Covid-19 related stress and coping strategies among adults with chronic disease in Southwest Ethiopia.

Girma, A.; Ayalew, E.

Abstract Background: Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus which are a large family of viruses that are common in people and many different species of animals which can affect people physically and psychologically. The older people and those with underlying medical problems are more likely to develop serious illness and death. Objective the aim of this study was to determine Covid-19 related stress and coping strategies among adults with chronic disease in Bench-Sheko,West Omo and Keffa Zones, southwest Ethiopia Methods Institutional based cross-sectional study was applied among 613 adults with chronic disease. A simple sampling technique was applied. Correlational analysis was used to determine the relationship between the COVID-19 related stress score and coping strategy types. To measure the strength of association between dependent variables and independent variables and Pearson coefficients (r) with 95% Confidence interval (CI) were calculated. Finally, the variable, which shows statistical significance (p-value < 0.05 cut point) were used to quantify the associations among variables. Results: Around 613 participants of 96% response rate were participated. About 68.4% were moderately stressed; low stress was 17.8% and severe stress was 13.9 %. Covid-19 related perceived stress score were positively associated with coping strategies types of like sell-distraction, active coping, denial, emotional support, behavioral disengagement, venting, and use of instrument, positive reframing, self-blaming, planning, humoring and religion. The most preferable types of coping strategies were religious, instrumental and active coping strategies and while the least used were substance used. Conclusion: Significant numbers of participants were suffered from severe perceived stress due to covid-19 outbreak in this study area. Both adaptive and maladaptive Coping strategy types were significantly associated with stress. Substance use and self-blaming were the types coping strategies which were not associated with perceived stress.