skip to main content

Prevalence of Anemia and Correlation with Knowledge, Nutritional Status, Dietary Habits among Adolescent Girls at Islamic Boarding School

1Departement of Public Health, Faculty of Medicine, Universitas Diponegoro, Indonesia

2Department of Nutrition, Faculty of Medicine, Universitas Diponegoro, Indonesia

3Department of Public Health, Faculty of Medicine, Universitas Diponegoro, Indonesia

Received: 27 Jul 2021; Published: 1 Jun 2022.

Citation Format:
Abstract

Background: Anemia is a globally public health problem, including in Indonesia (22.2%) and it has negative health impacts. Adolescent girls have high risk of anemia. Previous studies reported that adolescent girls at islamic boarding school had low food intake and poor knowledge about nutrition in preventing anemia.

Objectives: To assess the prevalence of anemia and to analyze association between knowledge, nutritional status, and dietary habits and anemia in adolescent girls.

Materials and Methods: A cross-sectional study was conducted in November 2020 among adolescent girls at islamic boarding school in Semarang. A total of 162 respondents were selected by cluster sampling. Anemia was determined by measuring the hemoglobin level in the blood by Cyanmethemoglobin method. Knowledge and dietary habits were collected through questionnaires. Nutritional status was assessed by measuring weight and height, then classified by body mass index for age using WHO Anthro. Bivariate and multivariate logistic analysis were used to test hypothesis and it was significant if p<0.05.

Results: The prevalence of anemia was found to be 17.3%. In the bivariate analysis, overweight was more likely to have anemia (p=0.044). There was no association between father’s education, mother’s education, knowledge, frequency of staple food, breakfast habits, consumption of animal side dishes, consumption of vegetable side dishes, consumption of sweet tea and anemia. Mulitvariate model showed that overweight (OR=3.658; 95%CI=1.224-10.932; p=0.020) and good knowledge (OR=3.652; 95%CI=1.221-10.922; p=0.020) were significant associated with the anemia.

Conclusion: Nutritional status and knowledge were significantly associated with anemia among adolescent girls.

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Kuesioner
Subject
Type Research Instrument
  Download (31KB)    Indexing metadata
Keywords: anemia; adolescent girl; islamic boarding school; knowledge, nutritional status
Funding: Grant fund from Faculty of Medicine, Diponegoro University

Article Metrics:

