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Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health

Year 2025, Volume: 78 Issue: 2, 87 - 92, 01.07.2025

Abstract

Objectives: The aim of this study was to investigate the relationship between social determinants of health (SDOH) and academic achievement among preclinical students at Ankara University Faculty of Medicine. We aim to provide insights for policies and practices that promote student well-being and ensure equal support for academic achievement.

Materials and Methods: A cross-sectional survey design was used over an 18-month period from October 2021 to March 2023. Data were collected via an online survey using Google Forms, including demographic and academic achievement information, and analyzed using statistical tests. Ethical approval was obtained, and a sample of 153 participants were used for analysis.

Results: This study was conducted with 153 preclinical students at Ankara University Faculty of Medicine and SDOH was assessed. The majority of participants were Turkish citizens (93.5%) and female (65.4%), and had various housing arrangements such as living with their parents (39.9%) or living in a dormitory with roommates (32.0%). Factors such as access to healthcare, monthly income, safety, social support, and environmental conditions were assessed. Academic achievement measured by Likert scale revealed that feeling free from discrimination and receiving psychological support were significantly associated with academic performance. However, other SDOHs did not show significant associations with academic achievement.

Conclusion: Although SDOHs other than feeling free from discrimination and receiving psychological support did not show significant correlations in our study, further research is needed to explore their effects. Creating a supportive and non-discriminatory environment is important for the academic success and well-being of medical students.

Ethical Statement

: Ethical approval was obtained from the Ankara University Faculty of Medicine Ethics Committee for Student Research (decision no.: E-72189195- 050.03.04-775372, date: 02.01.2023)

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Project Number

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Thanks

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References

  • 1. Al-Halabi B, Marwan Y, Hasan M, et al. Extracurricular research activities among senior medical students in Kuwait: experiences, attitudes, and barriers. Adv Med Educ Pract. 2014;5:95-101.
  • 2. Izadnegahdar R, Correia S, Ohata B, et al. Global health in Canadian medical education: current practices and opportunities. Acad Med. 2008;83:192- 198. 3. Orçanlı K, Bekmezci M, Boztoprak H. Adaptation of the Academic Achievement Inventory Scale for University Students to Turkish: a validity and reliability study. OPUS International Journal of Community Research, 2021;17:3999- 4026. 4. World Health Organization. Social determinants of health. [Internet]. 2022. Available at: https://www.who.int/health-topics/social-determinants of-health#tab=tab_1 5. Gnanapragasam SN, Astill Wright L, Pemberton M, et al. Outside/inside:
  • social determinants of mental health. Ir J Psychol Med. 2023;40:63-73.
  • 6. Kurmanova A, Kozhayeva S, Ayupova G, et al. University students' relationship with technology: psychological effects on students. World Journal of Educational Technology: Current Topics. 2022;14:1225-1233.
  • 7. Nelson D, Misra K, Sype G. et al. Analysis of the relationship between distance to campus and grade point average of commuter students. International Journal of Educational Research. 2016;12:37-46 8. Strolin-Goltzman J. The relationship between school-based health centers and the learning environment. J Sch Health. 2010;80:153-159.
  • 9. Prevatt F, Li H, Welles T, et al. The academic achievement inventory for college students: scale development and practical implications for use with students. Journal of College Admission. 2011;26-31.
  • 10. World Health Organization. Constitution of the World Health Organization. Basic Documents. Forty. [Internet]. 2006. Available at: https://www. who.int/docs/default-source/documents/publications/basic-documents constitution-of-who.pdf 11. Haider AH, Sexton J, Sriram N, et al. The relationship between unconscious race and social class bias and vignette-based clinical assessments by medical students. JAMA. 2011;306:942-951.
  • 12. Shen H. Inequality quantified: Beware the gender gap. Nature. 2013;495:22- 24.
  • 13. Braveman P, Gottlieb L. Social determinants of health: time to consider the reasons for the reasons. Public Health Rep. 2014;129(Suppl. 2):19- 31

