Nutritional Knowledge, Nutritional Status, Compliance with Iron Supplement Tablets, and the Incidence of Anemia in Female Adolescent
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Abstract
Anemia is a significant health issue in society, and it is prevalent, including in Indonesia. This condition can substantially impact the economy, health, and social well-being. This research aims to determine the relationship between nutritional knowledge, nutritional status, compliance with iron supplement tablet consumption, and the incidence of anemia in adolescent girls at Al-Ishlah Vocational School in the year 2023. This study aims to contribute to developing knowledge related to public health, especially in nutrition and anemia. The research adopts a quantitative approach with an analytical method and a cross-sectional design, using purposive sampling to select 47 female adolescents from a population of 143 students. Data analysis involves univariate and bivariate analyses conducted using the Statistical Program for Social Sciences (SPSS). The findings reveal no significant relationship between nutritional knowledge and the incidence of anemia in adolescent girls (p=0.654). Similarly, there is no significant correlation between nutritional status and the occurrence of anemia in these adolescents (p=0.442). Additionally, there is no significant relationship between compliance with iron supplement tablet consumption and the incidence of anemia in the same group of adolescent girls (p=1.000). Recommendations include collaborative efforts between schools and healthcare services to enhance adolescent nutrition, regular monitoring for anemia prevention, health departments implementing policies to enhance nutrition education in schools, school nutrition campaigns, educational activities, and institutions contributing to developing more effective strategies.
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Accepted 2024-02-07
Published 2024-02-08
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References
Idaiani, S., Yunita, I., Tjandrarini, D. H., Indrawati, L., Darmayanti, I., Kusumawardani, N., & Mubasyiroh, R. (2019). Prevalensi Psikosis di Indonesia berdasarkan Riset Kesehatan Dasar 2018. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 9-16. DOI: https://doi.org/10.22435/jpppk.v3i1.1882
Dewiasty, E., Agustina, R., Saldi, S. R. F., Pramudita, A., Hinssen, F., Kumaheri, M., ... & Setiati, S. (2022). Malnutrition Prevalence and Nutrient Intakes of Indonesian Community-Dwelling Older Adults: A Systematic Review of Observational Studies. Frontiers in Nutrition, 9, 780003. DOI: https://doi.org/10.3389/fnut.2022.780003
Anashrin, P. A., Aryanti, D., & Februanti, S. (2022). Implementasi Pendidikan Kesehatan Penanganan Anemia Kehamilan Pada Ibu Hamil di Tasikmalaya. Nursing Care and Health Technology Journal (NCHAT), 2(2), 148-153. DOI: https://doi.org/10.56742/nchat.v2i2.43
Mastikana, I., Laska, Y., Fariningsih, E., & Rina, N. F. (2022). Sosialisasi Pentingnya Tablet Fe Untuk Mencegah Anemia Pada Kehamilan di Posyandu Wilayah Kerja Puskesmas Kampung Jabi Kota Batam. JPMB: Jurnal Pemberdayaan Masyarakat Berkarakter, 5(1), 51-56.
Waelan, E. d. (2020). Hubungan Antara Pengetahuan dan Status Gizi Dengan Kejadian Anemia Pada Remaja Putri SMAN 8 Kendari Tahun 2020. Jurnal Gizi Dan Kesehatan Indonesia, 115-119.
Rohmah, Z. N. (2021). Faktor–Faktor Yang Menyebabkan Terjadinya Anemia Pada Remaja Putri. Journal of Holistic and Traditional Medicine, 6(02), 662-668.
James, A. H. (2021). Iron deficiency anemia in pregnancy. Obstetrics & Gynecology, 138(4), 663-674. DOI: https://doi.org/10.1097/AOG.0000000000004559
Manikam, N. R. M. (2021). Known facts: iron deficiency in Indonesia. World Nutrition Journal, 5(S1), 1-9. DOI: https://doi.org/10.25220/WNJ.V05.S1.0001
Díaz-López, A., Ribot, B., Basora, J., & Arija, V. (2021). High and low haemoglobin levels in early pregnancy are associated to a higher risk of miscarriage: a population-based cohort study. Nutrients, 13(5), 1578. DOI: https://doi.org/10.3390/nu13051578
Akombi-Inyang, B., Dhami, M., Byaruhanga, J., Lassi, Z. S., & Agho, K. (2023). Micronutrient deficiency among pregnant adolescents in South Asia: A Systematic Review. medRxiv, 2023-10. DOI: https://doi.org/10.1101/2023.10.12.23296939
Liu, D., Li, S., Zhang, B., Kang, Y., Cheng, Y., Zeng, L., ... & Dang, S. (2022). Maternal hemoglobin concentrations and birth weight, low birth weight (LBW), and small for gestational age (SGA): findings from a prospective study in Northwest China. Nutrients, 14(4), 858. DOI: https://doi.org/10.3390/nu14040858
Daroedono, E., Haloho, A. E., & Fatimatuzzahra, R. (2023). Maternal Hemoglobin Levels as a Causative Factor in Incidence of Low Birth Weight Babies: A Public Health Prospective. International Blood Research & Reviews, 14(4), 150-162. DOI: https://doi.org/10.9734/ibrr/2023/v14i4328
Puerto, A., Trojan, A., Alvis-Zakzuk, N. R., López-Saleme, R., Edna-Estrada, F., Alvarez, A., ... & Zakzuk, J. (2021). Iron status in late pregnancy is inversely associated with birth weight in Colombia. Public Health Nutrition, 24(15), 5090-5100. DOI: https://doi.org/10.1017/S136898002100166X
Nabilah, S., Wardani, H. E., & Gayatri, R. W. (2020, November). Correlation of Menstrual Pattern, Nutritional Status and Level of Knowledge With the Incidence of Anemia on Teenage Girls. In The 3rd International Conference on Sports Sciences and Health 2019 (ICSSH 2019) (pp. 121-125). Atlantis Press.
