Food Security is A Determinant of Anemia in Children Aged 6 – 23 Months at UPTD Puskesmas DTP Pedes
Article History
Submited : November 19, 2024
Published : November 30, 2024
In 2019, WHO data showed that the prevalence of anemia in children aged 6-59 months in Indonesia was 38.4%. The impact of anemia in children under two years old causes permanent cognitive damage and increases the risk of death. Objective: This study aims to determine the factors associated with anemia in children aged 6-23 months. Methods: This type of research is an analytic observational study with a cross-sectional design. The accidental sampling method was used to obtain 100 respondents who fit the inclusion and exclusion criteria. The study was conducted with a questionnaire instrument and Hb examination using the Easytouch GcHb tool. Data analysis included univariate, bivariate, and multivariate. Results: variables associated with anemia in under two are maternal education (p = 0.003), maternal age (p = 0.042), maternal knowledge (p = 0.004), maternal parenting (p = 0.003), and food security (p = 0.003). After multivariate test, it was found that food security was the dominant factor of anemia in children with OR 10.052. Conclusion: Food security is the dominant factor in children's anemia status with a 10.052 times higher potential for anemia. Food insecurity is related to changes in food quality that can affect the availability of nutrient-dense foods, including foods with high iron bioavailability. This can lead to anemia through inadequate micronutrient intake. The government should conduct early detection of anemia in children so as to prevent anemia as early as possible and provide non-cash food assistance to communities experiencing food insecurity
2. Gebrehaweria Gebremeskel M, Lemma Tirore L. Factors Associated with Anemia Among Children 6–23 Months of Age in Ethiopia: A Multilevel Analysis of Data from the 2016 Ethiopia Demographic and Health Survey. PHMT. September 2020; Volume 11:347–57.
3. Anjar N. Faktor-faktor yang berhubungan dengan kejadian anemia pada balita usia 6-59 bulan di Indonesia (analisis data RISKESDAS 2013). Indonesia: UIN Syarif Hidayatullah Jakarta;
4. Ringoringo HP, Natalia IY, Panghiyangani R, Hartoyo E, Lao R. Prevalence of Iron-Deficiency Anemia in Infants Living in Rural Areas and the Factors that Influence it in the Pandemic COVID-19 Era. Open Access Maced J Med Sci. 7 Juli 2022;10(B):2180–3.
5. Baranwal A, Baranwal A, Roy N. Association of Household Environment and Prevalence of Anemia Among Children Under-5 in India. Front Public Health [Internet]. 20 Oktober 2014 [dikutip 6 April 2023];2. Tersedia pada: http://journal.frontiersin.org/article/10.3389/fpubh.2014.00196/abstract
6. B.C O, Abass A, Bachwenkizi B, Asumugha GN, Alenkhe B, Ranaivoson R, dkk. Katsaras. International Journal of Agricultural Management and Development. 1 Oktober 2016;6:309–18.
7. WHO. Anaemia in women and children. 2019.
8. Lestari IP, Lipoeto NI. Hubungan Konsumsi Zat Besi dengan Kejadian Anemia pada Murid SMP Negeri 27 Padang.
9. Gebreweld A, Ali N, Ali R, Fisha T. Prevalence of anemia and its associated factors among children under five years of age attending at Guguftu health center, South Wollo, Northeast Ethiopia. PLoS One. 2019;14(7):e0218961.
10. Kejo D, Petrucka P, Martin H, Kimanya M, Mosha T. Prevalence and predictors of anemia among children under 5 years of age in Arusha District, Tanzania. PHMT. Februari 2018; Volume 9:9–15.
11. Notoatmodjo S. Pendidikan dan Perilaku Kesehatan. Kota Malang: Rineka Putra; 2003.
12. Rahmi R, Yenita RN. Pola Asuh Anak antara Ibu yang Menikah Usia Dini dengan Ibu yang Menikah Usia Dewasa di Wilayah Kerja Puskesmas Tapung Hilir 2 Kabupaten Kampar. 2018;3(1).
13. Zuffo CRK, Osório MM, Taconeli CA, Schmidt ST, Da Silva BHC, Almeida CCB. Prevalence and risk factors of anemia in children. Jornal de Pediatria. Juli 2016;92(4):353–60.
14. Tammy S, Schiff W. Human Nutrition: Science for Healthy Living. 2 ed. 2018. 832 hlm. (2).
15. Ntenda PAM, Nkoka O, Bass P, Senghore T. Maternal anemia is a potential risk factor for anemia in children aged 6–59 months in Southern Africa: a multilevel analysis. BMC Public Health. Desember 2018;18(1):650.
