Anemia In Adolescents Research Articles

EMPOWERING YOUNG WOMEN THROUGH BALANCED NUTRITION EDUCATION TO PREVENT ANEMIA

Background: Physical and physiological changes in women aged 10-19 make them prone to anemia. Anemia in adolescents negatively affects cognitive, physical, and emotional development. Objective: The community service aimed to increase youth knowledge regarding balanced nutrition to prevent anemia. This activity was carried out at the Ruteng Tsanawiyah Middle School for young girls in class IX. Method: We conducted some service activities consisting of three stages namely the pre-activity stage, the preparation stage, and the implementation and evaluation stage. The activities included pre-test and post-test, measurement of body weight and height, and nutrition education. The data obtained were analyzed using the Paired T-Test through SPSS 16. Results: It was found that 57% of female adolescents had good nutritional status, 33% were undernourished, and 10% were over nourished. After education, significant results were obtained, with an increase from 54% to 86%. Conclusion: Balanced nutrition education can have a significant impact, namely an increase in knowledge.

Weekly iron-folic acid supplementation and its impact on children and adolescents iron status, mental health and school performance: a systematic review and meta-analysis in sub-Saharan Africa

ObjectiveThis systematic review and meta-analysis aimed to comprehensively assess the impact of weekly iron-folic acid supplementation (WIFAS) on the nutrition, health and educational outcomes of children and adolescents in sub-Saharan...

Prevalence trends of anemia impairment in adolescents and young adults with HIV/AIDS

BackgroundAnemia is a common complication of HIV/AIDS, particularly in adolescents and young adults across various countries and regions. However, little is known about the changing prevalence trends of anemia impairment in this population over time.MethodsData on anemia in adolescents and young adults with HIV/AIDS from 1990 to 2019 were collected from the Global Burden of Disease. Prevalence was calculated by gender, region, and country for individuals aged 10–24, and trends were measured using estimating annual percentage changes (EAPC).ResultsGlobally, the prevalence of adolescents and young adults with HIV/AIDS increased from 103.95 per 100,000 population in 1990 to 203.78 in 2019. However, anemia impairment has decreased over the past three decades, with a global percentage decreasing from 70.6% in 1990 to 34.7% in 2019, mainly presenting as mild to moderate anemia and significantly higher in females than males. The largest decreases were observed in Central Sub-Saharan Africa, North America, and Eastern Sub-Saharan Africa, with EAPCs of -2.8, -2.34, and -2.17, respectively. Tajikistan (78.76%) and Madagascar (74.65%) had the highest anemia impairment percentage in 2019, while China (16.61%) and Iceland (13.73%) had the lowest. Anemia impairment was closely related to sociodemographic index (SDI) levels, with a high proportion of impairment in low SDI regions but a stable decreasing trend (EAPC = -0.37).ConclusionContinued anemia monitoring and management are crucial for patients with HIV, especially in high-prevalence regions and among females. Public health policies and interventions can improve the quality of life and reduce morbidity and mortality.

The Effectiveness of MONOGAMIA (Monopoly to Prevent Anemia) on Female Adolescent Knowledge about Anemia Prevention and Consumption of Iron Supplement

Introduction: The leading causes of anaemia in female adolescents are iron and nutrient deficiencies, excessive blood loss during menstruation, and incorrect diet due to a lack of knowledge of female adolescents about the prevention of anaemia and the consumption of iron supplement tablets. This study aimed to analyse the effectiveness of MONOGAMIA on the knowledge level of female adolescents.Methods: The research design was a quasi-experiment pre-post-test with control group. The sample was 96 female students divided into two groups at Senior High School East Lombok from October 4-14, 2024. The intervention group used MONOGAMIA, and the control group used the CEMARI Flip Chart. The Fe tablet was given for four weeks. Data collection used questionnaires of knowledge and iron supplement consumption compliance cards. Knowledge pre-test and post-test were taken on the same day in both groups, and compliance with iron consumption was taken one week after education. The research data were analysed using Wilcoxon, Mann Whitney, and Chi-Square (α<0.05). Results: Both groups had a significant difference in knowledge of anaemia prevention before and after education (p<0.001). There was a significant difference in knowledge about anaemia prevention after education between two groups (p = 0.000). There was a significant difference in iron supplement consumption between the intervention and control group after education (p = 0.028). Conclusion: MONOGAMIA is more effective in increasing knowledge about anaemia prevention and iron supplement consumption in female adolescents than CEMARI. MONOGAMIA can be used to educate female adolescents on how to prevent anaemia.

