Deteksi Dini Anemia Berdasarkan Tanda Gejala dan Pemeriksaan Hb pada Remaja Putri di SMPN 18 Palembang
DOI:
https://doi.org/10.55606/jrik.v5i3.5514Keywords:
Adolescent Girls, Anemia, Clinical Symptoms, Early Detection, HemoglobinAbstract
Background: Anemia is one of the public health problems commonly found among adolescent girls, especially in developing countries like Indonesia. This condition affects concentration, academic performance, and productivity, making early detection an essential step to prevent long-term complications. Objective: This study aims to determine the results of early detection of anemia based on clinical symptoms and hemoglobin (Hb) levels among adolescent girls at SMPN 18 Palembang. Methods: This research used a descriptive design with a cross-sectional approach. A total of 132 seventh-grade female students were selected randomly. Data were collected through an anemia symptom questionnaire and hemoglobin level measurement using a hemoglobinometer. Results: The study found that 23.5% of respondents were anemic (Hb < 12 g/dL), and 48.5% showed symptoms of anemia. However, the sensitivity of symptoms in detecting anemia was only 39%, specificity was 19%, with a positive predictive value (PPV) of 60.93% and a negative predictive value (NPV) of 8.82%. Conclusion: Based on the findings, symptom-based detection alone is not sufficiently accurate to diagnose anemia. Hemoglobin level examination is still required as a more valid and objective screening method for the early detection of anemia in adolescent girls In addition to medical intervention, the study advocates for increased awareness and education about anemia, its causes, and prevention methods among students, parents, and educators. Addressing nutritional deficiencies, especially iron intake, through dietary improvements and supplementation is essential in combating anemia in adolescent girls.
Downloads
References
Alkazemi, D., Rahman, A., & Habra, B. (2021). Alterations in glutathione redox homeostasis among adolescents with obesity and anemia. Scientific Reports, 11(1), 1–12. https://doi.org/10.1038/s41598-021-82579-5
Amrita. (2024). Awareness on Nutritional Anemia and its Prevention among Adolescent Girls. Advanced International Journal of Multidisciplinary Research, 2(1), 925–929. https://doi.org/10.62127/aijmr.2024.v02i01.1013
Anisa Yulianti, Siti Aisyah, & Sri Handayani. (2024). Faktor-Faktor yang Berhubungan dengan Anemia pada Remaja Putri. Lentera Perawat, 5(1), 10–17. https://doi.org/10.52235/lp.v5i1.276
Asmanidar, A., Sasmita, Y., & Lizam, T. C. (2023). Edukasi Upaya Pencegahan Anemia pada Santriwati di Dayah Pasantren Darul Wustha Kecamatan Labuhan Haji Barat Kabupaten Aceh selatan. Jurnal Pengabdian Multidisiplin, 3(2), 1–7. https://doi.org/10.51214/japamul.v3i2.656
Asmin, E., Salulinggi, A., Titaley, C. R., & Bension, J. (2021). Hubungan Pengetahuan Dan Kepatuhan Ibu Hamil Konsumsi Tablet Tambah Darah Dengan Kejadian Anemia Di Kecamatan Leitimur Selatan Dan Teluk Ambon. Jurnal Epidemiologi Kesehatan Komunitas, 6(1), 229–236. https://doi.org/10.14710/jekk.v6i1.10180
Ataga, K. I., Gordeuk, V. R., Agodoa, I., Colby, J. A., Gittings, K., & Allen, I. E. (2020). Low hemoglobin increases risk for cerebrovascular disease, kidney disease, pulmonary vasculopathy, and mortality in sickle cell disease: A systematic literature review and meta-analysis. PLoS ONE, 15(4), 1–17. https://doi.org/10.1371/journal.pone.0229959
Budiarti, A., Anik, S., & Wirani, N. P. G. (2021). Studi Fenomenologi Penyebab Anemia Pada Remaja Di Surabaya. Jurnal Kesehatan Mesencephalon, 6(2). https://doi.org/10.36053/mesencephalon.v6i2.246
Cia, A., Annisa, H. N., & Lion, H. F. (2022). Asupan Zat Besi dan Prevalensi Anemia pada Remaja Usia 16-18 Tahun. Window of Health : Jurnal Kesehatan, 4(2), 144–150. https://doi.org/10.33096/woh.vi.248
