Enhancing Knowledge and Attitudes Regarding Anemia Among Adolescent Girls Through Multidisciplinary Education: A One-Group Pretest–Posttest Study in Central Sulawesi

https://doi.org/10.56303/jhnresearch.v4i3.621

Authors

  • Taqwin Taqwin Applied Nursing Undergraduate Study Program of Palu, Poltekkes Kemenkes Palu, Indonesia https://orcid.org/0000-0003-2475-2787
  • Linda Linda Applied Bachelor of Midwifery Study Program of Palu, Poltekkes Kemenkes Palu, Indonesia
  • Putri Mulia Sakti Diploma III Midwifery Study Program Poso, Poltekkes Kemenkes Palu, Indonesia
  • Widya Pani Diploma III Midwifery Study Program Palu, Poltekkes Kemenkes Palu, Indonesia
  • Anna Veronica Pont Diploma III Midwifery Study Program Palu, Poltekkes Kemenkes Palu, Indonesia
  • Lisnawati Lisnawati Applied Nursing Undergraduate Study Program of Palu, Poltekkes Kemenkes Palu, Indonesia

Keywords:

adolescent anemia, health education, Knowledge, attitudes, school-based interventions

Abstract

Anemia in adolescent girls is a serious public health problem, especially in developing countries. Teenage girls are prone to anemia due to rapid growth, menstruation, and low iron intake. This study aims to evaluate the effectiveness of comprehensive education in improving adolescents' knowledge and attitudes towards anemia, consumption of blood-boosting tablets, and anemia-preventing diet. The study used a pre-experimental design with a one-group pretest-posttest approach. Forty-one students aged 14-18 from Banawa Tengah I Public Senior High School, Donggala were selected using the quota method. A multidisciplinary team delivered educational interventions, including materials on anemia, blood-boosting tablets, and anemia diets. The measurement of knowledge and attitudes was carried out using questionnaires tested for validity and reliability. Data analysis used the Wilcoxon signed-rank test. The results showed an increase in the knowledge score from 6.46 to 7.90 and the attitude score from 47.32 to 49.37. Both variables had statistically significant differences (ρ < 0.001 for knowledge and ρ = 0.008 for attitude). In conclusion, direct and comprehensive education effectively increases adolescent girls' knowledge and attitudes about anemia prevention. Similar programs are recommended to be integrated into school health activities and supported by the role of families and communities

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References

Achebe MO, Mandell E, Jolley K, Park HS, Freedman R, Ren S, et al. Pagophagia and restless legs syndrome are highly associated with iron deficiency and should be included in histories evaluating anemia. Am J Hematol. 2023. 98(1). Available from: https://onlinelibrary.wiley.com/doi/10.1002/ajh.26775

Hess SY, Owais A, Jefferds MED, Young MF, Cahill A, Rogers LM. Accelerating action to reduce anemia: Review of causes and risk factors and related data needs. Ann N Y Acad Sci [Internet]. 2023 May 29;1523(1):11–23. Available from: https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/nyas.14985

Chauhan S, Kumar P, Marbaniang SP, Srivastava S, Patel R. Prevalence and predictors of anaemia among adolescents in Bihar and Uttar Pradesh, India. Sci Rep [Internet]. 2022 May 17;12(1):8197. Available from: https://www.nature.com/articles/s41598-022-12258-6

Stabell N, Averina M, Flægstad T. Chronic iron deficiency and anaemia were highly prevalent in a population‐based longitudinal study among adolescent girls. Acta Paediatr [Internet]. 2021 Oct 8;110(10):2842–9. Available from: https://onlinelibrary.wiley.com/doi/10.1111/apa.16016

Yewodiaw TK, Alemayehu MA, Teshome DF. 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 Nutr [Internet]. 2025 Mar 7;11(1):50. Available from: https://bmcnutr.biomedcentral.com/articles/10.1186/s40795-025-01033-1

