• Ancuta Elena PADURARU “Alexandru Ioan Cuza” University of Iasi
  • Doina AZOICAI “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Camelia SOPONARU “Alexandru Ioan Cuza” University of Iasi


In 2020, there were about 18 million tertiary students in Europe (1). The average of those reporting chronic health conditions was around 18% in Switzerland, with the highest level of 39% in Iceland and the lowest of 7% in Romania, Albania and Serbia (2). The health status of students should be a concern for health professionals, alongside academics, as higher education plays an important role in society, increasing people’s well-being, fostering development and economic growth. However, our knowledge of the impact of chronic illness on university life is limited (3), with minimal research on the differences and similarities of the academic experience of students with chronic illness compared to students without health difficulties (4) but also how universities can support these students (5). As a result, through this exploratory narrative review we aim to synthesize some key ideas about the impact of chronic illness on students’ quality of life and formulate a series of recommendations that can be followed by university support services to encourage quality of life and academic adjustment for this group of students.

Author Biographies

Ancuta Elena PADURARU, “Alexandru Ioan Cuza” University of Iasi

Post-Doctoral Researcher

Doina AZOICAI, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Professor of Epidemiology

Camelia SOPONARU, “Alexandru Ioan Cuza” University of Iasi

Associate Professor of Psychology


1. Eurostat. Tertiary education statistics. 2022 [Accessed online on August 4, 2023]. available at: Partici-pation_by_level.
2. Federal Statistical Office. Health of Students at Swiss Higher Education Institutions report, based on the Federal Statistical Office’s 2016 Survey on the Social and Economic Situation of Students. [Accessed online on August 4, 2023]. available at: eng/society/well-being_one-fifth-of-students-report-chronic-health-issues/44525510.
3. Toller L, Farrimond H. The unpredictable body, identity, and disclosure: Identifying the strategies of chronically ill students at university. Disability Studies Quarterly 2021; 41(2) / doi:10.18061/dsq.v41i2.
4. Hamilton PH, Hulme JA, Harrison ED. Experiences of higher education for students with chronic illnesses. Disability & Society 2023; 38(1): 21-46 / doi:10.1080/ 09687599.2021.19075 49.
5. Waite F, Elliot DL. Feeling like ‘a damaged battery’: exploring the lived experiences of UK university students with ME/CFS. Fatigue: Biomedicine, Health & Behavior 2021 / doi:10.1080/ 21641846. 2021. 1969800.
6. Cerqueira A, Botelho Guedes F, Marques-Pinto A, et al. Chronic Conditions and School Participation of First-Year University Students-HOUSE U Lisbon Study. Children 2022; 9: 1397 / doi:10.3390/ children9091397.
7. Sligo J, Jones B, Davies C, Egan R, Ingham T, Hancox B, Richards R. The experiences of young people with chronic illness in New Zealand: A qualitative study. Child: Care, Health and Development 2019; 45(5): 660-669 / doi:10.1111/cch.12696.
8. Wikel K, Markelz AM. Chronic Health Conditions, School Attendance, and Socioeconomic Factors: A Literature Review. The Journal of Special Education Apprenticeship 2023; 12(2): 9.
9. Herts KL, Wallis E, Maslow G. College Freshmen with Chronic Illness: A Comparison With Healthy First-Year Students. Journal of College Student Development 2014; 55(5): 475-480 / doi:10.1353/csd.2014.0052.
10. Ramos-Dias JC, Libardi MC, Zillo CM, Igarashi MH, Senger MH. Qualidade de vida em cem alunos do curso de Medicina de Sorocaba-PUC/SP. Rev Bras De Educ Médica 2010; 34: 116-123 / doi:10.1590/S0100-55022010000100014.
11. Lins L, Carvalho FM, Menezes MS, Porto-Silva L, Damasceno H. Health-related quality of life of medical students in a Brazilian student loan programme. Perspect Med Educ 2016; 5: 197-204 / doi:10.1007/s40037-016-0283-3.
12. Merrill RM, Tanner K, Merrill JG, McCord MD, Beardsley MM, Steele BA. Voice symptoms and voice-related quality of life in college students. The Annals of otology, rhinology, and laryngology 2013; 122(8): 511-519 / doi:10.1177/000348941312200806.
13. Ravert RD, Boren SA, Wiebke E. Transitioning through college with diabetes: themes found in online forums. J Am Coll Health 2015; 63(4): 258-267.