Dutta, S., Karkada, I. R., Sengupta, P., & Chinni, S. V. (2021). Anthropometric Markers With Specific Cut-Offs Can Predict Anemia Occurrence Among Malaysian Young Adults. Frontiers in Physiology, 12(September), 1–10. https://doi.org/10.3389/fphys.2021.731416
Efendi, S., & Supinganto, A. (2023). Pencegahan Kesehatan Remaja: Pendidikan Kesehatan dan Peran Keluarga di Daerah Pesisir. Bali Medika Jurnal, 10(2), 244–252. https://doi.org/10.36376/bmj.v10i2.342
Harahap, N. R. (2018). Faktor- Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Remaja Putri. Nursing Arts, 12(2), 78–90. https://doi.org/10.36741/jna.v12i2.78
Hasyim, A. N., Mutalazimah, M., & Muwakhidah, M. (2018). Pengetahuan Risiko, Perilaku Pencegahan Anemia Dan Kadar Hemoglobin Pada Remaja Putri. Profesi (Profesional Islam) : Media Publikasi Penelitian, 15(2), 33. https://doi.org/10.26576/profesi.256
Helmyati, S., Syarifa, C. A., Rizana, N. A., Sitorus, N. L., & Pratiwi, D. (2023). Acceptance of Iron Supplementation Program among Adolescent Girls in Indonesia: A Literature Review. Amerta Nutrition, 7(3SP), 50–61. https://doi.org/10.20473/amnt.v7i3SP.2023.50-61
Hidayati, I. Z. (2019). Penilaian Uji Validitas Instrumen Skrining Anemia Pada Siswa Madrasah Aliyah Islamic Center Baiturahman Banyuwangi. Majalah Kesehatan Masyarakat Aceh (MaKMA), 2(3). https://doi.org/10.32672/makma.v2i3.1293
Hornedo‐González, K. D., Jacob, A. K., Burt, J. M., Higgins, A. A., Engel, E. M., Hanson, A. C., Belch, L., Kor, D. J., & Warner, M. A. (2023). Non‐invasive hemoglobin estimation for preoperative anemia screening. Transfusion, 63(2), 315–322.
Indriasari, R., Mansur, M. A., Srifitayani, N. R., & Tasya, A. (2022). Pengetahuan, Sikap, dan Tindakan Terkait Pencegahan Anemia Pada Remaja Berlatarbelakang Sosial-ekonomi Menengah ke Bawah di Makassar. Amerta Nutrition, 6(3), 256–261. https://doi.org/10.20473/amnt.v6i3.2022.256-261
Izzara, W. A., Yulastri, A., Erianti, Z., Putri, M. Y., & Yuliana, Y. (2023). Penyebab, Pencegahan dan Penanggulangan Anemia pada Remaja Putri (Studi Literatur). Jurnal Multidisiplin West Science, 2(12), 1051–1064. https://doi.org/10.58812/jmws.v2i12.817
Katsumi, A., Abe, A., Tamura, S., & Matsushita, T. (2021). Anemia in older adults as a geriatric syndrome: A review. Geriatrics & Gerontology International, 21(7), 549–554.
Khan, Z. A., Khail, S. K., Qureshi, A., & Ahmad, P. (2024). The association between maternal anemia and preterm birth: A case-control study. Journal of Shifa Tameer-e-Millat University, 7(1), 74–80. https://doi.org/10.32593/jstmu/vol7.iss1.318
Kristanti, M., Nugrohowati, N., Harjono, Y., & Fairuz, N. (2024). Faktor-Faktor Yang Mempengaruhi Sikap Remaja Dalam Mengkonsumsi Makanan Cepat Saji Di Kota Depok Tahun 2022. Jurnal Ilmu Kesehatan Masyarakat, 13(01), 44–49. https://doi.org/10.33221/jikm.v13i01.2411
Kshatri, J. S., Satpathy, P., Sharma, S., Bhoi, T., Mishra, S. P., & Sahoo, S. S. (2022). Health research in the state of Odisha, India: A decadal bibliometric analysis (2011‑2020). Journal of Family Medicine and Primary Care, 6(2), 169–170. https://doi.org/10.4103/jfmpc.jfmpc
Kusuma, N. I., & Kartini, F. (2021). Changes in Knowledge and Attitudes in Preventing Anemia in Female Adolescents: A Comparative Study. Women, Midwives and Midwifery, 1(2), 46–54. https://doi.org/10.36749/wmm.1.2.46-54.2021
Lin, H., Zhan, B., Shi, X., Feng, D., Tao, S., Wo, M., Fei, X., Wang, W., & Yu, Y. (2024). The mean reticulocyte volume is a valuable index in early diagnosis of cancer-related anemia. PeerJ, 12, 1–17. https://doi.org/10.7717/peerj.17063
magdalena tri putri apriyani, margareta rinjani. (n.d.). THE EFFECT OF BSE WITH AUDIOVISUAL METHODS ON BSE SKILL FOR TEENAGE GIRLS. 180–188.
