Factors Associated with Anemia in Adolescents and Its Prevention Strategies: Systematic Review

Authors

  • Margareta Melani Master of Midwifery, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia
  • Dedeh Supriyatin Master of Midwifery, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia
  • Qorinah Estiningtyas Sakilah Adnani Master of Midwifery, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia
  • Hadi Susiarno Master of Midwifery, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol22.Iss3.1523

Keywords:

Anemia, Adolescence, Prevention, Risk Factors

Abstract

Anemia is a global health issue affecting various age groups, including teenagers. This systematic review aims to identify the causes and treatments of anemia in adolescents. Using the Systematic Literature Review method, data were sourced from four databases: PubMed, Science Direct, Google Scholar, and SCOPUS. The literature search employed the keywords "Risk factor" AND "Anemia" AND "Adolescence," conducted comprehensively via the Publish or Perish (POP) search engine. Articles were selected based on inclusion criteria, covering publications from the last three years (2021-2023). Eligibility was assessed using the PICOS framework, and duplications were filtered using the Covidence application. Articles unrelated to the research problem were excluded after screening titles and abstracts. The VOSviewer application was utilized for thematic mapping. The study selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Based on 18 selected articles, data was obtained on factors influencing anemia among adolescents such as inadequacy of nutrient intake (N=5 studies) such as protein, iron, and Vitamin A Nutritional status (N=3 studies), dietary patterns (N=2 studies), menstruation (N=2 studies), and hemoglobinopathies (N=1 study) are translated into English. Indirect risk factors associated with anemia among adolescents are found to be: Adolescent females (N=10 studies), Knowledge (N=6 studies), low socioeconomic status (N=3 studies), Education (N=2 studies), Demographics (2 studies), Shared toilet usage (1 study). The study concludes that young women are more susceptible to anemia than young men, with nutritional intake, knowledge, nutritional status, and diet being the primary risk factors. Addressing direct and indirect causes is crucial for effectively managing adolescent anemia.          

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References

Aidah, H., Bachri, S., & Palupi, J. (2023). Changes in Attitudes Toward Anemia Prevention Through Counseling Based on Health Belief Model Theory in Early Adolescent Children at Junior high school Nurul Islam Jember. D'Nursing and Health Journal (DNHJ), 4(2), 89-98. https://doi.org/10.61595/dnursing.v4i2.710

Aisah, S., Ismail, S., & Margawati, A. (2022). Animated educational video using health belief model on the knowledge of anemia prevention among female adolescents: An intervention study. Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 17(3), 97–104. https://doi.org/10.51866/oa.136

Byrne, D. (2022). A worked example of Braun and Clarke’s approach to reflexive thematic analysis. Quality & quantity, 56(3), 1391-1412. https://doi.org/10.1007/s11135-021-01182-y

Cliffer, I. R., Millogo, O., Barry, Y., Kouanda, I., Compaore, G., Wang, D., ... & Fawzi, W. (2023). School-based supplementation with iron-folic acid or multiple micronutrient tablets to address anemia among adolescents in Burkina Faso: a cluster-randomized trial. The American Journal of Clinical Nutrition, 118(5), 977-988. https://doi.org/10.1016/j.ajcnut.2023.09.004

Eiduson, R., Heeney, M. M., Kao, P. C., London, W. B., Fleming, M. D., & Shrier, L. A. (2022). Prevalence and Predictors of Iron Deficiency in Adolescent and Young Adult Outpatients: Implications for Screening. Clinical pediatrics, 61(1), 66-75. https://doi.org/10.1177/00099228211059647

Fitria, A., Aisyah, S., & Tarigan, J. S. (2021). Upaya Pencegahan Anemia Pada Remaja Putri Melalui Konsumsi Tablet Tambah Darah. RAMBIDEUN: Jurnal Pengabdian Kepada Masyarakat, 4(2), 91-99. https://doi.org/10.51179/pkm.v4i2.545

Gore, M. N., Drozd, M. E., & Patil, R. S. (2024). Anemia Prevalence and Socioeconomic Status among Adolescent Girls in Rural Western India: A Cross-Sectional Study. Ethiopian Journal of Health Sciences, 34(1), 57-64. https://doi.org/10.4314/ejhs.v34i1.7

Hidayanti, L., Rahfilludin, M. Z., Nugraheni, S. A., & Murwani, R. (2022). the Health Belief Model Combined With Education on Healthy Food Preparation To Improve Dietary Iron Intake Among Adolescent Girls. Malaysian Journal of Public Health Medicine, 22(2), 128-134. https://doi.org/10.37268/mjphm/vol.22/no.2/art.1686

Khani Jeihooni, A., Hoshyar, S., Afzali Harsini, P., & Rakhshani, T. (2021). The effect of nutrition education based on PRECEDE model on iron deficiency anemia among female students. BMC women's health, 21, 256. https://doi.org/10.1186/s12905-021-01394-2

Krishnan, V., Zaki, R. A., Nahar, A. M., Jalaludin, M. Y., & Majid, H. A. (2021). The longitudinal relationship between nutritional status and anaemia among Malaysian adolescents. The Lancet Regional Health–Western Pacific, 15, 100228. https://doi.org/ 10.1016/j.lanwpc.2021.100228

