The Relationship Between Knowledge About Anemia And Compliance With Iron Tablet Consumption Among Adolescents
Abstract
Latar Belakang: Prevalensi anemia di SMPN 07 Pesawaran tercatat sebesar 36,9% di kalangan siswi. Berdasarkan pemeriksaan yang dilakukan oleh petugas kesehatan dari Unit Pelaksana Teknis (UPTD) Puskesmas Roworejo di SMPN 07 Pesawaran pada Januari 2025, ditemukan bahwa 31 siswi (36,9%) didiagnosis menderita anemia, diklasifikasikan sebagai ringan atau sedang. Dampak anemia di SMPN 07 Pesawaran terlihat dari beberapa keluhan yang sering dilaporkan oleh siswi, seperti mudah lelah, kesulitan berkonsentrasi selama pelajaran, dan sering mengantuk di kelas. Beberapa guru juga melaporkan bahwa beberapa siswi sering mengalami pusing atau bahkan pingsan selama upacara bendera atau kegiatan fisik lainnya.
Tujuan: Tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan tentang anemia dan kepatuhan konsumsi tablet Fe di kalangan remaja di SMPN 07 Pesawaran, Kabupaten Pesawaran, pada tahun 2025.
Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Populasi terdiri dari seluruh 242 siswi di SMPN 07 Pesawaran, Kabupaten Pesawaran, dengan sampel sebanyak 151 responden yang dipilih melalui purposive sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis melalui metode univariat dan bivariat (uji chi-square).
Hasil: Hasil menunjukkan bahwa 85 responden (56,3%) memiliki pengetahuan yang baik, sedangkan 119 responden (78,8%) menunjukkan kepatuhan rendah terhadap konsumsi tablet Fe. Hubungan yang signifikan diidentifikasi antara pengetahuan tentang anemia dan kepatuhan terhadap konsumsi tablet Fe di kalangan remaja di SMPN 07 Pesawaran, Kabupaten Pesawaran, pada tahun 2025 (nilai p = 0,013). Disarankan agar petugas kesehatan membangun kolaborasi berkelanjutan antara puskesmas dan sekolah, khususnya melalui program PKPR (Pusat Kesehatan Remaja) dan UKS (Unit Kesehatan Sekolah). Kolaborasi dengan guru sebagai pengawas dan fasilitator juga penting untuk mendukung program konsumsi tablet Fe di sekolah.
Kesimpulan: Pengetahuan yang lebih baik berhubungan dengan kepatuhan yang lebih tinggi dalam konsumsi tablet Fe. Namun, secara keseluruhan kepatuhan masih rendah.
Saran: Pendidikan berkelanjutan dan kolaborasi antara sekolah dan pusat kesehatan melalui program PKPR dan UKS diperlukan. Guru harus berperan sebagai pengawas dan fasilitator dalam program konsumsi tablet Fe rutin di sekolah.
Kata kunci: Anemia, kepatuhan konsumsi tablet Fe, pengetahuan, remaja
ABSTRACT
Background: The prevalence of anemia at SMPN 07 Pesawaran was recorded at 36.9% among female students. Based on examinations conducted by health workers from the Technical Implementation Unit (UPTD) Roworejo Community Health Center at SMPN 07 Pesawaran in January 2025, it was found that 31 female students (36.9%) were diagnosed with anemia, classified as either mild or moderate. The impact of anemia at SMPN 07 Pesawaran was evident from several complaints frequently reported by students, such as easy fatigue, difficulty concentrating during lessons, and frequent drowsiness in class. Several teachers also reported that some students often experienced dizziness or even fainted during flag ceremonies or other physical activities.
Purpose: The purpose of this study was to determine the relationship between knowledge of anemia and compliance with Fe tablet consumption among adolescents at SMPN 07 Pesawaran, Pesawaran Regency, in 2025.
Methods: This research employed a quantitative approach with a cross-sectional design. The population consisted of all 242 female students at SMPN 07 Pesawaran, Pesawaran Regency, with a sample of 151 respondents selected through purposive sampling. Data were collected using questionnaires and analyzed through univariate and bivariate methods (chi-square test).
Results: The results showed that 85 respondents (56.3%) had good knowledge, while 119 respondents (78.8%) demonstrated low compliance with Fe tablet consumption. A significant relationship was identified between knowledge of anemia and compliance with Fe tablet consumption among adolescents at SMPN 07 Pesawaran, Pesawaran Regency, in 2025 (p-value = 0.013). It is recommended that health workers establish ongoing collaboration between community health centers and schools, particularly through PKPR (Youth Care Health Services) and UKS (School Health Unit) programs. Collaboration with teachers as supervisors and facilitators is also essential to support the Fe tablet consumption program in schools.
