Reasons for Absenteeism in Online vs. In-Person Education: Similarities and Differences

Year 2025, Volume: 2 Issue: 2, 50 - 57, 15.08.2025

Fatih Kara , A. Hilal Batı , Erdoğan Çiçek

https://doi.org/10.62425/jmefm.1622749

Abstract

Objective: This study aimed to investigate and compare the reasons for absenteeism in both in-person and online classes among first-, second-, and third-year students at the Kafkas University Faculty of Medicine during the 2021--2022 academic year.
Methods: This study was conducted during the second half of the 2021--2022 academic year, when both in-person and online classes were held. A survey consisting of 21 questions, including open-ended ones, was administered to students via Google Forms. Content analysis was performed on the open-ended responses, categorizing recurring themes to identify the reasons behind absenteeism.
Results: The reasons for absenteeism were categorized into three groups: common reasons, reasons specific to online education, and reasons specific to in-person education. Common reasons included inefficiency of the lessons, health-related issues, and extracurricular activities. The factors specific to online education involved technical difficulties and a preference for recorded lectures. The reasons specific to in-person education included weather and transportation problems, visits to hometowns, and educator-related bullying.
Conclusion: The findings highlight the critical need to address absenteeism through the enhancement of teaching methods, fostering stronger student-teacher interactions, and implementing protocols aimed at reducing absenteeism related to health issues. Additionally, the study underscores the importance of prioritizing educator training to improve class effectiveness and mitigate absenteeism in both online and in-person learning environments.

