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This paper aimed to comparatively examine the function of three risk‐coping strategies, namely savings, borrowings, and work‐hour adjustments, during two major economic crises in Thailand. Using the Socioeconomic Survey (SES) collected by the National Statistical Office (NSO) in Thailand, we examined data from the 1998 financial crisis and the 2021 COVID‐19 outbreak. The empirical methods were the two‐step estimation method and the income decomposition technique, with an emphasis on correcting an endogeneity problem with an instrumental variable approach. The results showed that risk‐coping strategies respond more strongly to income shocks during crisis periods than in noncrisis periods. Borrowing was the most important risk‐coping strategy, followed by work‐hour adjustments employed by Thai households to smooth their consumption against transitory income shocks caused by unemployment in crisis and noncrisis periods. On the contrary, we found that Thai households are less prudent.

Purpose To quantify financial toxicity of female patients with breast cancer in China and investigate its factors and patients’ coping strategies. Methods The Comprehensive Score for Financial Toxicity (COST) is defined by using a structured questionnaire containing 12 items measuring perceived affordability of healthcare services, with the range of scoring of which being from 0 to 44 (higher score indicates lower financial toxicity). From January to March 2021, a total of 664 female patients diagnosed with stage 0–IV breast cancer were recruited from 33 public tertiary cancer hospitals located in 31 provinces of China. Multivariate linear regression models were used. Results The median age of patients was 48 years (range: 26–84 years), and 62.04% lived in urban areas. The median COST score was 21.00 (interquartile range: 15–26). Older age, higher household income, and better self-reported health status were associated with lower financial toxicity, while a bigger household size, being retired or unemployed, stage IV cancer, and a history of targeted therapy were associated with higher financial toxicity (all P  < 0.05). Nearly half of the patients reported using at least one coping strategy, including considering quitting treatment, delaying treatment, and failing to take medicine or attend medical visits as instructed. The people with increased financial toxicity seem to adopt more coping strategies. Conclusions Financial toxicity and coping strategies are common among Chinese women with breast cancer. An understanding of the factors regarding financial toxicity may help oncologists and policy-makers identify at-risk patients and develop targeted interventions.

Background The nursing profession is associated with constant presence of difficult situations and stress, which arise from responsibility for the highest values – human life and health. With demographic changes in the society, the demand for nursing care increases. Looking after the health of nursing staff becomes a non-material investment in employees. One of the most important health potentials described in literature is the sense of coherence. It can significantly contribute to maintaining good health, modify one’s functioning in a stressful working environment and influence the choice of strategies for coping with stress. Aim The aim of the study was to describe the specific relationship between the sense of coherence and strategies for coping with stress in a group of professionally active nurses. Methodology and methods The study involved 91 nurses in central Poland, aged 22–52. The group was diversified in terms of: education, work system, marital status and place of residence. The study was conducted with the use of: Sense of Coherence Questionnaire SOC-29 and Inventory to Measure Coping Strategies with Stress - Mini-COPE. The study was conducted in accordance with the principles of scientific research set out in the Helsinki Declaration. Results The sense of coherence value in the test group was M = 134.24 (SD = 19.55). In stressful situations nurses most often used active strategies to cope with stress: Planning M = 2.10 (SD = 0.54), Seeking Emotional Social Support M = 1.95 (SD = 0.68) and Seeking Instrumental Social Support M = 1.95 (SD = 0.69), and the least frequently: Alcohol/Drug Use M = 0.28 (SD = 0.48). The level of the sense of coherence and its components differentiated the strategies of coping with stress used in the examined group of nurses. Conclusions The research confirmed that the sense of coherence serves as a health potential in a stressful working environment - a high sense of coherence translate into better mental health, correct functioning in the working environment, and using adaptive strategies of coping with stress. Nurses with a stronger sense of coherence used more adaptive strategies to deal with stress than those with average or low levels.

