suicidality, and they expressed a strong desire to care for both the physical and mental wellbeing of the patients. Despite reporting many barriers, the physiotherapists often found a way to form a meaningful therapeutic alliance with the patient and to ask about possible suicidality in their clinical practice. The result suggests that physiotherapists could play a larger role in working with patients experiencing suicidality in a primary healthcare setting and that they could be viewed as possible gatekeepers in identification as well as referral of these patients into other parts of the healthcare system.

scholarly journals Identifying a space for young Black Muslim women in contemporary Britain

Ethnicities ◽  
2021 ◽  
pp. 146879682110018
Author(s):  
Sheymaa Ali Nurein ◽  
Humera Iqbal
Keyword(s):  
Black Community ◽  
Muslim Women ◽  
Structured Interviews ◽  
Negative Effects ◽  
Race And Gender ◽  
The United Kingdom ◽  
Different Dimensions ◽  
And Gender ◽  
Black Muslim ◽  
And Coping

Young Black Muslim Women (BMW) have complex, intersectional identities and exist at the margins of various identity groupings. Given this, members of the community can face societal relegation across, not only race and gender lines, but across religious ones, too. This paper explores the lived experiences of intragroup discrimination, identity and belonging in 11 young Black Muslim Women in the United Kingdom. In-depth, semi-structured interviews were conducted with participants and thematically analysed through the lens of intersectionality. The use of an intersectional framework facilitated an understanding of the manner in which the sample was multiply marginalised. Two key themes emerged from the interviews: firstly, around experiences of intragroup and intersectional discrimination and, secondly, around the challenges of responding to and coping with the negative effects of such discrimination. Participants discussed the cross-cutting nature through which they faced discrimination: from within the Black community; from within the Muslim community; and as a result of their gender. The non-exclusivity of these three identities result in constant encounters of discrimination along different dimensions to their personal identity. They also developed diverse means of coping with this marginalisation including drawing from religious beliefs and mobile identifications, i.e. performing different aspects of their identities in different contexts. The present study contributes to existing knowledge in its focus on an under-researched group and emphasises the negative effects of intragroup discrimination. The paper importantly highlights the diversity within the Black community and considers the (in)visibility of Black Muslim Women within society.

Living with Heart Failure during the COVID-19 Pandemic: An Interpretative Phenomenological Analysis

2021 ◽  
pp. 105477382110166
Author(s):  
Alessia Martina Trenta ◽  
Davide Ausili ◽  
Rosario Caruso ◽  
Cristina Arrigoni ◽  
Massimo Moro ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coping Strategies ◽  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Structured Interviews ◽  
Hospital Organization ◽  
Challenging Situation ◽  
And Coping ◽  
Negative Feelings

This study aimed to explore lived experience of patients with heart failure (HF) during the COVID-19 pandemic. A qualitative study was conducted using an interpretative phenomenological analysis (IPA). Data collection performed in March-May 2020, using in-depth, semi-structured interviews on a purposive sample. Data were analyzed according to the IPA methodology, and triangulation, bracketing, journaling, and member checking were used to assure rigor. 14 patients with HF were enrolled, and three main themes described their lived experience during the COVID-19 pandemic: Vulnerability, Hanging in the balance, and Coping strategies. These people felt particularly vulnerable to the novel virus and experienced uncertainty due to hospital organization changes. Because of this, they felt like they were hanging in the balance, experiencing various negative feelings. Nevertheless, they managed to deal with this challenging situation by implementing some peculiar coping strategies. The COVID-19 represents a significant challenge for patients with HF, impacting significantly on their lives.

scholarly journals Students’ perceptions of visibility in physical education

2021 ◽  
pp. 1356336X2110258
Author(s):  
Eli-Karin S Åsebø ◽  
Helga S Løvoll ◽  
Rune J Krumsvik
Keyword(s):  
Physical Education ◽  
Structured Interviews ◽  
Study Approach ◽  
Transaction Model ◽  
Lesson Content ◽  
Field Notes ◽  
Group Interviews ◽  
Ninth Grade Students ◽  
Past Experiences ◽  
And Coping