Ankara Üniversitesi Tıp Fakültesi Öğrencilerinin Akademik Başarılarının Sağlığın Sosyal Belirleyicilerine Göre İncelenmesi

Year 2025, Volume: 78 Issue: 2, 87 - 92, 01.07.2025

Abstract

Amaç: Bu çalışmanın amacı, Ankara Üniversitesi Tıp Fakültesi klinik öncesi öğrencileri arasında sosyal sağlık belirleyicileri (SDOH) ile akademik başarı arasındaki ilişkiyi araştırmak, öğrenci refahını destekleyen politikalar ve uygulamalar hakkında fikir vermek ve akademik başarı için eşit destek sağlama konusunda farkındalık yaratmaktır.

Gereç ve Yöntemler: Ekim 2021'den Mart 2023'e kadar on sekiz aylık bir süre boyunca kesitsel bir anket tasarımı kullanıldı. Veriler Google Forms aracılığıyla çevrimiçi olarak toplandı ve demografik ve akademik başarı bilgilerini içeriyordu. Veriler istatistiksel testler kullanılarak analiz edildi. Etik kurul onayı alındı ​​ve analiz için 153 katılımcıdan oluşan bir örneklem kullanıldı.

Bulgular: Çalışmamızda SDOH, Ankara Üniversitesi Tıp Fakültesi klinik öncesi öğrencilerinden 153'ü üzerinde incelendi. Katılımcıların çoğu Türk vatandaşı (%93,5) ve kadındı (%65,4) ve aileleriyle birlikte yaşama (%39,9) veya yurtta oda arkadaşlarıyla yaşama (%32,0) gibi farklı konaklama düzenlemelerine sahip oldukları görüldü. Sağlık hizmetlerine erişim, aylık gelir, güvenlik, sosyal destek ve çevresel koşullar gibi faktörler de değerlendirildi. Likert ölçeğiyle ölçülen akademik başarının ayrımcılığa uğramamak ve psikolojik destek almakla önemli ölçüde ilişkili olduğu bulundu. Ancak, diğer SDOH'lerin akademik başarıyla önemli bir ilişkisi görülmedi.

Sonuç: Çalışmamızda ayrımcılığa uğramamak ve psikolojik destek almak dışında SDOH'lerin akademik başarıyla önemli bir ilişkisi görülmese de, etkilerini araştırmak için daha fazla çalışmaya ihtiyaç vardır. Destekleyici ve ayrımcılık yapmayan bir ortam yaratmak, tıp öğrencilerinin akademik başarısını ve refahını desteklemek için önemlidir

Project Number

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References

  • 1. Al-Halabi B, Marwan Y, Hasan M, et al. Extracurricular research activities among senior medical students in Kuwait: experiences, attitudes, and barriers. Adv Med Educ Pract. 2014;5:95-101.
  • 2. Izadnegahdar R, Correia S, Ohata B, et al. Global health in Canadian medical education: current practices and opportunities. Acad Med. 2008;83:192- 198. 3. Orçanlı K, Bekmezci M, Boztoprak H. Adaptation of the Academic Achievement Inventory Scale for University Students to Turkish: a validity and reliability study. OPUS International Journal of Community Research, 2021;17:3999- 4026. 4. World Health Organization. Social determinants of health. [Internet]. 2022. Available at: https://www.who.int/health-topics/social-determinants of-health#tab=tab_1 5. Gnanapragasam SN, Astill Wright L, Pemberton M, et al. Outside/inside:
  • social determinants of mental health. Ir J Psychol Med. 2023;40:63-73.
  • 6. Kurmanova A, Kozhayeva S, Ayupova G, et al. University students' relationship with technology: psychological effects on students. World Journal of Educational Technology: Current Topics. 2022;14:1225-1233.
  • 7. Nelson D, Misra K, Sype G. et al. Analysis of the relationship between distance to campus and grade point average of commuter students. International Journal of Educational Research. 2016;12:37-46 8. Strolin-Goltzman J. The relationship between school-based health centers and the learning environment. J Sch Health. 2010;80:153-159.
  • 9. Prevatt F, Li H, Welles T, et al. The academic achievement inventory for college students: scale development and practical implications for use with students. Journal of College Admission. 2011;26-31.
  • 10. World Health Organization. Constitution of the World Health Organization. Basic Documents. Forty. [Internet]. 2006. Available at: https://www. who.int/docs/default-source/documents/publications/basic-documents constitution-of-who.pdf 11. Haider AH, Sexton J, Sriram N, et al. The relationship between unconscious race and social class bias and vignette-based clinical assessments by medical students. JAMA. 2011;306:942-951.
  • 12. Shen H. Inequality quantified: Beware the gender gap. Nature. 2013;495:22- 24.
  • 13. Braveman P, Gottlieb L. Social determinants of health: time to consider the reasons for the reasons. Public Health Rep. 2014;129(Suppl. 2):19- 31
There are 9 citations in total.