The Influence Of JASA TAMI (Healthy Adolescents Without Anemia) Booklet Media On Adolescent Girls In Islamic Boarding Schools Mizanul ‘Ulum Sanrobone In 2023

Background: Anemia is a health problem that often occurs in adolescent girls. Anemia is a condition in which the number and size of erythrocytes or hemoglobin concentration is below the threshold value and results in a decrease in the overall blood transport capacity of the body. The prevalence of adolescent anemia ranges from 40-80%. According to WHO, the incidence of anemia in adolescent girls in developing countries is about 53.7% of all adolescent girls. Objective: To determine the influence of the JASA TAMI (Healthy Adolescents Without Anemia) booklet media on the knowledge and attitudes of anemia prevention for adolescent girls at the Mizanul 'Ulum Sanrobone Islamic Boarding School in 2023. Method: The researcher used pre-experiment method with one group pretest-posttest design. The research time is on May 22-May 27, 2023 with 32 respondents. The sampling technique used total sampling. All respondents were given Jasa Tami's booklet media "Healthy Adolescents Without Anemia". Univariate analysis used frequency distribution to determine the characteristics of respondents, while bivariate analysis in order to determine the influence between two variables used the Wilcoxon test. Results: The results of statistical tests showed that there is a significant difference about knowledge of health education before and after using booklet media. Before the intervention, the average score of knowledge about anemia was 9.87 and then increased to 12.96 in the post-test. While the average score of the attitude pretest was 44.03 and the average score of the post-test increased by 47.87. Conclusion: there is an influence of health education using Jasa Tami (Healthy Adolescents Without Anemia) booklet media on the knowledge and attitudes of anemia prevention for adolescent girls of Mizalnun 'Ulum Sanrobone Islamic Boarding School in 2023 with the results of the Wilxocon test on the knowledge variable got 0.000 and on the attitude variable obtained a p-value score 0.033.

CORRELATION BETWEEN HEIGHT, BMI, MUAC WITH ANEMIA STATUS IN ADOLESCENT GIRLS

Background: Anemia in adolescents is a health problem that needs immediate intervention in Indonesia. Anemia can caused by malnutrition. protein and iron deficiency will cause nutritional problems including stunted, thinness, and Mid Upper Arm Circumference (MUAC) < 23,5 cm. Protein and iron deficiency can interfere with the formation of hemoglobin resulting in anemia. This study aims to analyze the relationship between status based on height, Body Mass Index (BMI) and MUAC with anemia status at Mambaus Sholihin Islamic Boarding School in Gresik Regency. Method: This research is a quantitative observational analytic with the cross sectional method. The population was adolescent girls in Mambaus Sholihin Islamic Boarding School in Gresik Regency. The sample was 11th and 12th grade senior high school girls with a total of 141 respondents using the total sampling technique. The variables used in this research consisted of height, BMI, MUAC, and anemia. Height data was obtained by using microtoise, BMI using microtoise and scales, MUAC using tape measure plastic, and hemoglobin using the digital tool of Point of Care Testing (POCT) method. The research data were analyzed by chi square test with a contingency coefficient of 95%. Result: The results showed that out of 141 adolescent girls, 66.7% had normal height status, 23.4% were stunted, and 9.9% were severely stunted. In BMI status, 55.3% normal, 14.9% thinness, 15.6% overweight, and 14.2% obese. MUAC status was 79.4% with MUAC ≥ 23.5 cm and 20.6% with MUAC < 23.5 cm. Anemia status was 51.8% frail and 48.2% not anemic. After the chi square test, the significance value was obtained (p=0.006), which means that statistically there was a significant relationship between height and anemia, (p=0.003) there was a significant relationship between BMI and anemia, and (p=0.01) there was a significant relationship between MUAC and anemia. Conclusion: There is a relationship between nutritional status based on height, BMI, and MUAC with anemia status in adolescent girls at Mambaus Sholihin Islamic Boarding School in Gresik Regency.

