Living in the flood plain: can financial inclusion, productive assets and coping mechanism help reduce food insecurity?

Epilepsy is a disabling disease which has not been adequately emphasised as a public health concern. Patients are often left in the dark about their disease, affecting their ability to cope and live a normal life. This study aimed to explore and evaluate the effects of a structured epilepsy education programme (EEP) on awareness, knowledge and attitude (AKA) and coping mechanism of patients. Recruited participants were required to complete the modified Malay AKA epilepsy questionnaire and Malay brief coping orientation to problem experienced (Brief COPE)-27. Upon completion, they received a structured EEP conducted by trained personnel using validated materials. Participants were then followed up for a period of 6 months and reassessed at 1, 3 and 6 months to measure any changes in their AKA and coping mechanisms. Twenty-two participants were successfully recruited. Total AKA score of participants showed a significant increase (mean score difference = 16.3, p = 0.021, 95% CI: 3.0, 28.1) at 6 months post-EEP. This improvement was mostly contributed by the increase in both knowledge and attitude scores. Religion was the most preferred coping mechanism (82.5%), followed by instrumental support, emotional support, active coping and acceptance at 75.0%, respectively. Only three domains showed significant differences after the educational programme: planning: 62.5% versus 77.5%, p = 0.026; denial: 57.5% versus 37.5%, p = 0.004; venting: 62.5% versus 52.5%, p = 0.004. The EEP was effective in improving attitude and knowledge while bringing about changes in coping skills of patients over a period of time. Educational programmes should be part of epilepsy standard of care, especially as they are inexpensive and brief yet impactful

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Determinants of Food Insecurity and Coping Strategies Among Pastoral Households: The Case of Erer District, In Sitti Zone Ethiopian Somali Regional State

SSRN Electronic Journal ◽

10.2139/ssrn.3542870 ◽

2018 ◽

Author(s):

Hamud Husein Duale

Keyword(s):

Food Insecurity ◽

Coping Strategies ◽

Regional State ◽

Pastoral Households ◽

And Coping

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Impact of COVID-19 on household food insecurity and interlinkages with child feeding practices and coping strategies in Uttar Pradesh, India: a longitudinal community-based study

BMJ Open ◽

10.1136/bmjopen-2021-048738 ◽

2021 ◽

Vol 11 (4) ◽

pp. e048738

Author(s):

Phuong Hong Nguyen ◽

Shivani Kachwaha ◽

Anjali Pant ◽

Lan M Tran ◽

Sebanti Ghosh ◽

...

Keyword(s):

Food Insecurity ◽

Coping Strategies ◽

Uttar Pradesh ◽

Feeding Practices ◽

Community Based ◽

Child Feeding ◽

Household Food ◽

Child Feeding Practices ◽

Food Insecure Households ◽

And Coping

ObjectivesThe COVID-19 pandemic has profound negative impacts on people’s lives, but little is known on its effect on household food insecurity (HFI) in poor setting resources. This study assessed changes in HFI during the pandemic and examined the interlinkages between HFI with child feeding practices and coping strategies.DesignA longitudinal survey in December 2019 (in-person) and August 2020 (by phone).SettingCommunity-based individuals from 26 blocks in 2 districts in Uttar Pradesh, India.ParticipantsMothers with children <2 years (n=569).Main outcomes and analysesWe measured HFI by using the HFI Access Scale and examined the changes in HFI during the pandemic using the Wilcoxon matched-pairs signed-rank tests. We then assessed child feeding practices and coping strategies by HFI status using multivariable regression models.ResultsHFI increased sharply from 21% in December 2019 to 80% in August 2020, with 62% households changing the status from food secure to insecure over this period. Children in newly or consistently food-insecure households were less likely to consume a diverse diet (adjusted OR, AOR 0.57, 95% CI 0.34 to 0.95 and AOR 0.51, 95% CI 0.23 to 1.12, respectively) compared with those in food-secure households. Households with consistent food insecurity were more likely to engage in coping strategies such as reducing other essential non-food expenditures (AOR 2.2, 95% CI 1.09 to 4.24), borrowing money to buy food (AOR 4.3, 95% CI 2.31 to 7.95) or selling jewellery (AOR 5.0, 95% CI 1.74 to 14.27) to obtain foods. Similar findings were observed for newly food-insecure households.ConclusionsThe COVID-19 pandemic and its lockdown measures posed a significant risk to HFI which in turn had implications for child feeding practices and coping strategies. Our findings highlight the need for further investment in targeted social protection strategies and safety nets as part of multisectoral solutions to improve HFI during and after COVID-19.

