Determinants of Anemia Among Adolescent Girls: A Systematic Literature Review

Authors

  • Mifthah Muliani Lubis Master of Public Health Study Program, Universitas Pembangunan Veteran Jakarta, Jakarta, Indonesia
  • Shzalfa Azzahra Master of Public Health Study Program, Universitas Pembangunan Veteran Jakarta, Jakarta, Indonesia
  • Apriningsih Apriningsih Master of Public Health Study Program, Universitas Pembangunan Veteran Jakarta, Jakarta, Indonesia

DOI:

https://doi.org/10.22437/jkmj.v10i1.53616

Keywords:

Adolescent, Anemia, Girls, Risk Factors

Abstract

Anemia is common among adolescents, especially girls who have begun menstruating, and is associated with reduced immunity, physical activity, academic performance, and fitness, as well as increased risks of low birth weight and maternal–neonatal mortality if it continues into pregnancy. This study aimed to summarize factors influencing anemia among adolescent girls based on recent evidence. A literature review was conducted using Google Scholar, PubMed, and Scopus to identify primary full-text articles in Indonesian or English published between 2021 and 2025 with the keyword “anemia in adolescent girls.” Anemia in adolescent girls is associated with nutritional status, menstrual cycle patterns, dietary habits, knowledge level, socioeconomic conditions, maternal education, adherence to iron tablet consumption, and physical activity. Anemia in adolescent girls is a multifactorial problem, requiring integrated prevention strategies that address nutrition, health behavior, and social determinants.

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References

1. Rahman RA, Fajar NA. Analisis Faktor Risiko Kejadian Anemia pada Remaja Putri: Literatur Review. Jurnal kesehatan komunitas (Journal of community health). 2024 Apr 6;10(1):133–40. doi:10.25311/keskom.vol10.iss1.1403

2. Utaminingtyas F, Mufidaturrosida A, Maria A, Agustina CE, Wahyuni I, Sasanti SD. Penyuluhan Kesehatan Tentang Mengenal Ciri-Ciri Pubertas Pada Remaja Melalui Media E-Booklet. Jurnal Pengabdian Masyarakat Aufa ( JPMA. 2024. Report.

3. Harun A, Amir F, Imran A. Karakteristik Siswi Dengan Kejadian Anemia Pada Remaja Putri di Kota Makassar. Jurnal Media Kesehatan Politeknik Kesehatan Makassar. 2025 Jun. doi:10.32382/medkes.v20i1

4. Suaib F, Sahariah Rowa S, Adwiah W. Hubungan Kepatuhan Konsumsi Tablet Tambah Darah Dengan Kejadian Anemia Pada Remaja Putri. Jurnal Media Kesehatan Politeknik Kesehatan Masyarakat Makassar. 2024 Jun;19(1). doi:10.32382/medkes.v19i1

5. Ariana R, Fajar NA. Analisis Faktor Risiko Kejadian Anemia pada Remaja Putri: Literatur Review. Jurnal kesehatan komunitas (Journal of community health). 2024 Apr 6;10(1):133–40. doi:10.25311/keskom.vol10.iss1.1403

6. Wanti S, Suhadi, Meliahsari R. Hubungan Antara Status Gizi, Pola Makan Dan Aktivitas Fisik Dengan Anemia Pada Temaja Putri Di Simpn 02 Libureng Kabupaten Bone. Jurnal Gizi dan Kesehatan Indonesia. 2023 Oct;5:2797–5894. doi:10.37887/jgki.v2i4

7. Pavithran S, Patil SK. The prevalence of anaemia in rural adolescent girls – A cross-sectional study to understand the sociodemographic and dietary determinants in Dharwad District, India. J Family Med Prim Care. 2024 Aug;13(8):2886–91. doi:10.4103/jfmpc.jfmpc_1732_23

8. Fitri Sevrilianti Boimau, Afrona E. L Takaeb, Maselinus Laga Nur. Faktor-Faktor yang Berhubungan dengan Kejadian Anemia pada Remaja Putri di SMA Negeri 2 Kupang Tengah. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat. 2024 Jan 28;3(1):185–92. doi:10.55123/sehatmas.v3i1.3158

9. Nurhidayati VA, Khomsan A, Riyadi H, Prasetya G, Rizkiriani A, Amelia R. Frekuensi Konsumsi Pangan Sumber Zat Besi serta Pangan Pendukung dan Penghambat Penyerapannya pada Remaja Putri. Pontianak Nutrition Joournal. 2025 Mar;8.