Associations between quantity and quality of dietary intake with haemoglobin concentration among female adolescents in Tasikmalaya, West Java, Indonesia

Introduction: An imbalance in diet can lead to anaemia in young women, which can impact not only themselves, but also the next generation. This study aimed to determine associations between quantity and quality of dietary intake with haemoglobin (Hb) concentration among female adolescents in Tasikmalaya, West Java, Indonesia. Methods: A cross-sectional study was conducted on 347 young women aged 12-18 years from ten districts in Tasikmalaya City, selected by simple random sampling. Quantity and quality of dietary intake were measured by 2-repeated 24-hour dietary recalls, while portable haemoglobinometer (HemoCue® Hb 201+) was used to measure Hb concentration. Linear regression model predicted associations between quantity and quality of dietary intake with Hb concentration in female adolescents. Results: The proportion of subjects suffering from anaemia were 47.3%. Average intake of dietary iron was 6.7±3.0 mg and average dietary quality score was 32.6%. Dietary quality score and days of menstrual bleeding contributed as much as 12.7% to the variation in Hb concentration among female adolescents. Conclusion: Anaemia in female adolescents in Tasikmalaya, West Java, Indonesia is a serious public health problem. Diet quality score was associated with female adolescents’ Hb concentration; therefore, improving the quality of diet is important to reduce anaemia.

The Effect of Dutch Eggplant Juice (Solanum Betaceum Cav) on the Prevention of Anemia in Adolescents

The Effect of Dutch Eggplant Juice (Solanum Betaceum Cav) on the Prevention of Anemia in Adolescents

Factors Associated with Adherence to Tablet FE Consumption in Adolescents

Background: Anemia has a significant impact on people's health, especially in adolescent girls. Anemia in adolescents can inhibit psychomotor development, interfere with cognitive abilities and learning. Therefore, the problem of bleeding deficiency must be prevented and treated since adolescence with consuming blood tablets regularly. But, based on the data, there are still 4,444 adolescent girls who do not obedience and realize the importance of taking blood-added tablets as an effort to prevent anemia. Thus, this study aimed to determine the correlation between the factors that relate to the obedience of consuming Fe tablet in adolescent girls. Method: This study used observational analytics with a cross-sectional approach starting from March to July 2023 in SMAN 1 Bojongsoang. This research was conducted on 85 respondents. The data research instrument in this study used MMAS-8 questionnaire and additional questionnaire to explore the cause of disobedient of consuming Fe tablet then were analyzed by using Spearman's rho test. Result: The results showed that there was 16.5% samples with low obedience, 43.5% moderate obedience, and 40% high obedience. There was a relationship between Fe tablet’s favor with obedience of consuming Fe tablet (r -0.255, p 0.019). There was no relationship of Fe tablet t’s preferences (p 0.927), parent’s alert (0.325), teacher’s alert (0.207), inconvenience of taking Fe tablet (p 0.623), completed Fe tablet (0.547), and forgetting to take Fe tablet with obedience of consuming Fe tablet (0.988). Conclusion: There was a relationship between Fe tablet’s favor with obedience of consuming Fe tablet in adolescent girls in SMAN 1 Bojongsoang. Suggestions for education institution is to optimize the socialization about the risk of anemia and the urgency of consuming Fe tablet. Thus, for student can increase the obedience of consuming Fe tablet regularly.

The Influence of Nutrition Education Using Lecture and Video Animation Methods on Balanced Nutrition Knowledge for Adolescent Anemia Prevention at SMA Al-Mubarok Serang City in 2023

Anemia in adolescents is still a significant nutritional problem. Adolescent girls have ahigher risk of developing anemia compared to boys for two main reasons. Firstly,teenage girls experience a monthly menstrual cycle, and secondly, they often havepoor eating habits, which can lead to deficiencies in essential nutrients such as iron.The aim of this research is to determine the influence of nutritional education usinglecture and animated video methods on balanced nutritional knowledge for theprevention of anemia in adolescents at SMA Al-Mubarok Serang, in the year 2023. Theresearch method employed is quasi-experimental with a One Group Pre-test Post-testdesign. The results of the Wilcoxon test indicate a significant difference inrespondents' knowledge between the pre-test and post-test phases, demonstratingthe impact of nutritional education through lecture and animated video methods onbalanced nutritional knowledge for the prevention of adolescent anemia. Inconclusion, 53 respondents exhibited an improvement in knowledge from the Pre-testto the Post-test, with an average increase of 27.00. There is a difference betweenknowledge before and after being educated through lecture and animated videomethods, with a p-value of 0.000 (<0.05), indicating the influence of education throughlecture and animated video methods on knowledge enhancement.