16. Chowdhury MRK, Khan MdMH, Khan HTA, Rahman MdS, Islam MR, Islam MM, dkk. Prevalence and risk factors of childhood anemia in Nepal: A multilevel analysis. Kabir R, editor. PLoS ONE. 6 Oktober 2020;15(10):e0239409.
17. Gunawan KN. Hubungan Kadar Hemoglobin Dengan Lama Rawatdiare Pada Anak Di Rsup Prof Dr.R.D Kandou. eCl. 14 Februari 2014;2(1).
18. Queirolo EI, Ettinger AS, Stoltzfus RJ, Kordas K. Asosiasi Anemia, Karakteristik Anak dan Keluarga Dengan Peningkatan. 2010;
19. Umboh FV, Gunawan S, Runtunuwu A. Faktor-faktor yang Berhubungan dengan Kejadian Anemia pada Anak yang di Rawat Inap di RSUD Manembo-Nembo Kota Bitung. eCl. 30 Juli 2018;6(2).
20. walyani, Elizabeth. Asuhan Kebidanan Persalinan dan Bayi Baru Lahir. 2015.
21. VanBuskirk KM, Ofosu A, Kennedy A, Denno DM. Pediatric Anemia in Rural Ghana: A Cross-Sectional Study of Prevalence and Risk Factors. Journal of Tropical Pediatrics. 1 Agustus 2014;60(4):308–17.
22. Ngesa O, Mwambi H. Prevalence and Risk Factors of Anaemia among Children Aged between 6 Months and 14 Years in Kenya. Stoute JA, editor. PLoS ONE. 25 November 2014;9(11):e113756.
23. Astaningrum RI, Nugraheni DM. Status Gizi Anak Balita Ibu Pekerja Dan Bukan Pekerja Di Desa Bakalan Sumberadi Mlati Sleman Yogyakarta.
24. Sunardi D, Bardosono S, Basrowi RW, Wasito E, Vandenplas Y. Dietary Determinants of Anemia in Children Aged 6–36 Months: A Cross-Sectional Study in Indonesia. Nutrients. 13 Juli 2021;13(7):2397.
25. Basith A, Agustina R, Diani N. Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Remaja Putri. 5:10.
26. Bayoumi I, Parkin PC, Birken CS, Maguire JL, Borkhoff CM, for the TARGet Kids! Collaboration. Association of Family Income and Risk of Food Insecurity With Iron Status in Young Children. JAMA Network Open. 30 Juli 2020;3(7):e208603.
27. Kusnadi FN. Hubungan Tingkat Pengetahuan Tentang Anemia Dengan Kejadian Anemia Pada Remaja Putri.
28. Souganidis ES, Sun K, de Pee S, Kraemer K, Rah JH, Moench-Pfanner R, dkk. Relationship of Maternal Knowledge of Anemia with Maternal and Child Anemia and Health-Related Behaviors Targeted at Anemia Among Families in Indonesia. Matern Child Health J. Desember 2012;16(9):1913–25.
29. Dewi M, Khomsan A, Ekawidyani KR, Pravansa AA. Pola Asuh Makan dan Konsumsi Pangan Balita Anemia di Kabupaten Cirebon. AMNT. 9 September 2022;6(3):227–34.
30. Safitri IR, Dasuki MS. Relationship Of Protein Intake, Parenting Of Nutrition, And Mother’s Knowledge About Nutrition With Anemia In Kindergarten School In Kartasura. 2020
31. Tamtomo D, dkk. Effect of Birthweight, Illness History, and Dietary Pattern, on the Incidence of Anemia in Children Under-Five at Tasikmadu Health Center, Karanganyar, Central Java. J MATERN CHILD HEALTH. 2017;02(03):200–12.
32. Adriani merrayana, Wirjatmadi B. Pengantar gizi masyarakat. Kencana; 2013.
33. Skalicky A, Meyers AF, Adams WG, Yang Z, Cook JT, Frank DA. Child Food Insecurity and Iron Deficiency Anemia in Low-Income Infants and Toddlers in the United States. Matern Child Health J. 1 Maret 2006;10(2):177–85.
34. Drewnowski A, Eichelsdoerfer P. Can Low-Income Americans Afford a Healthy Diet? Nutr Today. November 2010;44(6):246–9.
35. Eicher-Miller HA, Mason AC, Weaver CM, McCabe GP, Boushey CJ. Food insecurity is associated with iron deficiency anemia in US adolescents. The American Journal of Clinical Nutrition. 1 November 2009;90(5):1358–71.
36. Matheson DM, Varady J, Varady A, Killen JD. Household food security and nutritional status of Hispanic children in the fifth grade,,. The American Journal of Clinical Nutrition. Juli 2002;76(1):210–7.
37. Scientific Opinion on Dietary Reference Values for iron. EFSA Journal;(2015;13(10):4254).
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