14. Ahmed N, Wakil HE, Agwa R, Ahmed M. Study of the Quality of Life in Egyptian University Students with IBS. Research Square 2022 / doi: 10.21203/
15. World Health Organization. Division of Mental Health and Prevention of Substance Abuse. WHOQOL: Measuring Quality of Life. Geneva: World Health Organization 1997. Available at:
16. The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998; 28(3): 551-558.
17. Li HM, Zhong BL. Quality of life among college students and its associated factors: a narrative review. AME Med J 2022; 7: 38 / doi:10.21037/amj-22-96.
18. Beatty JE. Chronic illness identity in the workplace. Submitted to the Gender and Diversity in Organiza-tions Division for the 2001 Conference of the Academy of Management. Retrieved August 12, 2023, from
19. Barber D, Williams JL. Invisible Chronic Illness in Female College Students. Journal of Postsecondary Education and Disability 2021; 34(4): 311-330.
20. Spencer G, Lewis S, Reid M. The agentic Self and uncontrollable body: Young people’s management of chronic illness at university. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 2021; 25(3): 357-375 / doi:10.1177/ 1363459319889088.
21. Ramón-Arbués E, Echániz-Serrano E, Martínez-Abadía B, et al. Predictors of the Quality of Life of University Students: A Cross-Sectional Study. International journal of environmental research and public health 2022; 19(19): 12043 / doi:10.3390/ijerph191912043.
22. Wathelet M, Duhem S, Vaiva G, et al. Factors Associated With Mental Health Disorders Among Uni-versity Students in France Confined During the COVID-19 Pandemic. JAMA Netw Open 2020; 3(10): e2025591 / doi:10.1001/jamanetworkopen.2020.25591.
23. Tonon GH. Student’s Quality of Life at the University: a Qualitative Study. Applied Research in Quali-ty-of-Life 2021; 16(4): 1517-1535 / doi:10.1007/s11482-020-09827-0.
24. UNESCO. UNESCO survey highlights measures taken by countries to limit impact of COVID-19 school closures. [Accessed online on August 9, 2023]. available at:
25. Cheah WL, Law LS, Teh KH, et al. Quality of life among undergraduate university students during COVID-19 movement control order in Sarawak. Health Sci Rep 2021; 4: e362 / doi:10.1002/hsr2.362.
26. Cao W, Fang Z, Hou G, et al. The psychological impact of COVID-19 epidemic on college students in China. Psychiatry Res 2020; 287: 1-5.
27. Owusu-Fordjour C, Koomsom CK, Hanson D. The impact of COVID19 on learning - the perspective of the Ghanaian student. Eur J Educ Stud 2020; 7: 1-14.
28. Leong Bin Abdullah MFI, Mansor NS, Mohamad MA, et al. Quality of life and associated factors among university students during the COVID-19 pandemic: a cross-sectional study. BMJ Open 2021; 11: e048446 / doi:10.1136/bmjopen-2020-048446.
29. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17(5): 1729 / doi:10.3390/ ijerph 17051729.
30. Miguel AQC, Tempski P, Kobayasi R, et al. Predictive factors of quality of life among medical students: results from a multicentric study. BMC Psychol 2021; 9: 36 / doi:10.1186/s40359-021-00534-5.
31. Latas M, Stojković T, Ralić T, Jovanović S, Špirić Ž, Milovanović S. Medical students’ health-related quality of life: A comparative study. Vojnosanitetski pregled 2014; 71(8): 751-756.
32. Coutinho M, Trindade IA, Ferreira C. Experiential avoidance, committed action and quality of life: Differences between college students with and without chronic illness. Journal of Health Psychology 2021; 26(7): 1035-1045 / doi:10.1177/1359105319860167.
33. Hall RD. Balloons, breadcrumbs, and spoons: Emerging adults’ privacy negotiation and management of the (non)disclosure of chronic illness-related information with a friend [Unpublished doctoral disserta-tion]. University of Nebraska-Lincoln. 2022.
34. Thongseiratch T, Chandeying N. Chronic Illnesses and Student Academic Performance. Journal of Health Science and Medical Research. 2020; 38(3) / doi:10.31584/jhsmr.2020738.
35. Gazibara T, Pekmezovic T, Popovic A, Paunic M, Kisic TD. Chronic diseases among University stu-dents: Prevalence, patterns and impact on health-related quality of life. Vojnosanitetski pregled 2018; 75(12): 1178-1184 / doi:10.2298/VSP160920050G.
36. Kesuma Y, Sekartini R, Timan IS, et al. Irritable bowel syndrome in Indonesian adolescents. Journal de Pediatria 2021; 97: 197-203.