The gender effects of COVID-19 are complex, and extend much beyond the issues of care work and domestic violence that have captured global attention. Some effects have been immediate, such as job losses, food shortages, and enhanced domestic work burdens; others will emerge in time, such as the depletion of savings and assets and pandemic-related widowhood, which would make recovery difficult. I use examples from India to outline the complexity of such outcomes, the limitations of the many telephone surveys conducted during the pandemic, and the importance of anticipating both the immediate and the sequential effects. We can anticipate these effects by drawing on our knowledge of preexisting gender inequalities and people’s coping strategies under crises, as well as real-time media alerts. Prior conceptualization can help us design better surveys for capturing both the visible and less visible impact of the pandemic, as well as formulate more effective policies for mitigating the adverse effects. I also highlight the advantages of group-based approaches for protecting women’s livelihoods during such crises, and emphasize the need to create a synergy between feminist theory, evidence gathering, and policy formulation.

Nursing students face academic and clinical demands generating psychological pressure. Coping strategies and perceived self-efficacy are key psychological resources for well-being and academic adjustment. This cross-sectional study examined associations between adaptive/maladaptive coping strategies and perceived self-efficacy among 246 nursing students at the Higher Institute of Nursing Professions and Health Techniques (HINPHT) in Taza City, Morocco. Data were collected using sociodemographic/academic questionnaire, the Brief COPE inventory, and the General Self-Efficacy Scale. Results showed moderate to high perceived self-efficacy (M = 28.04; SD = 6.16). Among adaptive strategies, planning (B = 0.747, p = 0.007), positive reframing (B = 0.529, p = 0.040), and acceptance (B = 1.041, p < 0.001) were positively associated with self-efficacy. Regarding maladaptive strategies, self-distraction unexpectedly showed a positive association with self-efficacy (B = 0.656, p = 0.017), whereas self-blame was negatively associated with self-efficacy (B = −0.808, p < 0.001). Findings highlight the context-dependent role of coping strategies in relation to self-efficacy and support flexible strategies to enhance nursing students’ well-being.

This paper reviews the interlinkages of critical state of water resources, supply systems, rapid urbanisation and demand regime, aggravated by tourism leading to increasing water insecurity in the Hindu Kush Himalaya (HKH). Urban centres in the HKH have been defined based on different criteria, but mountain-specific criteria are lacking. In the mountains, small settlements such as district headquarters perform a large number of functions, typical of an urban centre. However, they are not formally classified as urban centres because they do not meet the census-defined nationally set criteria of the respective country. Nonetheless, water insecurity is a reality, attributed to: (i) water governance issues; (ii) inappropriate urban planning, failing, and to some extent, unable to account for the floating population, such as tourists; and (iii) the scourge of climate change which could worsen the situation further. Short-term coping strategies to meeting water demands often involve unsustainable solutions, such as groundwater extraction, with long-term repercussions. However, long-term strategies for water sustainability by the governments have been beneficial while others are yet to show success. Initiatives by civil society and governments along similar lines in other countries could lead to a water-secure future for the fragile urban centres of the HKH region.

Purpose Financial toxicity is used to describe the financial hardship experienced by cancer patients. Financial toxicity may cause negative consequences to patients, whereas little is known in Chinese context. This study aimed to explore the level of financial toxicity, coping strategies, and quality of life among Chinese patients with hematologic malignancies. Patients and methods We conducted a prospective, observational study among 274 Chinese patients with hematologic malignancies from November 2021 to August 2022 in Sun Yat-sen University Cancer Center. Clinical data were extracted from electronic clinical records. Data on financial toxicity, coping strategies, and quality of life were collected using PRO measures. Chi-square or independent t test and multivariate logistic regression were performed to explore the associated factors of financial toxicity and quality of life, respectively. Effects of financial toxicity on coping strategies were examined using Chi-square. Results The mean age of the participants was 50.2 (± 14.6) years. Male participants accounted for 57.3%. About half of the participants reported high financial toxicity. An average median of ¥200,000 on total medical expenditures since the diagnosis was reported. The average median monthly out-of-pocket health expenditure relating to cancer treatment was ¥20,000 (range ¥632–¥172,500) after reimbursement. Reduce daily living expenses (64.9%), borrowing money (55.7%), and choosing cheaper regimens (19.6%) were the commonly used strategies to cope with financial burden. Financial toxicity was negatively associated with quality of life ( β  = 0.071, P  = 0.001). Conclusions Financial toxicity was not uncommon in patients with hematological malignancies. Reducing daily living expenses, abandoning treatment sessions, and borrowing money were the strategies commonly adopted by participants to defray cancer costs. Additionally, participants with high level of financial toxicity tended to have worse quality of life. Therefore, actions from healthcare providers, policy-makers, and other stakeholders should be taken to help cancer patients mitigate their financial toxicity.