Pengaruh Pendidikan Kesehatan Terhadap Tingkat Pengetahuan Tentang Anemia Pada Remaja Putri di SMA Kesatrian 2 Semarang

Background: Anaemia is a condition with lower-than-normal haemoglobin levels and red blood cells. Iron nutritional anaemia in young women is at higher risk because it causes a person to experience decreased body resistance, making them susceptible to health problems (Anggoro, 2020). Normal Hb levels in female adolescents >12 g/dL, women of childbearing age 12–14 g/dL, pregnant women 11 g/dL, and males >13 g/dL. The prevalence of anaemia among young women in Semarang City is 43.75% (Semarang City Health Office, 2019). Based on preliminary studies at SMA Kesatrian 2 Semarang from class X, XI, and XII representatives, such as BP checks, conjunctival and skin examinations. After a simple examination, it was found that there were 3 class X who experienced symptoms of anaemia. Eight students in class XI experienced symptoms of anemia. In class XII, four people experienced symptoms of anaemia. Purpose: This study aimed to determine the effect of health education on the level of knowledge of anaemia in young female at SMA Kesatrian 2 Semarang.Method: This study used the pre-experimental design method with a one-group pre-test and post-test design approach. The sampling technique used was total sampling with a sample size of 55 respondents, and the research location was at SMA Kesatrian 2 Semarang. The data analysis used was the Wilcoxon test with the Shapiro-Wilk data normality test. Results: Based on data analysis, we obtained good knowledge from 51 (92.7%) respondents. The results of the Wilcoxon statistical test, namely a p-value of 0.000 (<0.005) and a potential health education value of 6.473x, affect the level of knowledge about anaemia in female adolescents. It can be concluded that Ha is accepted, and Ho is rejected; that is, there is an effect of providing health education on the level of knowledge about anaemia in young female at SMA Kesatrian 2 Semarang. Conclusion: Adolescents need to be given additional health education about anaemia to better recognize the signs and symptoms and how to avoid it.

Status Gizi, Tingkat Konsumsi Zat Gizi Besi (Fe) dan Siklus Menstruasi Dengan Kejadian Anemia Remaja Putri

Background: There are many factors that can cause anemia, including nutritional status, low consumption levels (fe) and abnormal menstrual cycles. Aims: To determine the relationship between nutritional status, levels of consumption of Fe iron nutrients and menstrual cycles with the incidence of anemia in female adolescents at SMPN 18, Merangin Regency. Methods : This type of research is a quantitative study with a cross-sectional design and data collection by means of interviews, checking Hb and distributing questionnaires. The number of samples is 48 teenagers. Data analysis in this study used Univariate and Bivariate analysis using the chi square test to determine the relationship between the dependent variable (Nutritional Status, Consumption Level of iron (fe) nutrients and Menstrual Cycle) with the dependent variable (The incidence of anemia in young women) Results: The results showed that the percentage of under/over nutritional status was 29 respondents (60.4%), the level of iron (fe) consumption was lacking by 35 respondents (72.9%), the menstrual cycle was abnormal by 30 (62.5%). %), the incidence of anemia was 43 (89.6%). There is a relationship between nutritional status and the incidence of anemia (p = 0.041), there is a relationship between the consumption level of iron (fe) and the incidence of anemia (p = 0.006) and there is a relationship between the menstrual cycle and the incidence of anemia (p = 0.022). Conclusion: In this study it can be concluded that the incidence of anemia is quite high in SMPN 18 Merangin District. It is recommended for adolescents to maintain their food intake, because it affects health.

