Knowledge, Attitude, and Practice towards Anemia and Their Associations with Prevalence of Anemia and Height-For-Age Z-Score among Indonesian Adolescent Girls
Background/Aims: Information on roles of knowledge, attitude, and practices (KAP) towards anemia among adolescent girls' nutritional status are still rare. This study investigated KAPs to understand risk factors of anemia and linear growth failure in adolescent girls. Methods: A cross-sectional...
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| Veröffentlicht in: | Annals of nutrition and metabolism 2019-01, Vol.75, p.122 |
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| container_title | Annals of nutrition and metabolism |
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| creator | Agustinaa, Rina Setianingsih, Ainanur A Wirawan, Fadila Nadiya, Khairun Prafiantini, Erfi Asri, Eriana Karyadi, Elvina Raut, Manoj Kumar |
| description | Background/Aims: Information on roles of knowledge, attitude, and practices (KAP) towards anemia among adolescent girls' nutritional status are still rare. This study investigated KAPs to understand risk factors of anemia and linear growth failure in adolescent girls. Methods: A cross-sectional study was undertaken, recruiting 335 adolescent girls by cluster random sampling. The KAP questionnaire for anemia was adapted from FAO's 2014 nutritionrelated KAP guidelines. Dietary practices information was obtained from 2-days 24-hour recalls and semi-quantitative food frequency questionnaire. Nine questions on knowledge, three on attitudes, and six on practices were scored to yield overall KAP score. Capillary blood samples were measured for hemoglobin (Hb) concentration using the instrument HemoCue 201. Anthropometric measurements were used to obtain height-for-age zscore (HAZ). Associations between KAP, anemia, and HAZ were analyzed using multivariate-logistic regression. Results: Mean Hb was 119.7 g/L with 45% of the adolescent girls being anemic (Hb |
| doi_str_mv | 10.1159/000501751 |
| format | Article |
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This study investigated KAPs to understand risk factors of anemia and linear growth failure in adolescent girls. Methods: A cross-sectional study was undertaken, recruiting 335 adolescent girls by cluster random sampling. The KAP questionnaire for anemia was adapted from FAO's 2014 nutritionrelated KAP guidelines. Dietary practices information was obtained from 2-days 24-hour recalls and semi-quantitative food frequency questionnaire. Nine questions on knowledge, three on attitudes, and six on practices were scored to yield overall KAP score. Capillary blood samples were measured for hemoglobin (Hb) concentration using the instrument HemoCue 201. Anthropometric measurements were used to obtain height-for-age zscore (HAZ). Associations between KAP, anemia, and HAZ were analyzed using multivariate-logistic regression. Results: Mean Hb was 119.7 g/L with 45% of the adolescent girls being anemic (Hb<120 g/L) and 25% being stunted (HAZ<-2 SD). The median KAP score was 7 out of 18. Individual KAP variable and overall score towards anemia were not associated with the condition of being anemic. KAP score was associated with HAZ and 1 point KAP score increment was associated with a significant increase of 0.037 HAZ (adjusted B = 0.037, 95% CI = 0.008–0.066, p = 0.012). KAP towards anemia was significantly associated with HAZ increment in adolescent girls after adjusting for age and maternal education. Conclusions: Policy development should integrate health promotion strategies to improve adolescents' understanding about anemia and to improve their linear growth performance. Further study is needed to confirm the causality between KAP toward anemia and linear growth failure.