Health-Related Quality of Life and Other Health-Related Variables Among University Students in Kazakhstan: Implications for Holistic Health
DOI:
https://doi.org/10.25159/2957-3645/16954Keywords:
health, health status, health-related quality of life, Kazakhstan, university students, well-beingAbstract
In this quantitative study, we aimed to assess the health-related quality of life and other health-related variables among university students at the Nazarbayev University in Kazakhstan. We surveyed a convenience sample of 568 university students by using the “World Health Organization Quality of Life Brief Version” from February to March 2023. Most university students in the study had what was considered a healthy weight and were non-smokers. Many students reported spending much time on social media, and only a small percentage were engaged in regular physical activity. The results report moderate levels of perceived overall health-related quality of life and satisfaction with health among the students, with environmental health being rated as the best dimension of health-related quality of life and psychological health as the poorest. University students who spend considerable time on social media were found to more often have poorer physical health, whereas students who engage in more physical activity were found to have better physical health. Older age, not being from Kazakhstan, being Christian or Muslim, and belonging to the School of Medicine were associated with better psychological health. Students who were obese and alcohol drinkers reported poor psychological health. Being younger and a Muslim, having higher economic status and a healthy weight, and not consuming alcohol were associated with better environmental health. Our results underscore the need for university interventions to promote holistic health, by focusing on university students’ physical, psychological, social and environmental health.
References
Abenova, N., Imanbayeva, A., Karimsakova, B., & Essengalyeva, I. (2021). Validation of the Kazakh-language version of the World Health Organization’s WHOQOL-BREF questionnaire on the quality of life among the elderly population of Aktobe city. Journal of Clinical Medicine of Kazakhstan, 18(5), 35–43. https://doi.org/10.23950/jcmk/11224 DOI: https://doi.org/10.23950/jcmk/11224
Aboshaiqah, A. E., & Cruz, J. P. (2019). Quality of life and its predictors among nursing students in Saudi Arabia. Journal of Holistic Nursing, 37(2), 200–208. https://doi.org/10.1177/0898010118784147 DOI: https://doi.org/10.1177/0898010118784147
Ahn, E. S., Dixon, J., & Chekmareva, L. (2018). Looking at Kazakhstan’s higher education landscape: From transition to transformation between 1920 and 2015. In J. Huisman, A. Smolentseva & I. Froumin (Eds.), 25 Years of Transformations of Higher Education Systems in Post-Soviet Countries (pp. 199–227). Palgrave Macmillan. https://doi.org/10.1007/978-3-319-52980-6_8 DOI: https://doi.org/10.1007/978-3-319-52980-6_8
Al-Jayyousi, G. F., Munshar, M. A., Al-Salim, F., & Osman, E. M. H. (2019). Addressing context to understand physical activity among Muslim university students: The role of gender, family, and culture. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7670-8 DOI: https://doi.org/10.1186/s12889-019-7670-8
Al-Shibani, N., & Al-Kattan, R. (2019). Evaluation of quality of life among dental students using WHOQOL-BREF questionnaire in Saudi Arabia: A cross sectional study. Pakistan Journal of Medical Sciences, 35(3). https://doi.org/10.12669/pjms.35.3.213 DOI: https://doi.org/10.12669/pjms.35.3.213
Alsolais, A., Alquwez, N., Alotaibi, K. A., Alqarni, A. S., Almalki, M., Alsolami, F., Almazan, J., & Cruz, J. P. (2021). Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. Journal of Mental Health, 30(2), 194–201. https://doi.org/10.1080/09638237.2021.1922636 DOI: https://doi.org/10.1080/09638237.2021.1922636
Álvarez-Bueno, C., Pesce, C., Cavero-Redondo, I., Sánchez-López, M., Garrido-Miguel, M., & Martínez-Vizcaíno, V. (2017). Academic achievement and physical activity: A meta-analysis. Pediatrics, 140(6). https://doi.org/10.1542/peds.2017-1498 DOI: https://doi.org/10.1542/peds.2017-1498
Amankulova, Z. (2018). How rurality affects students’ higher education access in Kazakhstan. International Journal of Multidisciplinary Perspectives in Higher Education, 3(1), 4–18. https://doi.org/10.32674/jimphe.v3i1.629 DOI: https://doi.org/10.32674/jimphe.v3i1.629
Attum, B., Hafiz, S., Malik, A. K., & Shamoon, Z. (2019). Cultural competence in the care of Muslim patients and their families. StatPearls.
Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, J., Caldas-de-Almeida, J. M., Demyttenaere, K., Florescu, S., . . . Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine, 46(14), 2955–2970. https://doi.org/10.1017/S0033291716001665 DOI: https://doi.org/10.1017/S0033291716001665
Backhaus, I., D’Egidio, V., Saulle, R., Masala, D., Firenze, A., De Vito, E., Mannocci, A., & La Torre, G. (2020). Health-related quality of life and its associated factors: Results of a multi-center cross-sectional study among university students. Journal of Public Health, 42(2), 285–293. https://doi.org/10.1093/pubmed/fdz011 DOI: https://doi.org/10.1093/pubmed/fdz011
Campbell, F., Blank, L., Cantrell, A., Baxter, S., Blackmore, C., Dixon, J., & Goyder, E. (2022). Factors that influence mental health of university and college students in the UK: A systematic review. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13943-x DOI: https://doi.org/10.1186/s12889-022-13943-x
Centers for Disease Control and Prevention. (2022). Health-related quality of life (HRQOL). https://archive.cdc.gov/#/details?url=https://www.cdc.gov/hrqol/index.htm
Cruz, J. P., Felicilda-Reynaldo, R. F. D., Lam, S. C., Contreras, F. A. M., Cecily, H. S. J., Papathanasiou, I. V., ... & Colet, P. C. (2018). Quality of life of nursing students from nine countries: A cross-sectional study. Nurse Education Today, 66, 135–142. https://doi.org/10.1016/j.nedt.2018.04.016 DOI: https://doi.org/10.1016/j.nedt.2018.04.016
Doxtater, J., Cruz, C., & Cruz, J. (2019). Quality of life and its influence on the academic performance of medical laboratory students in Wyoming. American Society for Clinical Laboratory Science, 34(4). https://doi.org/10.29074/ascls.2019001909 DOI: https://doi.org/10.29074/ascls.119.001909
Fatima, S., Bashir, M., Khan, K., Farooq, S., Shoaib, S., & Farhan, S. (2021). Effect of presence and absence of parents on the emotional maturity and perceived loneliness in adolescents. Journal of Mind and Medical Sciences, 8(2), 259–266. https://doi.org/10.22543/7674.82.P259266 DOI: https://doi.org/10.22543/7674.82.P259266
Felicilda-Reynaldo, R. F. D., Cruz, J. P., Papathanasiou, I. V., Helen Shaji, J. C., Kamau, S. M., Adams, K. A., & Valdez, G. F. D. (2019). Quality of life and the predictive roles of religiosity and spiritual coping among nursing students: A multi-country study. Journal of Religion and Health, 58, 1573–1591. https://doi.org/10.1007/s10943-019-00771-4 DOI: https://doi.org/10.1007/s10943-019-00771-4
Gholami, A., Jahromi, L. M., Zarei, E., & Dehghan, A. (2013). Application of WHOQOL-BREF in measuring quality of life in health-care staff. International Journal of Preventive Medicine, 4(7), 809–817. https://pubmed.ncbi.nlm.nih.gov/24049600/
Graves, B. S., Hall, M. E., Dias-Karch, C., Haischer, M. H., & Apter, C. (2021). Gender differences in perceived stress and coping among college students. PloS One, 16(8), e0255634. https://doi.org/10.1371/journal.pone.0255634 DOI: https://doi.org/10.1371/journal.pone.0255634
Hawi, N. S., & Samaha, M. (2017). The relations among social media addiction, self-esteem, and life satisfaction in university students. Social Science Computer Review, 35(5), 576–586. https://doi.org/10.1177/0894439316660340 DOI: https://doi.org/10.1177/0894439316660340
Hernández-Torrano, D., & Ibrayeva, L. (2024). Who feels good at university? Exploring the prevalence, profiles, and determinants of mental health in higher education students using a person-centered approach. Asia-Pacific Education Researcher, 34, 93–107. https://doi.org/10.1007/s40299-024-00839-0 DOI: https://doi.org/10.1007/s40299-024-00839-0
Hirsch, J. D., Hang Do, A., Hollenbach, K. A., Manoguerra, A. S., & Adler, D. (2009). Students’ health-related quality of life across the preclinical pharmacy curriculum. American Journal of Pharmaceutical Education, 73(8), 147. https://doi.org/10.5688/aj7308147 DOI: https://doi.org/10.5688/aj7308147
Hjorth, C. F., Bilgrav, L., Frandsen, L. K., Overgaard, C., Torp-Pedersen, C., Nielsen, B. D., & Bøggild, H. (2016). Mental health and school dropout across educational levels and genders: A 4.8-year follow-up study. BMC Public Health, 16(1). https://doi.org/10.1186/s12889-016-3622-8 DOI: https://doi.org/10.1186/s12889-016-3622-8
Ho, M., Wong, V. S. W., Chow, P. P. K., & Cheng, W. L. S. (2015). A study on nursing students’ stress in Hong Kong. HNE Handover: For Nurses and Midwives, 8(2), 43–49.