Le Dain A-S, Sagalova V, Sodjinou R, Tou EH, Ntambi J, Vollmer S, et al. Levels and trends of adolescent girl’s undernutrition and anemia in West and Central Africa from 1998 to 2017. J Glob Health [Internet]. 2021 Aug 10;11:13006. Available from: http://jogh.org/documents/2021/jogh-11-13006.pdf

Nelima D. Prevalence and Determinants of Anaemia among Adolescent Girls in Secondary Schools in Yala Division Siaya District, Kenya. Univers J Food Nutr Sci [Internet]. 2015 Feb;3(1):1–9. Available from: http://www.hrpub.org/journals/article_info.php?aid=2399

Tandoh MA, Appiah AO, Edusei AK. Prevalence of Anemia and Undernutrition of Adolescent Females in Selected Schools in Ghana. S. Razzaque M, editor. J Nutr Metab [Internet]. 2021 Jan 8;2021:1–5. Available from: https://www.hindawi.com/journals/jnme/2021/6684839/

Subramanian M, Malhotra S, Kant S, Goswami K, Perumal V, Kaloiya G. Prevalence of Anemia Among Adolescent Girls Residing in Rural Haryana: A Community-Based Cross-Sectional Study. Cureus. 2022;14(1):1–9.

Kemenkes RI. Hasil Utama Riskesdas 2018 [Internet]. 2018. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf

Novelia S, Rukmaini, Purnama Sari I. THE Analysis of Factors Associated with Anemia Among Adolescent Girls. Nurs Heal Sci J [Internet]. 2022 Sep 1;2(3):266–73. Available from: https://nhs-journal.com/index.php/nhs/article/view/142

Wiafe MA, Ayenu J, Eli-Cophie D. A Review of the Risk Factors for Iron Deficiency Anaemia among Adolescents in Developing Countries. Canatan D, editor. Anemia [Internet]. 2023 Jan 3;2023:1–11. Available from: https://www.hindawi.com/journals/anemia/2023/6406286/

Ocktariyana O, Flora R, Yuliastuti ME, Zulkarnain Z, Lasepha A. Risk Factors for Iron Deficiency Anemia Among Adolescents in Developing Countries: Study Literature Review. Indones J Glob Heal Res. 2024;6(3):1343–54.

Ernawati E, Baso YS, Hidayanty H, Syarif S, Aminuddin A, Bahar B. effects of anemia education using web-based she smart to improve knowledge, attitudes, and practice in adolescent girls. Int J Heal Med Sci [Internet]. 2022 Jan 15;5(1):44–9. Available from: https://sloap.org/journal/index.php/ijhms/article/view/1831

Yuliana R, Triana W, Putra ES. The Influence of “TESIMIA” on The Knowledge and Attitudes of Female Adolescent Regarding Anemia. Proceeding Int Conf Heal Polytech Jambi [Internet]. 2024 Nov 13;3:261–5. Available from: https://journal.poltekkesjambi.ac.id/index.php/ICoHPJ/article/view/868

Helen Yuniar Sihombing, Abdul Hairuddin Angkat, Sudana Fatahillah Pasaribu, Wanda Lestari. Pengaruh Penyuluhan Tentang Anemia Dengan Media Animasi Terhadap Pengetahuan Dan Sikap Siswi Di SMP Negeri 1 Lubuk Pakam. USADA Nusant J Kesehat Tradis [Internet]. 2023 Nov 18;2(1):66–76. Available from: https://e-journal.nalanda.ac.id/index.php/usd/article/view/597

Nabila N, Arnisam A. Effect of Nutrition Education Through Media Booklet on Increasing Knowledge, Attitude and Behavior about Anemia on Adolescent Girls in Junior High School Negeri 1 Simpang Tiga Aceh Besar. JAND J Appl Nutr Diet [Internet]. 2022 Jun 30;2(1):21–6. Available from: https://journal.poltekkesaceh.ac.id/index.php/jand/article/view/221

