Anemia Determinant Model in Adolescent Girls: Empirical Analysis Based on Logistic Regression
DOI:
https://doi.org/10.37287/picnhs.v7i1.1587Keywords:
anemia, adolescent girl, determinantAbstract
Anemia is a condition in which the body lacks sufficient red blood cells and/or hemoglobin. In women, a hemoglobin level of less than 12.0 g/100 ml is considered an indication of anemia. It is a major global public health problem in both developed and developing countries. This study aimed to determine the relationship between Body Mass Index (BMI), Upper Arm Circumference (MUAC), Iron Tablet Intake (Fe), and Level of Knowledge on the occurrence of anemia in adolescent girls at the Asy Syifa Islamic Boarding School in Balikpapan City. This study was an analytical study with a cross-sectional design. This study was conducted in Balikpapan City from March to June 2025. The subjects were all 12th grade female students at the Asy Sifa Islamic Boarding School in Balikpapan. Data were collected through questionnaires and HB, BMI, and MUAC examinations. Data analysis used logistic regression. The results of the analysis with the logistic regression test concluded that there was an inverse effect between adolescent girls' knowledge and the risk of anemia (OR = 0.42, CI = 0.70-2.50, p = 0.342). There is a positive influence between Lila and the risk of anemia (OR=6.07, CI=1.47-24.92, p=0.012), compliance in consuming Fe tablets (OR=3.91, CI=1.06-14.35, p=0.0039), and BMI (OR=4.64, CI=1.23-17.50, p=0.023) with the risk of anemia. Anemia in adolescent girls is influenced by LILA, Compliance in consuming Fe tablets and BMI.CI=1.47-24.92, p=0.012), compliance in consuming Fe tablets (OR=3.91, CI=1.06-14.35, p=0.0039), and BMI (OR=4.64, CI=1.23-17.50, p=0.023) with the risk of anemia. Anemia in adolescent girls is influenced by LILA, Compliance in consuming Fe tablets and BMI.
References
Abbaspour, N., Hurrell, R., & Kelishadi, R. (2014). Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci 2014;19:164-74. Journal of Research in Medical Sciences, 19(February), 3–11.
Ahankari, A. S., & Fogarty, A. W. (2020). Weight , height , and midupper arm circumference are associated with haemoglobin levels in adolescent girls living in rural India : A cross ‐ sectional study. April 2019, 1–5. https://doi.org/10.1111/mcn.12908
Amalia, L., Sulastri Afianti, Suparto, T. A., & Sumartini, S. (2024). Prevalensi Anemia dan Karakteristiknya pada Remaja Putri. Jurnal Keperawatan, 17(1), 203–210.
Athala, T. W., & Khofiyah, N. (2025). The Relationship Between Nutritional Status and Diet Patterns and Anemia in Adolescent Girls at MA Jamilurrahman Bantul Yogyakarta. 11(1), 9–17. https://doi.org/10.21070/midwiferia.v11i1.1712
Bahiyatun. (2010). Buku ajar bidan: Psikologi ibu dan anak. Jakarta: EGC
Berhe, K., Gebrearegay, F., Gebreegziabher, H., & Weldegerima, L. (2022). Magnitude and associated factors of anemia among adolescent girls in Ethiopia : a systematic review and meta analysis. Archives of Public Health, 1–15. https://doi.org/10.1186/s13690-022-00942-y
Farida, I. (2007). Determinan kejadian anemia pada remaja putri di Kecamatan Gebo
Fauziah, N., Raharja, K. T., Pramesthi, N., Putri, V., Pujiyani, H., Ferdina, C. S., Asyura, R., & Deya, M. (2024). The Relationship of Nutritional Status and Anemia Status in Adolescent Women in Sampang District. 11(March), 131–137.
Feriyanti, A., Nurmala, I., Widati, S., & Atmaka, D. R. (2022). DETERMINAN KEPATUHAN SUPLEMENTASI ZAT BESI PADA REMAJA PUTRI DALAM UPAYA INTERVENSI SPESIFIK PENCEGAHAN STUNTING : A SYSTEMATIC REVIEW. 1, 90–96.