Conclusion: Better knowledge is associated with higher compliance in Fe tablet consumption. However, overall compliance remains low.
Suggestion: Continuous education and collaboration between schools and health centers through PKPR and UKS programs are necessary. Teachers should serve as supervisors and facilitators in routine Fe tablet consumption programs in schools.
Keywords: Anemia, Fe tablet consumption compliance, knowledge, adolescents
Keywords
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Arisman. (2018). Nutrition in the Life Cycle: A Textbook of Nutritional Science (2nd ed.). Jakarta: EGC.
Aryani. (2018). Adolescent Health: Problems and Solutions (Salemba Medika, Ed.). Jakarta: Salemba Medika.
Ayu, S. (2022). Counseling on the Impact of Anemia in Adolescents. JMAS Journal of Community Service, 1(2), 77–84. http://melatijournal.com/index.php/JMAS
Bakta. (2019). Hemolytic Anemia. In I. M. Bakta (Ed.), Concise Clinical Hematology (2nd ed.). Jakarta: EGC.
Budiarti, A., Anik, S., & Wirani, N. P. G. (2021). A phenomenological study on the causes of anemia in adolescents in Surabaya. Mesencephalon Health Journal, 6(2). https://doi.org/10.36053/mesencephalon.v6i2.246
Budiman. (2019). Selected Topics on Knowledge and Attitudes for Health Research. Jakarta: Salemba Medika.
Chisti, M. J., Kawser, C. A., Rahman, A. S. M. M. H., Shahid, A. S. M. S. Bin, Afroze, F., Shahunja, K. M., Shahrin, L., Sarmin, M., Nuzhat, S., Rahman, A. E., Alam, T., Parvin, I., Ackhter, M. S. T. M., Mamun, G. M. S., Shaima, S. N., Faruque, A. S. G., & Ahmed, T. (2022). Prevalence and outcome of anemia among children hospitalized for pneumonia and their risk of mortality in a developing country. Scientific Reports, 12(1), 1–7. https://doi.org/10.1038/s41598-022-14818-2
Cia, A., Annisa, H. N., & Lion, H. F. (2022). Iron intake and anemia prevalence in adolescents aged 16–18 years. Window of Health: Journal of Health, 4(2), 144–150. https://doi.org/10.33096/woh.vi.248
Dinas Kesehatan Provinsi Lampung. (2025). Lampung Province RPJMN 2024.
Ernawati, I., Fandinata, S. S., & Permatasari, S. N. (2020). Compliance with antihypertensive medication.
Faizah, N. N. (2022). The relationship between knowledge level about anemia and compliance with iron tablet consumption among students of Madrasah Aliyah Al Khoiriyah, Malang Regency (Doctoral dissertation, Universitas Islam Negeri Maulana Malik Ibrahim). Journal of …, 33(1), 1–12.
Fajrin, F. I. (2021). Compliance with iron tablet consumption based on pregnant women’s knowledge level. …, 12, 173–179.
Handriyanti, R. F., Setyowati, Y. D., & Vidyarini, A. (2022). The relationship of nutritional knowledge, frequency of iron inhibitor consumption, vitamin C, iron, and protein intake with anemia incidence among students of SMKN 5 Bekasi City. Saintika Meditory Health Journal, 28–36.
Kementerian Kesehatan Republik Indonesia. (2018). Guidelines for the Prevention and Control of Anemia in Adolescent Girls and Women of Reproductive Age, 7823–7830.
Kusmiran, E. (2019). Reproductive Health of Adolescents and Women. Jakarta: Salemba Medika.
Manuaba. (2018). Midwifery, Gynecology, and Family Planning for Midwifery Education (2nd ed.). Jakarta: EGC.
