Sanitation insecurity is defined by varied and multidimensional concerns, which can lead to various health outcomes and adaptation and coping strategies. Sanitation insecurity is defined by varied and multidimensional concerns, which can lead to various health outcomes and adaptation and coping strategies. Temporal variations can influence concerns, sanitation insecurity, outcomes, and coping and adaptation strategies. Bethany A Caruso et al. BMJ Glob Health 2017;2:e000414 © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.