Determinants of Anemia among Pregnant Women at UPTD Puskesmas Seba, Sabu Raijua Regency

Authors

  • Nindy Putri Elisabet Amtaran Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia
  • Sunardi Sunardi Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia
  • Sri Haryuni Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia
  • Yudied Agung Mirasa Program Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Kadiri, Kediri, Indonesia

DOI:

https://doi.org/10.19166/ncjk.v14i1.10483

Keywords:

Gestational age, Parity, Nutritional status, Socio-cultural factors, Anemia, Pregnant women

Abstract

Anemia among pregnant women remains a significant public health issue, including in Sabu Raijua Regency. This study aims to analyze the relationship between gestational age and parity with the incidence of anemia among pregnant women at the Seba Community Health Center (UPTD Puskesmas Seba). The study employed a cross-sectional design using secondary data from pregnancy registers and cohorts collected from January to June 2025. The sample consisted of 59 pregnant women selected through purposive sampling. The variables examined included maternal age, gestational age, parity, and anemia status based on hemoglobin examination. Data were analyzed univariately to describe frequency distributions and bivariately using the Chi-Square test. The results showed that 45.8% of the pregnant women experienced anemia. Statistical analysis revealed a significant relationship between gestational age (p = 0.049), nutritional status (p < 0.001), and sociocultural factors (p < 0.001) with the incidence of anemia. However, parity did not show a significant relationship (p = 0.807). In conclusion, efforts to prevent anemia among pregnant women at the Seba Community Health Center require comprehensive interventions that take into account nutritional aspects, stages of pregnancy, and sociocultural factors influencing maternal health behaviors.

Author Biographies

Nindy Putri Elisabet Amtaran, Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia

Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia

Sunardi Sunardi, Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia

Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia

Sri Haryuni, Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia

Master of Public Health Program, Faculty of Health Sciences, Kadiri University, Kediri, Indonesia

References

Aballo, J., Adokiya, M. N., & Boah, M. (2025). Trimester-specific trends in gestational anaemia and associations with neonatal outcomes: A retrospective facility-based study in Ghana. Discover Public Health, 22(1), 1–12.

Afni, N., Pratiwi, D., Kodriati, N., Djannah, S. N., & Suryani, D. (2023). Factors related to anemia incidence in pregnant women at Gamping 1 Health Center, Sleman Regency, 2022. Jurnal Kedokteran Syiah Kuala, 23(1), 116–121. https://doi.org/10.24815/jks.v23i1.30609

Agusmarinda, R., Ananti, Y., & Purnamasari, I. (2025). Relationship between chronic energy deficiency (CED) and anemia incidence in pregnant women. Jurnal Kesehatan Amanah, 9(1), 109–124.

Alem, A. Z., Efendi, F., McKenna, L., Felipe-Dimog, E. B., Chilot, D., Tonapa, S. I., … Zainuri, A. (2023). Prevalence and factors associated with anemia in women of reproductive age across low- and middle-income countries based on national data. Scientific Reports, 13(1), 20335.

Arfan, I., Marlenywati, M., Saleh, I., Rizky, A., & Marlina, M. (2024). The risk factors for anemia in women at the third trimester of pregnancy in the primary health center of Tanjung Sekayam: A case-control study. Amerta Nutrition, 8.

Azzam, A., Khaled, H., Alrefaey, A. K., Basil, A., Ibrahim, S., Elsayed, M. S., … Halim, H. W. A. (2025). Anemia in pregnancy: A systematic review and meta-analysis of prevalence, determinants, and health impacts in Egypt. BMC Pregnancy and Childbirth, 25(1), 29. https://doi.org/10.1186/s12884-024-07111-9

Chen, Y., Zhong, T., Song, X., Zhang, S., Sun, M., Liu, X., … Qin, J. (2024). Maternal anemia during early pregnancy and the risk of neonatal outcomes: A prospective cohort study in Central China. BMJ Paediatrics Open, 8(1), e001931.

de Freitas-Costa, N. C., Carrilho, T. R. B., da Costa, P. N., Constante, H. M., Fujimori, E., Sato, A. P. S., … Bosa, V. L. (2025). Hemoglobin concentrations and prevalence of anemia during pregnancy: Results from the Brazilian Maternal and Child Nutrition Consortium. Current Developments in Nutrition, 9(6), 107458.

Ermanto, B., & Jati, B. L. (2025). The effect of nutrition education on pregnant women's adherence in anemia prevention during the second trimester. Journal Innovation Nusantara Health, 2(1).

Fakhriza, I., & Karnasih, I. G. A. (2024). Relationship between mid-upper arm circumference and anemia incidence in pregnant women: Literature review. Jember Maternal and Child Health Journal, 1(1), 40–45.

Fitri, N. L., HS, S. A. S., Nurhayati, S., Pakarti, A. T., Supardi, S., & Hasanah, U. (2023). Relationship between gestational age and anemia incidence in pregnant women. Jurnal Wacana Kesehatan, 8(1), 57–61.

Fristika, Y. O. (2021). Relationship between premature rupture of membranes, maternal age, parity, and type of delivery with APGAR scores. Jurnal Kebidanan: Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang, 11(1), 99–110.

Gustanela, O., & Pratomo, H. (2022). Sociocultural factors related to anemia in pregnant women: A systematic review. MPPki (Media Publikasi Promosi Kesehatan Indonesia), 5(1), 25–32.

