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description Journal article public Kesmas: National Public Health Journal

Kejadian Anemia pada Siswa Sekolah Dasar

Saifuddin Sirajuddin, Masni Masni
Published February 2015

Abstract

Anemia gizi besi masih merupakan masalah kesehatan masyarakat dengan prevalensi pada anak 5 - 12 tahun sebesar 29% di Indonesia dan di Kota Makassar sebesar 37,6%. Penelitian ini bertujuan untuk mengetahui faktor determinan (status kecacingan, status seng, kebiasaan sarapan pagi, pola konsumsi makanan sumber heme dan nonheme, pola konsumsi sumber makanan pelancar dan penghambat zat besi) terhadap kejadian anemia. Desain penelitian yang digunakan adalah potong lintang yang dilaksanakan pada bulan April – Juni 2014. Penelitian ini menggunakan desain potong lintang yang dilaksanakan pada siswa kelas 3 - 5 SD Negeri Cambaya Kecamatan Ujung Tanah Kota Makassar. Sampel sebanyak 120 siswa yang dipilih secara acak sederhana. Analisis data dilakukan secara univariat, bivariat dengan uji kai kuadrat dan multivariat dengan regresi logistik. Hasil penelitian menunjukkan faktor determinan kejadian anemia adalah status kecacingan (nilai p = 0,007), kebiasaan sarapan pagi (nilai p = 0,002), pola konsumsi makanan sumber heme (nilai p = 0,004), dan pola konsumsi sumber makanan penghambat zat besi (nilai p = 0,016). Hasil analisis multivariat menunjukkan bahwa pola konsumsi makanan sumber heme (OR = 5,09 dan 95% CI = 1,98 – 13,08) dan pola konsumsi sumber makanan penghambat zat besi (OR = 4,53 dan 95% CI = 1,65 – 12,43) adalah determinan utama kejadian anemia gizi. Anemia Incidence among Elementary School StudentsIron deficiacy anemia has been a public health problem with prevalence on 5 - 12 year old children worth 29% in Indonesia and 37.6% in Makassar. This study aimed to determine the determinant factors (worm status, zinc status, breakfast habit, consumption pattern of heme and nonheme source of food, consumption pattern of iron enhancer and inhibitor food) toward anemia incidence. The study used cross sectional design conducted in April - June 2014. The population was third to fifth grade students of Cambaya State Elementary School at Ujung Tanah District , Makassar City. Sample of 120 students were selected randomly. Data was analyzed using univariate, bivariate with chi-square test, and multivariate with logistic regression test. The results showed that the determinant factors of anemia incidence were wormy status (p value = 0.007), breakfast habits (p value = 0.002), consumption pattern of heme and non-heme source of food (p value = 0.004), and consumption pattern of iron enhancer and inhibitor (p value = 0.016). Multivariate analysis result showed that consumption pattern of heme (OR = 5.09 and 95% CI = 1.98 - 13.08) and consumption pattern of iron enhancer and inhibitor food (OR = 4.53 and 95% CI = 1. 65 - 12.43) was a major determinant of nutritional anemia.

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