The relationship of self-assessment of health status and morbidity with academic performance in senior students of medical specialties, taking into account the impact of socio-economic and demographic characteristics

Abstract

The purpose of the study: to study the relationship of academic performance with self-assessment of the quality of life associated with health and its objective condition, taking into account the influence of the most significant demographic and socio-economic parameters of senior students of medical specialties. Materials and methods. From 01.011.2017 to 15.06.2018, this study was conducted at the Far Eastern Federal University (FEFU) and at the Pacific State Medical University (TSMU). To participate in the study, we selected 316 students (155 (49,05%) female, 161 (51,5%) male, average age 21,2 (1,7) years), enrolled in 4–6 courses. The average response rate was 92,7%. Data on demographic variables, socio-economic status, living conditions and education, morbidity, behavioral characteristics, and a number of others were collected using the combined Self-Assessment Questionnaire for the demographic, socioeconomic, medical, and behavioral status of a university student. The presence of chronic diseases and the comorbidity index were verified by medical records of medical institutions. Statistical analysis of the information received was carried out by the program «Statistica 6.0». Results. The total composite evaluations of the KHSSL among students of FEFU and TSMU turned out to be almost identical (61,9/64,4, p<0,05). The comorbidity index of students at both universities was high (1,7–1,9), which indicated a high level of chronic morbidity. the weighted average variables, it was found that high family income (r = 0,037, p<0,05 for FEFU students and r=0,035, p<0,05 for their peers of their TSMU), and optimal conditions for learning and living (r=0,033, p<0,05 and r=0,046, p<0,05 in FEFU; r=0,034, p<0,05 and r=0,07, p<0,05 in TSMU). Conclusions. The success of training in each of the FEFU and TSMU students is strongly correlated with the comorbidity index and the KJVP, there is also a correlation of this indicator with the level of family income, the conditions of education and living, and the quality of education. A regression analysis of a combined sample of senior students of medical specialties reveals a correlation of learning success with KHSSZ indicators, a comorbidity index, as well as an assessment of the quality of education and the conditions of education and living.