Prevalensi dan Faktor Risiko Anemia pada Remaja Putri di SMAN I Abiansemal Badung

  • Ni Putu Eka Febianingsih Akper Kesdam IX/Udayana
  • Kadek Agus Dwija Putra Akademi Keperawatan Kesdam IX/Udayana
  • Gede Yudiana Putra Akademi Keperawatan Kesdam IX/Udayana
  • Citra Indriani Universitas Gadjah Mada
  • Wayan Pujana
Keywords: AnAnemia, Adolescents, Badung


Background:High prevalence of anemia exists in the developing world where its causes are multi-factorial. One of the most vulnerable populations are adolescent girl. This study aimsto know the prevalence and risk factor of anemia among adolescent girls inAbiansemal High School

Methods:Cross sectional study was conduct with a total of 254 individuals comprising healthy participated. The relevant information was collected with interviews, anthropometric measurementsand Hemoglobin assay. Multivariate Poisson Regression analysis was done to analysis the risk factor.

Results:The prevalence of anemia was found to be71.3% (28.7% normal, 22.8% mild anemia, 47.2% moderate anemia and 1.2% severe anemia). Mean age of the adolescent girls was 15.5 ± 0.66 years. Multivariate analysis showed that the strongest predictors of anemia associated with adolescent girls is eating frequency ≤ 2 times a day (aPR:1.55; 95% CI: 1.32 to 1.81), excessive menstrual bleeding(aPR: 1, 35; 95% CI 1.17 to 1.56), vegetarian diet(aPR: 1.23; 95% CI 1.08 to 1.41) and drinking tea during meals (aPR: 1.17; 95% CI 1.01 to 1.36). However, the level of knowledge, socioeconomic status, and BMI did not contribute significantly in this study

Conclusions: High prevalence of anemia in adolescent girls of Abiansemal High School. Anemia screening should be done regularly and giving iron tablets to adolescent girls.

Keywords: Anemia, Adolescents, Badung


Barros, A. J. D., & Hirakata, V. N. (2003). Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology, 3, 1–13.
Charles, C. . (2012). Iron Deficiency Anemia: A Public Health Problem of Global Proportions. Public Health - Methodology, Environmental and Systems Issues.
Coutinho, L. M. S., Scazufca, M., & Menezes, P. R. (2008). Methods for estimating prevalence ratios in cross-sectional studies. Revista de Saúde Pública, 42(6), 992–998. Retrieved from
Deddens, J. A., & Petersen, M. R. (2008). Approaches for estimating prevalence ratios. Occupational and Environmental Medicine, 65(7), 501–506.
Gawarika, R., Gawarika, S., & Mishra, A. . (2006). Prevalence of Anaemia in Adolescent Girls Belonging to Different Economic Group. Indian Journal of Community Medicine, 31(4), 287–288.
Kaur, S., Deshmukh, P. ., & Garg, B. . (2006). Epidemiological Correlates of Nutritional Anemia in Adolescent Girls of Rural Wardha. Indian Journal of Community Medicine, 31(4), 255–258.
Kemenkes RI. (2013). Riset Kesehatan Dasar 2013. In Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI (Vol. 6). Desember 2013
Ramzi, M., Haghpanah, S., Malekmakan, L., Cohan, N., Baseri, A., Alamdari, A., & Zare, N. (2011). Anemia and iron deficiency in adolescent school girls in kavar urban area, southern iran. Iranian Red Crescent Medical Journal, 13(2), 128–133. Retrieved from
Thomas, D., Chandra, J., Sharma, S., Jain, A., & Pemde, H. K. (2015). Determinants of nutritional anemia in adolescents. Indian Pediatrics, 52(10), 867–869.
WHO. (2008). Worldwide Prevalence of Anaemia 1993-2005:WHO Global Database on Anaemia (B. de Benoist, E. McLean, I. Egli, & M. Cogswell, Eds.). WHO.
Widarini, N. P. (2008). Asupan zat gizi dan kejadian anemia pada remaja putri vegetarian di Kabupaten badung provinsi Bali.
World Health Organization. (2011). Prevention of iron deficiency anaemia in adolescents. In WHO-SEARO.
Zou, G. (2004). A Modified Poisson Regression Approach to Prospective Studies with Binary Data. American Journal of Epidemiology, 159(7), 702–706.
How to Cite
Febianingsih, N. P., Dwija Putra, K., Putra, G., Indriani, C., & Pujana, W. (2019). Prevalensi dan Faktor Risiko Anemia pada Remaja Putri di SMAN I Abiansemal Badung. Bali Health Published Journal, 1(1), 47-58. Retrieved from