Health-Related Quality of Life, Success Probability and Students’ Dropout Intentions: Evidence from a German Longitudinal Study

Abstract

One in three students suffers from at least one common mental disorder highlighting the high prevalence of health issues in higher education. At the same time, every third student drops out of university without achieving their degrees. Nevertheless, connections between health and students’ dropout behavior have hardly been investigated. Grounding on value-expectation theory, this article argues that the students’ health-related quality of life (HRQoL) alters the impact of their self-assessed success probability in graduating on their dropout intentions. To examine the research question, data from the LAST project, which surveyed a German undergraduate student population over a period of four semesters (N = 7,169), were used applying fixed effects regressions, and interaction effects. Analyses uncover that the students’ mental health status is in fact linked to their intentions to drop out of university. Furthermore, an interaction effect of mental HRQoL and success probability could be confirmed. The findings suggest that universities should adopt better health promotion policies that bring together both individual health needs and higher education’s interest in successful graduates.

Correlations of university students' feelings during the COVID-19 pandemic with academic adaptation and quality of life

“…Scientific literature has reported dropout as a result of academic failure or low academic adaptation, which is usually related to a lack of motivation (Costa et al, 2018), anxiety/depression (Oliveira-Silva et al, 2021a), learning difficulties (Lima and Zago, 2018), burnout (Marôco et al, 2020), and, on a large scale, quality of life (QoL) (Baalmann, 2024). The cause-consequence relationship between these variables is still unclear, and the pandemic context requires a specific analysis of this relationship.…”

“…QoL is a broad concept related to the individual's subjective perception of wellbeing and position in life, which, in the health context, is related to the aspects that have an important influence on the individual's physical and mental wellbeing (WHOQOL Group, 1995). From the perspective of university students, QoL has an important correlation with physical activities, sleep quality, mental health, and factors that play an important role in the academic trajectory of students, influencing academic performance and retention in the university (Carpi et al, 2022;Baalmann, 2024).…”