THE RELATIONSHIP BETWEEN HEMOGLOBIN LEVELS AND DYSMENORRHEA PAIN INTENSITY AMONG ADOLESCENT STUDENTS AT MAN 2 YOGYAKARTA

Authors

  • Afifah Salsabila Department of Midwifery, Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta, Indonesia
  • Sri Lestari Department of Midwifery, Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta, Indonesia

DOI:

https://doi.org/10.62354/jurnalmedicare.v5i4.532

Abstract

Background: Adolescent females undergo significant physical and reproductive transitions initiated by menarche. Dysmenorrhea represents the most pervasive gynecological complaint among adolescent girls, precipitating academic absenteeism and impaired quality of life. Suboptimal hemoglobin levels induce uterine myometrial hypoxia and excessive prostaglandin release, thereby exacerbating spastic dysmenorrhea pain.

Objective: To analyze the relationship between hemoglobin levels and dysmenorrhea pain intensity among tenth-grade female students at MAN 2 Yogyakarta. Methods: This quantitative observational analytic study employed a cross-sectional approach conducted in 2026. A sample of 103 female students was recruited from a population of 139 students using purposive sampling with Slovin-formula estimation. Hemoglobin levels were assessed using a validated EasyTouch Hemoglobinometer, and dysmenorrhea pain intensity was evaluated using the Numerical Rating Scale (NRS). Bivariate correlation was analyzed using Kendall’s tau test (alpha = 0.05).

Results: Among respondents with normal hemoglobin levels (≥ 12.0 g/dL; 35.9%, n = 37), the majority experienced mild dysmenorrhea (59.5%, n = 22). Conversely, among students with severe anemia (< 8.0 g/dL; 23.3%, n = 24), the majority experienced moderate dysmenorrhea (62.5%, n = 15). Furthermore, 66.0% (n = 68) of respondents admitted non-adherence to weekly iron-folic acid supplementation. Kendall’s tau test yielded a statistically significant correlation (tau = 0.222, p = 0.012).

Conclusion: There is a statistically significant positive relationship between hemoglobin levels and dysmenorrhea pain intensity among female students at MAN 2 Yogyakarta, demonstrating that lower hemoglobin status corresponds with heightened menstrual pain.

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Keywords:

Adolescents, Anemia, Dysmenorrhea, Hemoglobin level, Menstruation, Numerical Rating Scale

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Published

2026-10-31

How to Cite

Salsabila, A., & Lestari, S. (2026). THE RELATIONSHIP BETWEEN HEMOGLOBIN LEVELS AND DYSMENORRHEA PAIN INTENSITY AMONG ADOLESCENT STUDENTS AT MAN 2 YOGYAKARTA. Jurnal Medicare, 5(4), 1803–1810. https://doi.org/10.62354/jurnalmedicare.v5i4.532

Issue

Vol. 5 No. 4 (2026): OCTOBER 2026

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