Haemoglobin Levels of Adolescent Girls Aged 11-19 Years in North Sumatera are Correlated with Socio-Economic Status and Menstrual Cycle Duration
DOI:
https://doi.org/10.3923/pjn.2020.122.126Keywords:
Adolescence girls, anaemia, food habits, haemoglobin levels, menstrual cycles, socio-economic statusAbstract
Background and Objective: Anaemia is a public health problem in developing countries. Adolescent girls are at risk of anaemia due to the increased need for iron at that age. Adolescent girls with anaemia have haemoglobin levels below the normal value limit, which is influenced by many factors, including socio-economic status and menstruation. The purpose of this study was to determine the correlation of haemoglobin levels of girls aged 11-19 years with socio-economic status and menstrual cycle duration. Materials and Methods: This was an analytic study with a cross-sectional approach. The total sample was 300 adolescent girls aged 11-19 years who were enrolled from February-July 2018. Data were collected by using the Food Frequency Questionnaire (FFQ), an anthropometric assessment and a haemoglobinometer tool. A chi-square analysis was used to find the correlation of haemoglobin levels with socio-economic status and menstrual cycle duration. Results: This study indicated that there were no significant correlations of mother’s education or tofu-tempe consumption and anaemia in adolescent girls aged 11-19 years (p>0.05); however, there were significant correlations of father’s education, income, menstrual cycle duration and meat consumption with anaemia in adolescent girls aged 11-19 years (p<0.05). Conclusion: Factors that correlated with anaemia in adolescent girls were father’s education, income, menstrual cycle duration and meat consumption. It is recommended to focus in those factors to prevent anaemia in adolescent girls.
References
Ahankari, A.S., P.R. Myles, A.W. Fogarty, J.V. Dixit and L.J. Tata, 2017. Prevalence of iron-deficiency anaemia and risk factors in 1010 adolescent girls from rural Maharashtra, India: A cross-sectional survey. Public Health, 142: 159-166.
WHO., 2015. The global prevalence of anaemia in 2011. World Health Organisation, Geneva.
WHO., 2014. Global nutrition targets 2025: Anaemia policy brief. World Health Organization, Geneva.
Amarnath, M. and N. Lakshmanrao, 2013. Anemia among adolescent girls in tribal area of Visakhapatnam district in Andhra Pradesh. Indian J. Public Health Res. Dev., 4: 12-16.
Tesfaye, M., T. Yemane, W. Adissu, Y. Asres and L. Gedefaw, 2015. Anemia and iron deficiency among school adolescents: Burden, severity and determinant factors in southwest Ethiopia. Adolesc. Health Med. Ther., 6: 189-196.
Triwinarni, C., T.N.S. Hartini and J. Susilo, 2017. Hubungan status gizi dengan kejadian anemia gizi besi (AGB) pada siswi sma di kecamatan Pakem. J. Nutr., 19: 61-67.
Stevens, G.A., M.M. Finucane, L.M. De-Regil, C.J. Paciorek and S.R. Flaxman et al., 2013. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995–2011: a systematic analysis of population-representative data. Lancet Global Health, 1: e16-e25.
Ministry of Health, 2013. Indonesia basic health research 2013. Agency for Health Research and Development, Ministry of Health of the Republic of Indonesia, Jakarta.
Bhargava, A., H.E. Bouis and N.S. Scrimshaw, 2001. Dietary intakes and socioeconomic factors are associated with the hemoglobin concentration of Bangladeshi women. J. Nutr., 131: 758-764.
Thomas, D., J. Chandra, S. Sharma, A. Jain and H.K. Pemde, 2015. Determinants of nutritional anemia in adolescents. Indian Pediatr., 52: 867-869.
Chaturvedi, D., P.K. Chaudhuri, Priyanka and A.K. Chaudhary, 2017. Study of correlation between dietary habits and anemia among adolescent girls in Ranchi and its surronding area. Int. J. Contemp. Pediatr., 4: 1165-1168.
Alquaiz, A.M., T.A.M. Khoja, A. Alsharif, A. Kazi and A.G. Mohamed et al., 2015. Prevalence and correlates of anaemia in adolescents in Riyadh city, Kingdom of Saudi Arabia. Public Health Nutr., 18: 3192-3200.
