Abstract :
Background: Anemia in pregnancy can cause disruption of pregnancy continuity, disruption of the birth process, disorders during the puerperium, and disturbances to the fetus. World data shows the prevalence of anemia in pregnant women is 41.8% with a maternal mortality rate due to anemia of 303,000 people or around 216/100,000 live births. This study aims to analyze the determinants of anemia in pregnant women in North Buton Regency.
Method: This study used a cross-sectional design. The population in this study were all pregnant women aged <21 years who came to check their pregnancies at all Health Centers in North Buton Regency in January 2023 as many as 97 people with a total sample of 77 people who were taken using the proportional sampling technique.
Results: The research data was analyzed using using the chi-square test. The results showed body mass index (p-value = 0.002), food consumption level (p-value = 0.023), food security (p-value = 0.002), adherence to consumption of Fe tablets (p-value = 0.002), knowledge (p-value = 0.827), income (p-value = 0.015).
Conclusion: It can be concluded that body mass index, level of food consumption, food security, consumption of Fe tablets, and income are related to the incidence of anemia in pregnant women, while knowledge is not related to the incidence of anemia in pregnant women.
Keywords :
Anemia, body mass index, Food Security, Income, Pregnant womenReferences :
- Maternal Mortality Fact. Geneva: World Health Organization,; 2020.
- Kemenkes RI. Profile Kesehatan Indonesia. Jakarta: Kementerian Kesehatan RI; 2020.
- Marjuang Purba E, Nurazizah. Prevalensi Anemia Pada Ibu Hamil dengan Menggunakan Metode Sahli dan Metode Cyanmethemoglobin. Excellent Midwifery Journal. 2019;2(2):21–9.
- Kementerian Kesehatan Indonesia. Hasil Utama Basic Health Research 2018 [Internet]. Kementrian Kesehatan Republik Indonesia. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018. 1–100 p. Available from: http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Basic Health Research 2018.pdf
- Kemenko PMK. Pemerintah Fokus Cegah Perilaku Seksual Berisiko di Kalangan Pemuda. Jakarta; 2022.
- BKKBN Provinsi Sulawesi Tenggara. Laporan Tahunan. Kendari: BKKBN Provinsi Sulawesi Tenggara; 2021.
- Mueliana IF, Aisyah S, Riski M. Faktor-Faktor yang Berhubungan dengan Perilaku Seksual Pranikah Pada Remaja di SMA X Kecamatan Lempuing OKI Tahun 2021. Jurnal Ilmiah Universitas Batanghari Jambi. 2022;22(1):188.
- Yusran S, Sabilu Y, Ode L, Sety M. Premarital Sexual Behavior Among Urban-rural School Teenagers in Southeast Sulawesi , Indonesia : Comparative Study. Unnes Journal of Pub. 2022;11(1):65–74.
- Rismawati S, Rohmatin E. Analisis Penyebab Terjadinya Anemia Pada Ibu Hamil. Media Informasi. 2018;14(1):23–31.
- Dania N. Kehamilan di Usia Remaja dengan Anemia. Indonesia Journal of Midwifery Sciences. 2022 Apr 14;1:53–60.
- Sari SA, Fitri NL, Dewi NR. Hubungan Usia Dengan Kejadian Anemia Pada Ibu Hamil Di Kota Metro. JURNAL WACANA KESEHATAN. 2021 Jul 25;6(1):23.
- Afriyanti D, Prodi S, Program K, Terapan S, Kesehatan F, Fort U, et al. Faktor Risiko Yang Berhubungan Dengan Kejadian Anemia Pada Ibu Hamil Di Kota Bukittinggi. Jurnal Penelitian dan Kajian Ilmiah. 2020;14(1):34–42.
- Mahmudiono T, Nurdini ED, Nasikhah AD, Haliman CD. Association between Household Food Security and Anemia among Pregnant Women in Rural Area in Indonesia. Open Access Maced J Med Sci. 2022 Jan 1;10:82–7.
- Ghose B, Tang S, Yaya S, Feng Z. Association between food insecurity and anemia among women of reproductive age. PeerJ. 2016;2016(5).
- Demétrio F, Teles-Santos CA de S, dos Santos DB. Insegurança alimentar, cuidado pré-natal e outros determinantes da anemia em mulheres grávidas da coorte Nisami, Brasil: Modelo conceitual hierárquico. Revista Brasileira de Ginecologia e Obstetricia. 2017 Aug 1;39(8):384–96.
- Sudaryati E, Zuska F, Masthalina H. Strengthening Food Security Reduces The Anemic Status of Pregnant Women and Encourages Breastfeeding Immediately after Delivery in the Coastal Area of Central Tapanuli. Current Research in Nutrition and Food Science Journal [Internet]. 2023 Apr 25;11(1):445–55. Available from: https://www.foodandnutritionjournal.org/volume11number1/strengthening-food-security-reduces-the-anemic-status-of-pregnant-women-in-the-coastal-area-of-central-tapanuli/
- Moradi S, Arghavani H, Issah A, Mohammadi H, Mirzaei K. Food insecurity and anaemia risk: A systematic review and meta-analysis. Public Health Nutr. 2018 Nov 1;21(16):3067–79.
- Lestari M, Galuh P, Gizi NP, Masyarakat K, Ilmu J, Keolahragaan I, et al. Faktor Kejadian Anemia Pada Ibu Hamil. HIGEIA [Internet]. 2017;1(3):43–54. Available from: http://journal.unnes.ac.id/sju/index.php/higeia
- N, N. F. Knowledge, attitude and practices of pregnant women regarding anemia, iron rich diet and iron supplements and its impact on their hemoglobin levels. Int J Reprod Contracept Obstet Gynecol. 2016;425–31.
- Susilowati L, Sagita YY, Veronica SY. Hubungan pengetahuan dan sikap ibu hamil dengan Kejadian anemia di Wilayah Kerja Puskesmas Ngarip Kabupaten Tanggamus Tahun 2021. Jurnal Maternitas Aisyah (JAMAN AISYAH). 2021;2(2):154–65.
- Balcha WF, Eteffa T, Arega Tesfu A, Abeje Alemayehu B. Maternal Knowledge of Anemia and Adherence to its Prevention Strategies: A Health Facility-Based Cross-Sectional Study Design. Inquiry. 2023 Jan 1;60.
- Notoatmodjo S. Ilmu Kesehatan Masyarakat. Jakarta: Rineka Cipta; 2014.