Objectives To define key stressors experienced and coping behaviours within poor agrarian communities in sub-Saharan Africa.
Design Descriptive qualitative study incorporating inductive thematic analysis.
Participants 81 participants purposely sampled, stratified by age (adolescents and young adults) and sex
Setting The study was conducted in villages in Ghana, Malawi, and Tanzania.
Results Stressors were thematically grouped into those directly related to poverty and the lack of basic necessities (eg, food insecurity), and additional stressors (eg, drought) that worsen poverty-related stress. Impacts on functioning, health and well-being and key coping behaviours, both positive and negative, were identified. The findings together inform a more nuanced view of stress within these contexts.
Conclusion Although participants were asked to provide general reflections about stress in their community, the salience of poverty-related stressors was ubiquitously reflected in respondents’ responses. Poverty-related stressors affect development, well-being and gender-based violence. Future research should focus on interventions to alleviate poverty-related stress to achieve the United Nations Sustainable Development Goals.
- Mental Health
- Sub-Saharan Africa
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Contributors BJH led the research design, qualitative analysis and wrote the first draft of the paper. MRG conducted the analysis, wrote the results and edited the paper for intellectual content. JdH jointly conceptualised the research with TMP, led the field data collection training, contributed to the analysis and edited the paper for intellectual content. AP collected data in the field, contributed to the analysis and edited the paper for intellectual content. LP collected data in the field, contributed to the analysis and edited the paper for intellectual content. TMP jointly conceptualised the research with JdH, supervised the project, contributed to the analysis, edited the paper for intellectual content and secured project funding. All authors approved the final paper for publication.
Funding Funding was provided by UNICEF and the Swedish International Development Cooperation (Sida) through a grant to the Transfer Project at UNICEF Office of Research - Innocenti and Carolina Population Center, University of North Carolina at Chapel Hill.
Disclaimer The findings, interpretations and conclusions expressed in this paper are those of the authors and do not necessarily reflect the policies or views of UNICEF.
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval Ethical approval for the study was obtained from COSTECH in Tanzania, University of Malawi ethics committee in Malawi and the ethics committee at Navrongo Health Research Centre in Ghana.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement No data are available.