THE RELATIONSHIP BETWEEN ACADEMIC STRESS AND SLEEP QUALITY WITH THE INCIDENCE OF ANEMIA IN ADOLESCENT GIRLS
Abstract
Anemia among adolescent girls remains an unresolved health problem in Indonesia. Factors suspected to be associated with anemia include academic stress and sleep quality. The study aimed to determine the relationship between academic stress and sleep quality with anemia among 12th-grade female adolescents at Senior High School 1 Rendang, Karangasem Regency. This observational analytical study used quantitative methods and a cross-sectional design with a sample of 92 respondents obtained through total sampling techniques. The measurement tools used included the Educational Stress Scale for Adolescents (ESSA) questionnaire to assess academic stress levels, the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, and hemoglobin levels. Data were analyzed using the Chi-Square test. The results showed that the highest proportion of respondents were in the moderate academic stress category (87.0%), followed by 48.9% with poor sleep quality, and the prevalence of anemia was recorded at 14.1%. Statistically, no relationship was found between academic stress and anemia (p=0.819), nor between sleep quality and anemia (p=0.710).
References
.Kusnadi FN. Hubungan Tingkat Pengetahuan tentang Anemia dengan Kejadian Anemia pada Remaja Putri. Jurnal Medika Hutama 2021 Okt; 03(1): 1293-1298. https://www.jurnalmedikahutama.com/index.php/JMH/article/view/266/181
.WHO. (2023). Global Anaemia Estimates. World Health Organization; 2023. https://www.who.int/data/gho
.Winurini S. Anemia dan Kebiasaan Makan Remaja Putri di Indonesia. Analisis Strategi terhadap Isu Aktual Info Singkat. 2025 Feb; 17(3): 1-5.
.Ariana R, Fajar NA. Analisis Faktor Kejadian Anemia pada Remaja Putri: Literatur Review. J Kesehat Komunitas. 2024 Maret; 10(1): 133-140. https://doi.org/10.25311/keskom.Vol10.Iss1.
.Kemenkes RI. (2023). Buku Saku Pencegahan Anemia pada Ibu Hamil dan Remaja Putri. In IEEE Sensors Journal, 5(4). http://dx.doi.org/10.1016/j.snb.2010.05.051
.Ramadhani N, Mahmudiono T. Academic Stress is Associated with Emotional Eating Behavior among Adolescent. National Nutrition Journal. 2021;19(1): 38-47. https://doi.org/10.204736/mgi.v16i1.
.Maulida SA, Fitriyani H. Pengaruh Expressive Writing Therapy Terhadap Stres Akademik yang Timbul pada Siswa SMA Swasta di Jakarta. J Bimbingan dan Konseling. 2023 Jun; 12(1): 65-75. https://doi.org/10.21009/INSIGHT.121.08
.Rosdiana, Suryani L. Hubungan Kualitas Tidur dengan Risiko anemia pada Remaja Putri: Studi Cross-sectional. J Keb. 2025 Jun; 4(1): 133-151. https://doi.org/10.58794/jubida.v4i1.1524
.Walidah A, Syakarofath NA. Peran Kualitas Tidur terhadap Psychological Distress pada Remaja. Indeonsian Journal of Behavioral Studies. 2025 Jun; 5(1): 12-27. https://doi.org/10.19109/ijobs.v5i1.27199
.Yuliawati D, Putri VN, Salsabila SC. Pengaruh Anemia terhadap Kesehatan Mental pada Remaja Gen Z. J Studi Keperawatan. 2024 Sept; 5(2).
. Kalsum U, Mayangsari R, Demmalewa JQ. Hubungan Asupan Fe dan Kualitas Tidur dengan Kejadian Anemia pada Remaja Putri. J Gizi Ilm. 2023 April; 10(1): 17-21. https://jurnal.karyakesehatan.ac.id/JGI
. Nirmala S, Novitasari, Rahadianti D, Sudiarta IG. Hubungan Anemia, Tingkat Stres, Aktivitas Fisik dan Konsumsi Makanan Cepat Saji dengan Kejadian Dismenore Primer pada Siswi SMA IT Putri Abu Hurairah Mataram. Bioscientist: J Ilmiah Biologi. 2024; 12(2): 2813-2825. https://doi.org/10.33394/bioscientist.v12i2.14163
. Rahmatanti R, Pradigdo SF, Pangetuti DR. Hubungan Tingkat Stres dan Status Anemia dengan Dismenorea Primer pada Siswi Kelas XII di SMAN 1 Nganjuk. Media Kesehat masyarakat Indonesia. 2020 Agust; 19(4): 246-254.
.Julitiani A, Donanti E, Purnamasari E, Arifandi F. Hubungan Kualitas Tidur dengan Prevelensi Anemia pada Remaja Putri. Junior Medical Journal. 2025 Des; 3(6); 882-890. https://doi.org/10.33476/jmj.v3i6.4915
.Pibriyanti K, Safitri DI, Damayanti AY, Mufidah I, Luthfiya L. Korelasi Kualitas Tidur dan Kualitas Diet dengan Kadar Hemoglobin pada Remaja Putri. 2025; 9(3): 486-495.
DOI: https://doi.org/10.30591/siklus.v15i2.10300
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