Education using instagram on knowledge, attitudes and eating habits as prevention of anemia in adolescent girls in Makassar 10.55131/jphd/2023/210207

Main Article Content

Hernianti
Citrakesumasari
Nurhaedar Jafar
Rahayu Indriasari
Andi Zulkifli
Hasnawati Amqam

Abstract

In Indonesia the prevalence of anemia is 58.8%, at the age of 5-14 years is 26.8% and at the age 0f 15-24 years is 30.2%. Government initiatives to prevent anemia by dispensing iron supplements without teaching have left adolescent girls with little knowledge of anemia, necessitating substantial informative efforts through social media. Instagram is less popular than Whatsapp as a tool for educating adolescent girls about anemia. The purpose of this study is to compare the effects of WhatsApp and Instagram as instructional media on knowledge, attitudes, and eating patterns among adolescent girls in order to prevent anemia. This study employed a control group and a pre-test post-test quasi-experimental design. In this study, participants (n = 60) were split into two groups: the intervention group (n = 30) used Instagram at Junior High School 30 Makassar, while the control group (n = 30) used WhatsApp at Junor High School 14 Makassar. A general questionnaire and a food frequency questionnaire were used to collect the data, which was then analyzed using the repeated ANOVA test to compare each group's results before and after the intervention and the unpaired t-test to compare the Instagram group to the WhatsApp group. The findings indicated that the Instagram group's knowledge (61.50+82.67 vs 82.67+11.651), attitude (81.93+8.682 vs 89.23+6.683), and eating behaviors (467.10+197.269 vs 486.45+212.911) had different values before and after the intervention. In the WhatsApp group, these differences were 54.17+10.093 vs. 60.83+13.714 for knowledge, 73.20+10.179 vs. 83.40+13.255 for attitude, and 553.10+204.985 vs. 518.28+161.929 for eating habits. With a p-value of 0.05, there were differences between the WhatsApp and Instagram groups in terms of knowledge (0.000), attitude (0.000), and eating habits (0.002). Therefore, this study's conclusion is that educating adolescents using Instagram as a medium is more effective in improving their knowledge, attitudes, and eating habits.

Article Details

How to Cite
1.
Hernianti, Citrakesumasari, Nurhaedar Jafar, Rahayu Indriasari, Andi Zulkifli, Hasnawati Amqam. Education using instagram on knowledge, attitudes and eating habits as prevention of anemia in adolescent girls in Makassar: 10.55131/jphd/2023/210207. J Public Hlth Dev [Internet]. 2023 Apr. 7 [cited 2024 May 5];21(2):82-90. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/262840
Section
Original Articles
Author Biographies

Hernianti, Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Department of  Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Citrakesumasari, Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Department of  Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Nurhaedar Jafar, Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Department of  Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Rahayu Indriasari, Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Department of  Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Andi Zulkifli, Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Hasnawati Amqam, Department of Promotion, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

Department of Promotion, Faculty of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia

References

Indonesia KKR. Kesehatan Reproduksi. Jurnal Kesehatan Reproduksi. 2016;7:88.

Khani Jeihooni A, Hoshyar S, Afzali Harsini P, Rakhshani T. The effect of nutrition education based on PRECEDE model on iron deficiency anemia among female students. BMC Women's Health. 2021;21(1):256.

Puji AE, Satriani S, Nadimin, Fadliyah F. Hubungan Pengetahuan Ibu Dan Pola Konsumsi Dengan Kejadian Anemia Gizi Pada Ibu Hamil Di Puskesmas Kassi-Kassi. Media Gizi Pangan. 2010;10:5.

Rinieng I, Sri Sumarmi M. Hubungan Status Gizi Dengan Kejadian Anemia Pada Santriwati Di Pondok Pesantren Darul Ulum Peterongan Jombang. Jurnal Keperawatan Muhammadiyah. 2016;1(2):7-15.

Abu-Baker NN, Eyadat AM, Khamaiseh AM. The impact of nutrition education on knowledge, attitude, and practice regarding iron deficiency anemia among female adolescent students in Jordan. Heliyon. 2021;7(2):e06348.

Sari P, Herawati DMD, Dhamayanti M, Ma'ruf TLH, Hilmanto D. The Effect of Mobile Health (m-Health) Education Based on WANTER Application on Knowledge, Attitude, and Practice (KAP) Regarding Anemia among Female Students in a Rural Area of Indonesia. Healthcare (Basel). 2022;10(10).

Jalambo M, Sharif R, Naser I, Karim N. Improvement in Knowledge, Attitude and Practice of Iron Deficiency Anaemia among Iron-Deficient Female Adolescents after Nutritional Educational Intervention. Global Journal of Health Science. 2017:9(7):10. doi: 10.5539/gjhs.v9n7p15.

Williams G, Hamm MP, Shulhan J, Vandermeer B, Hartling L. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2014;4(2):e003926.

Lwanga SKL, Lemeshow S. Sample Size Determinationin Health Studies : a practical manual . World Health Organization. 1991.