The Effect of Inhibitor Frequency on the Anemia Status of Junior High School Girls in Batu Bara District

<p><em>To this day, anemia is still a nutritional problem, especially indeveloping countries, including Indonesia. One of the groups most susceptible to anemia is adolescent girls, because adolescent girls menstruate as a physiological condition of a woman. Based on the results of preliminary survey data, 30 adolescent girls were found to have anemia.where more junior high school or MTS girls are found to be anemic18 people. From the results of preliminary interviews with 15 anemic female students, 46.7 percent, or 7 female students, often consume coffee, or 93.3 percent.or 14 female students often consume tea, and 93.3 percent, or 7 </em><em>female students o</em><em>ften</em><em> </em><em>consume tea and coffee. This study used a survey methodology with a case-control design. </em><em> </em><em>The research was conducted in junior high schools in Batu Bara District in October-December 2023. </em><em>This study aims to examine the impact of inhibitor intake on the prevalence of adolescent anemia in the Batu Bara district. The study included a total of 120 samples, consisting of 30 cases and 90 controls, with a ratio of 1:3. The study found no significant correlation between the frequency of inhibitor consumption and the occurrence of anemia in teenage girls attending </em><em>junior high school girls</em><em> in the Batu Bara region (OR= 0,571</em><em>, </em><em>95% CI 0,241-1,357). It is necessary to study the amount of iron, protein, and vitamin C, vitamin B12 intake, and morning absorption habits so that the researchers can dig deeper and be more detailed about the quantity of food intake associated with the occurrence of anemia.</em></p><p><em> </em></p><strong><em>Keywords : Anemia, inhibitor, junior high school</em></strong>

Assessing Iron Deficiency Anemia in Obese Adolescents and Identifying Contributing Factors

Objective: Clinical outcomes can be significant for obesity and iron deficiency, two public health issues for which adolescents are especially vulnerable. The aim of this study was to assess the iron parameters and blood vitamin B12 levels in obese adolescents and identify the contributing variables to the development of anemia. Material and Method: The present study involved a retrospective evaluation of 260 children (130 obese-130 control) who were admitted to the Ankara Pediatrics Haematology Oncology Training and Research Hospital, Pediatric Outpatient Clinics, between March 2013 and May 2015. Body mass index (BMI) above the 95th percentile for age and gender was required for inclusion in the study group, which included children aged 12 to 18 years without acute or chronic illnesses. Data from patient files were used to collect information on physical examination findings, sociodemographic characteristics, daily dietary status, and level of physical activity. All patients had evaluations for CRP, iron parameters, vitamin B12, and complete blood count. Results: The study revealed that the obese group had significantly higher serum ferritin levels (p=0.002) and lower serum iron and vitamin B12 levels (p=0.036 and 0.047, respectively) as compared to the control group. In the obese population, elevated BMI has been demonstrated to be correlated with elevated CRP levels. Conclusion: In obese children, low serum iron and high ferritin levels can be regarded as typical reference values. Furthermore, it was discovered that low vitamin B12 levels were not associated with nutrition in obese children, although they were at risk for developing low levels

Prevalence And Factors Associated with Anemia Among Adolescent in Jambi City Indonesia

The prevalence of anemia in developing countries varies between 20-70% of which about 30% affects adolescent and women of childbearing age. Supplementation of iron tablets at school, however the program is not always successful in increasing hemoglobin levels. The aim of this study was to determine the prevalence and factors associated with anemia in adolescent in Jambi, Indonesia. This study had a descriptive analytic design with a cross sectional approach. The respondents had received 52 iron tablets, according to the National Program. After 52 tablet, anemia was measured using finger prick test. Factors associated with anemia were explored, including physical activity, menstrual patterns, adherence to iron tablet consumption, teacher support, side effects, knowledge, consumption of protein sources of iron, consumption of enhancers and consumption of inhibitors using validated questionnaire, including The physical activity instrument used the Questionnaire of Baecke and the measurement of adherence to consuming iron tablets used the Morisky Medication Adherence Scale (MMAS) and Food Frequency Questionnaire (FFQ). Data was analysed using x2-test. In total, 260 students were included with the average age was 16-17 years SD±0.904) and the anemia was occurred in 78 (30 %) students. Only menstrual pattern was significantly associated with anemia (p 0.000, CI=2.825-8.798). There is a relationship between menstrual patterns with anemia in adolescents in Jambi, therefore, it is recommended to have regularly iron supplement during menstruation, as a consideration for iron supplement programs. Keywords: Iron Deficiency Anemia, Iron Supplementation, Menstruation, Medication Adherence

Co-transplantation of umbilical cord mesenchymal stem cells and peripheral blood stem cells in children and adolescents with refractory or relapsed severe aplastic anemia

