Application of the Health Belief Model (HBM) in Understanding the Relationship Between Anemia and Academic Performance Among Junior High School Students in Lhokseumawe City, Indonesia
DOI:
https://doi.org/10.62438/tunismed.v103i8.5969Keywords:
Anemia, academic achievement, HBMAbstract
Abstract: Indonesia ministry of health data shows that 21.7% of the population has anemia, with a prevalence of 26.4% in the 5–14-year age group and 18.4% in the 15–24-year age group (Hb <12.0 g/dL). The Health Belief Model (HBM) is used to identify lifestyle patterns of anemic students and their risks to academic achievement.
Aims: This study examines the relationship between hemoglobin levels and academic achievement and assesses the relationship between the HBM construct and anemia.
Methodology: This study is a cross-sectional study with a sample of 80 grade VIII students at SMP Negeri 1 Lhokseumawe. This study examines the relationship between hemoglobin levels and academic achievement and assesses the relationship between the HBM construct and anemia
Results: Chi-square test showed a significant relationship (p<0.05) between anemia and academic achievement, where students with normal hemoglobin levels had better achievements than those with anemia.
Conclusions: These findings confirm the impact of anemia on academic achievement, highlighting the importance of iron for brain function, concentration, and intelligence. The limited correlation of most HBM constructs with anemia suggests low student awareness, thus educational interventions are needed to improve preventive behavior.
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References
World Health Organization . Global Accelerated Action for the Health of Adolescents (AA-HA!) Implementation Guidance, 2016–2030. World Health Organization; Geneva, Switzerland: 2017.
World Health Organization. The world health report : reducing risks, promoting healthy life. Geneva: WHO, 2002.
Basic Health Research (Riskesdas )2013.
https://repository.badankebijakan.kemkes.go.id/id/eprint/4467/1/Laporan_riskesdas_2013_final.pdf
Nidianti, E., Nugraha, G., Aulia, I. A. N., Syadzila, S. K., Suciati, S. S., & Utami, N. D. Hemoglobin Level Examination with POCT (Point of Care Testing) Method as Early Detection of Anemia for the Community Desa Sumbersono, Mojokerto. Jurnal Surya Masyarakat, 2(1), 29. https://doi.org/10.26714/jsm.2.1.2019.29-34
Aulia, G., Udiyono, A., Saraswati, L., & Adi, M. Description of Anemia Status in Adolescent Girls in Mountainous and Coastal Areas (Study in Public Junior High Schools in Getasan and West Semarang Districts). Journal of Public Health (e-Journal), 2017; 5(1), 193–200. https://doi.org/10.14710/jkm.v5i1.15486
Ernawati, E., Riskawati, H. M., Rispawati, B. H., & Sukma, D. N. Journal Abdimas Health Perintis Pendidikan Kesehatan. Improving Knowledge of Young Girls About the Dangers of Anemia at MTSN 3 Mataram School. STIKES YARSI Mataram, Nusa Tenggara Barat, Indonesia Article, 2021; 2(2), 7–10. https://jurnal.upertis.ac.id/index.php/JAKP/article/view/575
Indrayani, S. Differences Between Anemic and Non-Anemic Students in Exam Scores at SMP Negeri 2 Kec. Siak 2018. Jurnal Penelitian dan kajian ilmiah UMSB, 2019; 13(5), 129–134.