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Food insecurity, coping strategies and glucose control in low-income patients with diabetes

Public Health Nutrition ◽

10.1017/s1368980015002323 ◽

2015 ◽

Vol 19 (6) ◽

pp. 1103-1111 ◽

Cited By ~ 30

Author(s):

Victoria L Mayer ◽

Kevin McDonough ◽

Hilary Seligman ◽

Nandita Mitra ◽

Judith A Long

Keyword(s):

Food Insecurity ◽

Coping Strategies ◽

Low Income ◽

Glucose Control ◽

Economic Stress ◽

Poverty Level ◽

Cross Sectional ◽

Assistance Program ◽

Patients With Diabetes ◽

And Coping

AbstractObjectiveTo examine the relationship between food insecurity and coping strategies (actions taken to manage economic stress) hypothesized to worsen glucose control in patients with diabetes.DesignUsing a cross-sectional telephone survey and clinical data, we compared food-insecure and food-secure individuals in their use of coping strategies. Using logistic regression models, we then examined the association between poor glucose control (glycated Hb, HbA1c≥8·0 %), food insecurity and coping strategies.SettingAn urban medical centre, between June and December 2013.SubjectsFour hundred and seven adults likely to be low income (receiving Medicaid or uninsured and/or residing in a zip code with >30 % of the population below the federal poverty level) with type 2 diabetes.ResultsOf respondents, 40·5 % were food insecure. A significantly higher percentage of the food-insecure group reported use of most examined coping strategies, including foregone medical care, participation in the Supplemental Nutrition Assistance Program (SNAP)) and use of emergency food programmes. Food insecurity was associated with poor glucose control (OR=2·23; 95 % CI 1·22, 4·10); coping strategies that were more common among the food insecure were not associated with poor glucose control. Among the food insecure, receipt of SNAP was associated with lower risk of poor glucose control (OR=0·27; 95 % CI 0·09, 0·80).ConclusionsWhile food insecurity was associated with poor glucose control, most examined coping strategies did not explain this relationship. However, receipt of SNAP among food-insecure individuals was associated with better diabetes control, suggesting that such programmes may play a role in improving health.

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A Study to Assess the level of Stress and Adapted coping mechanism among Infertile women at selected Infertility clinic, Dehradun Uttrakhand In a view of developing an information booklet

International Journal of Advances in Nursing Management ◽

10.52711/2454-2652.2021.00060 ◽

2021 ◽

pp. 264-268

Author(s):

Smita Smita

Keyword(s):

Substance Use ◽

Stress Reduction ◽

Family Income ◽

Stress And Coping ◽

Psychological Disorder ◽

Mild Stress ◽

Coping Mechanism ◽

Infertile Women ◽

Related Stress ◽

And Coping

A descriptive study was carried out for the purpose to investigate the level of stress and coping and to determine the relationship between stress and various coping mechanism among infertile women in selected two infertility clinic to find out the variables and their significance that may be related to study including (age, educational level, occupation, duration of infertility, …ect). The study sample consisted of 200 infertile women who were diagnosed as infertile and who were visiting infertility clinic during the data collection and met the inclusion criteria for the study. Self-developed likert scale for assessing the level of stress and coping in infertile women In this study, we used inferential and Descriptive Statistics, mean, standard deviation and mean percentage ,Correlation Coefficient Pearson, anova and unpaired t test were used in the study, the results showed that there is a moderately positive relationship between infertility related stress and coping mechanism, 47.21% was the total stress in total population, 40% have mild stress, 49.50% have moderate stress and 10.5% have severe stress. 53% have moderate coping 24% have inadequate coping 23% have adequate coping. The findings of the current study found that there is statistical significances at p>0.05. The study found significant association in age and year of infertility with stress calculated value was greater than tabulated value at p>0.05 type of family,income,substance use and exposure to stress reduction therapy have no association because the calculated value is less than tabulated value at p>0.05 and no significance in occupation, education and income per month. type of family, substance use, exposure to stress reduction technique, income with coping at p>0.05. Psychological aspect of infertility should be given more attention, and be considered in all stages of treatment and medical interventions to decrease the psychological suffering of the infertile women and to prevent developing of the psychological disorder.

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