Ishaq, B., Østby, L., & Johannessen, A. (2021). Muslim religiosity and health outcomes: A cross-sectional study among muslims in Norway. SSM – Population Health, 15, 100843. https://doi.org/10.1016/j.ssmph.2021.100843 DOI: https://doi.org/10.1016/j.ssmph.2021.100843
Joseph, R. P., Royse, K. E., Benitez, T. J., & Pekmezi, D. W. (2014). Physical activity and quality of life among university students: Exploring self-efficacy, self-esteem, and affect as potential mediators. Quality of Life Research, 23, 659–667. https://doi.org/10.1007/s11136-013-0492-8 DOI: https://doi.org/10.1007/s11136-013-0492-8
Kortt, M. A., & Dollery, B. (2011). Association between body mass index and health-related quality of life among an Australian sample. Clinical Therapeutics, 33(10), 1466–1474. https://doi.org/10.1016/j.clinthera.2011.08.009 DOI: https://doi.org/10.1016/j.clinthera.2011.08.009
Malibary, H., Zagzoog, M. M., Banjari, M. A., Bamashmous, R. O., & Omer, A. R. (2019). Quality of life (QoL) among medical students in Saudi Arabia: A study using the WHOQOL-BREF instrument. BMC Medical Education, 19(1). https://doi.org/10.1186/s12909-019-1775-8 DOI: https://doi.org/10.1186/s12909-019-1775-8
Mann, G., Kaiser, K., Trapp, N., Cafer, A., Grant, K., Gupta, K., & Bolden, C. (2021). Barriers, enablers, and possible solutions for student wellness: A qualitative analysis of student, administrators, and staff perspectives. Journal of School Health, 91(12), 1002–1013. https://doi.org/10.1111/josh.13092 DOI: https://doi.org/10.1111/josh.13092
Mishra, K., & Floegel-Shetty, A. (2023). What’s wrong with overreliance on BMI? AMA Journal of Ethics, 25(7), 469–471. https://doi.org/10.1001/amajethics.2023.469 DOI: https://doi.org/10.1001/amajethics.2023.469
National Health Service. (2022). What is the body mass index (BMI)? https://www.nhs.uk/common-health-questions/lifestyle/what-is-the-body-mass-index-bmi/#:~:text=BMI%20ranges&text=If%20your%20BMI%20is%3A,re%20in%20the%20obese%20range
Nur, N., Kıbık, A., Kılıç, E., & Sümer, H. (2017). Health-related quality of life and associated factors among undergraduate university students. Oman Medical Journal, 32(4), 329–334. https://doi.org/10.5001/omj.2017.62 DOI: https://doi.org/10.5001/omj.2017.62
Parsons, K., Neptune, L., Reynolds, A., Sullivan, A., Byrd-Bredbenner, C., & McNamara, J. (2021). The impact of health behaviors on health-related quality of life in college students. Current Developments in Nutrition, 5, 439. https://doi.org/10.1093/cdn/nzab038_051 DOI: https://doi.org/10.1093/cdn/nzab038_051
Popov, V. I., & Melikhova, E. P. (2016). Study and methodology for research of the life quality in students. Gigiena i sanitariia, 95(9), 879–884. DOI: https://doi.org/10.18821/0016-9900-2016-95-9-879-884
Prillaman, M. (2023). Why BMI is flawed—and how to redefine obesity. Nature, 622(7982), 232–233. https://doi.org/10.1038/d41586-023-03143-x DOI: https://doi.org/10.1038/d41586-023-03143-x
Ramón-Arbués, E., Echániz-Serrano, E., Martínez-Abadía, B., Antón-Solanas, I., Cobos-Rincón, A., Santolalla-Arnedo, I., Juárez-Vela, R., & Adam Jerue, B. (2022). Predictors of the quality of life of university students: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(19), 12043. https://doi.org/10.3390/ijerph191912043 DOI: https://doi.org/10.3390/ijerph191912043