https://doi.org/10.33559/mi.v13i5.1363/ https://jurnal.umsb.ac.id/index.php/menarailmu/article/view/1363
Syafi’i, A., Marfiyanto, T., & Rodiyah, S. K. Study of Student Learning Achievement in Various Aspects and Influencing Factors. Jurnal Komunikasi Pendidikan, 2018; 2(2), 115. https://doi.org/10.32585/jkp.v2i2.114/ https://journal.univetbantara.ac.id/index.php/komdik/article/view/114/102
Manika, D., & Golden, L. L. Self-Efficacy, Threat, Knowledge And Information Receptivity: Exploring Pandemic Prevention Behaviors To Enhance Societal Welfare. Academy of Health Care Management Journal, 2011; 31-44. https://www.researchgate.net/publication/260286267_Self-Efficacy_Threat_Knowledge_and_Information_Receptivity_Exploring_Pandemic_Prevention_Behaviors_to_Enhance_Societal_Welfare
Carico, R. R., Sheppard, J., & Thomas, C. B. Community pharmacists and communication in the time of COVID-19: Applying the health belief model. Research in Social and Administrative Pharmacy, 2021; 17(1), 1984-1987. https://doi.org/10.1016/j.sapharm.2020.03.017/https://www.sciencedirect.com/science/article/pii/S155174112030293X?via%3Dihub
Wahyusantoso, S., & Chusairi, A. The Relationship of Health Belief Model to Preventive Behavior during the Covid-19 Pandemic Among Young Adults. Buletin Riset Psikologi Dan Kesehatan Mental (BRPKM), 2021; 1(1), 129-136. https://doi.org/10.20473/brpkm.v1i1.24706/ https://e-journal.unair.ac.id/BRPKM/article/view/24706
Glanz, K., Rimer, B. K., & Viswanatah, K. Health behavior and health education: theory, research, and practice (K. Glanz, B. K. Rimer, & K. Viswanatah (Eds.); fourth ed). Jossey Bass; 2018.p115. https://books.google.co.id/books?id=1xuGErZCfbsC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
Carpenter D, Christopher J. A Meta- Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior. Health Communication; 2010; 25(8): 661-669. https://doi.org/10.1080/10410236.2010.521906
Mustika, Sukma.. Prevalence of Stunting in Students of SMP Negeri 7 Lhokseumawe. GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh ; 2022; 1 (4), 63-74.DOI:10.29103/jkkmm.v1i4.8907/ https://ojs.unimal.ac.id/index.php/galenical/article/view/8907
Retno Pratiwi dan Sumarmi. The Relationship Between Anemia Incidence and Student Learning Achievement at Bina Insani Unggulan Middle School. Amerta Nutr. 2017; Pp 331-340. https://doi.org/10.20473/amnt.v1i4.2017.331-340
Fitrah, E., Hadju, V. dan Citrakesumasari. Consumption Patterns and Hb Status of Adolescent Girls (SMP) in the Malaria Endemic Area of Baras District, North Mamju Regency, West Sulawesi, Journal MKMI, 2011; 7(1), pp. 61–68.
Pradilasari L, Gani A, Khaldun I. Development of Audio Visual Based Learning Media on Colloid Material to Improve High School Students' Motivation and Learning Outcomes. 2019;07(01):9–15. DOI: 10.24815/jpsi.v7i1.13293
Lia L, Huanga L, Shia Y, Luob R, Yang M, Rozelle S. Anemia and student’s educational performance in rural Central China: Prevalence, correlates and impacts. China Econ Rev. 2018;51(620):283–93. https://doi.org/10.1016/j.chieco.2017.07.006
Nirwana, Imam . The Relationship Between Learning Motivation and Learning Methods with Science Learning Outcomes of Grade VIII Students at SMP Negeri 1 Siak Hulu in the 2018/2019 Academic Year. Thesis. 2019, Universitas Islam Riau. https://repository.uir.ac.id/7220/
Charli L, Ariani T, Asmara L. The Relationship between Learning Interest and Physics Learning Achievement. Sci Phys Educ J. 2019;2(2):52–60. DOI: 10.31539/spej.v2i2.727
Lestari D, Nanik K. The Relationship Between Anemia and Academic Achievement in Grade X Students of Muhammadiyah 4 Andong High School, Boyolali Regency in 2011. J Kebidanan Indones. 2017;4(01):14–26. I: https://doi.org/10.36419/jkebin.v4i1.73
Rosenstock, I. M. Historical origins of the Health belief model (HBM). Health education monographs, 1974; 328-335p. https://doi.org/10.1177/109019817400200403
Wahyusantoso, S., & Chusairi, A. The Relationship of Health Belief Model (HBM) to Preventive Behavior during the Covid-19 Pandemic Among Early Adults. Buletin Riset Psikologi Dan Kesehatan Mental (BRPKM), 2021; 1(1), 129-136. https://doi.org/10.20473/brpkm.v1i1.24706
Conner, M. and Norman, P. Predicting Health Behaviour: Research and Practice with Social Cognition Models. 2nd Edition, Open University Press, Maidenhead; 2005. p 28. https://tms.iau.ir/file/download/page/1575186987-predicting-health-behaviour.pdf
Hayden, & Aboyoun, J. Introduction to Health Behavior Theory (2nd ed.). Burlington: Jones & Bartlett Learning, LLC; 2014. p 95. https://books.google.co.id/books?id=A15Np1FzuSAC&printsec=frontcover#v=onepage&q&f=false