  1. Stevens GA, Finucane MM, De-Regil LM, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: A systematic analysis of population-representative data. Lancet Glob Heal. 2013;1(1):16-25. doi: 10.1016/S2214-109X(13)70001-9
  2. WHO. The Global Prevalence of Anaemia in 2011.; 2015. doi: 10.1017/S1368980008002401
  3. WHO. Prevention Of Iron Deficiency Anaemia In Adolescents Role of Weekly Iron and Folic Acid Supplementation.; 2011
  4. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Nomor 25 Tahun 2014 Tentang Upaya Kesehatan Anak.; 2014
  5. Kementerian Kesehatan RI. Pedoman Pencegahan Dan Penanggulangan Anemia Pada Remaja Putri Dan Wanitas Usia Subur. Vol 1.; 2018
  6. Engidaw MT, Wassie MM, Teferra AS. Anemia and associated factors among adolescent girls living in Aw-Barre refugee camp, Somali regional state, Southeast Ethiopia. PLoS One. 2018;13(10):1-12. doi: 10.1371/journal.pone.0205381
  7. Ghose B, Yaya S, Tang S. Anemia Status in Relation to Body Mass Index among Women of Childbearing Age in Bangladesh. Asia-Pacific J Public Heal. 2016;28(7):611-619. doi: 10.1177/1010539516660374
  8. Srinivas V, Mankeshwar R. Prevalence and determinants of nutritional anemia in an urban area among unmarried adolescent girls: A community-based cross-sectional study. Int J Med Public Heal. 2015;5(4):283. doi: 10.4103/2230-8598.165950
  9. Sen A, Kanani SJ. Deleterious Functional Impact of Anemia on Young Adolescent School Girls. Indian Pediatr. 2006;43(5):219-226
  10. Audrey H, Candra A. Hubungan Antara Status Anemia Ibu Hamil Trimester III Dengan Kejadian Bayi Berat Lahir Rendah Di Wilayah Kerja Puskesmas Halmahera, Semarang. J Kedokt Diponegoro. 2016;5(4):966-971
  11. Syabilila Indraswari ELA. The Differences of Haemoglobin changes between two methods of IFA Supplementations among Anemic Female Adolescent Students of Miftahul Huda Al Azhar Langgensari Islamic Boarding School, West Java. Indones J Public Heal Nutr. 2020;1(1):33-40
  12. Dinas Kesehatan Prov Jateng. Profil Kesehatan Provinsi Jawa Tengah.; 2013
  13. Annisa A. Hubungan Antara Kejadian Anemia Dengan Aktivitas Fisik Dan Riwayat Penyakit Infeksi Pada Siswi Kelas XI Sma Negeri 11 Semarang. J Kesehat Masy. 2018;6(5):311-316
  14. Wahdah R, Setyowati H, Salafas E. Association between diet and anemia status at the Al Masúdiyah Islamic Boarding School Puteri 2 Bleter, Semarang in 2019 [Hubungan Pola Makan Dengan Kejadian Anemia di Pondok Pesantren Al Masúdiyah Puteri 2 Bleter Kabupaten Semarang Tahun 2019]. J Holist Sci. 2019;1(2):14-15
  15. Sunday Ekanah K. Nutritional Status of Day and Boarding Female Adolescent Secondary School Students in Warri South Local Government Area of Delta State. J Food Nutr Sci. 2017;5(3):131. doi: 10.11648/j.jfns.20170503.20
  16. Siallagan D, Swamilaksita PD, Angkasa D. Pengaruh asupan Fe, vitamin A, vitamin B12, dan vitamin C terhadap kadar hemoglobin pada remaja vegan. J Gizi Klin Indones. 2016;13(2):67. doi: 10.22146/ijcn.22921
  17. Nurhayati N, Perdani AL, Trismiyana E. Iron Deficiency Anemia and Current State of Knowledge Among Adolescent Girls, Lampung-Indonesia. Malahayati Int J Nurs Heal Sci. 2019;2(1):20-24. doi: 10.33024/minh.v2i1.878
  18. Lemeshow, S., Hosmer, D. W., Klar, J. & L, K. S. Besar Sampel Dalam Penelitian Kesehatan. Gadjahmada University Press; 1997
  19. Sodik MA, Yudhana A, Dwianggimawati MS. Nutritional Status and Anemia in Islamic Boarding School Adolescent in Kediri City East Java Indonesia. Indones J Nutr Epidemiol Reprod. 2018;1(3):172-176. https://ojs.stikesstrada.ac.id/index.php/IJNER/article/view/58
  20. Sumarlan ES, Windiastuti E, Gunardi H. Iron Status, Prevalence and Risk Factors of Iron Deficiency Anemia Among 12- to 15-Year-Old Adolescent Girls from Different Socioeconomic Status in Indonesia. Makara J Heal Res. 2018;22(1). doi: 10.7454/msk.v22i1.8078
  21. Permatasari WM. Hubungan antara Status Gizi, Siklus dan Lama Menstruasi dengan Kejadian Anemia Remaja Putri di SMA Negeri 3 Surabaya. Perpust Univ Airlangga. Published online 2016:1-62
  22. Martini. Faktor - Faktor yang Berhubungan dengan Kejadian Anemia pada Remaja Putri di Man 1 Metro. J Kesehat Metro Sai Wawai. 2015;VIII(1):1-7
  23. Agustina EE, Laksono B, Indriyanti DR. Determinan Risiko Kejadian Anemia pada Remaja Putri Berdasarkan Jenjang Pendidikan di Kabupaten Kebumen. Public Heal Perspect J. 2017;2(1):26-33
  24. Sharmila P, Kumar RSR. Correlation between Prevalance of Anemia and Body Mass Index among Adolescent Girls. Int J Sci Res. 2017;6(11):2015-2018. https://www.ijsr.net/get_abstract.php?paper_id=4111703
  25. Thamban V, Venkatappa KG, P.K. S, E.M. S. Anemia in relation to body mass index among female students of North Kerala: a pilot study. Int J Res Med Sci. 2018;6(11):3607. doi: 10.18203/2320-6012.ijrms20184416
  26. Ekayanti I, Rimbawan R, Kusumawati D. Risk factors for anemia in female students at the Darussalam Islamic boarding school, Bogor [Faktor risiko anemia pada santri putri di pondok pesantren Darusalam Bogor]. Media Gizi Indones. 2020;15(2):79. doi: 10.20473/mgi.v15i2.79-87
  27. McClung JP, Karl JP. Iron deficiency and obesity: The contribution of inflammation and diminished iron absorption. Nutr Rev. 2009;67(2):100-104. doi: 10.1111/j.1753-4887.2008.00145.x
  28. Otuneye AT, Ahmed PA, Abdulkarim AA, Aluko OO SD. Relationship between dietary habits and nutritional status among adolescents in Abuja municipal area council of. Niger J Paediatr. 2017;44(3):128-135
  29. Chen Q, Pei C, Zhao Q. Eating more but not better at school? Impacts of boarding on students’ dietary structure and nutritional status in rural Northwestern China. Sustain. 2018;10(8). doi: 10.3390/su10082753
  30. Cox KA, Parkin PC, Anderson LN, et al. Association Between Meat and Meat-Alternative Consumption and Iron Stores in Early Childhood. Acad Pediatr. 2016;16(8):783-791. doi: 10.1016/j.acap.2016.01.003
  31. Kefiyalew J EG. Assessment of dietary pattern and factors that affect hemoglobin concentration of third trimester pregnant women at Ambo Governmental Health Institutions, Ethiopia. J Nutr Hum Heal. 2018;02(02):36-42. doi: 10.35841/nutrition-human-health.2.2.37-42
  32. Simanungkalit SF, Simarmata OS. Pengetahuan dan Perilaku Konsumsi Remaja Putri yang Berhubungan dengan Status Anemia. Bul Penelit Kesehat. 2019;47(3):175-182. doi: 10.22435/bpk.v47i3.1269

Last update:

  1. Factors Associated with Anemia in Adolescents and Its Prevention Strategies: Systematic Review

    Margareta Melani, Dedeh Supriyatin, Qorinah Estiningtyas Sakilah Adnani, Hadi Susiarno. JURNAL INFO KESEHATAN, 22 (3), 2024. doi: 10.31965/infokes.Vol22.Iss3.1523

Last update: 2024-11-22 03:37:47

No citation recorded.