Poor knowledge of anemia and sexually transmitted disease but better knowledge of HIV/AIDS among unmarried adolescents aged 15-24 years
Main Article Content
Basic knowledge of sexual and reproductive health is important to be introduced during the premarital period, to reduce high-risk sexual behavior among adolescents, as well as to increase the correct attitude in their future marriage. This study explored the knowledge of HIV/AIDS, sexually transmitted diseases (STDs) and anemia among unmarried adolescents.
This was a cross-sectional analytical study on secondary data from the Indonesian Demographic and Health Population Survey 2017, initially conducted by the National Population and Family Planning Board (BKKBN). Knowledge of HIV/AIDS, STDs and anemia among unmarried adolescents aged 15-24 years in West Java Province and Jakarta, the capital city of Indonesia, was compared and analyzed using the chi-square test.
In total, 5,389 weighted data were retrieved. In general, adolescents in Jakarta had better knowledge of all diseases compared to those in West Java (p<0.001). Knowledge of anemia and STDs was poor compared to that of HIV/AIDS which was moderate to good (p<0.001). Interestingly, although the adolescents had a middle-low wealth index (43%), the majority (>90%) had their own mobile phone with almost daily internet access, however most of their information sources on health education were from their school period.
Premarital education in schools is imperative to enhance the knowledge of STDs and anemia. Moreover, poor knowledge of anemia is a challenge for introducing the topic of thalassemia major, an inherited autosomal recessive type of anemia due to hemoglobinopathy. Since Indonesia is harboring 6-10% of thalassemia carriers, integrative premarital education is needed for better family planning.
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Snow RC, Laski L, Mutumba M. Sexual and reproductive health: progress and outstanding needs. Glob Public Health 2015;10:149-73. doi: 10.1080/17441692.2014.986178.
Kementerian Kesehatan Republik Indonesia, Pusat Data dan Informasi. Infodatin HIV. Jakarta Selatan: Kementerian Kesehatan Republik Indonesia, Pusat Data dan Informasi;2020.
World Health Organization. Regional Office for the Western Pacific Regional. Framework for the triple elimination of mother-to-child transmission of HIV, hepatitis B and syphilis in Asia and the Pacific, 2018-2030. Manila: World Health Organization Regional Office for the Western Pacific;2018.
World Health Organization. Anaemia. Geneva: World Health Organization; 2017.
Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci 2019; 1450:15-31. doi: 10.1111/nyas.14092.
Di Renzo GC, Spano F, Giardina I, Brillo E, Clerici G, Roura LC. Iron deficiency anemia in pregnancy. Womens Health (Lond) 2015;11:891-900. doi: 10.2217/whe.15.35.
De Andrade Cairo RC, Rodrigues Silva L, Carneiro Bustani N, Ferreira Marques CD. Iron deficiency anemia in adolescents; a literature review. Nutr Hosp 2014;29:1240-9. doi: 10.3305/nh.2014.29.6. 7245.
Kementerian Kesehatan Republik Indonesia. Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular. Pedoman pengendalian penyakit thalassemia di fasilitas kesehatan tingkat pertama. Jakarta: Kementerian Kesehatan Republik Indonesia; 2017.
Bakrania S, Ghimire A, Balvin N. Bridging the gap to understand effective interventions for adolescent well-being: an evidence gap map on protection, participation, and financial and material well-being in low and middle-income countries. UNICEF Office of Research - Innocenti, Florence. 2018.
von Rosen FT, von Rosen AJ, Riemenschneider FM, Damberg I, Tinnemann P. STI knowledge in Berlin adolescents. Int J Environ Res Public Health 2018;15: 110. doi: 10.3390/ijerph15010110.
Zizza A, Guido M, Recchia V, Grima P, Banchelli Tinelli A. Knowledge, information needs and risk perception about HIV and sexually transmitted diseases after an education intervention on Italian high school and university students. Int J Environ Res Public Health 2021:2069. https://doi.org/10.3390/ijerph18042069.
Badan Kependudukan dan Keluarga Berencana Nasional, Badan Pusat Statistik, Kementerian Kesehatan. Survei Demografi dan Kesehatan Indonesia 2017: Buku Remaja. September 2018. Jakarta: Badan Pusat Statistik; 2018.
Gubernur Propinsi Daerah Khusus Ibukota Jakarta. Peraturan Gubernur DKI-Jakarta no. 185 tahun 2017 tentang konseling dan pemeriksaan kesehatan bagi calon pengantin. Jakarta: Gubernur Propinsi Daerah Khusus Ibukota Jakarta; 2017.
Inner City Fund (ICF). Demographic and health surveys: standard recode manual for DHS 7. The Demographic and Health Surveys Program. Rockville, Maryland, USA: ICF; 2018.
Ilori OR, Awodutire PO, Ilori OS. Awareness and utilization of adolescent reproductive health services among in-school adolescents in urban and rural communities in Oyo State. Niger Med J 2020;61:67-72. doi: 10.4103/nmj. NMJ_38_19.
Källander K, Tibenderana JK, Akpogheneta OJ, et al. Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. J Med Internet Res 2013;15:e17. doi: 10.2196/jmir.2130.
Bago JL, Lompo ML. Exploringthe linkage between exposure to mass media and HIV awareness among adolescents in Uganda. Sex Reprod Health 2019;21:1-8. doi: 10.1016/j.srhc.2019.04.004.
Borawski EA, Tufts KA, Trapl ES, Hayman LL, Yoder LD, Lovegreen LD. Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school. J Sch Health 2015;85:189-96. doi:10.1111/josh.12234.
Mason-Jones AJ, Sinclair D, Mathews C, Kagee A, Hillman A, Lombard C. School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. Cochrane Database Syst Rev 2016; 11:CD006417. doi: 10.1002/14651858.CD006417. pub3.
Angeles-Agdeppa I, Monville-Oro E, Gonsalves JF, Capanzana MV. Integrated school based nutrition programme improved the knowledge of mother and schoolchildren. Matern Child Nutr 2019;15 Suppl 3:e12794. doi: 10.1111/mcn.12794.
Beluska-Turkan K, Korczak R, Hartell B, et. al. Nutritional gaps and supplementation in the first 1000 days. Nutrients 2019;11:2891. doi: 10.3390/nu11122891.
Rahman MM, Abe SK, Rahman MS, et. al. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis. Am J Clin Nutr 2016;103:495-504. doi: 10.3945/ajcn.115.107896.
Hoffmann JJ, Urrechaga E, Aguirre U. Discriminant indices for distinguishing thalassemia and iron deficiency in patients with microcytic anemia: a meta-analysis. Clin Chem Lab Med 2015;53:1883-94. doi: 10.1515/cclm-2015-0179.
Fucharoen S, Winichagoon P. Haemoglobinopathies in southeast Asia. Indian J Med Res 2011;134:498-506.
Sahiratmadja E, Wijaya MA, Widjajakusuma A, Maskoen AM, Dewanto JB, Panigoro R. The knowledge about thalassemia among medical students and general practitioners in Bandung and the prevalence of a-thalassemia carrier. J Indon Med Assoc 2020;70:48-58. doi: 10.47830/jinma-vol.70.4-2020-232.
Kohne E. Hemoglobinopathies: clinical manifestations, diagnosis, and treatment. Dtsch Arztebl Int 2011;108:532-40. doi: 10.3238/arztebl.2011.0532.
Amato A, Cappabianca MP, Lerone M, et al. Carrier screening for inherited haemoglobin disorders among secondary school students and young adults in Latium, Italy. J Community Genet 2014;5:265-8. doi: 10.1007/s12687-013-0171-z.