Trends and determinants of quality of life and self-rated health in the course of medical education among medical students

The aim of this study is to determine the change in the self-rated health and quality of life of students of a school of medicine during the course of their education and the predictive factors of health and quality of life such as socioeconomic factors, health status and healthy lifestyle, social relationships and social support, and academic bur-den. The study is a cross-sectional study that aimed to reach the entire registered students of Manisa Celal Bayar University School of Medicine in 2016-2017. Dependent variables in this study are the overall quality of life, self-rated health and annual self- rated health transition About 10.1% of the students stated their overall quality of life as poor or very poor whereas nearly 10.9% were dissatisfied about their health and 20.3 % of them stated their current health as worse than the previous year. There is a linear trend in a year in medical school in terms of quality of life. The logistic regression Model suggested that having a non-depressed mood is the best predictor of a better quality of life. Lower BMI, being healthy, taking care of their health and having a nuclear family are found the most important variables that affect self-rated health positively. The final term students (interns) perceived the worse overall quality of life than the first and second-year students. Additionally, the majority of the 3rd, 4th, and 5th term students reported their health worse than the previous year. These facts in self-rated health and QOL may be regarded as pieces of evidence that may lead the university authorities to take measures especially in clinical terms of medical education.

___

1. Vingilis, Evelyn, Terrance J. et al “What factors predict student self-rated physical health?” Journal of adolescence 1998;21:83-97.

2. Study protocol for the World Health Organization project to develop a quality of life instrument (WHOQOL). Quality of Life Research. 1993;2:153-9.

3. The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science and Medicine. 1998;46:1569-85

4. Joseph RP, Royse KE, Benitez TJ, et al. Physical activity and quality of life among university students: exploring self-efficacy, self-esteem, and affect as potential mediators. Quality of Life Research. 2014;23:659-67.

5. Kolotkin, RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health related quality of life. Clinical Obesity. 2017;7:273-89.

6. Schmitz N, Kruse J, Kugler J. Disabilities, quality of life, and mental disorders associated with smoking and nicotine dependence. American J Psychiatry. 2003;160:1670-6.

7. Paiva, T, Gaspar T, Matos MG. Sleep deprivation in adolescents: correlations with health complaints and health-related quality of life. Sleep Medicine.

8. Vatan İ, Ocakoğlu, İrgil E. Uludağ Üniversitesi Tıp Fakültesi Öğrencilerinde Sigara İçme Durumunun Değerlendirilmesi. TAF Preventive Medicine Bulletin. 2009;8(1):43-8.

9. Aslan, UB, Livanelioğlu A, Aslan Ş. Fiziksel aktivite düzeyinin üniversite öğrencilerinde iki farklı yöntemle değerlendirilmesi. Fizyoterapi Rehabilitasyon. 2007;18:11-9.

10. Soyuer F, Ünalan D, Elmalı F. Normal ağırlıklı ve obez üniversite öğrencilerinde fiziksel aktivite. Uluslararası İnsan Bilimleri Dergisi. 2010; 2: 862-72.

11. Memiş E. Üniversite öğrencilerinde şişmanlık (obezite) durumu ve diyet ürünleri kullanmaları üzerinde bir araştırma. Ph.D. thesis, Gazi University, Ankara 2004.

12. DyrbyeLN, Thomas MR, and Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic Medicine. 2006;81:354-73.

13. Eser E, Serifhan M, Baysan P, et al. The Use of Health Transition Item in Health Inequalities Research: Annual Health Perception Variation Value (AHVV)” Research & Reviews: J Medical and Health Sciences. 2015;4:76-83.

14. World Health Organization. Recommended Populatıon Levels Of Physıcal Actıvıty For Health. https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf access date:27.07.2019

15. WHO(2010). Addiction to Nicotine. (in): WHO, Gender, Women, and the Tobacco Epidemic P:145. https://www.who.int/tobacco/publications/gender/en_tfi_gender_women_addiction_nicotine.pdf access date: 24.08.2019

16. Downs A Boucher LA.; Campbell DG. Polyakov A. Using the WHO-5 Well-Being Index to Identify College Students at Risk for Mental Health Problems, J College Student Development. 2017;58:113-7.

17. Topp CW, Østergaard SD, Søndergaard S and Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychotherapy and Psychosomatics. 2015;84:167–76.

18. Eser E, Çevik C, Baydur H, et al. (2019) Reliability and validity of the Turkish version of the WHO-5 in adults and older adults for its use in primary care settings. Primary Health Care Research & Development.2019;20:1–7.

19. Aydın L, Öğüş E, Şençelikel T, et al. Tıp Fakültesi Eğitiminin Öğrencilerin Yaşam Kalitesi Algısı Üzerine Etkisi: Başkent Üniversitesi Örneği. Başkent University J Education. 2018;5:139-45.

20. Sabbah I, Sabbah H, Khamis R, et al. Health related quality of life of university students in Lebanon: Lifestyles behaviors and socio-demographic predictors. Health. 2013;5:1-12.

21. Paro HB, Morales NM, Silva CH, et al. Health-related quality of life of medical students. Medical education. 2010;44:227-35

22. Zhang Y, Qu B, Lun S, et al. Quality of life of medical students in China: a study using the WHOQOL-BREF. PloS one. 2012;7:1-9.

23. Angkurawaranon C, Jiraporncharoen W, Sachdev A, et al. Predictors of quality of life of medical students and a comparison with quality of life of adult health care workers in Thailand. Springerplus. 2016;5:1-9.

24. ComptonMT, Carrera J, Frank E. Stress and depressive symptoms/dysphoria among US medical students: results from a large, nationally representative survey. Nervous And Mental Disease. 2008;196:891-7.

