work-study-life balance

Background: Balancing medical training, work, and personal life can be highly demanding and can be associated with burn out and increased stress and therefore requiring various balance and coping mechanisms to be employed by these students and these could include shorter sleep, modified learning methods, social isolation, and anxiety. Thus, this study examines the knowledge, perception, practice and implications of work-study-life balance among medical students at the University of Benin, with the aim of identifying gaps, understanding the challenges and informing strategies that can improve students’ ability to effectively balance academic, work and personal life commitments Objectives: To assess the knowledge, perception, practice and the implications of work- study-life balance among medical students in the University of Benin, Edo state, Nigeria. Methods: A descriptive cross-sectional study was conducted among 509 undergraduate medical students at the University of Benin from January 2025 to February 2026 to assess the knowledge, perception, practice of work-study-life balance among medical students and its possible impact on psychosocial and academic performance. A multi-stage sampling technique was used to select participants. The minimum sample size was determined using the Cochran formula with a 10% non-response rate. Data was collected through a structured, pre-tested self-administered questionnaire that included two standard instruments: the Pittsburgh Sleep Quality Index (PSQI), Work-study-life balance Scale (WSLBS), Coping strategies inventory, perceived stress scale (PSS). The data were analyzed using IBM SPSS version 27. The level of statistical significance was set at p < 0.05. Ethical approval was obtained from the Health Research Ethics Committee of the University of Benin Teaching Hospital. Results: A total of 509 respondents participated in the study and the response rate was 100%. There were 382 (75.0%) male respondents and 127 (25.0%) female respondents. The study showed that 377(74.1%) had good knowledge of work-study-life balance. The study revealed a significant association between age group and knowledge, χ² = 45.44, p < .001. There was a statistically significant association between employment status and overall perception, χ²= 6.49, p = .038. Majority (51.7%) assigned their current work-study-life balance a neutral rating of 3 on a 5-point scale. 73.9% proportion of the respondents reported that they do prioritize self-care. The biggest challenges respondents face in maintaining a work-study-life balance was a lack of free time, 365(71.7%). Demanding curriculum 338 (66.4%), followed by Clinical rotation hours, 240 (47.2%). Two hundred and twenty eight (44.8%) respondents had an Adaptive (Engagement Dominant) category, 194 (38.1%) had a Maladaptive (Disengagement Dominant) coping mechanism. 87 (17.1%) had a Mixed or Equal Use of coping styles. Majority (60.7%) were classified as experiencing Low Stress, while the remaining 39.3% were categorized as experiencing High Stress. 38.9% rated their sleep quality as Fair. followed by 32.2% who rated their sleep as Good and 17.8% as Very Good. A smaller minority rated their overall sleep quality as Poor (8.7%) or Very Poor (2.4%). Conclusion: This study demonstrated that while a majority of undergraduate medical students at the University of Benin possess good knowledge of work–study–life balance, their perception of balance remains largely neutral and although a significant proportion of students employ adaptive coping mechanisms, a considerable number continue to rely on maladaptive strategies, which may predispose them to psychological distress. While most students reported low stress levels and relatively acceptable sleep quality, a clinically meaningful proportion experienced high stress and suboptimal sleep. Overall, the findings indicate that knowledge alone is insufficient to ensure healthy work– study–life balance. Practical institutional support systems, structured resilience training, mental health monitoring, and cultural shifts within medical education are essential to translate awareness into sustainable well-being practices.