Keywords

absenteeism, medical education, online education

References

• Gottfried MA, Kirksey JJ. Going to sleep and going to school: Linking bedtime to student absenteeism. J Sleep Res. Published online June 13, 2021:e13396. doi:10.1111/jsr.13396
• Hilwerling L, Linnenbank M, Flockert H, et al. School Absenteeism - Requirements for a Successful Therapeutic Approach. Klin Padiatr. 2020;232(5):265-268. doi:10.1055/a-1198-5684
• Kearney CA, Graczyk PA. A Multidimensional, Multi-tiered System of Supports Model to Promote School Attendance and Address School Absenteeism. Clin Child Fam Psychol Rev. 2020;23(3):316-337. doi:10.1007/s10567-020-00317-1
• Binsaeed A, al-Otaibi M, al-Ziyadi H, Babsail A, Shaik S. Association between student absenteeism at a medical college and their academic grades. Int Assoc Med Sci Educ. Published online 2009.
• Longhurst RJ. Why Aren’t They Here? Student absenteeism in a further education college. J Furth High Educ. 1999;23(1):61-80. doi:10.1080/0309877990230106
• Birioukov A. Absenteeism. In: Encyclopedia of Personality and Individual Differences. Springer International Publishing; 2016:1-4. doi:10.1007/978-3-319-28099-8_725-1
• Westrick SC, Helms KL, McDonough SK, Breland ML. Factors Influencing Pharmacy Students’ Attendance Decisions in Large Lectures. Am J Pharm Educ. 2009;73(5):83. doi:10.5688/aj730583
• Bati AH, Mandiracioglu A, Orgun F, Govsa F. Why do students miss lectures? A study of lecture attendance amongst students of health science. Nurse Educ Today. 2013;33(6):596-601. doi:10.1016/j.nedt.2012.07.010
• Hakami AR. Effect of absenteeism on the performance of medical sciences students: gender differences. Med Educ Online. 2021;26(1):1875531. doi:10.1080/10872981.2021.1875531
• Karam SA, Costa FDS, Schwendicke F, Correa MB, Demarco FF. Oral health and academic performance or absenteeism: Findings from a University in Southern Brazil. Community Dent Oral Epidemiol. 2021;49(3):267-274. doi:10.1111/cdoe.12598
• Ansari A, Hofkens TL, Pianta RC. Absenteeism in the First Decade of Education Forecasts Civic Engagement and Educational and Socioeconomic Prospects in Young Adulthood. J Youth Adolesc. 2020;49(9):1835-1848. doi:10.1007/s10964-020-01272-4
• Sharmin T, Azim E, Choudhury S, Kamrun S. Reasons of Absenteeism among Undergraduate Medical Students: A Review. Anwer Khan Mod Med Coll J. 2017;8(1):60-66. doi:10.3329/akmmcj.v8i1.31660
• Rao B, Valleswary K, Nayak M, Rao N. Reasons for Absenteeism among the Undergraduate Medical Students Attending for Theory Classes in Rajiv Gandhi Institute of Medical Sciences (RIMS) Ongole, Prakasam District of Andhra Pradesh: A Self Review. IOSR J Res Method Educ. 2016;6(4):11-19.
• Desalegn AA, Berhan A, Berhan Y. Absenteeism among medical and health science undergraduate students at Hawassa University, Ethiopia. BMC Med Educ. 2014;14:81. doi:10.1186/1472-6920-14-81
• Iyer PH. Corona Virus Disease (COVID-19): Lessons Learned Impact on the Education of Health Professionals. Adv Exp Med Biol. 2024;1458:233-246. doi:10.1007/978-3-031-61943-4_15
• Khan A, Haq IU, Zafar D, Noman N, Bashir S, Iftekhar S. Factors contributing to absenteeism among students of Gomal medical college. J Ayub Med Coll Abbottabad. 2024;36(2):342-345. doi:10.55519/JAMC-02-12687
• Dräger J, Klein M, Sosu EM. Trajectories of school absences across compulsory schooling and their impact on children’s academic achievement: An analysis based on linked longitudinal survey and school administrative data. PLoS One. 2024;19(8):e0306716. doi:10.1371/journal.pone.0306716
• Mokhtari S, Nikzad S, Mokhtari S, Sabour S, Hosseini S. Investigating the reasons for students’ attendance in and absenteeism from lecture classes and educational planning to improve the situation. J Educ Health Promot. 2021;10:221. doi:10.4103/jehp.jehp_1112_20
• Fisman D, Postma M, Levin MJ, Mould-Quevedo J. Absenteeism and Productivity Loss Due to Influenza or Influenza-like Illness in Adults in Europe and North America. Dis (Basel, Switzerland). 2024;12(12). doi:10.3390/diseases12120331
• Villamor E, Beer RJ, Seeley AL, López-Arana S, Marín C, Mora-Plazas M. Infectious morbidity and white blood cell count associated with grade repetition and school absenteeism. Acta Paediatr. Published online November 21, 2024. doi:10.1111/apa.17513
• Uyanık G, Dağhan Ş. The effect of the theory of planned behavior based hand hygiene intervention program on the health outcomes and school absenteeism of the primary school students: Quasi-experimental study. J Infect Prev. Published online November 22, 2024:17571774241300480. doi:10.1177/17571774241300481
• Ismail SR, Radzi R, Megat Kamaruddin PSN, et al. The effects of school-based hygiene intervention programme: Systematic review and meta-analysis. PLoS One. 2024;19(10):e0308390. doi:10.1371/journal.pone.0308390
• Alias N, Khaw W-F, Nasaruddin NH, et al. Truancy among School-Going Adolescents in Malaysia and Its Associated Factors: Findings from the National Health and Morbidity Survey 2022. Iran J Public Health. 2024;53(12):2705-2713. http://www.ncbi.nlm.nih.gov/pubmed/39759204
• Chaphekar A V, Sevelius J, Glidden D, Vance SR. School Absenteeism Among Racially and Ethnically Minoritized Transgender High School Students and Their Peers: A Cross-Sectional Study. J Adolesc Health. 2024;75(5):785-791. doi:10.1016/j.jadohealth.2024.06.028
• Janse van Rensburg ES. Effective online teaching and learning practices for undergraduate health sciences students: An integrative review. Int J Africa Nurs Sci. 2018;9:73-80. doi:10.1016/j.ijans.2018.08.004
• Piepiora PA, Bagińska J, Piepiora ZN. Perspective on solving the problem of declining interest in physical activity in Poland. Front Sport Act living. 2024;6:1416154. doi:10.3389/fspor.2024.1416154
• Greydanus DE, Greydanus MM. Internet use, misuse, and addiction in adolescents: current issues and challenges. Int J Adolesc Med Health. 2012;24(4):283-289. doi:10.1515/ijamh.2012.041
• Arnett JJ. Emerging adulthood: A theory of development from the late teens through the twenties. Am Psychol. 2000;55(5):469-480. doi:10.1037/0003-066X.55.5.469
• Wood D, Crapnell T, Lau L, et al. Emerging Adulthood as a Critical Stage in the Life Course. In: Handbook of Life Course Health Development. Springer International Publishing; 2018:123-143. doi:10.1007/978-3-319-47143-3_7