</description><identifier>ISSN: 0250-6807</identifier><identifier>EISSN: 1421-9697</identifier><identifier>DOI: 10.1159/000501751</identifier><language>eng</language><publisher>Basel: S. Karger AG</publisher><subject>Adolescents ; Age ; Anemia ; Attitudes ; Childrens health ; Health behavior ; Health promotion ; Heat affected zone ; Hemoglobin ; Multivariate analysis ; Nutrition ; Nutritional status ; Pediatrics ; Questionnaires ; Random sampling ; Risk analysis ; Risk factors ; Statistical sampling ; Teenagers</subject><ispartof>Annals of nutrition and metabolism, 2019-01, Vol.75, p.122</ispartof><rights>Copyright S. Karger AG 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Agustinaa, Rina</creatorcontrib><creatorcontrib>Setianingsih, Ainanur A</creatorcontrib><creatorcontrib>Wirawan, Fadila</creatorcontrib><creatorcontrib>Nadiya, Khairun</creatorcontrib><creatorcontrib>Prafiantini, Erfi</creatorcontrib><creatorcontrib>Asri, Eriana</creatorcontrib><creatorcontrib>Karyadi, Elvina</creatorcontrib><creatorcontrib>Raut, Manoj Kumar</creatorcontrib><title>Knowledge, Attitude, and Practice towards Anemia and Their Associations with Prevalence of Anemia and Height-For-Age Z-Score among Indonesian Adolescent Girls</title><title>Annals of nutrition and metabolism</title><description>Background/Aims: Information on roles of knowledge, attitude, and practices (KAP) towards anemia among adolescent girls' nutritional status are still rare. This study investigated KAPs to understand risk factors of anemia and linear growth failure in adolescent girls. Methods: A cross-sectional study was undertaken, recruiting 335 adolescent girls by cluster random sampling. The KAP questionnaire for anemia was adapted from FAO's 2014 nutritionrelated KAP guidelines. Dietary practices information was obtained from 2-days 24-hour recalls and semi-quantitative food frequency questionnaire. Nine questions on knowledge, three on attitudes, and six on practices were scored to yield overall KAP score. Capillary blood samples were measured for hemoglobin (Hb) concentration using the instrument HemoCue 201. Anthropometric measurements were used to obtain height-for-age zscore (HAZ). Associations between KAP, anemia, and HAZ were analyzed using multivariate-logistic regression. Results: Mean Hb was 119.7 g/L with 45% of the adolescent girls being anemic (Hb<120 g/L) and 25% being stunted (HAZ<-2 SD). The median KAP score was 7 out of 18. Individual KAP variable and overall score towards anemia were not associated with the condition of being anemic. KAP score was associated with HAZ and 1 point KAP score increment was associated with a significant increase of 0.037 HAZ (adjusted B = 0.037, 95% CI = 0.008–0.066, p = 0.012). KAP towards anemia was significantly associated with HAZ increment in adolescent girls after adjusting for age and maternal education. Conclusions: Policy development should integrate health promotion strategies to improve adolescents' understanding about anemia and to improve their linear growth performance. Further study is needed to confirm the causality between KAP toward anemia and linear growth failure.</description><subject>Adolescents</subject><subject>Age</subject><subject>Anemia</subject><subject>Attitudes</subject><subject>Childrens health</subject><subject>Health behavior</subject><subject>Health promotion</subject><subject>Heat affected zone</subject><subject>Hemoglobin</subject><subject>Multivariate analysis</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Pediatrics</subject><subject>Questionnaires</subject><subject>Random sampling</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Statistical sampling</subject><subject>Teenagers</subject><issn>0250-6807</issn><issn>1421-9697</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqNi71OwzAURi0EEuFn4A0ssWK4DnV-xgjRFrEg0YmlsuLbxFXqC74OeRuelQgxMDJ9n3TOEeJKw63Wpr4DAAO6NPpIZHqRa1UXdXksMsgNqKKC8lScMe8BdF4tTCa-ngNNA7oOb2STkk-jm58NTr5E2ybfokw02ehYNgEP3v6wTY8-yoaZWm-Tp8By8qmfG_y0A4a5ot3fYI2-65NaUlRNh_JNvbYUUdoDhU4-BUcB2dsgG0cDcoshyZWPA1-Ik50dGC9_91xcLx83D2v1HuljRE7bPY0xzGibmwKqsjK1uf-f9Q2LIl89</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Agustinaa, Rina</creator><creator>Setianingsih, Ainanur A</creator><creator>Wirawan, Fadila</creator><creator>Nadiya, Khairun</creator><creator>Prafiantini, Erfi</creator><creator>Asri, Eriana</creator><creator>Karyadi, Elvina</creator><creator>Raut, Manoj Kumar</creator><general>S. Karger AG</general><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20190101</creationdate><title>Knowledge, Attitude, and Practice towards Anemia and Their Associations with Prevalence of Anemia and Height-For-Age Z-Score among Indonesian Adolescent Girls</title><author>Agustinaa, Rina ; Setianingsih, Ainanur A ; Wirawan, Fadila ; Nadiya, Khairun ; Prafiantini, Erfi ; Asri, Eriana ; Karyadi, Elvina ; Raut, Manoj