To evaluate the co-transplantation efficacy of umbilical cord mesenchymal stem cells (UC-MSCs) and peripheral blood stem cells (PBSCs) as a novel approach for refractory or relapsed severe aplastic anemia (R/R SAA) in children and adolescents, thirty-two children and adolescents diagnosed with R/R SAA underwent a retrospective chart review. The patients were categorized into two groups based on the source of PBSCs: the matched sibling donor (MSD) group and the unrelated donor (UD) group. No adverse events related to UC-MSC infusion occurred in any of the patients. The median time for neutrophil engraftment was 13 days (range: 10–23 days), and for platelets, it was 15 days (range: 11–28 days). Acute GVHD of Grade I–II and moderate chronic GVHD were observed in 21.8 and 12.5% of cases, respectively. No statistically significant differences were found between the MSD and UD groups in terms of engraftment, GVHD, and complications, including infection and hemorrhagic cystitis. The median follow-up time was 38.6 months (range: 1.4–140.8 months). As of October 31, 2021, five patients had succumbed, while 27 (84.4%) survived. The 5-year OS rate showed no statistically significant difference between the MSD and UD groups (84.8 ± 10.0 vs. 82.4 ± 9.2%, p = 0.674). In conclusion, the application of UC-MSCs in the treatment of R/R SAA in PBSC transplantation is reliable and safe, they had no graft rejection, low incidence of severe GVHD which may have been contributed by the co-infusion of MSC.

Anemia Reduction Program In Adolescents: Scoping Review

Introduction : Anemia is a health problem that causes sufferers to experience fatigue, fatigue and lethargy. Anaemia is estimated to affect half a billion women 15–49 years of age in worldwide and in indonesia the prevalence of anemia in adolescents is 32%, This article aims to identify programs related to the treatment of anemia in adolescents, support and obstacles in the implementation of anemia reduction programs. Method: This article used Arshey & O’Malley Framework; selecting articles of which search flow is described through PRISMA Flowchart. Results: Based on 10 chosen articles, 6 articles are marked very good quality and 4 articles are marked as a good quality. Furthermore, there are 2 obtained main themes; Program Form and Barriers. Conclusion: The use of educational media and socialization related to anemia and its prevention for adolescents is expected to increase knowledge and awareness of adolescents about the importance of preventing anemia for adolescents.

PENDIDIKAN KESEHATAN MENUJU REMAJA SEHAT BEBAS ANEMIA

Anemia often occurs in teenage girls. Lack of knowledge and awareness in efforts to prevent anemia are factors causing the high incidence of anemia in adolescents. There are many impacts that occur when anemia is left untreated, and can even have long term impacts. This community service activity uses a participant active learning approach with interactive lecture and discussion methods focusing on health education about anemia with 80 participants. The result of this health education activity is an increase in participants knowledge. The hope is that participants can apply the knowledge gained in everyday life, such as consuming balanced nutricious food, doing regular physical activity and taking blood suplement tablets.

Implementation of an e-pocket book to improve knowledge and perceive anemia in adolescents