The purpose of this study is to explore students’ perceptions of visibility in physical education (PE) using a single cumulative case study approach. Data were generated from the descriptive field notes of seven participant observations ( n = 77), individual semi-structured interviews ( n = 13) and five focus group interviews ( n = 18) with ninth-grade students (ages 14–15 years) from three classes in a public lower secondary school in Norway. The findings show that students perceive visibility differently depending on the context; some students like being visible in PE, while others dread it. Perceptions change rapidly and are situation-specific, influenced by the lesson content, the way the teacher facilitates the lessons, self-perception shaped by past experiences, the presence, actions, and attitudes of fellow students, body pressure and societal body ideals. The findings actualise the relevance of the transaction model of stress and coping ( Lazarus and Folkman, 1984 ) in determining when visibility in PE is and is not perceived as stressful. Consequently, the organization of the PE environment benefits from these insights.

scholarly journals QOLP-04. PILOT STUDY OF A VIDEOCONFERENCE-BASED PSYCHOLOGICAL INTERVENTION FOR FAMILY CAREGIVERS OF PATIENTS WITH MALIGNANT GLIOMAS

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii175-ii175
Author(s):  
Deborah Forst ◽  
Michelle Mesa ◽  
Emilia Kaslow-Zieve ◽  
Areej El-Jawahri ◽  
Joseph Greer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Self Efficacy ◽  
Coping Skills ◽  
Malignant Gliomas ◽  
Anxiety Symptoms ◽  
Structured Interviews ◽  
Post Intervention ◽  
Clinically Significant ◽  
And Coping

Abstract BACKGROUND Caregivers of patients with malignant gliomas experience substantial anxiety symptoms while caring for someone with progressive neurological decline. Yet, interventions to reduce psychological distress and improve quality of life (QoL) in this caregiver population are lacking. METHODS We conducted an open pilot study evaluating feasibility and acceptability of a cognitive behavioral therapy-based intervention for caregivers of patients with malignant gliomas with clinically significant anxiety (Generalized Anxiety Disorder [GAD-7] score ≥ 5). Caregivers participated in six videoconference sessions with a mental health provider. We defined the intervention as feasible if ≥ 70% of eligible caregivers enrolled and ≥ 70% of those enrolled completed ≥ 50% of sessions. We evaluated intervention acceptability in semi-structured interviews. Caregivers completed baseline and post-intervention surveys assessing anxiety and depression symptoms (Hospital Anxiety and Depression Scale), QoL (Caregiver Oncology Quality of Life Questionnaire), caregiving burden (Caregiver Reaction Assessment), self-efficacy (Lewis Cancer Self-Efficacy Scale), and perceived coping skills (Measure of Current Status-Part A). We explored post-intervention changes using paired t-tests. RESULTS We obtained consent from 70.0% (21/30) of caregivers approached, of which 66.7% (14/21) had clinically significant anxiety and thus were eligible to participate (mean age=55.7 years, 64.3% female). Among enrolled caregivers, 71.4% (10/14) completed ≥ 50% of sessions. In semi-structured interviews, all participants found the intervention helpful and valued the ability to participate remotely via videoconference. Among caregivers who completed at least one session, 80.0% (8/10) completed all assessments and were included in analyses. Post-intervention, caregivers reported reduced anxiety symptoms (P=.02) and improved QoL (P=.03) and coping skills (P=.001). We found no significant change in depression, caregiving burden, or self-efficacy. CONCLUSION Our videoconference-based intervention is feasible and acceptable to caregivers. Participants reported significant improvements in anxiety symptoms, quality of life, and coping skills post-intervention, supporting further investigation of the intervention in a randomized controlled trial.

