Community Coping Strategies for COVID-19 in Bangladesh: A Nationwide Cross-Sectional Survey

It is important to know the community coping strategies during the rapid uprise of a pandemic, as this helps to predict the consequences, especially in the mental health spectrum. This study aims to explore coping strategies used by Bangladeshi citizens during the major wave of the COVID-19 pandemic. Design: Prospective, cross-sectional survey of adults living in Bangladesh. Methods: Participants were interviewed for socio-demographic data and completed the Bengali-translated Brief-COPE Inventory. COPING indicators were categorized in four ways, such as approach, avoidant, humor, and religion. Results: Participants (N = 2001), aged 18 to 86 years, were recruited from eight administrative divisions within Bangladesh (mean age 31.85 +/- 14.2 years). The male-to-female participant ratio was 53.4% (n = 1074) to 46.6% (n = 927). Higher scores were reported for approach coping styles (29.83 +/- 8.9), with lower scores reported for avoidant coping styles (20.83 +/- 6.05). Humor coping scores were reported at 2.68 +/- 1.3, and religion coping scores at 5.64 +/- 1.8. Both men and women showed similar coping styles. Multivariate analysis found a significant relationship between male gender and both humor and avoidant coping (p < 0.01). Male gender was found to be inversely related to both religion and approach coping (p < 0.01). Marital status and education were significantly related to all coping style domains (p < 0.01). The occupation was related to approach coping (p < 0.01). Rural and urban locations differed in participants' coping styles (p < 0.01). Exploratory factor analysis revealed two cluster groups (factors 1 and 2) of mixed styles of coping. Conclusions: Participants in this study coped with the COVID-19 pandemic by utilizing mixed coping strategies. This study finds female gender, the married, elderly, and rural populations were adaptive to positive approaches to coping, whereas the male and educated population had the avoidant approach to coping.