Assessment of knowledge, attitude and practices regarding iron deficiency anemia among adolescent girls in urban Prayagraj, Uttar Pradesh: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262700Keywords:
Adolescent girls, Anemia, Hemoglobin, KAP studyAbstract
Background: Iron deficiency anemia remains a major public health problem among adolescent girls, particularly in developing countries. Adequate knowledge, positive attitudes, and healthy dietary practices are necessary for the prevention and control of anemia among adolescent girls. Objective was to assess the 0es (KAP) regarding iron deficiency anemia among adolescent girls and to determine the association between KAP scores and selected demographic variables.
Methods: A cross-sectional study was conducted among 200 adolescent girls aged 10-19 years using a structured pre-tested questionnaire. Data was collected to assess knowledge, attitude, and practices related to iron deficiency anemia. Descriptive statistics were used to summarize the data, and the chi-square test was then applied to determine the association between variables. A p<0.05 was considered statistically significant association.
Results: The findings revealed that the majority of respondents had good knowledge regarding anemia, while attitude and practices varied among participants. Demographic variables such as age, education level, and family type showed varying levels of association with KAP scores. A significant association was found between knowledge and attitude (χ2=23.15, p<0.001) and between attitude and practice (χ2=16.56, p=0.002). However, no significant association was found between knowledge and practice (χ2=0.55, p=0.968).
Conclusions: Although awareness regarding anemia was quite high among adolescent girls, several gaps were observed in practice measures. Health education programs focused on nutrition, iron-rich diets, and regular health screening are recommended to improve preventive practices and reduce the burden of anemia among adolescent girls.
References
Jha NI, Mahida SJ, Parmar MM, Limbani TR. Prevalence and socioeconomic determinants of iron deficiency anemia among adolescent girls in rural India. Eur J Cardiovasc Med. 2025;15:231-4.
Kondaveeti D, Badvel JK, Rayana S, Thommandru S, Chandra R, Yerrakula G, et al. Exploring the gaps and gains: a comprehensive study on knowledge, attitude, practices, and prescribing trends related to anaemia among in-patients. ScienceRise: Pharmaceutical Science. 2025;3(55):74-81.
World Health Organization. Anaemia. Geneva: WHO. Available from: https://www.who.int/news-room/fact-sheets/detail/anaemia. Accessed on 19 June 2026.
Yadav P, Kumar A, Kansal S. Determinants of anaemia among adolescent girls in rural Varanasi, Uttar Pradesh. Int J Res Med Sci. 2023;11(8):2824-31.
National Family Health Survey (NFHS). Available from: https://www.nfhsiips.in/nfhsuser/index.php. Accessed on 19 June 2026.
Yadav AS, Singh G, Verma A. A study to assess the knowledge regarding anaemia and its preventions among adolescents girls (12-18 years) in Junior High School, Kochhabhawar, Jhansi Uttar Pradesh. Int J Obstet Gynaecol Nurs. 2023;5(1):105-10.
Gore MN, Drozd ME, Patil RS. Anemia prevalence and socioeconomic status among adolescent girls in rural Western India: a cross-sectional study. Ethiop J Health Sci. 2024;34(1):57.
Nahid S, Firoz S. Prevalence of anemia and its determinants in school-going adolescents: a cross-sectional study. J Contemp Clin Pract. 2025;11:844-52.
Wardani R, Nurmansyah M, Yustiyani Y, Iriani D, Ariyanti F, Zilhadia Z, et al. Knowledge, attitude, and practice regarding iron deficiency anemia prevention among female adolescents in bogor city, indonesia. Public Health Indonesia. 2026;12(1).
Mazumdar S, Adnan MM, Shuvo SD, Kamal MM, Tarannum R, Siddika S, et al. Factors associated with knowledge, attitudes, and practices regarding functional foods among the adult population: a cross‐sectional survey in Bangladesh. Health Sci Rep. 2026;9(1):e71760.
Liao Y, Yang J. Status of nutrition labelling knowledge, attitude, and practice (KAP) of residents in the community and structural equation modelling analysis. Front Nutr. 2023;10:1097562.
Yadav A, Prajapati A, Agrawal P. Burden of anemia in school-going adolescent girls in urban population of Uttar Pradesh. J South Asian Feder Obstet Gynaecol. 2025;16(S3):S210-3.
Shankar R, Tyagi S, Sharma J. Updated socio-economic status scales: a review of the modified Kuppuswamy and modified BG Prasad indices for April 2025. Nat J Community Med. 2025;16(09):942-5
Chandra V, Kumar S, Agrawal S, Kumar S, Chaudhary SK. Knowledge, attitude and practice about anaemia among adolescent girls study from rural field practice area of IGIMS. J Cardiovasc Dis Res. 2022;13(2).
Jani KG, Chaudhry B, Patel KK, Bhadiyadra K. Knowledge, attitude and practice of anemia: a cross-sectional study. Towards Excellence. 2022;14(1).
Garg M, Rathore SS, Garg V, Bagla R. A cross-sectional study about knowledge, attitude and practice regarding anemia among school going adolescent girls in Naila, Jaipur, Rajasthan. Int J Adolesc Med Health. 2025;17(0).
Ahmad S, Shukla S. Effects of nutritional education on teenage girls’ knowledge, attitudes, and practices around anaemia in the Moradabad district. Front Health Inform. 2024;13(8).
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):416-9.
Mitkari K, Wadgave HV, Haralkar SJ. Anemia in school-going adolescent girls of age between 11 and 16 years in rural area- a cross-sectional study. Int J Med Sci Public Health. 2020;9(9):508-13.
Sur SS, M J. Study to assess the knowledge, attitude and practice regarding prevention of anemia among adolescent girls in a view to develop an information booklet. Int J Community Med Public Health. 2025;13(1):288-95.