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Journal : JURNAL PROMOSI KESEHATAN INDONESIA

The Role of Teachers and Structural Barriers in Adolescent Anemia Education in Surabaya Schools Feriyanti, Alma; Nurmala, Ira; Widati, Sri; Muthmainnah, Muthmainnah; Notobroto, Hari Basuki
Jurnal Promosi Kesehatan Indonesia Vol 20 No 4: October 2025
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.20.4.291-302

Abstract

Background: Anemia in adolescents, particularly young women, remains a significant public health concern in Indonesia, with low adherence to iron supplementation being a key contributing factor. While previous interventions have focused primarily on individual compliance, the role of teachers as health educators in schools is often overlooked. This study aimed to analyze the determinants of teachers’ intention to provide health education on anemia prevention in Surabaya high schools.Method: A cross-sectional survey was conducted among 119 high school and vocational school teachers within the working area of Tanah Kali Kedinding Health Center, selected through simple random sampling from a total population of 170 teachers. Data were collected using structured questionnaires and analyzed using multiple logistic regressions to assess the influence of attitudes, subjective norms, and perceived behavioral control on teachers' intention to deliver health education.Result: The analysis indicated that teacher' attitudes, subjective norms, and perceived behavioral control did not significantly influence their intention to deliver health education on iron supplementation. This indicates that structural and institutional factors, rather than individual psychological characteristics, primarily influence teachers' involvement in health education delivery.of the risks of e cigarettes. Efforts to enhance adolescent anemia prevention should address structural barriers within the educational system. Policy support from schools and educational authorities is critical to institutionalizing health education as part of the teachers' formal responsibilities.
Co-Authors Abd. Azis Muthalib Adha, Aziza Zahrotul Afianto, Benny Ahmad Mulyadiprana Alam K.M, Radiasi Alfiatun, Alfiatun Alma Feriyanti Azkiya, Mohammad W. Bawati, Ria Nila Bindarto, Bindarto Budi Susetyo Caitlin McClure-Thomas Carmen Lim Chatarina Umbul Wahyuni Choiriyah Widyasari Damarjati, Blasius Hasni Dewi Rokhmah Dick-Sagoe, Christopher Ernawaty Ernawaty Firdausi Ramadhani, Firdausi Fitri Fausiah Garg, Pooja Ghea Farassania H, Heriswanto Hari Basuki Notobroto Hendrayani, Ayu Ekanita Hotip, Muhammad Ariq Hutomo, Rizky Aditya Iken Nafikadini, Iken Ira Nurmala Ira Nurmala Janni Leung Juang Sunanto, Juang Khairunnisa, Eridani Kinanthi, Citra Anggun Kinasih, Kinasih Kurnia Dwi Artanti Kurnia Dwi Artanti Kurnia, Galuh Mega Kwan Ching, Wong Arkers L, Liswatin Liswatin, Liswatin Lucia Yovita Hendrati M, Masyaili Masyaili, Masyaili Mayang Sari, Novia Putri Min, Yuliana Purnama Sari Mochammad Bagus Qomaruddin Muthmainnah Muthmainnah Nabila, Ichda Naila Nastiti, Rizma Dwi Nunik Puspitasari Nur Aisiyah Widjaja, Nur Aisiyah Nur Alifia Hera Nur, Zilvi Fuadiyah Oedojo Soedirham Pagala, Izharuddin Puspitaningrum, Evita Putri, Anggreni Ade Qonitah Faizatul Fitriyah Rachmadi, Eka Yanuar Rachmah Indawati Reza Fajrinmuha Ririh Yudhastuti Rossalya, Monica Ayu Rovian, Ivan Salim, Lutfi A. Santi Martini Sari, Nisa Kurnia Sebayang, Susy Katikana Sembiring, Rinawati Shrimarti Rukmini Devy Sinaga, Lia Rosa Veronika Siregar, Ronni Naudur Sri Hardianti Stefanus Supriyanto Sulistiani, Nur T, Tauwi Triyaniarta, Adinda Rahma Utami, Putri Intianti Wardhani, Nasytha Tristie Wawo, Andi Basru Welis Raldianingrat, Welis Wibowo, Wahyu Setyo Widya, Mamad Y, Yunila Yudiasari, Novia Yulia Yunara Yunila, Yunila Zahroh, Elfi Zainuddin, Suria