Study to assess the knowledge, attitude and practice regarding prevention of anemia among adolescent girls in a view to develop an information booklet
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254439Keywords:
IDA, IFA, Adolescent, AnemiaAbstract
Background: Anemia especially more common in the developing countries for having numerous socio-cultural problems, lack of knowledge, poor attitude and practice to prevent from the beginning. National Family Health Survey, 2019-21 reported that 59.1% of adolescent girls (15-19 years old) are anemic and this count is higher in rural areas (~58.5%) compared to urban areas (~53.8%). To check the early onset of anemia in women, it needs to be addressed properly during adolescent being regarded as the transitional stage of transformation.
Methods: This study was conducted with 170 adolescent girls among the age group of 14 to 19 comprising of five classes from IX to under graduate 1st year. The inferential statistics, χ2 at α=0.05 and p<0.05 was tested with demographic variables for knowledge assessment. Attitude was rated with Bloom’s cut off scale along with practice assessment. A spearman correlation was given for overall assessment of the knowledge, attitude and practice.
Results: The inferential statistics, χ2 at α=0.05 and p<0.05 shows the significant association of knowledge with the demographic variables like age, class and family size. Spearman correlation (ρ) justifies the moderate correlation between knowledge, attitude and practice score of the sample. Surface plot justifies the improvement of attitude and practice due to knowledge at par class and age.
Conclusions: Mean knowledge score at poor level might be a factor for developing average attitude which in turn directly influenced the practice not to a good level for adolescent girls needs to be addressed further through developing the self-structured teaching programme and information booklet.
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References
Aden C, Pandin MGR, Nursalam N. Anemia in pregnant women as a cultural phenomenon: a literature review. medRxiv. 2023:2023-12. DOI: https://doi.org/10.1101/2023.12.22.23300423
Azmi U, Puspitasari Y. Literature review: risk factors of anemia in pregnancy women. J Qual Public Health. 2022;6(1):244-56.
Boll K. Prevalence of anemia and its associated factors among pregnant women in Georgia. UiT Norges Arktiske Universitet. 2021.
Sifakis S, Pharmakides G. Anemia in pregnancy. Ann New York Acad Sci. 2000;900(1):125-36. DOI: https://doi.org/10.1111/j.1749-6632.2000.tb06223.x
Jagati P. Prevalence of nutritional anemia in pregnant women in selected slum areas under the Cuttack municipal corporation- a field study. Int J Home Sci. 2017;3(2):147-50.
Sahoo S, Panda B. A study of nutritional status of pregnant women of some villages in Balasore District, Orissa. J Hum Ecol. 2006;20(3):227-32. DOI: https://doi.org/10.1080/09709274.2006.11905932
Priyanka Chaudhary P, Deepti, Chitra P. A study to assess the effectiveness of structured teaching programme on knowledge regarding prevention and prevalenceof anemia among adolescent girls in selected areas. Int J Trend Sci Res Develop. 2021;6(1):1537-66.
M’Cormack FAD, Drolet JC. Continuing Education Contact Hour Opportunity. Health Educ. 2012;44(2).
Chauhan S, Kumar P, Marbaniang SP, Srivastava S, Patel R. Prevalence and predictors of anaemia among adolescents in Bihar and Uttar Pradesh, India. Sci Rep. 2022;12(1):8197. DOI: https://doi.org/10.1038/s41598-022-12258-6
Weldekidan F, Kote M, Girma M, Boti N, Gultie T. Determinants of anemia among pregnant women attending antenatal clinic in public health facilities at Durame Town: unmatched case control study. Anemia. 2018;2018:1-8. DOI: https://doi.org/10.1155/2018/8938307
Ahmed A, Mohammed A. Anemia and its associated factor among adolescent school girls in Godey and Degehabur council Somali region, eastern Ethiopia. BMC Nutr. 2022;8(1):55. DOI: https://doi.org/10.1186/s40795-022-00548-1
Agustina R, Wirawan F, Sadariskar AA, Setianingsing AA, Nadiya K, Prafiantini E, et al. Associations of knowledge, attitude, and practices toward anemia with anemia prevalence and height-for-age z-score among Indonesian adolescent girls. Food Nutr Bull. 2021;42(1_suppl):S92-108. DOI: https://doi.org/10.1177/03795721211011136
Tran TD, Biggs BA, Holton S, Nguyen HTM, Hanieh S, Fisher J. Co-morbid anaemia and stunting among children of pre-school age in low- and middle-income countries: a syndemic. Public Health Nutr. 2019;22(1):35-43. DOI: https://doi.org/10.1017/S136898001800232X
Wati E, Sistiarani C, Rahardjo S. Diet behavior and consumption of iron inhibitors: Incidence anemia in adolescent girls. J Public Health Afr. 2023;14(12):6. DOI: https://doi.org/10.4081/jphia.2023.2593
Verma K, Baniya GC. Prevalence, knowledge, and related factor of anemia among school-going adolescent girls in a remote area of western Rajasthan. J Fam Med Prim Care. 2022;11(4):1474-81. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1372_21
