Health-related quality of life and coping strategies adopted by COVID-19 survivors: A nationwide cross-sectional study in Bangladesh

Mohammad Anwar Hossain, Rubayet Shafin, Md Shahoriar Ahmed, Md Shohag Rana, Lori Maria Walton, Veena Raigangar, Tasnim Ara, Md Aminul Hoque Rasel, Mohammad Sohrab Hossain, Md Feroz Kabir, Mir Raihanul Islam, Md Nazmul Hasan, Md Delowar Hossain, Farjana Sharmin Rumana, Iqbal Kabir Jahid

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Introduction This study aims to investigate the health-related quality of life and coping strategies among COVID-19 survivors in Bangladesh. Methods This is a cross-sectional study of 2198 adult, COVID-19 survivors living in Bangladesh. Data were collected from previously diagnosed COVID-19 participants (confirmed by an RT-PCR test) via door-to-door interviews in the eight different divisions in Bangladesh. For data collection, Bengali-translated Brief COPE inventory and WHO Brief Quality of Life (WHO-QoLBREF) questionnaires were used. The data collection period was from October 2020 to March 2021. Results Males 72.38% (1591) were more affected by COVID-19 than females 27.62% (607). Age showed significant correlations (p<0.005) with physical, psychological and social relationships, whereas gender showed only a significant correlation with physical health (p<0.001). Marital status, occupation, living area, and co-morbidities showed significant co-relation with all four domains of QoL (p<0.001). Education and affected family members showed significant correlation with physical and social relationship (p<0.001). However, smoking habit showed a significant correlation with both social relationship and environment (p<0.001). Age and marital status showed a significant correlation with avoidant coping strategies (p<0.001); whereas gender and co-morbidities showed a significant correlation with problem-focused coping strategies (p<0.001). Educational qualification, occupation and living area showed significant correlation with all three coping strategies(p<0.001). Conclusion Survivors of COVID-19 showed mixed types of coping strategies; however, the predominant coping strategy was avoidant coping, followed by problem-focused coping, with emotion-focused coping reported as the least prevalent. Marital status, occupation, living area and co-morbidities showed a greater effect on QoL in all participants. This study represents the real scenario of nationwide health-associated quality of life and coping strategies during and beyond the Delta pandemic.

Original languageEnglish
Article numbere0277694
Number of pages18
JournalPLoS ONE
Issue number11 November
Publication statusPublished - 16 Nov 2022

Bibliographical note

Funding Information:
This is self-funded research. Authors did not receive any kind of fund to conduct this research and all the abroad scholar’s participation in this research voluntarily. Authors acknowledges the assessor for their tremendous effort to collect the data from all over Bangladesh.

Publisher Copyright:
Copyright: © 2022 Hossain et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


  • Quality of Life - psychology
  • COVID-19 - epidemiology
  • Adult
  • Survivors
  • Female
  • Adaptation, Psychological
  • Humans
  • Bangladesh - epidemiology
  • Cross-Sectional Studies
  • Male


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