Gupta, A., A. Parashar, A. Thakur and D. Sharma, 2012. Anemia among adolescent girls in Shimla hills of north India: Does BMI and onset of menarche have a role? Indian J. Med. Sci., 66: 126-130.
Hapzah and R. Yulita, 2012. Hubungan tingkat pengetahuan dan status gizi terhadap kejadian anemia remaja putri pada siswi kelas iii di sman 1 tinambung kabupaten polewali mandar. Media Gizi Pangan, 13: 20-25.
Sari, D.K. and Marianne, 2020. Impact of breakfast counselling and 6 days of breakfast on the nutritional status and knowledge of middle school students in Berastagi, Indonesia. Pak. J. Nutr., 19: 12-18.
Indartanti, D. and A. Kartini 2014. Hubungan status gizi dengan kejadian anemia pada remaja putri. J. Nutr. Coll., 3: 310-316.
Kisworini, P., S. Mulatsih and S. Triasih, 2005. Iron deficiency anemia: Clinical practice guidelines for iron deficiency. UGM Medical Schools, Yogyakarta, pp: 81-93
Kurniawan, Y.A.I., S. Muslimatun, E.L. Achadi and S. Sastroamidjojo, 2006. Anaemia and iron deficiency anaemia among young adolescent girls from peri urban coastal area of Indonesia. Asia Pac. J. Clin. Nutr., 15: 350-356.
Mikki, N., H.F. Abdul-Rahim, H. Stigum and G. Holmboe-Ottesen, 2011. Anaemia prevalence and associated sociodemographic and dietary factors among Palestinian adolescents in the West Bank. East. Mediterr. Health J., 17: 208-217.
Jalambo, M.O., A. Hamad and Y. Abed, 2013. Anemia and risk factors among female secondary students in the Gaza Strip. J. Public Health, 21: 271-278.
Kanodia, P., M. Bhatta, R.R. Singh, N.K. Bhatta and G.S. Shah, 2016. A study of anemia among adolescent girls in eastern part of Nepal. J. Coll. Med. Sci. Nepal, 12: 19-22.
Kim, J.Y., S. Shin, K. Han, K.C. Lee and J.H. Kim et al., 2014. Relationship between socioeconomic status and anemia prevalence in adolescent girls based on the fourth and fifth Korea national health and nutrition examination surveys. Eur. J. Clin. Nutr., 68: 253-258.
Panat, A.V., S.A. Pathare, S. Asrar and G.Y. Rohokale, 2013. Iron deficiency among rural college girls: A result of poor nutrition and prolonged menstruation. J. Commun. Nutr. Health, 2: 56-60.
Shaka, M.F. and Y.A. Wondimagegne, 2018. Anemia, a moderate public health concern among adolescents in South Ethiopia. Plos One.
Lestari, S., I.I. Fujiati, D. Keumalasari and M. Daulay, 2018. The prevalence and risk factors of stunting among primary school children in North Sumatera, Indonesia. IOP Conf. Series: Earth Environ. Sci., Vol. 125.
Briawan, D., Y. Adrianto, D. Hernawati, E. Syamsir and M. Aries, 2012. Konsumsi pangan, bioavailibilitas zat besi dan status Anemia Siswi di Kabupaten Bogor. Prosidings of Seminar Hasil-Hasil Penelitian, (HHP’12), Bogor, 219-230.
Sulakshana, B., N.A. Vijaya and M.D. Mallapur, 2014. A study of anaemia among adolescent girls in rural area of Belgaum district, Karnataka, South India. Indian J. Public Health Res. Dev., 5: 238-243.
Tayel, D.I. and S. Ezzat, 2015. Anemia and its associated factors among adolescents in Alexandria, Egypt. Int. J. Health Sci. Res., 5: 260-271.
Zuffo, C.R.K., M.M. Osório, C.A. Taconeli, S.T. Schmidt, B.H.C. da Silva and C.C.B. Almeida, 2016. Prevalence and risk factors of anemia in children. J. Pediatr., 92: 353-360.
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