Details

Primary Language English
Subjects Medical Education
Journal Section Research Article
Authors

Elif Nur Çakınberk 0000-0003-1072-9068

Filiz Ak Azar 0000-0003-0382-039X

Melda Doğan 0009-0005-3508-4368

Yiğit Yahya İkizler This is me 0009-0002-6359-8719

Ece Korkut 0009-0006-3672-2250

Ceyda Ceren Dönder This is me 0009-0000-6856-3959

Sezin Naz Yıldırım This is me 0009-0002-1337-985X

Project Number -
Publication Date July 1, 2025
Published in Issue Year 2025 Volume: 78 Issue: 2

Cite

APA Çakınberk, E. N., Ak Azar, F., Doğan, M., … İkizler, Y. Y. (2025). Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 78(2), 87-92. https://doi.org/10.4274/atfm.galenos.2024.45762
AMA Çakınberk EN, Ak Azar F, Doğan M, et al. Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health. Ankara Üniversitesi Tıp Fakültesi Mecmuası. July 2025;78(2):87-92. doi:10.4274/atfm.galenos.2024.45762
Chicago Çakınberk, Elif Nur, Filiz Ak Azar, Melda Doğan, Yiğit Yahya İkizler, Ece Korkut, Ceyda Ceren Dönder, and Sezin Naz Yıldırım. “Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 78, no. 2 (July 2025): 87-92. https://doi.org/10.4274/atfm.galenos.2024.45762.
EndNote Çakınberk EN, Ak Azar F, Doğan M, İkizler YY, Korkut E, Dönder CC, Yıldırım SN (July 1, 2025) Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health. Ankara Üniversitesi Tıp Fakültesi Mecmuası 78 2 87–92.
IEEE E. N. Çakınberk, F. Ak Azar, M. Doğan, Y. Y. İkizler, E. Korkut, C. C. Dönder, and S. N. Yıldırım, “Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 78, no. 2, pp. 87–92, 2025, doi: 10.4274/atfm.galenos.2024.45762.
ISNAD Çakınberk, Elif Nur et al. “Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 78/2 (July2025), 87-92. https://doi.org/10.4274/atfm.galenos.2024.45762.
JAMA Çakınberk EN, Ak Azar F, Doğan M, İkizler YY, Korkut E, Dönder CC, Yıldırım SN. Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025;78:87–92.
MLA Çakınberk, Elif Nur et al. “Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 78, no. 2, 2025, pp. 87-92, doi:10.4274/atfm.galenos.2024.45762.
Vancouver Çakınberk EN, Ak Azar F, Doğan M, İkizler YY, Korkut E, Dönder CC, et al. Evaluation of Academic Success of Ankara University Faculty of Medicine Students According to the Social Determinants of Health. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025;78(2):87-92.