10. Novita TL, Ningtyias FW, Ratnawati LY. Hubungan Ketahanan Pangan Keluarga Dan Tingkat Konsumsi Zat Besi Dengan Kejadian Anemia Dan Prestasi Belajar Pada Remaja Putri. Journal of Nutrition College. 2024;13(3).

11. Martiasari A, Susaldi, Mariana Mangoto S, Rizky Salsabilla D, Muhayaroh, Saraswati P, et al. Hubungan Pengetahuan Status Gizi dan Pola Menstruasi Pada Anemia Remaja Putri. SIMFISIS Jurnal Kebidanan Indonesia. 2022 Feb 28;1(3):131–7. doi:10.53801/sjki.v1i3.18

12. Handayani L, Dewi Iswandari N, Studi Sarjana Kebidana P, Kesehatan F, Sari Mulia U, Studi Pendidikan Profesi Bidan P, et al. Hubungan Pola Makan Dengan Kejadian Anemia Pada Remaja Putri di Madrasah Aliyah Swasta Normal Islam Puteri Rakha Amuntai. Health Research Journal of Indonesia (HRJI). 2025. Report.

13. Juliyanti A, Prasetyo Budi N, Sari RP, Studi MP, Keperawatan I, Madani Y, et al. Hubungan Tingkat Pengetahuan Dengan Kejadian Anemia Pada Remaja Putri Di SMAN 25 Kabupaten Tangerang. Jurnal Penelitian Nusantara. 2025;1:82–6. doi:10.59435/menulis.v1i10.662

14. Poudel S, Panta G. Knowledge regarding of Iron Deficiency Anemia among Adolescent Girls of Chitwan. Pragya Darshan. 2023 Aug;5(2):2542–634.

15. Yusmaharani Y, Ratih RH, Nurmaliza N. Hubungan Pengetahuan Dan Jenis Makanan Yang Di Konsumsi Untuk Mencegah Anemia Pada Remaja Di Pekanbaru. JOMIS (Journal of Midwifery Science). 2023 Jan 28;7(1):1–8. doi:10.36341/jomis.v7i1.2798

16. Damayanti Y, Saputri EE, Ratnasari F, Tangerang SY. Gambaran Tingkat Pengetahuan Remaja Putri Tentang Anemia Di Sma Babus Salam Kota Tangerang. Nusantara Hasana Journal. 2021 Aug;1(3):Page.

17. 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. doi:10.4314/ejhs

18. Situmeang AMN, Apriningsih A, Makkiyah FA, Wahyuningtyas W. Hubungan Pengetahuan, Sikap, dan Sosioekonomi dengan Perilaku Pencegahan Anemia pada Remaja Putri di Desa Sirnagalih, Bogor. Jurnal Kesehatan Komunitas. 2022 Apr 30;8(1):32–9. doi:10.25311/keskom.vol8.iss1.1126

19. Riandi I, Yuniarti, Hipni R, Hapisah. Hubungan Kepatuhan Konsumsi Tablet FE Dengan Kejadian Anemia Pada Remaja Putri di SMPN 2 Karang Intan Wilayah Kerja Puskesmas Karang Intan 2 Kabupaten Banjar Tahun 2024. Jurnal Penelitian Multidisiplin Bangsa. 2025;(8).

20. Gosdin L, Sharma AJ, Tripp K, Amoaful EF, Mahama AB, Selenje L, et al. A School-Based Weekly Iron and Folic Acid Supplementation Program Effectively Reduces Anemia in a Prospective Cohort of Ghanaian Adolescent Girls. Journal of Nutrition. 2021 Jun 1;151(6):1646–55. doi:10.1093/jn/nxab024 PubMed PMID: 33758915.

21. Yamamoto K, Takita M, Kami M, Tsubokura M, Tanimoto T, Kitamura T, et al. Profiles of anemia in adolescent students with sports club membership in an outpatient clinic setting: A retrospective study. PeerJ. 2022 Feb 25;10. doi:10.7717/peerj.13004

22. Putri HP, Fauziyah A. Knowledge about Anemia and Physical Activity with the Incidence of Anemia Among Adolescent Girls. Jurnal Ilmiah Kesehatan (JIKA). 2023 Aug 31;5(2). doi:10.36590/jika.v5i2.520

23. World Health Organization. Anaemia in women and children: Global estimates and trends [Internet]. 2023. Report. Available from: https://www.who.int

24. UNICEF. Adolescent nutrition: The neglected dimension of global health. 2023. Report.

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Published

2026-03-31

Issue

Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026

Section

Articles

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Copyright (c) 2026 Mifthah Muliani Lubis, Shzalfa Azzahra, Apriningsih Apriningsih (Author)

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  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).