Women’s Experiences of Food Insecurity and Coping Strategies in the Chittagong Hill Tracts, Bangladesh

Abstract Background Women who undergo emergency peripartum hysterectomy (EPH) are at greater risk of experiencing severe negative psychosocial sequelae. However at St. Francis Hospital Nsambya and much of Sub-Saharan Africa, these women are not routinely followed up to explore these experiences. This study sought to explore women’s experiences and coping strategies following EPH St. Francis Hospital Nsambya, Kampala, Uganda. Methods This qualitative study was based on in-depth interviews of women who had undergone EPH at St. Francis Hospital Nsambya EPH between January 2015 to August 2018. Out of 66 women who had undergone EPH during this period, 18 were purposively selected and interviewed between August to December 20018. All the information obtained was audio-recorded, transcribed and then analyzed in three phases of pre-analysis of intense reading, exploration and comparison and then interpretation. Results These women disclosed feelings of loss of womanhood, Uncertainty about the future, Joy for being Alive, and professional abandonment. Their coping strategies were living in denial, believing in God and acceptance. Conclusion Women experience severe negative psychosocial sequelae following EPH therefore routine ongoing psychotherapy should be offered to these women until full acceptance is achieved.

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Single HIV infected women’s experiences with HIV and coping strategies: The case of Chitungwiza and Epworth in Zimbabwe

Journal of AIDS and HIV Research ◽

10.5897/jahr12.010 ◽

2012 ◽

Vol 4 (6) ◽

Cited By ~ 1

Author(s):

Masuku Thenjiwe,

Keyword(s):

Coping Strategies ◽

Women’S Experiences ◽

Women's Experiences ◽

And Coping

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Older women’s experiences, identities and coping strategies for dealing with a problem-drinking male family member

Drugs Education Prevention and Policy ◽

10.1080/09687637.2016.1184622 ◽

2016 ◽

Vol 24 (5) ◽

pp. 409-417

Author(s):

Jenni Simonen ◽

Jukka Törrönen

Keyword(s):

Coping Strategies ◽

Family Member ◽

Problem Drinking ◽

Women’S Experiences ◽

Women's Experiences ◽

And Coping

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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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Mothers’ Experiences of Wellbeing and Coping While Living with Rheumatoid Arthritis: A Qualitative Study

10.21203/rs.3.rs-690060/v1 ◽

2021 ◽

Author(s):

Chloe Parton ◽

Jane M. Ussher ◽

Janette Perz

Keyword(s):

Rheumatoid Arthritis ◽

Social Support ◽

Structured Interview ◽

Older Children ◽

Dependent Child ◽

Women’S Experiences ◽

Women's Experiences ◽

Qualitative Thematic Analysis ◽

Letting Go ◽

And Coping

Abstract Background Rheumatoid arthritis (RA) can result in difficulties for mothers when undertaking daily care activities and increased psychological distress. However, few studies have examined how women with RA subjectively experience coping and wellbeing as part of their motherhood. Methods Twenty mothers with a diagnosis of RA and a dependent child (18 years or younger) who were living in Australia took part in a semi-structured interview between June and November 2017. Purposive sampling was undertaken to include participants across degree of current RA severity, number and age of children, and having received a diagnosis before or after a first child to take account of variability across these experiences. A qualitative thematic analysis was conducted on the interview transcripts. Results The following themes were identified: ‘Burden and complexity in the mothering role’, ‘Losing control: Women’s experiences of distress’, and ‘Adjusting and letting go: Women’s experiences of wellbeing’. Experiences of distress, including feelings of failure, were associated with accounts of a loss of control over mothering practices among women, regardless of child age. In contrast, accounts of adjusting mothering practices and relinquishing control were associated with reports of enhanced wellbeing. In addition, some mothers reported greater ease due to increased independence of older children. The absence of social support exacerbated burden and distress in the women’s accounts, while the availability of support alleviated burden and was associated with reports of wellbeing. Conclusion Health professionals and services can provide support to mothers with RA by addressing feelings of failure, acknowledging strategies of adjustment and letting go, and encouraging access to social support.

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