Volume 13, Issue 2 (2025)
Health Educ Health Promot 2025, 13(2): 1001-1028 |
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Triana W, Asrial A, Guspianto G, Haryanto H. Interventions to Increase Knowledge, Attitude, and Iron Consumption Among Anemic Adolescents In Low-Middle Income Countries: A Systematic Review. Health Educ Health Promot 2025; 13 (2) :1001-1028
URL: http://hehp.modares.ac.ir/article-5-80601-en.html
URL: http://hehp.modares.ac.ir/article-5-80601-en.html
1- , trianawinda146@gmail.com
Abstract: (12 Views)
Aims. This systematic review evaluated the effectiveness of educational interventions in increasing iron consumption and improving related health outcomes among anemic adolescents in LMICs.
Methods. Systematic searches were conducted across PubMed, EMBASE, Cochrane Library, and CINAHL, following PRISMA guidelines. Studies were included if they targeted adolescents aged 10–19 years with anemia in LMICs, implemented educational interventions, and reported outcomes such as dietary iron intake, adherence to supplementation, hemoglobin levels, anemia prevalence, or knowledge, attitudes, and practices (KAP). Data extraction focused on intervention characteristics and outcomes. Risk of bias was assessed using RoB 2 and CASP tools.
Fundings. Sixteen studies involving 2,078 participants were included. Educational interventions improved dietary iron intake, adherence to supplementation, and knowledge levels. Culturally tailored and interactive methods, including community-based sessions and digital tools, achieved notable improvements in knowledge and hemoglobin levels. Long-term reductions in anemia prevalence were observed in programs with sustained engagement, although variability in intervention design and limited long-term adherence posed challenges.
Conclusion. Educational interventions effectively address iron deficiency anemia among adolescents in LMICs by enhancing knowledge, dietary practices, and biological outcomes. Success depends on cultural relevance, innovative delivery methods, and ongoing support. These findings highlight the importance of integrating educational strategies into national nutrition programs and leveraging digital tools to scale interventions, while addressing contextual barriers to sustainability.
Methods. Systematic searches were conducted across PubMed, EMBASE, Cochrane Library, and CINAHL, following PRISMA guidelines. Studies were included if they targeted adolescents aged 10–19 years with anemia in LMICs, implemented educational interventions, and reported outcomes such as dietary iron intake, adherence to supplementation, hemoglobin levels, anemia prevalence, or knowledge, attitudes, and practices (KAP). Data extraction focused on intervention characteristics and outcomes. Risk of bias was assessed using RoB 2 and CASP tools.
Fundings. Sixteen studies involving 2,078 participants were included. Educational interventions improved dietary iron intake, adherence to supplementation, and knowledge levels. Culturally tailored and interactive methods, including community-based sessions and digital tools, achieved notable improvements in knowledge and hemoglobin levels. Long-term reductions in anemia prevalence were observed in programs with sustained engagement, although variability in intervention design and limited long-term adherence posed challenges.
Conclusion. Educational interventions effectively address iron deficiency anemia among adolescents in LMICs by enhancing knowledge, dietary practices, and biological outcomes. Success depends on cultural relevance, innovative delivery methods, and ongoing support. These findings highlight the importance of integrating educational strategies into national nutrition programs and leveraging digital tools to scale interventions, while addressing contextual barriers to sustainability.
Keywords: Iron Deficiency Anemia, Adolescents, Health Education, Developing Countries, Food Habits, Medication Adherence
Article Type: Systematic Review |
Subject:
Health Education and Health Behavior
Received: 2025/04/29 | Accepted: 2025/07/8
Received: 2025/04/29 | Accepted: 2025/07/8
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