Agustina, R., Wirawan, F., Sadariskar, A. A., Setianingsing, A. A., Nadiya, K., Prafiantini, E., ... & Raut, M. K. (2021). Associations of knowledge, attitude, and practices toward anemia with anemia prevalence and height-for-Age Z-Score among indonesian adolescent girls. Food and Nutrition Bulletin, 42(1_suppl), S92-S108. DOI: https://doi.org/10.1177/03795721211011136
Fentie, K., Wakayo, T., & Gizaw, G. (2020). Prevalence of anemia and associated factors among secondary school adolescent girls in Jimma Town, Oromia Regional State, Southwest Ethiopia. Anemia, 2020. DOI: https://doi.org/10.1155/2020/5043646
Kusnadi, F. N. (2021). Hubungan Tingkat Pengetahuan Tentang Anemia dengan Kejadian Anemia pada Remaja Putri. Jurnal Medika Hutama, 3(01), 1293-1298. DOI: https://doi.org/10.57084/jigzi.v3i1.903
Nabilah, S., Wardani, H. E., & Gayatri, R. W. (2020, November). Correlation of Menstrual Pattern, Nutritional Status and Level of Knowledge With the Incidence of Anemia on Teenage Girls. In The 3rd International Conference on Sports Sciences and Health 2019 (ICSSH 2019) (pp. 121-125). Atlantis Press. DOI: https://doi.org/10.2991/ahsr.k.201107.030
Zhang, Y. X., Chen, J., & Liu, X. H. (2021). Profiles of anemia among school-aged children categorized by body mass index and waist circumference in Shandong, China. Pediatrics & Neonatology, 62(2), 165-171. DOI: https://doi.org/10.1016/j.pedneo.2020.11.002
Bathla, S., & Arora, S. (2022). Prevalence and approaches to manage iron deficiency anemia (IDA). Critical Reviews in Food Science and Nutrition, 62(32), 8815-8828. DOI: https://doi.org/10.1080/10408398.2021.1935442
Silitonga, H. T. H., Salim, L. A., Nurmala, I., & Wartiningsih, M. (2023). Compliance of iron supplementation and determinants among adolescent girls: A systematic review. Iranian Journal of Public Health, 52(1), 37. DOI: https://doi.org/10.18502/ijph.v52i1.11664
Alfiah, E., Briawan, D., Khomsan, A., Dewi, M., Ekayanti, I., Raut, M. K., ... & Roche, M. L. (2020). Coverage and adherence of weekly iron-folic acid supplementation among school-going adolescent girls in Indonesia. Journal of nutritional science and vitaminology, 66(Supplement), S118-S121. DOI: https://doi.org/10.3177/jnsv.66.S118
Manik, R. M., & Simamora, H. G. (2020). Factors Related To the Anemia Incidence of Adolescent Girls in Private High School Santa Lusia Medan, 2019. Journal of Midwifery, 4(2), 33-38. DOI: https://doi.org/10.25077/jom.4.2.33-38.2019
Suandana, I. A., Satya, M. C. N., Setyowati, L., Sari, D. K., & Renamastika, S. N. (2022). Literature Review: Analisis Faktor-faktor yang Berhubungan dengan Kejadian Anemia Pada Remaja Putri. ARTERI: Jurnal Ilmu Kesehatan, 4(1), 44-53. DOI: https://doi.org/10.37148/arteri.v4i1.256
Adamski, M., Truby, H., M., Klassen, K., Cowan, S., & Gibson, S. (2020). Using the Internet: nutrition information-seeking behaviors of lay people enrolled in a massive online nutrition course. Nutrients, 12(3), 750. DOI: https://doi.org/10.3390/nu12030750
Sisay, B. G., Haile, D., Hassen, H. Y., & Gebreyesus, S. H. (2020). Performance of mid-upper arm circumference as a screening tool for identifying adolescents with overweight and obesity. PLoS One, 15(6), e0235063. DOI: https://doi.org/10.1371/journal.pone.0235063
Sunuwar, D. R., Singh, D. R., Chaudhary, N. K., Pradhan, P. M. S., Rai, P., & Tiwari, K. (2020). Prevalence and factors associated with anemia among women of reproductive age in seven South and Southeast Asian countries: Evidence from nationally representative surveys. PloS one, 15(8), e0236449. DOI: https://doi.org/10.1371/journal.pone.0236449