Santika IGPNA, Adiatmika IPG, Subekti M. Training Of Run Star For Agility Volleyball Athlete Junior High School 2 Denpasar. Jp.jok. 2020;4(1):128-41.

Rahayu S, Rahmawat T. Uji Validitas dan Reliabilitas Kuesioner Kebutuhan Informasi Caregivers Keluarga (K-KICK). Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan. 2019;10(2).

Herman, Citrakesumasari, Hidayanti H, Jafar N, Virani D. Pengaruh Edukasi Gizi Menggunakan Leaflet Kemenkes Terhadap Perilaku Konsumsi Sayur Dan Buah Pada Remaja Di Sma Negeri 10 Makassar. JGMI. 2020;9(1):39-50.

Kusnadi FN. Hubungan Tingkat Pengetahuan Tentang Anemia Dengan Kejadian Anemia Pada Remaja Putri. Jurnal Medika Hutama. 2021;3(1):1293-8.

Arora G, Kochar G.K. Impact of Nutrition Education on Knowledge, Attitude, Practices and Beliefs of Adolescent Girls Belonging to Rural and Urban Area of District Kurukshetra. International Journal of Nutrition and Food Sciences. 2016;5(4):278-83. doi: 10.11648/j.ijnfs.20160504.17.

Seiler J, Libby TE, Jackson E, Lingappa JR, Evans WD. Social Media-Based Interventions for Health Behavior Change in Low- and Middle-Income Countries: Systematic Review. J Med Internet Res. 2022;24(4):e31889.

Kesumasari C, Kurniati Y, Dachlan DM, Syam A, Virani D. Perbaikan Gizi Remaja Berbasis Sekolah Di Sma Negeri 15 Makassar. Panrita Abdi. 2019;3(1):89-96.

Sabarudin, Mahmudah R, Ruslin, Aba L, Nggawu LO, Syahbudin, Nirmala F, Saputri A I, Hasyim MS. Efektivitas Pemberian Edukasi secara Online melalui Media Video dan Leaflet terhadap Tingkat Pengetahuan Pencegahan Covid-19 di Kota Baubau. Jurnal Farmasi Galenika. 2020;6(2). doi: https://doi.org/10.22487/j24428744.2020.v6.i2.15253

Fadhilah TM, Qinthara FZ, Pramudiya F, Nurrohmah FS, Nurlaelani HP, Maylina N, et al. Pengaruh Media Video Edukasi terhadap Peningkatan Pengetahuan Anemia pada Remaja Putri. JPPM. 2021;5:7.

Vander Wyst KB, Vercelli ME, O'Brien KO, Cooper EM, Pressman EK, Whisner CM. A social media intervention to improve nutrition knowledge and behaviors of low income, pregnant adolescents and adult women. PLOS ONE. 2019;14(10):e0223120.

Hijlis SA, Alanzi T, Alanezi F, Alhodaib H, Althumairi A, Aljaffary A, et al. Use of social media for the improvement of radiation safety knowledge among Saudi Arabian radiographers. Int Health. 2022;14(3):280-7.

Charles Shapu R, Ismail S, Ahmad N, Lim PY, Abubakar Njodi I. Systematic Review: Effect of Health Education Intervention on Improving Knowledge, Attitudes and Practices of Adolescents on Malnutrition. Nutrients. 2020;12(8).

Fitriani DS, Umamah R, Rosmana D, Rahmat M, Mulyo GPE.Penyuluhan Anemia Gizi Dengan Media Motion Video Terhadap Pengetahuan Dan Sikap Remaja Putri. Jurnal Kesehatan. 2019;11(1):97-104

Anderson AS, Porteous LE, Foster E, Higgins C, Stead M, Hetherington M, et al. The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables. Public Health Nutr. 2005;8(6):650-6.

Elaheebocus S, Weal M, Morrison L, Yardley L. Peer-Based Social Media Features in Behavior Change Interventions: Systematic Review. J Med Internet Res. 2018;20(2):e20.

Wang D, Stewart D, Chang C, Shi Y. Effect of a school-based nutrition education program on adolescents' nutrition-related knowledge, attitudes and behaviour in rural areas of China. Environ Health Prev Med. 2015;20(4):271-8.

Arza P, Afifah SN. Efektifitas Edukasi Gizi Dengan Tatap Muka Dan Online Terhadap Pengetahuan Dan Perilaku Konsumsi Susu Siswa SMP. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan. 2022;7(2):6.

Arza PA, Helmizar H, Rahmah DF. Pengaruh Edukasi Gizi Online Terhadap Pengetahuan Gizi Dan Asupan Vitamin C Serta Zat Besi Siswa Smp. Prepotif: Jurnal Kesehatan Masyarakat. 2023;5(2):1310 -6.

Anderson AS, Cox DN, McKellar S, Reynolds J, Lean ME, Mela DJ. Take Five, a nutrition education intervention to increase fruit and vegetable intakes: impact on attitudes towards dietary change. Br J Nutr. 1998;80(2):133-40.