Dewi, K.I.T., Bekti, H.S., Krisna, L.A.W., & Dewi, N.N.A. (2023). Description of Hemoglobin Levels in Adolescent Girls: A Case Study at SMA Negeri 2 Denpasar. JURNAL SKALA HUSADA, 2023; 20(2), 8-14. DOI: https://doi.org/10.33992/jsh:tjoh.v20i2.2758
FH Ida, S Ugi. 2021. The incidence of anemia in female adolescents at Budi Mulia Middle School, Karawang Regency in 2018. Volume 2 (No 2), 76-89. https://doi.org/10.24
Alhazmi, S., Alshehri, L., Alyahya, M., AlMadani, R., Aboalrasheeed, R., Metwally, R., Alotaishan, S., AlSheikh, R., Abdalla, A., Abuzaid, O., Sebastian, T., & Goja, A. M. The association between iron deficiency anemia and cognitive abilities among female university students. Electronic Journal of General Medicine. 2024; 21(2), em576. https://doi.org/10.29333/ejgm/14353
World Health Organization. Nutrition in adolescence: issues and challenges for the health sector: issues in adolescent health and development. Geneva: World Health Organization; 2005.p23
Beard JL. Iron requirements in adolescent females. J Nutr. 2000;130:440S–442S. DOI: 10.1093/jn/130.2.440S
Harvey LJ, Armah CN, Dainty JR, et al. Impact of menstrual blood loss and diet on iron deficiency among women in the UK. Br J Nutr. 2005;94:557–564. DOI: 10.1079/bjn20051493
Moschonis G, Papandreou D, Mavrogianni C, et al. Association of iron depletion with menstruation and dietary intake indices in pubertal girls: the healthy growth study. Biomed Res Int. 2013;423263. https://doi.org/10.1155/2013/423263
Chandra S, Gupta N, Patel SK. Study of iron status indicators in different phases of menstrual cycle in first year medical college females. Int J Res Med Sci. 2017;5:46–49. DOI: https://doi.org/10.18203/2320-6012.ijrms20164520
Zhu, Z., Sudfeld, C.R., Cheng, Y. et al. Anemia and associated factors among adolescent girls and boys at 10–14 years in rural western China. BMC Public Health. 2021; 21:218 https://doi.org/10.1186/s12889-021-10268-z
Made P, Saraswati I. The relationship between hemoglobin (Hb) levels and achievement in senior high school (SMA) or equivalent students. J Med Hutama. 2021;02(04):1187–91. https://jurnalmedikahutama.com/index.php/JMH/article/view/246/165
Sartika T. The relationship between hemoglobin (HB) levels and learning achievement of midwifery students living in the STIK BINA HUSADA PALEMBANG educational dormitory. 2019;2:227–33.
https://journal.ukmc.ac.id/index.php/joh/article/download/214/207/1051
Made P, Saraswati I. The relationship between hemoglobin (HB) levels and achievement in senior high school (SMA) or equivalent students. J Med Hutama. 2021;02(04):1187–91. https://jurnalmedikahutama.com/index.php/JMH/article/view/246
Damai Yanti SM. the relationship between hemoglobin levels and learning achievement of D-III midwifery study program students at Batam University in 2017. 2017;(1):24–8. DOI: https://doi.org/10.37776/zkeb.v8i3.376
Dumilah PRA, Sumarmi S. The Relationship Between Anemia and Student Learning Achievement at Bina Insani Superior Junior High School. Amerta Nutr. 2017; 10-15. https://doi.org/10.20473/amnt.v1i4.2017.331-340
M Reni, Masithoh F. The Relationship Between Hemoglobin (Hb) Levels and Learning Achievement in Muhammadiyah Elementary School Children in Pujotomo. Carolus Journal of Nursing. 2018; 1 (1); 89-93p. https://doi.org/10.37480/cjon.v1i1.32
Yanti, D., Irwanto, I., & Wibowo, A. (2017). The Effect Of Hb Levels On The Learning Achievement Of School-Age Children In Grades Ii-Vi At Sdn Sonoageng 6 Prambon Nganjuk.. The Indonesian Journal of Public Health, 12(1), 97–105. https://doi.org/10.20473/ijph.v12i1.2017.97-105
V Stefani, Y Dhika A, T Mahmudiono. “Health Belief Application Model: Knowledge And Patterns Of Iron Source Food Consumption As A Preventive Effort For Anemia,” International Journal of Pediaetrics, 2017; 5(42):5043–5052. https://doi.org/10.20473/ijph.v16i3.2021.461-471
Andani, S. V. I., Mahmudiono, T., & Adhela, Y. D. (2021). HEALTH BELIEF APPLICATION MODEL: KNOWLEDGE AND PATTERNS OF IRON SOURCE FOOD CONSUMPTION AS A PREVENTIVE EFFORT FOR ANEMIA EVENTS. The Indonesian Journal of Public Health, 16(3), 461–471. https://doi.org/10.20473/ijph.v16i3.2021.461-471
Akbar, T. I. S., Siregar, S. R., Sayuti, M. and Jannah, C. M. (2021) “Effectiveness of Information and Knowledge Delivery COVID-19 At Malikussaleh University”, Journal Of The Indonesian Medical Association, 2021; 71(2): 77-85. https://doi.org/10.47830/jinma-vol.71.2-2021-582
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