The Sexual Experience of Married Middle-Aged Women as a Source of Mental Wellbeing: Perceptions, Challenges and Coping Mechanisms

2021 ◽  
Vol 30 (1) ◽  
pp. 181-203
Author(s):  
Tal Braverman-Uriel ◽  
Tal Litvak-Hirsch
Keyword(s):  
Quantitative Research ◽  
Sexual Experience ◽  
Women's Leadership ◽  
Mental Wellbeing ◽  
Structured Interviews ◽  
Significant Development ◽  
And Coping ◽  
The Impact

The impact of sexuality on mental wellbeing in women in long-term relationships has only been partially investigated. Emphasis has been on quantitative research studies that do not capture the breadth of the field. The present study looked at how and to what extent women maintain sexual desire in long-term relationships, and how sexuality affects their mental wellbeing. The study used a qualitative narrative approach and included semi-structured interviews with approximately 20 Israeli women aged 40–55 from similar socioeconomic backgrounds and in longstanding, permanent relationships. The findings indicate significant development over the years in the perception of the role of sexuality and its impact on mental wellbeing. The path to good sexuality can and should follow women’s leadership and initiative. Such women have the desire to make an impact, willingness to make an effort, and even an actual ability to exert influence. The interviewees’ tools, strategies, insights and ways of coping can serve as models for other women seeking better sexuality in a long-term relationship.

Mock Research Proposal on Unregistered Syrian Climate Refugees in Jarraheih Camp of Bekaa, Lebanon

2018 ◽  
Author(s):  
Erin Silverberg
Keyword(s):  
Community Organization ◽  
Border Region ◽  
Refugee Camps ◽  
International Treaties ◽  
Structured Interviews ◽  
Local Actors ◽  
The Right ◽  
And Coping ◽  
Official Status ◽  
Climate Refugees

Climate change is one of the greatest challenges of the 21st century, displacing a global annual average of 26.4 million people due to climate-related disasters. Currently, over 1.1 million Syrian refugees have fled to Lebanon due to climate-related drought and subsequent war, with 320,000 who remain unregistered by the UNHCR. Unregistered refugees are restricted from accessing services, shelter, and financial means for survival and risk arrest, detention, and deportation by Lebanese authorities for not having proper documentation and paid residency fees. These consequences are felt the most in refugee camps along the Syrian-Lebanese border region such as Bekaa, Lebanon. Despite the presence of humanitarian aid, refugees in camps are left in legal limbo, deprived of accessing the right to have rights. Specifically, for climate refugees, international treaties or future mitigation mechanisms are lacking, exacerbating their vulnerability. Therefore, this research questions the physical and social experiences of unregistered Syrian climate refugees in the Jarrahieh camp, Bekaa, Lebanon. The intention is to determine how these refugees, without official status, are impacted and coping with current federal and international legislative measures. By working with the refugees and key local actors, this research aims to understand how solidary and community organization can be formed within the current legal system to facilitate smoother adaptation and resettlement for climate refugees. Using participatory observation, focus groups, semi-structured interviews, and archival research, the practical outcome is a solidarity group that is established, run, and evaluated by a sample of unregistered Syrian climate refugee men and women aged 18-65.

scholarly journals Reaction to and Coping With Domestic Violence by Iranian Women Victims: A Qualitative Approach

2015 ◽  
Vol 8 (7) ◽  
pp. 100 ◽  
Author(s):  
Masoud Bahrami ◽  
Paymaneh Shokrollahi ◽  
Shahnaz Kohan ◽  
Ghodratollah Momeni ◽  
Mozhgan Rivaz
Keyword(s):  
Domestic Violence ◽  
Content Analysis ◽  
Reliability And Validity ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Coping With Stress ◽  
Ways Of Coping ◽  
Health Promoting ◽  
Seeking Help ◽  
And Coping