We investigated how covert narcissism influences depression through shame-focused coping strategies, and tested the moderating effect of self-compassion in this mediating link. Participants were 316 Chinese international students living in South Korea who completed a battery of measures, including the Hypersensitive Narcissism Scale, the Compass of Shame Scale, the depression items of the Symptom Checklist-90-Revised, and the Chinese Self-Compassion Scale. We found an association between covert narcissism and depression, and this link was mediated by the shame-focused coping strategies of attack self and withdrawal. Further, self-compassion had a significant moderating effect in the relationship between covert narcissism and the coping strategies of attack self or withdrawal. These findings support a moderated mediation model in which self-compassion buffered the relationship between covert narcissism and depression by mediating the link between covert narcissism and the attack self and withdrawal coping strategies. Our findings may be useful for understanding and helping individuals who have a high level of covert narcissism.

PurposeCombining the coping theory and social support theory, this study aims to reveal users' coping strategies for mobile fitness app (MFA) engagement and fitness intentions with a rigorous and comprehensive hybrid research approach.Design/methodology/approachA three-stage hybrid research design was employed in this study. In the first stage, this study utilized structural equation modeling (SEM) to investigate the associations between coping resources and coping outcomes. A post hoc analysis was conducted in the second stage to unveil the reasons behind the insignificant or weak linkages. In the third stage, the fuzzy-set qualitative comparative analysis (fsQCA) technique was applied to explore the various configurations of coping resources that lead to the coping outcomes.FindingsThe results in the three stages verify and compensate each other. The SEM results confirm the presence of two coping strategies in MFA, highlighting the importance of the intertwining of the strategies, and the post hoc analysis unveils the mediating role of positive affect. Moreover, the fsQCA results reinforce and complement the SEM findings by revealing eight alternative configurations that are sufficient for leading to users' MFA engagement and fitness intention.Originality/valueThis study offers a prominent methodological paradigm by demonstrating the application of multi-analysis in exploring users' coping strategies. In addition, the study also advances the understanding of the complexity of the mechanism that determines users' behavioral decisions by presenting a comprehensive interpretation.

Background With the rapid increase in magnitude and mortality of cancer, which is costly disease to manage, several patients particularly in developing countries are facing a huge financial burden. The study aimed to examine the incidence of catastrophic health expenditure (CHE), identify associated factors and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia. Methods A hospital-based cross-sectional survey of patients with cancer was conducted in public and private hospitals between January and March 2018. Data was collected using a structured questionnaire. All direct medical and nonmedical expenditures were measured and reported as expenditure (US$) per patient (1US$ equivalent to 23.41 Ethiopian Birr). The CHE was estimated using a threshold of 10% of annual household income. Results A total of 352 (response rate of 87.1%) participants were interviewed. Majority (73.3%) of the respondents were females; most (94%) from public hospitals and their mean (±SD) age was 48 ± 13.2 years. Vast majority (74.4%) of patients experienced CHE with mean overall expenditure of $2366 per patient (median: $1708). Medical expenditure shared the highest overall expenditure (83.6%) with mean medical and nonmedical costs of $1978 (median: $1394) and $388 (median: $222), respectively. Patients who took greater than six cycles of chemotherapy (AOR: 3.64; 95% CI: 1.11–11.92), and age (AOR: 1.03; 95% CI: 1.01–1.06) were significantly associated with CHE. Household saving (85.5%) followed by financial support received (43.0%) was the main coping strategy. Conclusion A substantial number of patients with cancer were exposed to CHE with a considerable medical expenditure. Hence, in addition to the popularization of the already introduced health insurance scheme, other better prepayment or insurance mechanisms should also be considered to ensure financial risk protection and realize universal health coverage for patients with cancer.