The Role of Knowledge and Attitude as Determinants of Adolescent Girls’ Compliance with Iron Tablet Consumption
DOI:
https://doi.org/10.37287/ijghr.v8i3.842Keywords:
adolescent girls, anemia, attitude, compliance, iron supplementation, knowledge motivationAbstract
Anemia remains one of the most significant global nutritional problems, particularly affecting adolescent girls. In Indonesia, the government has implemented a preventive strategy through the Weekly Iron and Folic Acid Supplementation (WIFAS) program, commonly known as tablet tambah darah (TTD). However, the success of this program relies heavily on adolescents’ adherence to regular consumption. Knowledge and attitude are recognized as key psychological determinants influencing compliance with iron supplementation. This study aimed to examine the correlation between knowledge and attitude with compliance in iron tablet consumption among adolescent girls at SMA Negeri 2 Sukoharjo. A descriptive correlational design with a quantitative approach was employed, involving 100 female students from grade XI selected using purposive sampling. Data were collected through a structured questionnaire measuring knowledge, attitude, and compliance variables. The instrument demonstrated good validity with Pearson Product Moment correlation coefficients ranging from 0.54 to 0.88 and acceptable reliability with a Cronbach’s Alpha value of 0.79. Statistical analysis was performed using the Chi-Square test at a significance level of p < 0.05. The majority of respondents had good knowledge (59%), positive attitudes (73%), and high compliance (44%) toward TTD consumption. The Chi-Square test showed a significant association between knowledge and compliance (p = 0.010), as well as between attitude and compliance (p = 0.010). The study concludes that knowledge acts as a primary cognitive factor influencing adolescents’ compliance with iron tablet intake, while attitude serves as a reinforcing element that strengthens behavioral intention and consistency.
References
Amanda, A., & Darmadja, S. (2020). Pengaruh Enam Variabel terhadap Perilaku Konsumsi Tablet Fe pada Remaja Putri. Jurnal Ilmiah Kebidanan Indonesia, 10(03), 83–95. https://doi.org/10.33221/jiki.v10i03.757
Azizah, A. N., & Sulastri. (2023). Pengaruh Pendidikan Kesehatan Tentang Anemia Dan Tablet Fe Dengan Media Whatsapp Untuk Meningkatkan Pengetahuan Ibu Hamil Di Wilayah Kerja Puskesmas Kartasura. HIJP : Health Information Jurnal Penelitian, 15.
Cia, A., Annisa, H. N., & Lion, H. F. (2021). Asupan Zat Besi dan Prevalensi Anemia pada Remaja Usia 16-18 Tahun di SMAN 3 dan MA Darul Ulum Palangka Raya. Window of Health : Jurnal Kesehatan, 4(2), 144–150. http://jurnal.fkmumi.ac.id/index.php/woh/article/view/woh4205%0AAsupan
Diani, A. A. P., Amalia, R. B., Sudaryanti, L., & Lestari, P. (2024). Knowledge and Attitude With Adherence To Fe Tablet Consumption in Anemic Adolescent Girls. Indonesian Midwifery and Health Sciences Journal, 8(3), 250–259. https://doi.org/10.20473/imhsj.v8i3.2024.250-259
Diatri, D., Chasani, S., Aini, G. N., & Putri, N. A. (2023). Analisis Sikap dan Pengetahuan Terhadap Kepatuhan Remaja Putri Dalam Mengkonsumsi Tablet Fe di SMPN 36 Semarang. Prosiding Seminar Nasional UNIMUS, 6(18), 827–834. https://prosiding.unimus.ac.id/index.php/semnas/article/viewFile/1576/1579
Dubik, S. D., Amegah, K. E., Alhassan, A., Mornah, L. N., & Fiagbe, L. (2019). Compliance with Weekly Iron and Folic Acid Supplementation and Its Associated Factors among Adolescent Girls in Tamale Metropolis of Ghana. Journal of Nutrition and Metabolism, 2019. https://doi.org/10.1155/2019/8242896
Efendi, K. A., Yuniastuti, A., & Zainafree, I. (2025). Perceptions and Beliefs of Adolescent Girls Regarding Adherence to Iron Supplementation: an Analysis Using the Health Belief Model. Nursing and Health Sciences Journal, 05(03), 364–372. https://doi.org/10.53713/nhsj.v5i3.570
Faraj, R. K. (2024). Using the Health Belief Model to Understand Anemia Preventive Behavior among Secondary School Female Students. African Journal of Biomedical Research, 27(4), 1351–1359. https://doi.org/10.53555/ajbr.v27i4s.3398
Global Nutrition Report. (2022). Asia: Country nutrition profiles. Global Nutrition Report. https://globalnutritionreport.org/resources/nutrition-profiles/asia/
Hamranani, S. S. T., Permatasari, D., & Murti, S. A. (2020). Faktor yang Mempengaruhi Kepatuhan Minum Tablet Fe Pada Remaja. Jurnal Penelitian Perawat Profesional, 2(5474), 1333–1336.