<p align="center"><strong>ABSTRAK</strong></p><p><strong>Latar Belakang</strong>: Anemia remaja adalah masalah kesehatan masyarakat yang serius.</p><p><strong>Tujuan:</strong> Penelitian ini bertujuan untuk mengetahui efektivitas edukasi dengan menggunakan e-pocket book berbasis Android dan poster.</p><p><strong>Metode:</strong> Penelitian ini merupakan <em>quasy eksperimental</em> dengan desain <em>pre-test post-test with desain control group</em> <em>design</em>. Penelitian dilakukan di Kabupaten Magelang, Jawa Tengah, Indonesia, pada bulan Februari hingga April 2023. Kelompok perlakuan diberi edukasi gizi menggunakan <em>e-pocket book</em>, sedangkan kelompok kontrol diberi poster. Hasil yang diukur adalah pengetahuan dan persepsi sebelum intervensi, 3 hari setelah (post-test 1), dan 14 hari setelah intervensi (post-test 2). Subyek ditentukan dengan rumus Lemeshow, dengan kriteria inklusi bersedia menjadi responden, hadir saat penelitian dilakukan, memiliki data yang lengkap, dan khususnya kelompok perlakuan memiliki Android. Berdasarkan kriteria tersebut subyek sebanyak 49 remaja per kelompok. Analisis dilakukan dengan uji Mann-Whitney untuk sampel yang tidak berdistribusi normal dan independent t-test untuk sampel yang berdistribusi normal. Data diolah dengan SPSS.</p><p><strong>Hasil:</strong> Skor pengetahuan dan persepsi kelompok intervensi pada awal, post-test 1, dan 2 lebih tinggi daripada kelompok kontrol. Ada perbedaan yang signifikan secara statistik skor pengetahuan antara post-test 1 dan 2 dan pretest. Namun, dalam hal persepsi, perbedaan signifikan hanya terdapat pada post-test 1.</p><p><strong>Kesimpulan:</strong> Media <em>e-pocket book</em> dan poster meningkatkan pengetahuan dan persepsi tentang anemia. Namun, <em>e-pocket book</em> ternyata lebih efektif untuk meningkatkan pengetahuan remaja terhadap anemia dibandingkan poster. Edukasi baik menggunakan <em>e-pooket book</em> maupun poster memperbaiki persepsi remaja tentang anemia hanya dalam jangka pendek.</p><p><strong>KATA KUNCI:</strong> e-pocket book; poster; pengetahuan; persepsi; anemia; remaja</p><p> </p><p class="Heading11"><strong> ABSTRACT</strong></p><p><em><strong>Background:</strong></em> The prevalence of anemia among adolescents is a serious public health problem.</p><p><em><strong>Objectives:</strong> </em>This study aims to determine the effectiveness of education using an e-pocket book based on an Android poster.</p><p><em><strong>Methods:</strong></em> A quasi-experimental study using a pre-test and post-test with a control group design. The study was conducted in Magelang Regency, Central Java, Indonesia, from February to April 2023. The treatment group focused on nutrition education using an e-pocket book, while the control group focused on posters. Outcomes measured were knowledge and perception before the intervention, 3 days after (follow-up 1), and 14 days after (follow-up 2) the intervention. Subjects were determined by the Lemeshow formula, with inclusion criteria being a willingness to be respondents, present when the study was conducted, having complete data, and specifically the treatment group having android, which amounted to 49 persons per group. The analysis was conducted with the Mann-Whitney test for non-normally distributed samples and an independent T-test for normally distributed samples. We apply SPSS.</p><p><em><strong>Results:</strong></em> Score knowledge and perception of the intervention group at baseline, follow-up 1, and 2 were higher than in the control group. There was a statistically significant difference in the knowledge scores between follow-ups 1 and 2 and the pretest. Education using both e-pooket books and posters improves adolescents' perceptions of anemia significantly only in post-test1.</p><p><em><strong>Conclusions:</strong></em> Media e-pocket books and posters increase knowledge and perceptions about anemia. Education using both e-pooket books and posters improves adolescents' perceptions of anemia only in the short term.</p><p> </p><p><strong>KEYWORDS: </strong> <em>e-pocket book;</em> poster; knowledge; perceive; anemia; adolescent</p><p> </p>

Faktor-Faktor yang Berhubungan dengan Kejadian Anemia pada Remaja Putri di SMA Negeri 2 Kupang Tengah

Anemia is a condition in which the number of red blood cells or hemoglobin is less than normal or the level of red blood cells/hemoglobin in the blood decreases. The prevalence rate of anemia in indonesia in 2021 in adolescents is 32%, meaning that 3-4 out of 10 adolescents suffer from anemia. The prevalence rate of anemia in female adolescents at SMA N 2 Kupang Tengah in 2022 is 43 female adolescents. Objective; this study was to determine the factors associated with the incidence of anemia in young women at SMA N 2 Kupang Tengah. The type of research used in this research is an analytic survey with a cross-sectional research design using quantitative research methods. This research began in December 2022-January 2023 at SMA N 2 Kupang Tengah, Kupang Regency. The method used in this research is random sampling. The statistical test used in this study is the Chi-Square. The results showed that the factors associated with anemia in female adolescents at SMA N 2 Kupang Tengah were knowledge level (p=0.000), income level (p=0.000), menstrual cycle (p=0.023), nutritional status (p=0.100). Bivariate analysis showed that there was a relationship between knowledge level, income level, menstrual cycle and nutritional status which had no relationship. It was concluded that the factors associated with the incidence of anemia in SMA N 2 Kupang Tengah were suggested to health workers to increase promotional efforts by conducting socialization or counseling to increase the knowledge of young women.