Pal P, Maurya NK. National Nutrition Mission (Poshan Abhiyaan): an overview. Int J Agric Invent. 2023;8(2):234-8. DOI: https://doi.org/10.46492/IJAI/2023.8.2.14
Jeevan J, Karun KM, Puranik A, Deepa C, Mk L, Barvaliya M. Prevalence of anemia in India: a systematic review, meta-analysis and geospatial analysis. BMC Public Health. 2025;25(1):1270. DOI: https://doi.org/10.1186/s12889-025-22439-3
Sedlander E, Talegawkar S, Ganjoo R, Ladwa C, DiPietro L, Aluc A, et al. How gender norms affect anemia in select villages in rural Odisha, India: a qualitative study. Nutrition. 2021;86:111159. DOI: https://doi.org/10.1016/j.nut.2021.111159
Pradhan S, Karna T, Singha D, Bhatta P, Rath K, Behera A. Prevalence and risk factor of anemia among pregnant women admitted in antenatal ward in PBMH Bhubaneswar, Odisha. J Fam Med Prim Care. 2023;12(11):2875-9. DOI: https://doi.org/10.4103/jfmpc.jfmpc_558_23
Sur SS, Puthal S. Accredited social health activist: Combatant for reducing IMR and MMR in 21st century under the programme Janani Suraksha Yojana-a study under Jharadihi CHC of bahalda block, Odisha. Asian J Nurs Educ Res. 2022;12(1):47-51. DOI: https://doi.org/10.52711/2349-2996.2022.00009
Lally P, Van Jaarsveld CHM, Potts HWW, Wardle J. How are habits formed: Modelling habit formation in the real world. Euro J Social Psych. 2010;40(6):998-1009. DOI: https://doi.org/10.1002/ejsp.674
Angadi N, Ranjitha A. Knowledge, attitude, and practice about anemia among adolescent girls in urban slums of Davangere City, Karnataka. Int J Med Sci Public Health. 2016;5(3):416. DOI: https://doi.org/10.5455/ijmsph.2016.2007201570
Alzahrani MM, Alghamdi AA, Alghamdi SA, Alotaibi RK. Knowledge and attitude of dentists towards obstructive sleep apnea. Int Dent J. 2022;72(3):315-21. DOI: https://doi.org/10.1016/j.identj.2021.05.004
Azzeri A, Amalin M, Ezieyan K, Nurin Z, Aina N, Anis R, et al. Determining factors associated with the knowledge, attitude and practice of COVID-19 pandemic among medical students in Malaysia. Malay J Public Health Med. 2021;21(2):321-8. DOI: https://doi.org/10.37268/mjphm/vol.21/no.2/art.1029
Okello G, Izudi J, Teguzirigwa S, Kakinda A, Van Hal G. Findings of a cross‐sectional survey on knowledge, attitudes, and practices about COVID‐19 in Uganda: Implications for Public Health Prevention and Control Measures. BioMed Res Int. 2020;2020(1):5917378. DOI: https://doi.org/10.1155/2020/5917378
Desjardins MR, Casas I, Victoria AM, Carbonell D, Dávalos DM, Delmelle EM. Knowledge, attitudes, and practices regarding dengue, chikungunya, and Zika in Cali, Colombia. Health Place. 2020;63:102339. DOI: https://doi.org/10.1016/j.healthplace.2020.102339
Selvarajoo S, Liew JW, Tan W, Lim XY, Refai WF, Zaki RA, et al. Knowledge, attitude and practice on dengue prevention and dengue seroprevalence in a dengue hotspot in Malaysia: a cross-sectional study. Sci Rep. 2020;10(1):9534. DOI: https://doi.org/10.1038/s41598-020-66212-5
Oliveira D, Ferreira FS, Atouguia J, Fortes F, Guerra A, Centeno-Lima S. Infection by intestinal parasites, stunting and anemia in school-aged children from southern Angola. PLoS One. 2015;10(9):e0137327. DOI: https://doi.org/10.1371/journal.pone.0137327
Richert W, Kołodziej D, Zarudzka D, Kasprowicz D, Świetlik D, Korzeniewski K. Intestinal parasites and hematological parameters in children living in Ambatoboeny District, Madagascar. Pathogens. 2024;13(11):930. DOI: https://doi.org/10.3390/pathogens13110930
Fauziah N, Aviani JK, Agrianfanny YN, Fatimah SN. Intestinal parasitic infection and nutritional status in children under five years old: a systematic review. Trop Med. 2022;7(11):371. DOI: https://doi.org/10.3390/tropicalmed7110371
Ahmed M. Intestinal parasitic infections in 2023. Gastroenterol Res. 2023;16(3):127-40. DOI: https://doi.org/10.14740/gr1622
Alkholy UM, El Gebaly SM, Morsi WEMA, Elawamy WE, Etewa SE, Yousef AM. The Impact of Parasitic Infestation on Nutritional Status and Micronutrients among Children. J Parasitol Res. 2024;2024:1-11. DOI: https://doi.org/10.1155/2024/6996968
Rai RK. Iron-and-folic-acid supplementation among adolescents (aged 10-19 years) in two north Indian States, 2015-2016: a sex-stratified analysis. Public Health Nutr. 2022;25(3):617-22. DOI: https://doi.org/10.1017/S136898002000508X
Roche ML, Samson KL, Green TJ, Karakochuk CD, Martinez H. Perspective: weekly iron and folic acid supplementation (WIFAS): a critical review and rationale for inclusion in the essential medicines list to accelerate anemia and neural tube defects reduction. Adv Nutr. 2021;12(2):334-42. DOI: https://doi.org/10.1093/advances/nmaa169
Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL. Harrison’s Manual of Medicine. 16th ed. McGraw-Hill Medical Publishing Division; 2005.
Dutta D. DC Dutta’s Textbook of Obstetrics. 8th ed. Jaypee Brothers Medical Publisher’s Ltd.; 2015. DOI: https://doi.org/10.5005/jp/books/12540
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