{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T17:11:21Z","timestamp":1783789881091,"version":"3.55.0"},"reference-count":44,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"unspecified","delay-in-days":306,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1463423621000207_as1\"><jats:title>Aim:<\/jats:title><jats:p>We explored the \u2018coping reflections\u2019 of elderly couples living alone (without any other family members) during the COVID-19 pandemic in urban Odisha, India.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423621000207_as2\"><jats:title>Background:<\/jats:title><jats:p>Evidence worldwide suggests that older people are at increased risk from COVID-19 adverse outcomes and experience greater stress. In our previous community-based study urban dwelling, particularly elderly participants, and living alone reported higher pandemic-associated health care challenges than their rural and residing-with-family counterparts. We intended to explore how the elderly couples living alone coped through this challenging yet stressful situation during the COVID-19 pandemic and what were their key strategies adopted toward this.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423621000207_as3\"><jats:title>Methods:<\/jats:title><jats:p>We conducted telephonic in-depth interviews (IDIs) with 11 urban elderly couples living alone in Bhubaneswar city of Odisha, India using a semi-structured interview guide. All IDIs were digitally recorded, transcribed into the original language, and translated to English. We used a thematic approach for analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423621000207_as4\"><jats:title>Findings:<\/jats:title><jats:p>Four themes emerged: (1) Risk appraisal and feeling vulnerable; (2) Safeguarding against COVID-19; (3) Managing routine health care and emergency; and (4) Pursuing mental and psychological well-being. Although fear, anxiety, and loneliness were continuing stressors, many of them learnt to adapt and emerge resilient with the evolving situation. Various elements at the individual, family, community, and organizational levels were conducive to better coping. The companionship and complementary support of spouse, self-health literacy, and digital efficacy, virtual connectedness with family and friends, availability of community pharmacy and diagnostic services in the vicinity, support of neighbors, reengaging with creative leisure time activity, and assurance of a responsive administration at the time of emergency helped them to cruise through the pandemic. Furthermore, watching the re-telecast of prime time serials made these elderly fondly remember their own youth time memories. Self-health monitoring, indoor physical exercise, spiritual practices, continuation of previous prescription, telephonic advice of physicians were add-on strategies that facilitated their physical and psychological well-being during the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1463423621000207","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T07:47:20Z","timestamp":1635925640000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":16,"title":["Coping with COVID-19 pandemic: reflections of older couples living alone in urban Odisha, India"],"prefix":"10.1017","volume":"22","author":[{"given":"Pranab","family":"Mahapatra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krushna Chandra","family":"Sahoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyama","family":"Desaraju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7717-5592","authenticated-orcid":false,"given":"Sanghamitra","family":"Pati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,11,3]]},"reference":[{"key":"S1463423621000207_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30061-X"},{"key":"S1463423621000207_ref15","first-page":"79","volume-title":"Together apart: the psychology of COVID-19","author":"Haslam","year":"2020"},{"key":"S1463423621000207_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(20)30005-2"},{"key":"S1463423621000207_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.pdisas.2020.100080"},{"key":"S1463423621000207_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2020.04.013"},{"key":"S1463423621000207_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.102239"},{"key":"S1463423621000207_ref3","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1002\/9781118715598.ch21","volume-title":"Guidelines for reporting health research: a user\u2019s manual","author":"Booth","year":"2014"},{"key":"S1463423621000207_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15180"},{"key":"S1463423621000207_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(20)30002-7"},{"key":"S1463423621000207_ref37","article-title":"Non-communicable diseases (NCD) care during COVID-19 Pandemic: a mixed-method study in Khurda district of Odisha, India","author":"Sahoo","year":"2020","journal-title":"Indian Journal of Medical Research"},{"key":"S1463423621000207_ref38","doi-asserted-by":"publisher","DOI":"10.1080\/01490400.2020.1774015"},{"key":"S1463423621000207_ref42","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-010-0168-y"},{"key":"S1463423621000207_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30073-6"},{"key":"S1463423621000207_ref45","doi-asserted-by":"publisher","DOI":"10.1097\/JCMA.0000000000000393"},{"key":"S1463423621000207_ref43","doi-asserted-by":"publisher","DOI":"10.7326\/M20-1239"},{"key":"S1463423621000207_ref41","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610220001441"},{"key":"S1463423621000207_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2712"},{"key":"S1463423621000207_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113216"},{"key":"S1463423621000207_ref36","doi-asserted-by":"publisher","DOI":"10.35841\/public-health-policy.4.4.66-71"},{"key":"S1463423621000207_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa097"},{"key":"S1463423621000207_ref22","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/119743"},{"key":"S1463423621000207_ref14","first-page":"155","article-title":"Coping with COVID-19: learning from past pandemics to avoid pitfalls and panic","volume":"8","author":"Halperin","year":"2020","journal-title":"Global Health: Science and Practice"},{"key":"S1463423621000207_ref21","first-page":"490","article-title":"How did different generations cope with the COVID-19 pandemic? 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