Kumar, P., & Lahiri, B. (2023). Conditional selection of multifactor evidence for the levels of anaemia among women of reproductive age group. Evaluation and Program Planning, 100, 102344. https://doi.org/10.1016/j.evalprogplan.2023.102344

Mathad, V., Badiger, S., & Manjunath, N. (2023). Assessment of anemia and malnutrition among adolescent in Kalyan Karnataka region of Karnataka. Clinical Epidemiology and Global Health, 21, 101307. https://doi.org/10.1016/j.cegh.2023.101307

Munira, L., & Viwattanakulvanid, P. (2024). Knowledge, attitude, and practice towards anemia prevention among female students in Indonesia: a mixed method study. Int J Eval & Res Educ, 13(1), 361-368. http://doi.org/10.11591/ijere.v13i1.25750

Narsih, U., & Hikmawati, N. (2020). Pengaruh persepsi kerentanan dan persepsi manfaat terhadap perilaku remaja putri dalam pencegahan anemia. Indonesian Journal for Health Sciences, 4(1), 25-30. https://doi.org/10.24269/ijhs.v4i1.2328

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International journal of surgery (London, England), 88, 105906. https://doi.org/10.1016/j.ijsu.2021.105906

Romandani, Q. F., & Rahmawati, T. (2020). Hubungan pengetahuan anemia dengan kebiasaan makan pada remaja putri di SMPN 237 Jakarta. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 4(3), 193-202. http://dx.doi.org/10.32419/jppni.v4i3.192

Sari, P., Judistiani, R. T. D., Herawati, D. M. D., Dhamayanti, M., & Hilmanto, D. (2022). Iron Deficiency Anemia and Associated Factors Among Adolescent Girls and Women in a Rural Area of Jatinangor, Indonesia. International Journal of Women’s Health, 14, 1137–1147. https://doi.org/10.2147/IJWH.S376023

Sasmita, A. P., Mubashir, A., & Vijaya, N. (2022). Impact of nutritional education on knowledge, attitude and practice regarding anemia among school children in Belgaum, India. Global Health Journal, 6(2), 91-94. https://doi.org/10.1016/j.glohj.2022.04.001

Scott, S., Lahiri, A., Sethi, V., de Wagt, A., Menon, P., Yadav, K., ... & Nguyen, P. H. (2022). Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels. Maternal & child nutrition, 18(4), e13391. https://doi.org/10.1111/mcn.13391

Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., ... & Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ, 349. https://doi.org/10.1136/bmj.g7647

Sigit, F. S., Ilmi, F. B., Desfiandi, P., Saputri, D., Fajarini, N. D., Susianti, A., ... & Faras, A. (2024). Factors influencing the prevalence of anaemia in female adolescents: A population-based study of rural setting in Karanganyar, Indonesia. Clinical Epidemiology and Global Health, 25, 101500. https://doi.org/10.1016/j.cegh.2023.101500

Utami, A., Margawati, A., Pramono, D., & Wulandari, D. R. (2022). Prevalence of Anemia and Correlation with Knowledge, Nutritional Status, Dietary Habits among Adolescent Girls at Islamic Boarding School. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 10(2), 114-121. Retrieved from: https://pdfs.semanticscholar.org/3d8e/f432c6007f51b43efeb9ffa673e6a7f506a6.pdf

Wiafe, M. A., Apprey, C., & Annan, R. A. (2021). Knowledge and practices of dietary iron and anemia among early adolescents in a rural district in Ghana. Food Science & Nutrition, 9(6), 2915-2924. https://doi.org/10.1002/fsn3.2249

Yang, Z., Li, Y., Hu, P., Ma, J., & Song, Y. (2020). Prevalence of anemia and its associated factors among Chinese 9-, 12-, and 14-year-old children: results from 2014 Chinese national survey on students constitution and health. International journal of environmental research and public health, 17(5), 1474. https://doi.org/10.3390/ijerph17051474

Yusufu, I., Cliffer, I. R., Yussuf, M. H., Anthony, C., Mapendo, F., Abdulla, S., ... & Fawzi, W. (2023). Factors associated with anemia among school-going adolescents aged 10–17 years in Zanzibar, Tanzania: a cross sectional study. BMC Public Health, 23(1), 1814. https://doi.org/10.1186/s12889-023-16611-w

Zhu, Z., Sudfeld, C. R., Cheng, Y., Qi, Q., Li, S., Elhoumed, M., ... & Fawzi, W. W. (2021). Anemia and associated factors among adolescent girls and boys at 10–14 years in rural western China. BMC Public Health, 21, 1-14. https://doi.org/10.1186/s12889-021-10268-z

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Published

2024-09-30

How to Cite

Melani, M., Supriyatin, D., Adnani, Q. E. S., & Susiarno, H. (2024). Factors Associated with Anemia in Adolescents and Its Prevention Strategies: Systematic Review. JURNAL INFO KESEHATAN, 22(3), 646–662. https://doi.org/10.31965/infokes.Vol22.Iss3.1523

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