FAKTOR RISIKO KONSUMSI TABLET Fe, INHIBITOR DAN INFEKSI PARASIT TERHADAP KEJADIAN ANEMIA PADA IBU HAMIL DI DAERAH ENDEMIK GAKY KABUPATEN MAGELANG

Abstract

Anemia deficiency iron, was one several health problems in Indonesian pregnant women. In Indonesia country showed that prevalence of anemia among pregnant women before program is 70.77%, and after program is 50.9% (SKRT, 1995), in Magelang regency is 40% (2003). The most probable causes are low intake of iron and a high intake of its inhibitors (such as tannin, phytate, oxalate), high worm infection and low complain consumption Fe tablet. Objective: To investigate the intake of iron, tannin, phytate, oxalate, worm infection and complain consumption Fe tablet. Method: A case control study was administered with the number of sample taken as a of sampling calculation (α = 0.05) power used 95%, proportion P1= 40%, OR = 1.5. Case were elementary pregnant women having anemia with Hb level under 11mg/dl (n=145), and control were those whose Hb level ≥ 11 mg/dl (n=149). The following variables were collected : Hb level, intake tannin, phytate, oxalate, energy, Fe tablet and worm infection. Data were analyzed using multivariate regression logistic. Result: Anemia prevalence among pregnant women was 63.5%. The risk factors were as follows: intake Fe tablet (OR=7.794; CI 95%=1.007-89.890), worm infection (OR=7.71;CI95%=1.106-76.360), intake tannin (OR=4.13;CI95%=0.059-66.378). Risk to experience problems in anemia, with their pregnant women of lower complain consumption Fe tablet, than ≥ 90 tablet was 22.1%. Conclusion: The study fond that risk factors for anemia in Magelang regency are low intake iron, high intake inhibitors and high worm infection. Anemia control should the be focused an complain Tablet Fe consumption and behavior sanitation.