25. Chazan AC, Campos MR, Portugal FB. Quality of life of medical students at the State University of Rio de Janeiro (UERJ), measured using Whoqol-bref: a multivariate analysis. Ciencia & Saude Coletiva. 2015;20:547-56.

26. Naseem K, Mobeen I. Health related quality of life in a Pakistani medical school. Rawal Medical J. 2010;35:234-7.

27. Tuğut N, Bekar M. Üniversite Öğrencilerinin Sağlığı Algılama Durumları İle Sağlıklı Yaşam Biçimi Davranışları Arasındaki İlişki. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2008;11:17-26.

28. Şentürk M, Etiler N. Kocaeli Üniversitesi’nin üç meslek yüksekokulunda öğrencilerin sağlık düzeylerinin algılanan sağlık ölçeği ve GSA-12 ile değerlendirilmesi, 2007. TAF Preventive Medicine Bulletin. 2009;8:307-14.

29. Pekmezovic T,Popovic A, Tepavcevic DK, et al. Factors associated with health-related quality of life among Belgrade University students. Quality of life research. 2011;20:391-7.

30. Dyrbye LN, Thomas MR, Power DV, et al. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Academic Medicine. 2010;85:94-102.

31. Costa EF, Santos SA, Santos AT, et al. Burnout Syndrome and associated factors among medical students: a cross-sectional study. Clinics 2012;67: 573-80.

32. Hassed C, de Lisle S, Sullivan G, et al. Enhancing the health of medical students: outcomes of an integrated mindfulness and lifestyle program. Advances in Health Sciences Education. 2009;14:387-98.

33. Silva WRD, Campos JADB, Marôco J. Impact of inherent aspects of body image, eating behavior and perceived health competence on quality of life of university students. PloS one. 2018;13:1-19.

34. Ayala EE, Winseman JS, Johnsen RD, et al. US medical students who engage in self-care report less stress and higher quality of life. BMC medical education. 2018;18:189.

35. Boot CR, Rietmeijer CB, Vonk P, et al. Perceived health profiles of Dutch university students living with their parents, alone or with peers. International J Adolescent Medicine And Health. 2009;21:41-50.

36. Hwang IC, Park KH, Kim JJ, et al. Perceived social support as a determinant of quality of life among medical students: 6-month follow-up study. Academic Psychiatry. 2017;41:180-4.

37. McNeill KG, Kerr A, Mavor KI. Identity and norms: the role of group membership in medical student wellbeing. Perspectives On Medical Education. 2014;3:101-12.

38. Tempski P, Bellodi PL, Paro HB, et al. What do medical students think about their quality of life? A qualitative study. BMC medical education. 2012;12: 106.

39. Dolnicar S, Yanamandram V, Cliff K. The contribution of vacations to quality of life. Annals of Tourism Research. 2012;39:59-83.

40. Meireles AL, Xavier CC,Proietti FA, Caiaffa WT. Influence of individual and socio-environmental factors on self-rated health in adolescents. Revista Brasileira de Epidemiologia. 2015;18:538-51.

41. Özmen D, Dundar PE, Çetinkaya AC et al. Lise öğrencilerinde umutsuzluk ve umutsuzluk düzeyini etkileyen etkenler. Anadolu Psikiyatri Dergisi. 2008; 9:8-15.

42. Knox SA, King MT.Validation and calibration of the SF-36 health transition question against an external criterion of clinical change in health status. Qual Life Res. 2009;18:637-45.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Evaluation of the relationship between southwest wind parameters and hospital applications related to headache symptoms

Hatice Seyma AKCA, Sumeyra Acar KURTULUS, Deniz TENGEREK, Berra KALKAVAN, Serkan Emre EROGLU

The role of ductus venosus doppler, fetal liver length and placental thickness in gestational diabetes

Murat CEVİK, Ruya DEVEER

Platelet levels and neutrophil to lymphocyte ratio in thyroid nodules with and without cancer diagnosis

Soycan MİZRAK, Sirin KUCUK

Comparison of antivenom effects between pediatric and adult patients presented to emergency department with scorpion stings

Ertugrul ALTİNBİLEK, Kaan YUSUFOGLU, Abdullah ALGİN, Sahin COLAK

Patient involvement in disease management: A holistic approach in clinical pharmacy

Aygin BAYRAKTAR-EKİNCİOGLU

Surgeon factor in pediatric supracondylar humerus fractures

Ali YUCE, Niyazi IGDE, Yunus IMREN, Suleyman Semih DEDOGLU, Hakan GURBUZ

Final diagnosis of patients referred to hematologist due to anemia

Nurhilal BUYUKKURT, Funda Pepedil TANRİKULU, Hakan OZDOGU, Suheyl ASMA

Ischemic stroke in young adults: Gender-based differences

Fatma Ebru ALGUL, Yuksel KAPLAN

Stress and recurrent aphthous stomatitis

Isil Karaer CAKMAK, Ayca URHAN, Ismail REYHANİ

Life advices in patients with tracheostomy: Rational antibiotic use and cerebro-vascular prophylaxis-physiotherapy

Eylem ACARTURK TUNCAY, Ozlem Yazicioglu MOCİN, Sinem GUNGOR, Nezihe Ciftaslan GOKSENOGLU, Feyza KARGİN, Huriye Berk TAKİR, Emine Ebru AKSOY, Gokay GUNGOR, Nalan ADİGUZEL, Zuhal KARAKURT, Ilim IRMAK, Cuneyt SALTURK, Mustafa AY, Veysel Garani SOYLU