Hairuddin, K., Sudirman, J., & Suriani, B. (2024). Family support and sociocultural factors with anemia risk in pregnant women. Media Kesehatan Politeknik Kesehatan Makassar, 19(1), 14–20.

Helmita, S., Yarmaliza, & Zakiyuddin. (2022). Factors influencing anemia incidence in pregnant women in the working area of Samadua Health Center, Samadua District, South Aceh Regency. Jurnal Jurmakemas, 2(1), 178–202.

Hidayah, N. L., Nasriyah, N., & Azizah, N. (2025). Relationship between chronic energy deficiency and anemia incidence in pregnant women at Sidorekso Health Center. Jurnal Ilmu Keperawatan dan Kebidanan, 16(2), 314–320.

Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia (SKI) 2023. Badan Kebijakan Pembangunan Kesehatan. https://kemkes.go.id/app_asset/file_content_download/17169067256655eae5553985.98376730.pdf

Mardiah, Damanik, L., Sembiring, A., Ginting, S., Imarina, & Rumodang. (2021). Relationship between maternal characteristics and anemia incidence in pregnant women in the working area of Sei Bejangkar Health Center, Batubara Regency, 2020. Exellent Midwifery Journal, 4(2), 107.

Noli, F. J., Sumampouw, O. J., & Ratag, B. T. (2021). Age, work duration, and low back pain complaints in tofu factory workers. Indonesian Journal of Public Health and Community Medicine, 2(1), 15–21. https://doi.org/10.35801/ijphcm.2.1.2021.33578

Obianeli, C., Afifi, K., Stanworth, S., & Churchill, D. (2024). Iron deficiency anemia in pregnancy: A narrative review from a clinical perspective. Diagnostics, 14(20), 2306. https://doi.org/10.3390/diagnostics14202306

Organisasi Kesehatan Dunia (WHO). (2025). Anaemia in women and children. Global Health Observatory. https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children

Pitriani, T., Nurvinanda, R., & Lestari, I. P. (2023). Factors related to increased incidence of low birth weight (LBW) infants. Jurnal Penelitian Perawat Profesional, 5(4). http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Qamariyah, N. W., Kariani, N. K., & Nurdiana, N. (2025). Food taboos and dietary diversity related to chronic energy deficiency in pregnant women in the working area of Talise Health Center. Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi, 3(2), 262–275.

Qomarasari, D., & Pratiwi, L. (2023). Relationship between gestational age, parity, CED status, and maternal education level with anemia incidence in pregnant women at El’Mozza Clinic, Depok City. Jurnal Kesehatan Kusuma Husada, 14(2), 86–92. https://doi.org/10.34035/jk.v14i2.1050

Rosita, S., & Afrianti, T. (2021). Maternal factors related to low birth weight incidence in toddlers at Indrajaya Health Center, Aceh Jaya Regency. Serambi Akademica Jurnal Pendidikan, Sains, dan Humaniora, 9(3), 518–525.

Saputro, A. A., & Lestari, C. R. (2022). Analysis of nutritional status and hemoglobin levels on estimated fetal weight in third-trimester pregnant women. Jurnal Kesehatan Masyarakat Celebes, 3(03), 12–18.

Satriani, S., Dewi, V. K., Megawati, M., & Hipni, R. (2025). Relationship between knowledge and culture with anemia incidence in pregnant women in the working area of Mantewe Health Center, Tanah Bumbu Regency, 2024. Jurnal Penelitian Multidisiplin Bangsa, 1(8), 1438–1445.

Utama, R. P. (2021). Nutritional status and anemia incidence in pregnant women. Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), 689–694.

Viamita, F. A., Ramadhani, S. P., & Anggraini, H. (2022). Relationship of parity, nutritional status, and gestational age with hemoglobin levels of pregnant women at Sukajadi Health Center in 2020. Science Midwifery, 10(2), 812–818.

Yuristrianti, N., Proverawati, A., Undiono, U., Zaki, I., & Putri, W. A. K. (2024). Correlation of micronutrient intake and hemoglobin levels in pregnant women. Jurnal Gizi Kerja dan Produktivitas, 5(2), 320–326.

Yuvita, L., Ariani, M., & Latifah, L. (2024). Relationship between maternal age and parity with anemia incidence in pregnant women. Jurnal Keperawatan Jiwa, 12(4), 869–882.

Zein, E. R. F., Sulistiyani, S., & Rachmawati, S. N. (2025). Relationship between dietary patterns and sociocultural factors with chronic energy deficiency in pregnant women. Jurnal Kesehatan, 13(1), 7–22.

Zheng, W., Peng, B., Wu, Y., Gauan, L., Wang, S., & Ning, H. (2025). Global, regional, and national anemia burden among women of reproductive age (15–49 years) from 1990 to 2021: An analysis of the Global Burden of Disease Study 2021. Frontiers in Nutrition, 12, 1588496.

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Published

2026-06-27

How to Cite

Amtaran, N. P. E., Sunardi, S., Haryuni, S., & Mirasa, Y. A. (2026). Determinants of Anemia among Pregnant Women at UPTD Puskesmas Seba, Sabu Raijua Regency. Nursing Current: Jurnal Keperawatan, 14(1), 85–94. https://doi.org/10.19166/ncjk.v14i1.10483

Issue

Vol. 14 No. 1 (2026): June

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Articles

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Copyright (c) 2026 Nindy Putri Elisabet Amtaran, Sunardi Sunardi, Sri Haryuni, Yudied Agung Mirasa

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