Kumar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_25608785953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescents</topic><topic>Age</topic><topic>Anemia</topic><topic>Attitudes</topic><topic>Childrens health</topic><topic>Health behavior</topic><topic>Health promotion</topic><topic>Heat affected zone</topic><topic>Hemoglobin</topic><topic>Multivariate analysis</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Pediatrics</topic><topic>Questionnaires</topic><topic>Random sampling</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Statistical sampling</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agustinaa, Rina</creatorcontrib><creatorcontrib>Setianingsih, Ainanur A</creatorcontrib><creatorcontrib>Wirawan, Fadila</creatorcontrib><creatorcontrib>Nadiya, Khairun</creatorcontrib><creatorcontrib>Prafiantini, Erfi</creatorcontrib><creatorcontrib>Asri, Eriana</creatorcontrib><creatorcontrib>Karyadi, Elvina</creatorcontrib><creatorcontrib>Raut, Manoj Kumar</creatorcontrib><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Annals of nutrition and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agustinaa, Rina</au><au>Setianingsih, Ainanur A</au><au>Wirawan, Fadila</au><au>Nadiya, Khairun</au><au>Prafiantini, Erfi</au><au>Asri, Eriana</au><au>Karyadi, Elvina</au><au>Raut, Manoj Kumar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge, Attitude, and Practice towards Anemia and Their Associations with Prevalence of Anemia and Height-For-Age Z-Score among Indonesian Adolescent Girls</atitle><jtitle>Annals of nutrition and metabolism</jtitle><date>2019-01-01</date><risdate>2019</risdate><volume>75</volume><spage>122</spage><pages>122-</pages><issn>0250-6807</issn><eissn>1421-9697</eissn><abstract>Background/Aims: Information on roles of knowledge, attitude, and practices (KAP) towards anemia among adolescent girls' nutritional status are still rare. This study investigated KAPs to understand risk factors of anemia and linear growth failure in adolescent girls. Methods: A cross-sectional study was undertaken, recruiting 335 adolescent girls by cluster random sampling. The KAP questionnaire for anemia was adapted from FAO's 2014 nutritionrelated KAP guidelines. Dietary practices information was obtained from 2-days 24-hour recalls and semi-quantitative food frequency questionnaire. Nine questions on knowledge, three on attitudes, and six on practices were scored to yield overall KAP score. Capillary blood samples were measured for hemoglobin (Hb) concentration using the instrument HemoCue 201. Anthropometric measurements were used to obtain height-for-age zscore (HAZ). Associations between KAP, anemia, and HAZ were analyzed using multivariate-logistic regression. Results: Mean Hb was 119.7 g/L with 45% of the adolescent girls being anemic (Hb<120 g/L) and 25% being stunted (HAZ<-2 SD). The median KAP score was 7 out of 18. Individual KAP variable and overall score towards anemia were not associated with the condition of being anemic. KAP score was associated with HAZ and 1 point KAP score increment was associated with a significant increase of 0.037 HAZ (adjusted B = 0.037, 95% CI = 0.008–0.066, p = 0.012). KAP towards anemia was significantly associated with HAZ increment in adolescent girls after adjusting for age and maternal education. Conclusions: Policy development should integrate health promotion strategies to improve adolescents' understanding about anemia and to improve their linear growth performance. Further study is needed to confirm the causality between KAP toward anemia and linear growth failure.</abstract><cop>Basel</cop><pub>S. Karger AG</pub><doi>10.1159/000501751</doi></addata></record> |
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| ispartof | Annals of nutrition and metabolism, 2019-01, Vol.75, p.122 |
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| source | Jstor Complete Legacy; Karger Journals; Alma/SFX Local Collection |
| subjects | Adolescents Age Anemia Attitudes Childrens health Health behavior Health promotion Heat affected zone Hemoglobin Multivariate analysis Nutrition Nutritional status Pediatrics Questionnaires Random sampling Risk analysis Risk factors Statistical sampling Teenagers |
| title | Knowledge, Attitude, and Practice towards Anemia and Their Associations with Prevalence of Anemia and Height-For-Age Z-Score among Indonesian Adolescent Girls |
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