<p><strong>INTRODUCTION:</strong> Domestic violence is a continual stressor that motivates its victim to react. The way a woman deals with her husband’s violence determine the consequence of the violent relationship. In the present study, a qualitative approach was employed to investigate women’s reactions to and ways of coping with domestic violence.</p><p><strong>METHOD:</strong> Semi-structured interviews were conducted in 2014 with 18 women who experienced domestic violence in an attempt to explain how women deal with domestic violence. After the interviews were transcribed word by word, they were explored in the form of meaningful units and encoded as subcategories and categories<strong> </strong>through inductive content analysis. The reliability and validity of the interviews were measured by an external supervisor.</p><p><strong>RESULTS: </strong>Two categories of reaction and coping were identified through content analysis: passive and non-normative measures and active measures. Passive and non-normative measures included the subcategories of harmful behaviors, retaliation, tolerance, and silence. Active measures included seeking help and advice, legal measures, leaving the spouse, positive and health promoting measures.</p><p><strong>CONCLUSION: </strong>In the present study, ways of coping with a husband’s violence among women experiencing domestic violence were divided into two categories: passive and non-normative measures and active measures. These categories confirmed the models of coping with stress in previous studies. Adopting an appropriate approach to dealing with domestic violence is affected by a woman’s capacity and beliefs, the dominant culture, intensity of the violence, available social and legal supports, and effectiveness of evaluation measures. To generalize service provision to victimized women, the type of coping and the reason for adopting the chosen approach need to be taken into account.</p>

scholarly journals Vulnerable Territories: The Perpetually Shifting Edge

2021 ◽  
Author(s):  
◽  
Joseph Wellwood
Keyword(s):  
At Risk ◽  
Sense Of Place ◽  
Architectural Design ◽  
Coastal Hazards ◽  
Adaptive Planning ◽  
Coastal Community ◽  
Sea Levels ◽  
Community Model ◽  
Rising Sea Levels ◽  
Imminent Threat

<p>New Zealand’s coastline is rapidly receding. The increased threat of rising sea levels continues to erode the shore line causing extensive and irreparable damage to thousands of coastal properties, often dismantling communities and the kiwi dream of living near the ocean. With global temperatures continuing to rise, all of our coastal communities are at risk. The current measure of response to this issue is through managed retreat, the removal and relocation of all ‘at risk’ buildings in coastal hazard zones. While this approach is successful in preserving the physical structures, it remains an undesirable solution that forces homeowners to abandon their community and the coastline for the safety of higher ground. The retreat is hampered among debate within the effected regions as the forced detachment of long standing communities often results in the loss of ‘sense of place’ that living within a coastal community enables.  This thesis proposes that Haumoana in Hawkes Bay offers the fitting location to introduce an alternative coastal community model that actively responds to the impending hazards whilst retaining the societal poetics. Situated just south of the nearby communities of Te Awanga and Haumoana, two of the most at-risk coastal regions in New Zealand that are currently facing the prospect of dismantlement. The site was specifically chosen due to the fact that erosion is predicted to diminish half its usable land over the next century, this thesis will investigate the potential risks to the respective coastline, the role that this would play in an adaptive community, and the possible design options that can respond and enhance a future sustainable landscape.  This thesis argues that a coastal community can be designed to actively adapt and respond to the threat of erosion rather than being dismantled through retreat; that by adopting design principles that protect the land on which they are placed, the coastal hazards of the region can be lessened; and that an adaptive community model can be achieved whilst retaining the ‘sense of place’ that coastal community’s exhibit.  The thesis proposes that this can be achieved by incorporating and reinforcing natural features of the coast into the architectural design at various scales; accommodating for, and adapting to the imminent threat of erosion; and by invoking principles of sustainable design in company with adaptive planning and resilient design, thereby pushing the standards of coastal planning beyond typical practice.</p>

scholarly journals Interpersonal Hardiness as a Critical Contributing Factor to Persistence among International Women in Doctoral Programs: A Trioethnographic Study

2018 ◽  
Author(s):  
Eraldine Williams-Shakespeare ◽  
Joyce Bronteng ◽  
Adhwaa Alahmari
Keyword(s):  
At Risk ◽  
Doctoral Programs ◽  
Support Systems ◽  
Doctoral Program ◽  
Coping Mechanisms ◽  
Drop Out ◽  
Initial Part ◽  
And Coping ◽  
Phd Programs ◽  
International Women

Women in PhD programs, in particular minority and international women, are especially at risk for drop-out (Castro, Garcia, Cavazos, & Castro, 2011; Haynes et al., 2012). This initial part of a longitudinal trioethnography captures the experiences of three international women in a doctoral program, highlighting the challenges, support systems, and coping mechanisms they engage with in the process of completing their degrees. Discoveries include the identification of “Interpersonal Hardiness” as the potential vehicle which could ensure our success.

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