<![CDATA[Anemia is a nutritional problem among adolescent girls and remains a public health concern. This study aimed to analyze the risk factors for anemia among female students at SMAN 1 Sampolawa. This research employed a quantitative approach with a cross-sectional analytic design. The sample consisted of 78 female students selected using a stratified random sampling technique. The inclusion criteria were students in good health at the time of data collection, while the exclusion criteria were students who were menstruating during data collection. Data were collected through observation and interviews, and protein intake was assessed using a 24-hour food recall. Data analysis was performed using the Chi-Square test and multivariate analysis with a significance level of α = 0.05. The bivariate analysis showed no significant association between protein intake (p = 0.767) and nutritional status (p = 0.747) with the incidence of anemia. However, a significant association was found between menstrual cycle and anemia (p = 0.001). The multivariate analysis indicated that protein intake was not significantly associated with anemia (p = 0.767; OR = 0.80; 95% CI = 0.18–3.54), and nutritional status also showed no significant effect. In contrast, menstrual cycle was significantly associated with anemia (p = 0.001; OR = 49.00; 95% CI = 9.53–251.80), indicating that menstrual cycle is a strong risk factor for anemia among adolescent girls.]]>
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