Influence of Knowledge Level about Anemia and Menstrual Patterns on Adherence to Consumption Iron Supplement in Adolescents at A Public Senior High School in Magelang

Annisa Nabila Nugraheni(1*), Elmiawati Latifah(2), Ratna Wijayatri(3)

(1) Program Studi Farmasi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Jl. Mayjen Bambang Soegeng KM 5 Mertoyudan Magelang, Magelang, Indonesia
(2) Program Studi Farmasi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Jl. Mayjen Bambang Soegeng KM 5 Mertoyudan Magelang, Magelang, Indonesia
(3) Program Studi Farmasi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Jl. Mayjen Bambang Soegeng KM 5 Mertoyudan Magelang, Magelang, Indonesia
(*) Corresponding Author

Abstract

Anemia is a health problem in all age groups, from toddlers to old age. Adolescent girls are prone to anemia due to their monthly menstrual cycle, so iron supplementation is needed, one of which is Supplementary Blood Tablets. This study was to find out the influence of  the knowledge level about anemia and menstrual patterns on compliance of iron supplement consumption in adolescents at a public senior high school in Magelang. This analytical research was carried out in December 2022 using a survey method with a research instrument in the form of a questionnaire in the form of a Google Form which was distributed via the Whatsapp application. The sampling technique was probability sampling in the form of proportionate stratified random sampling with the inclusion criteria for young women, active high school students, menstruating, aged 15-18 years, as well as exclusion criteria for high school students who were not willing to participate as research respondents. A population of 500 students came from grades 10, 11, and 12 and was calculated using the slovin formula (e = 5%) to obtain a sample of 250 students. The research questionnaire was adapted from four different studies with a total of 39 question items that had been tested for instrument validity content using the Aiken index calculation, and all questionnaire items tested valid with results > 0.8. The results showed that young women at a public senior high school in Magelang had a "good" level of knowledge about anemia with a percentage of 58.8%, 85.2% experienced normal menarche, 77.2% had normal menstrual cycles, 71.6% experienced dysmenorrhea, and adherence to iron supplement consumption was low. 84.4% of respondents "didn't comply" and 66.4% "forgot to consume" so it is necessary to increase socialization from health and education agencies regarding the importance of consumming iron supplement in adolescents . While the SPSS version 26 analysis was carried out using normality and homogeneity tests, non-parametric statistical tests were used with chi-square test yielded P values of 0.624>0.05 and 0.275>0.05, meaning that the level of knowledge about anemia and menstrual patterns had no effect on the adherence to iron supplement consumption in adolescents at a public senior high school in Magelang

Keywords: knowledge of anemia, menstrual patterns, consumption compliance, iron tablets,  young women

Keywords

knowledge of anemia, menstrual patterns, consumption compliance, iron tablets, young women

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References

Aiken, L. R., 1980. Content Validity and Reliability of Single Items or Questionnaires. Educational and Psychological Measurement, 40(4), pp 955–959.

Alfiah, E., Briawan, D., and Khomsan, A., 2019. Coverage and Adherence of Weekly Iron Folic Acid Supplementation among School Going Adolescent Girls in Indonesia. J Nutr Sci VitaMinol, 66, pp. 120-129.

Amir, N., and Djokosujono, K., 2019. Factors Associated with Consumption of Blood Supplement Tablets in Young Women in Indonesia: Literature Review. Journal of Medicine and Health, 15(2), pp. 119-129.

Aprillia, B. D., 2019. Description of Stress Levels with Menstrual Cycle Disorders in Students at Private Senior High School of Darul Islam Gresik. Thesis, Major of Nursing Vocational School Universitas Airlangga.

Fajriyah, N. N., and Fitriyanto, M. L. H., 2016. An overview of the level of knowledge about anemia in young women. Journal of Medical Sciences, 9(1), pp. 90-97.

Gardner, W., and Kassebaum, N., 2020. Global, Regional, and National Prevalence of Anemia and Its Causes in 204 Countries and Territories 1990–2019. Current Developments in Nutrition, 4, pp. 830–830.

Kartono, K, 1990. Children's Psycology (Developmental Psychology). Mandar Maju Publisher, Jakarta.

Ministry of Health, 2018. Guidelines for Prevention and Management of Anemia in Young Women and Women of Reproductive Age. Ministry of Health of Republik Indonesia.

Ministry of Health, 2022. Indonesian Health Profile 2021. Ministry of Health of Republik Indonesia.

National Riskesdas Report, 2019. Basic Health Research 2018. Publishing Institute for Health Research and Development, Ministry of Health of Republik Indonesia.

Ningtyas, O. I., Ulfiana, E., and Ngadiyono., 2021. Relationship between knowledge about anemia and family support to adherence to blood supplement consumption in young women at Public Junior High School 01 Brondong Lamongan. Indonesian Journal of Midwifery (IJM), 4(2), pp. 128–139.

Notoatmodjo, S., 2012. Health Research Methodology. Rineka Cipta Publisher, Jakarta.

Novita, R., 2018. Relationship between Nutritional Status and Menstrual Disorders in Young Girls at Private Senior High School Al-Azhar Surabaya. Amerta Nutrition, 2(2), pp.172-181.

Rahmadi, A., 2018. Differences in Iron Nutritional Anemia Status of Young Girls Studying in High School Programs and Non-Blood Supplementation Programs. Borneo Journal of Medical Laboratory Technology, 1(1), pp. 28-34.

Rasni, Hariani, and Irma, R., 2019. Description of the Level of Knowledge and Compliance with FE Tablet Administration to Male Private High School Students in Limbo, Sangia Wambulu District, Central Buton Regency. Thesis, Major of Nutrition Vocational School Politeknik Kesehatan Kendari.

Rizki, N., and Purwati, Y., 2015. Relationship between Nutritional Status and Menstrual Cycle in Class XI Young Girls at Public Vocational School 4 Yogyakarta. Thesis, Faculty of Medicine, Health and Life Sciences Universitas Aisyiyah Yogyakarta.

Rokhmawati, I. A., 2015. Effects of Nutrition Counseling with Media Leaflets on the Level of Knowledge About Anemia in Young Girls at Public Christian Junior High School 1 Surakarta. Thesis, Faculty of Health Universitas Muhammadiyah Surakarta.

Sekaran, Uma., 2006. Business Research Methods Volume 2. Salemba Empat Publisher, Jakarta.

Siauta, J. A., Indrayani, T., and Bombing, K., 2020. The Relationship between Anemia and Student Achievement at Kelila Public Middle School, Mamberamo Tengah Regency in 2018. Journal for Quality in Women’s Health, 3(1), pp. 82–86.

Suryani, D., 2015. Analysis of Diet and Iron Nutrition Anemia in Young Girls in Bengkulu City. Andalas Journal of Public Health, 10(1), pp. 11–18.

WHO, 2011. Haemoglobin Concentrations For The Diagnosis Of Anaemia and Assessment Of Severity. World Health Organization.

WHO, 2019. Prevalence of Anaemia in Women of Reproductive Age. World Health Organization.

WHO, 2011. Prevention Of Iron Deficiency Anaemia in Adolescents. World Health Organization.

WHO, 2019, WHO Technical Consultation: Nutrition-related Health Products and The World Health Organization Model List of Essential Medicines – Practical Considerations and Feasibility. World Health Organization.

Widiastuti, A., and Rusmini, R., 2019. Compliance with Blood Supplement Tablet Consumption in Young Women. Journals of Midwifery Science, 1(1), pp. 12–18.

DOI: 10.23917/pharmacon.v20i1.21904

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