Mone, R. (2020). Description of iron and protein intake among short and very short adolescent girls in Kupang City. Doctoral dissertation, Poltekkes Kemenkes Kupang. https://core.ac.uk/download/pdf/196255896.pdf
Muhayaroh, M. (2024). Relationship between nutritional intake, dietary patterns, and iron consumption with anemia incidence in preconception women. Indonesian Journal of Midwifery Sciences, 3(2), 430–437. https://doi.org/10.53801/ijms.v3i2.171
Mutiara Br Sembiring, H., Mariana Manik, R., Ambarita, B., Oktaviance, R., & Tinggi Kesehatan Santa Elisabeth, S. (2023). First-year students’ knowledge about anemia and iron-rich foods in Hilary Dormitory 2023. Center Publisher, 1, 676–689. http://centralpublisher.co.id
Nasir, Y., Masithah, S., Yusuf, K., Nurcahyani, I. D., & Syafruddin, S. (2024). The relationship between knowledge of anemia and compliance with iron tablet consumption among adolescent girls in the working area of Turikale Health Center. Ghidza: Journal of Nutrition and Health, 8(1), 93–100. https://doi.org/10.22487/ghidza.v8i1.1158
Ningtyas, O., Ulfiana, E., & Yono, N. (2021). Relationship between knowledge of anemia and family support with iron tablet consumption compliance among adolescent girls at SMPN 01 Brondong Lamongan. Indonesian Journal of Midwifery (IJM), 4(2), 128. https://doi.org/10.35473/ijm.v4i2.1185
Notoatmodjo, S. (2015). Health Behavior Science. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2018). Health Research Methodology (3rd ed.). Jakarta: Rineka Cipta.
Podungge, Y. (2022). Reference Book: Healthy Adolescents, Free from Anemia. Yogyakarta: CV. Budi Utama.
Proverawati, A. (2019). Anemia and Pregnancy Anemia. Yogyakarta: Nuha Medika.
Quraini, D. F., Ningtyias, F. W., & Rohmawati, N. (2020). Compliance behavior of iron tablet consumption among adolescent girls in Jember, Indonesia. Journal of Public Health Research, 8(2), 154–162. https://doi.org/10.20473/jpk.V8.I2.2020.154-162
Ratnawati, A. E. (2022). Knowledge level about anemia and compliance with Fe tablet consumption among adolescent girls. Midwifery Science Journal, 9(1), 1–6.
Refi, L. (2023). Analysis of factors related to compliance with Fe tablet consumption among adolescent girls at SMA Negeri 3 Serang City, Banten Province, 2022. Detector: Journal of Health Research Innovation, 1(1), 239–255. https://doi.org/10.55606/detector.v1i1.1519
Riskesdas. (2018). 2018 National Health Survey Report. Ministry of Health of the Republic of Indonesia. http://www.yankes.kemkes.go.id/assets/downloads/PMK No. 57 Tahun 2013 tentang PTRM.pdf
Riyanto. (2017). Application of Health Research Methodology. Yogyakarta: Nuha Medika.
Sab’ngatun, & Riawati, D. (2021). Relationship of knowledge with iron tablet consumption among adolescent girls. Avicenna: Journal of Health Research, 4(2), 83–90.
Sari, P., Hilmanto, D., Herawati, D. M. D., & Dhamayanti, M. (2022). Pocket Book: Iron Deficiency Anemia in Adolescent Girls. Jakarta: NEM Publisher.
Savitri, M. K., Tupitu, N. D., Iswah, S. A., & Safitri, A. (2021). Compliance with iron tablet consumption and anemia incidence among adolescent girls. …, 2, 43–49.
SKI. (2023). Indonesian Health Survey (SKI). https://drive.google.com/file/d/1rjNDG_f8xG6-Y9wmhJUnXhJ-vUFevVJC/view
Sriwahyu, S., Astuti, W., Yuliastuti, E., Tunggal, T., & Kristiana, E. (2025). Relationship between adolescent girls’ knowledge and attitudes about anemia and compliance with iron tablet consumption at SMPN 8 Banjarmasin. …, 1(8), 1215–1223.
Sugiyono. (2018). Quantitative, Qualitative, and R&D Research Methods. Bandung: Alfabeta.
Sumiati, E., Hasanah, U., & Nasirin, C. (2021). Family knowledge of tuberculosis patients as an effort to cure and reduce TB incidence. …, 10(April), 21–27.
Susmiati. (2021). Social Capital: Practical Solutions to Reduce Stigma & Psychological Stress in Leprosy Treatment. Sidoarjo: Zifatama Jawara.
Taufiqa, Z. (n.d.). I Am Healthy Without Anemia.
UNICEF. (2019). The State of the World’s Children: A Fair Chance for Every Child. New York: UNICEF.
Zuraida, R., Lipoeto, N. I., Masrul, M., & Fessshartanty, J. (2020). The effect of “anemia free club” interventions to improve adolescent dietary intakes in Bandar Lampung City, Indonesia. Open Access Macedonian Journal of Medical Sciences, 8, 145–149. https://doi.org/10.3889/OAMJMS.2020.4168
DOI: https://doi.org/10.33024/jkm.v12i2.22818
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