Raosoft. (n.d.). Sample size calculator. http://www.raosoft.com/samplesize.html
Ryu, J., Chung, H. Y., Meador, B. M., Seo, Y., & Kim, K. (2021). The associations between physical fitness, complex vs simple movement, and academic achievement in a cohort of fourth graders. International Journal of Environmental Research and Public Health, 18(5), 2293. https://doi.org/10.3390/ijerph18052293 DOI: https://doi.org/10.3390/ijerph18052293
Sawicki, W. C., Barbosa, D. A., Fram, D. S., & Belasco, A. G. S. (2018). Alcohol consumption, quality of life and brief intervention among nursing university students. Revista Brasileira de Enfermagem, 71(suppl. 1), 505–512. https://doi.org/10.1590/0034-7167-2017-0692 DOI: https://doi.org/10.1590/0034-7167-2017-0692
Shareef, M. A., AlAmodi, A. A., Al-Khateeb, A. A., Abudan, Z., Alkhani, M. A., Zebian, S. I., Qannita, A. S., & Tabrizi, M. N. (2015). The interplay between academic performance and quality of life among preclinical students. BMC Medical Education, 15(1), 193. https://doi.org/10.1186/s12909-015-0476-1 DOI: https://doi.org/10.1186/s12909-015-0476-1
Sheldon, E., Simmonds-Buckley, M., Bone, C., Mascarenhas, T., Chan, N. P. H., Wincott, M., Gleeson, H., Sow, K., Hind, D., & Barkham, M. (2021). Prevalence and risk factors for mental health problems in university undergraduate students: A systematic review with meta-analysis. Journal of Affective Disorders, 287, 282–292. https://doi.org/10.1016/j.jad.2021.03.054 DOI: https://doi.org/10.1016/j.jad.2021.03.054
Tripathi, G., & Ahad, M. A. (2019). Effects of social media on social, mental, and physical health traits of youngsters. In H. Behera, J. Nayak and A. Abraham (Eds.), Computational intelligence in data mining. Advances in intelligent systems and computing, vol. 711. Springer. https://doi.org/10.1007/978-981-10-8055-5_61 DOI: https://doi.org/10.1007/978-981-10-8055-5_61
Tuan, V. V. (2021). The impact of social networking sites on study habits and interpersonal relationships among Vietnamese students. Journal of Language and Education, 7(1), 206–218. https://doi.org/10.17323/jle.2021.9818 DOI: https://doi.org/10.17323/jle.2021.9818
UNICEF. (2021). Mainstreaming adolescent mental health and suicide prevention in Kazakhstan’s education and health systems. https://www.unicef.org/media/90661/file/2020-Adolescent-Mental-Health-Programming-in-Kazakhstan-Case-Study.pdf
Wasserman, C. (2014, 1 January). Assessment of suicide preventative activities in Kazakhstan: Kyzylorda and East Kazakhstan. UNICEF. https://www.unicef.org/kazakhstan/en/reports/assessment-suicide-preventative-activities-kazakhstan-kyzylorda-and-east-kazakhstan#:~:text=Kazakhstan%20is%20among%20the%20countries,from%2022.5%20to%2025.6%2F100%2C000
World Health Organization. (n.d.). WHOQOL: Measuring Quality of Life. https://www.who.int/tools/whoqol/whoqol-bref
World Health Organization. (2012, 1 March). The World Health Organization Quality of Life (WHOQOL). https://www.who.int/publications/i/item/WHO-HIS-HSI-Rev.2012.03
Ziapour, A., & Kianipour, N. (2018). Health-related quality of life among university students: The role of demographic variables. Journal of Clinical and Diagnostic Research, 12(3), 134–147. https://doi.org/10.7860/JCDR/2018/29161.11258 DOI: https://doi.org/10.7860/JCDR/2018/29161.11258
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