Gutema, B. T., Sorrie, M. B., Megersa, N. D., Yesera, G. E., Yeshitila, Y. G., Pauwels, N. S., De Henauw, S., & Abbeddou, S. (2023). Effects of iron supplementation on cognitive development in school-age children: Systematic review and meta-analysis. PLoS ONE, 18(6 June). https://doi.org/10.1371/journal.pone.0287703
Harahap, N. R. (2018). Faktor- Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Remaja Putri. Nursing Arts, 12(2), 78–90. https://doi.org/10.36741/jna.v12i2.78
kabupaten Kudus 2006. Tesis. Program Pascasarjana Universitas Diponegoro Semarang
Kassebaum, N. J., Jasrasaria, R., Naghavi, M., Wulf, S. K., Johns, N., Lozano, R., Regan, M., Weatherall, D., Chou, D. P., Eisele, T. P., Flaxman, S. R., Pullan, R. L., Brooker, S. J., & Murray, C. J. L. (2015). Plenary Paper RED CELLS, IRON, AND ERYTHROPOIESIS A systematic analysis of global anemia burden from 1990 to 2010. Blood Journal, 123(5), 615–625. https://doi.org/10.1182/blood-2013-06-508325.The
Krishnan, V., Zaki, R. A., Nahar, A. M., Jalaludin, M. Y., & Majid, H. A. (2021). The Lancet Regional Health - Western Pacific The longitudinal relationship between nutritional status and anaemia among Malaysian adolescents. The Lancet Regional Health - Western Pacific, 15, 100228. https://doi.org/10.1016/j.lanwpc.2021.100228
Kusmiran, E. (2012). Kesehatan reproduksi remaja dan wanita. Jakarta: Salemba Medika
Li, H., Moosavian, S. P., Ghanbari, N., Mirlohi, S. H., & Rahimlou, M. (2025). Association of dietary diversity and odds of anemia in children and adolescents : a systematic review and meta analysis of observational studies. BMC Nutrition. https://doi.org/10.1186/s40795-025-01069-3
Murti, B. (2010). Desain dan Analisis Penelitian Epidemiologi. Yogyakarta: Gadjah Mada University Press.
Nainggolan, O., Hapsari, D., Rialine, C., Id, T., & Indrawati, L. (2022). The relationship of body mass index and mid- upper arm circumference with anemia in non- pregnant women aged 19 – 49 years in Indonesia : Analysis of 2018 Basic Health Research data. 1–13. https://doi.org/10.1371/journal.pone.0264685
Notoadmojo, S. (2007). Ilmu Kesehatan Masyarakat. Jakarta: Renika Cipta
Noviyanti et.al. (2024). Remaja, P., Di, P., Hangtuah, S. M. A., & Tarakan, K. Journal of Issues in. 11–18. https://doi.org/10.21776/ub.JOIM.2024.008.01.2
Paath, EF. (2004). Gizi dalam kesehatan reproduksi. Jakarta : EGC
Pieter, HZ. (2011). Pengantar psikologi untuk kebidanan. Jakarta: Kencana Prenata Media Grup
Proverawati, A. (2011). Anemia dan anemia kehamilan. Yogyakarta: Nuha Medika
Putri, F., Suyanto, S., & Restila, R. (2025). Exploring the role of nutritional status and anthropometric factors in anemia among adolescent girls in Pekanbaru , Indonesia. 1. https://doi.org/10.1177/20503121251355406
Sari, P., Marhaeni, D., Herawati, D., Dhamayanti, M., & Hilmanto, D. (2022). Anemia among Adolescent Girls in West Java , Indonesia : Related Factors and Consequences on the Quality of Life. 1–13.
Subagyo, I., Kusumawati, D. E., Radhiah, S., & Eka, Y. (2023). Prevalence and Risk Factors of Anemia in Adolescent Girls in Donggala District , Central Sulawesi of Sanitation , Poltekkes Kemenkes Palu , Palu , Central Sulawesi , Indonesia of Midwifery , Poltekkes Kemenkes Palu , Palu , Central Sulawesi , Indonesia 3 Department of Nutrition , Poltekkes Kemenkes Palu , Palu , Central Sulawesi , Indonesia 4 Faculty of Public Health , Tadulako University , Palu , Central Sulawesi , Indonesia ( Correspondence author ’ s e-mail , hafid.fahmi79@gmail.com ). 17(3), 1107–1116.
Sudfeld, C. R., Rai, R. K., Barik, A., Valadez, J. J., & Fawzi, W. W. (2020). Population-level effective coverage of adolescent weekly iron and folic acid supplementation is low in rural West Bengal, India. Public Health Nutrition, 23(15), 2819–2823. https://doi.org/10.1017/S1368980020000932
Suffara, I, et.al. (2025). Hubungan Pengetahuan Dan Kepatuhan Konsumsi Tablet Tambah Correlation Between of Knowledge And Compliance Consumption Of Blood Supplementing Tablets with the Consequences of Anemia. Universitas Aisyah Pringsewu. 20(1), 1–5.
Tabita, H., Silitonga, H., Salim, L. A., Nurmala, I., & Wartiningsih, M. (2023). Compliance of Iron Supplementation and Determinants among Adolescent Girls : A Systematic Review. 52(1), 37–48.
Ummah, K. (2019). Nutritional status and anemia prevalence among adolescent girls in Indonesia. International Journal of Community Medicine and Public Health, 6(5), 2154–2160.
Warner, M. A., & Weyand, A. C. (2022). The Global Burden of Anemia. Blood Substitutes and Oxygen Biotherapeutics, 53–59. https://doi.org/10.1007/978-3-030-95975-3_5
Warner, M. J., & Weyand, C. M. (2022). Iron deficiency anemia and its implications for adolescent health. Current Opinion in Pediatrics, 34(2), 170–177.
Yunita, S., Estiningtyas, Q., Adnani, S., Zuhairini, Y., & Dhamayanti, M. (2024). Anthropometry Indices and Body Composition in Adolescent Girls with Anemia : A Scoping Review. August.