Manandhar, N. (2018). Anemia in Hospitalized Patients: A Cross-Sectional Study on Different Erythrocyte Indices and their Relationships. Journal of Health Science Research, 3(1), 1–10. https://doi.org/10.18311/jhsr/2018/20969
Mank, I., De Neve, J. W., Mauti, J., Gyengani, G. A., Somé, P. A., Shinde, S., Fawzi, W., Bärnighausen, T., & Vandormael, A. (2022). Prevalence of Obesity and Anemia Among Early Adolescents in Junior Secondary Schools: A Cross-Sectional Study in Ouagadougou, Burkina Faso. Journal of School Health, 92(11), 1081–1095. https://doi.org/10.1111/josh.13233
Mirani, N., Syahida, A., Khairurrozi, M., & STIKes Bustanul Ulum Langsa, D. (2021). Open Access Prevalensi Anemia Defisiensi Besi pada Remaja Putri di Kota Langsa The Prevalence of Iron Deficiency Anemia in Young Women in Kota Langsa. The Indonesian Journal of Health Promotion, 4(2), 132–137.
Mohamed Abdallh Ali, R., Ahmed AbdEl-Aziz, N., & Mohamed Sayed, S. (2022). Life Style of Female Students Nurses with Iron Deficiency Anemia. Egyptian Journal of Health Care, 13(4), 982–996. https://doi.org/10.21608/ejhc.2022.266523
Mohebi, S., Parham, M., Sharifirad, G., & Gharlipour, Z. (2018). Social Support and Self ‑ Care Behavior Study. January, 1–6. https://doi.org/10.4103/jehp.jehp
Nair, A., & Doibale, M. K. (2023). Prevalence of Anemia among Adolescent Girls in Rural Area of a District of Maharashtra. Indian Journal of Community Health, 35(1), 21–26. https://doi.org/10.47203/IJCH.2023.v35i01.005
Prasetya, K. A. H., & Wihandani, D. M. (2019). Hubungan Antara Anemia Dengan Prestasi Belajar Pada Siswi Kelas Xi Di Sman I Abiansemal Badung. E-Jurnal Medika Udayana, 8(1), 46. https://doi.org/10.24922/eum.v8i1.45757
Report, O. (2019). J ournal of R ehabilitation M edicine. 151(5), 698–704. https://doi.org/10.32539/SJM.v7i1.
Samputri, F. R., & Herdiani, N. (2022). Pengetahuan dan Dukungan Keluarga dengan Kepatuhan Konsumsi Tablet Tambah Darah pada Remaja Putri. Media Kesehatan Masyarakat Indonesia, 21(1), 69–73. https://doi.org/10.14710/mkmi.21.1.69-73
Sari, N., & Safriana, R. E. (2023). Literatur Review: Hubungan Pengetahuan Dan Kepatuhan Mengkonsumsi Tablet Tambah Darah Dengan Kejadian Anemia Defisiensi Besi Pada Remaja Putri. IJMT : Indonesian Journal of Midwifery Today, 2(2), 29. https://doi.org/10.30587/ijmt.v2i2.5729
SKI. (2018). SURVEI KESEHATAN INDONESIA Dalam Angka. Kota Kediri Dalam Angka, 1–68.
Solehati, T., Sari, C. W. M., Lukman, M., & Kosasih, C. E. (2018). Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Deteksi Dini Dan Pencegahan Anemia Dalam Upaya Menurunkan Aki Pada Kader Posyandu. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 4(1), 7–12. https://doi.org/10.33755/jkk.v4i1.75
Tungka, K. E., Nursalam, N., & Fitryasari, R. (2022). Faktor Risiko yang Mempengaruhi Perilaku Seksual Pranikah Remaja. Journal of Telenursing (JOTING), 4(2), 781–794. https://doi.org/10.31539/joting.v4i2.4115
WHO. (2021). World Health Statistics.
Yana, I. G. A. A. K., Wibowo, Y. I., & Sari, G. A. P. L. P. (2023). Tingkat Pengetahuan Remaja Putri Terkait Anemia dan Tablet Tambah Darah di Wilayah Denpasar. Indonesian Journal of Pharmacy and Natural Product, 06(02), 209–217. https://jurnal.unw.ac.id/index.php/ijpnp/article/view/2633
Young, M. F., Raines, K., Jameel, F., Sidi, M., Oliveira-Streiff, S., Nwajei, P., McGlamry, K., Ou, J., Oladele, A., & Suchdev, P. S. (2021). Non-invasive hemoglobin measurement devices require refinement to match diagnostic performance with their high level of usability and acceptability. PLoS ONE, 16(7 July), 1–15. https://doi.org/10.1371/journal.pone.0254629
Zaini Miftach. (2022). Pofil Dinas Kesehatan Tahun 2022 (Issue 72).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jurnal Rumpun Ilmu Kesehatan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.






