Vivien Novarina A. Kasim
Department of Nutrition, Faculty of Medicine, Gorontalo State University, Gorontalo

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Analysis of Nutritional Intake Determinants and Anemia Incidence in Adolescent Girls in Senior High Schools in Bone Bolango Regency Amanda Iin Melisa P.H. Harun; Sunarto Kadir; Vivien Novarina A. Kasim
Jambura Medical and Health Science Journal Vol 5, No 2 (2026): Jambura Medical and Health Science Journal
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/jmhsj.v5i2.34999

Abstract

Introduction: Anemia is a pathological state defined by a reduction in red blood cell mass, evidenced by decreased hemoglobin concentrations (11 g/dL), hematocrit values, and erythrocyte counts. Preliminary data indicate that out of 3,073 adolescents screened for hemoglobin levels in Bone Bolango Regency, 225 were identified as anemic. This study aims to investigate the factors contributing to the prevalence of anemia among female high school students in this regency.Method: This study was carried out in three schools in Tapa District, using a quantitative research design. The sample comprised 225 adolescent girls of reproductive age. Logistic regression analysis was used to examine the relationships between anemia incidence and several independent variables, including iron tablet consumption, iron intake, protein intake, vitamin C intake, vitamin B12 intake, zinc intake, meal frequency, and dietary diversity.Results: The findings indicated that among the adolescent female population in Bone Bolango Regency, 77 individuals were anemic, whereas the remaining 148 presented with normal hemoglobin levels. Bivariate analysis revealed that iron intake was the only variable significantly associated with the occurrence of anemia, with no other factors demonstrating a statistically significant relationship.Conclusion: This study demonstrates that iron intake is the primary determinant significantly associated with anemia among adolescent girls, showing a stronger influence than other nutritional factors and variables examined in the study.Keywords: Adolescent girls, anemia, dietary diversity, iron intake, meal frequency
Analysis of Determinants Related to Stunting in Toddlers in the Working Area of the Buntulia Community Health Center, Pohuwato Regency Nur Istiqoma Suja; Sunarto Kadir; Vivien Novarina A. Kasim
Jambura Medical and Health Science Journal Vol 5, No 2 (2026): Jambura Medical and Health Science Journal
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/jmhsj.v5i2.34584

Abstract

Introduction: Stunting is a health problem and associated with the risk of illness and death, suboptimal brain development, resulting in impaired motor and mental growth. Gorontalo Province ranks 12th out of 38 provinces, where Pohuwato District has a stunting prevalence of 18.4% among toddlers. Several variables can influence the incidence of stunting in children, including nutritional intake, infectious diseases, food availability, feeding patterns, and environmental sanitation. This study aims to assess the relationship between nutritional intake, infectious diseases, food availability, feeding patterns, and environmental sanitation with the incidence of stunting in Buntulia Community Health Center working area.Method: The study was conducted at the Buntulia Community Health Center using quantitative methods with cross sectional approach. A sample of 272 toddlers was obtained using the Slovin formula. The data analysis used logistic regression consisting of univariate, bivariate and multivariate method.Results: 91.2% of the toddlers did not experience stunting. Regarding individual determinants, 81.1% of the subjects had insufficient nutritional intake, while 89.3% had no history of infectious diseases. Household food security was observed in 57.4% of cases, yet 87.1% of toddlers exhibited inadequate dietary patterns. Additionally, 93.8% of respondents maintained good environmental sanitation. The results of the multivariate model revealed that nutritional intake (95% CI: 0.00) and dietary pattern (95% CI: 0.00) were significant predictors, while food availability (95% CI: 0.15) showed a broader confidence interval in relation to the incidence of stunting.Conclusion: Only food availability are associated with stunting in the Buntulia Community Health Center working area. Keywords: Environmental sanitation, feeding patterns, food availability, nutritional intake, stunting