Hayati EN, Hazanah S, Bernadetha B. The Influence of Health Education about Anemia Using Audiovisual Media on Knowledge and Attitude Adolescent Girls in MTS Sabilarrasyad Samarinda. Formosa J Sci Technol [Internet]. 2024 Nov 30;3(11):2539–50. Available from: https://journal.formosapublisher.org/index.php/fjst/article/view/12029

Anggraini H, Mulyani RI, Novaria AA, Virawati DI. The Effect of PENEMIA (Prevention of Anemia) Video-Based Education on Anemic Pregnant Women on Changes in Knowledge and Attitudes. J Heal Nutr Res [Internet]. 2024 Apr 9;3(1):31–8. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/195

Annafi N, Admyana PB, Suastra IW, Sutajaya IM, Tika IN, Wesnawa IGA. Implementation of Nggahi Rawi Pahu Philosophy Through in Chemistry Learning Based on Social Cognitive Theory for Student Character Strengthening. Hydrog J Kependidikan Kim [Internet]. 2024 Dec 31;12(6):1294. Available from: https://e-journal.undikma.ac.id/index.php/hydrogen/article/view/13492

Schunk DH, DiBenedetto MK. Learning from a social cognitive theory perspective. In: International Encyclopedia of Education(Fourth Edition) [Internet]. Elsevier; 2023. p. 22–35. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780128186305140047

Irhas Sabililhaq, Nursiah, Ajusman, Misbahul Munir. Analysis of Albert Bandura’s Social Cognitive Theory and Its Development in Islamic Religious Education. Reslaj Relig Educ Soc Laa Roiba J [Internet]. 2024 Dec 2;6(12). Available from: https://journal-laaroiba.com/ojs/index.php/reslaj/article/view/4642

Hidayat M, Muljono P, Saleh A, Maarif S. Communication strategy in the implementation of health belief model (HBM) at Bali Province in dealing with COVID-19. Int J Health Sci (Qassim) [Internet]. 2022 Jul 20;5436–49. Available from: https://sciencescholar.us/journal/index.php/ijhs/article/view/10862

Juen STS, Sinnappan P, Idris I, Kunjiapu S. The Factors Driving Preventive Health Behaviors. In 2024. p. 231–52. Available from: https://services.igi-global.com/resolvedoi/resolve.aspx?doi=10.4018/979-8-3693-4402-6.ch010

Alsulaiman SA, Rentner TL. The Use of the Health Belief Model to Assess U.S. College Students’ Perceptions of Covid-19 and Adherence to Preventive Measures. J Public health Res [Internet]. 2021 Oct 26;10(4). Available from: https://journals.sagepub.com/doi/10.4081/jphr.2021.2273

Manjilala M, Idris NH, Rauf S, Sirajuddin S. Effectiveness of Interpersonal Communication in Nutrition Education on Iron Supplement Knowledge in Adolescent Girls at SMP Muhammadiyah Maros. J Heal Nutr Res [Internet]. 2025 Apr 30;4(1):358–64. Available from: https://journalmpci.com/index.php/jhnr/article/view/359

Raihani AD, Utami RP, Sari RA. The Effectiveness of Educational Media on Knowledge, Dietary Patterns and Compliance with Iron Supplement Consumption in Anemic Adolescent Girls. J Heal Nutr Res [Internet]. 2024 Apr 9;3(1):53–61. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/197

Zakiah S, Toaha A, Abri N, Wahyutri E. The Effect of Nutrition Education on Knowledge, Attitudes, and Iron Intake in Adolescent Girls. J Heal Nutr Res [Internet]. 2023 Nov 30;2(3):131–9. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/174

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Published

01-12-2025

How to Cite

1.
Taqwin T, Linda L, Sakti PM, Pani W, Pont AV, Lisnawati L. Enhancing Knowledge and Attitudes Regarding Anemia Among Adolescent Girls Through Multidisciplinary Education: A One-Group Pretest–Posttest Study in Central Sulawesi. J. Health Nutr. Res [Internet]. 2025 Dec. 1 [cited 2025 Dec. 3];4(3):1166-74. Available from: https://journalmpci.com/index.php/jhnr/article/view/621

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