Hapsari, A. A., & Hidayati, L. (2023). Hubungan Asupan Vitamin C dan Vitamin B12 dengan Kejadian Suspek Anemia pada Remaja Putri di Kabupaten Sukoharjo. Health Information : Jurnal Penelitian, 15(2), 1–13. https://myjurnal.poltekkes-kdi.ac.id/index.php/hijp/article/view/1245
Hidayanty, H., Nurzakiah, N., Irmayanti, I., Yuliana, Y., Helmizar, H., & Yahya, Y. (2025). Perceived Barriers and Enablers for Taking Iron–Folic Acid Supplementation Regularly Among Adolescent Girls in Indonesia: A Pilot Study. International Journal of Environmental Research and Public Health, 22(2). https://doi.org/10.3390/ijerph22020209
Kemenkes RI. (2018). Pedoman Pencegahan Dan Penanggulangan Anemia Pada Remaja dan Wanita Usia Subur (WUS). Kementerian Kesehatan Republik Indonesia.
Kemenkes RI. (2022). Nutrition Action: Healthy Movement for Teens. Kementerian Kesehatan Republik Indonesia. https://kemkes.go.id/eng/nutrition-action-healthy-movement-for-teens?
Ningsih, W. A., & Ernawati. (2025). Pengaruh Edukasi Pemberian Tablet Tambah Darah Terhadap Pengetahuan Remaja Putri Tentang Pencegahan Anemia Saat Menstruasi. Jurnal Manajemen Bisnis Dan Kesehatan (JMBK), 1(3), 188–197.
Pibriyanti, K., Habiba, A. B., Luthfiya, L., & Fathimah. (2024). Pengetahuan, Sikap dan Kepatuhan Mengonsumsi Tablet Tambah sebagai Faktor Risiko Kejadian Anemia Remaja Putri. Nutri-Sains: Jurnal Gizi, Pangan Dan Aplikasinya, 8(2), 119–132. https://doi.org/10.21580/ns.2024.8.2.20708
Riskesdas. (2019). Laporan Nasional Riskesdas 2018. In Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LBP).
Runiari, N., & Hartati, N. N. (2020). Pengetahuan Dengan Kepatuhan Minum Tablet Tambah darah Pada Remaja Putri. Jurnal Gema Keperawatan, 13(2), 103–110. https://doi.org/10.33992/jgk.v13i2.1321
Salim, L. A., Silitonga, H. T. H., Nurmala, I., Muthmainnah, M., Devi, Y. P., Salsabila, A. C., & Restuti, D. Y. (2025). The Effect of Self Identity on Increasing Iron Tablet Adherence Among High School Adolescent Girls Through Health Belief Model as Mediator Variables. Journal of Multidisciplinary Healthcare, 18, 4173–4183. https://doi.org/10.2147/JMDH.S527641
Setyorini, R. H., & Revika, E. (2024). Using the Theory of Planned Behavior to Explore Factors Associated with the Behavior of Consuming Blood Booster Tablets Among Adolescent Girls in Bantul Regency. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 12(2), 208–217. https://doi.org/10.20473/jpk.v12.i2.2024.208-217
Silitonga, H. T. H., Salim, L. A., Nurmala, I., Hargono, R., Notobroto, H. B., Hartini, N., & Purwandini, S. (2023). The Role of Social Support and Interpersonal Trust to Improve Compliance of Iron Supplementation amongst Adolescent Girls A Qualitative Approach. Nigerian Postgraduate Medical Journal, 30(1), 75–80. https://doi.org/10.4103/npmj.npmj_277_22
Sukmaningsih, W. R., Handoko, A. L. S., & Pitaloka, D. A. (2025). Peran Pengetahuan dan Sikap Remaja Perempuan dalam Praktik Pencegahan Anemia di Gondangrejo, Karanganyar. Jurnal FARMASINDO Politeknik Indonusa Surakarta, 9(1), 107–114. https://farmasindo.poltekindonusa.ac.id
Wahyuningsih, A., & Rohmawati, W. (2020). Hubungan Pengetahuan Dengan Kepatuhan Konsumsi Tablet Tambah Darah Pada Remaja Putri Di SMP N 1 Karangnongko. INVOLUSI Jurnal Ilmu Kebidanan, 10 (1), 8–12.
WHO. (2025). Anaemia in Women and Children. World Health Organization. https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children
Widiyawati, R., & Virgia, V. (2024). Hubungan Health Belief Model Remaja Putri Dengan Konsumsi Tablet Tambah Darah Di MTs Nurul Jadid Kota Mojokerto. Seminar Nasional Sains, Kesehatan, Dan Pembelajaran, 252–258.
Y., N. M., Kandasamy, S., J., E. R., Subbiah, P., Davidson, P. D., Gopal, M., Velappan, L. K., & Kalyanaraman, S. (2024). Adherence to Weekly Iron Folic Acid Supplementation and Associated Factors Among Adolescent Girls – A Mixed-Method Study. Journal of Family Medicine and Primary Care, 13(6), 2416–2424. https://doi.org/10.4103/jfmpc.jfmpc_1526_23
Yewodiaw, T. K., Alemayehu, M. A., & Teshome, D. F. (2025). Anemia Status and Associated Factors Among Adolescent Girls Under Weekly Iron and Folic Acid Supplementation (WIFAS) and Non-WIFAS Programs in Public Schools in Janamora District, Northwest Ethiopia 2023; A Comparative Cross-Sectional Study. BMC Nutrition, 11(1), 1–13. https://doi.org/10.1186/s40795-025-01033-1
Yuliawati, R., Bastian, A., & Widyowati, A. (2023). Knowledge and Awareness Impact on Adherence to Iron Supplementation: Study in Baron sub-district, Nganjuk Regency. Journal Of Nursing Practice, 7(1), 121–126. https://doi.org/10.30994/jnp.v7i1.489
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.







