Anemia masih menjadi salah satu masalah kesehatan masyarakat yang menonjol pada remaja putri. Kondisi ini umumnya disebabkan oleh rendahnya asupan zat besi, terutama dari protein hewani yang merupakan sumber zat besi heme dengan tingkat absorpsi tinggi, serta kurangnya kepatuhan dalam mengonsumsi tablet tambah darah (TTD) sebagai upaya pencegahan anemia. Penelitian ini bertujuan untuk mengetahui hubungan antara konsumsi protein hewani dan kepatuhan konsumsi TTD dengan kejadian anemia pada remaja putri di SMP Negeri 1
Campalagian. Penelitian ini menggunakan pendekatan kuantitatif dengan desain survei analitik cross-sectional. Populasi penelitian adalah seluruh siswi remaja putri kelas VII dan VIII sebanyak 267 orang, dengan sampel penelitian 80 remaja putri. Data konsumsi protein hewani diperoleh melalui wawancara menggunakan formulir Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), kepatuhan konsumsi TTD diukur menggunakan kuesioner kepatuhan konsumsi tablet tambah darah (TTD), sedangkan status anemia ditentukan berdasarkan pemeriksaan kadar hemoglobin menggunakan alat Hb digital. Analisis data dilakukan secara univariat untuk menggambarkan distribusi frekuensi dan bivariat menggunakan uji ChiSquare dengan tingkat signifikansi p<0,05. Uji statistik menunjukkan adanya hubungan signifikan antara konsumsi protein hewani dengan kejadian anemia (p=0,000). Selain itu, tidak terdapat hubungan signifikan antara kepatuhan konsumsi TTD dengan kejadian anemia (p=0,326), di mana remaja yang tidak patuh memiliki risiko lebih tinggi mengalami anemia dibandingkan remaja yang patuh
dalam mengonsumsi tablet tambah darah (TTD).
Anemia remains one of the prominent public health issues among adolescent girls. This condition is generally caused by low iron intake, particularly from animal protein sources that provide heme iron with high absorption rates, as well as poor adherence to iron supplement (Fe tablet) consumption as a preventive measure against anemia. This study aimed to determine the relationship between animal protein consumption and adherence to iron supplement (Fe tablet) intake with the incidence of anemia among adolescent girls at SMP Negeri 1 Campalagian. The study employed a quantitative approach with an analytic cross-sectional survey design. The study population consisted of all female students in grades VII and VIII, totaling 267 individuals, with a sample size of 80 adolescent girls. Data on animal protein consumption were collected through interviews using the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), while adherence to iron supplement intake was measured using a Fe tablet adherence questionnaire. Anemia status was determined based on hemoglobin level measurements using a digital Hb device. Data analysis was performed univariately to describe frequency distribution and bivariately using the Chi-Square test with a significance level of p<0.05. Statistical analysis showed a significant relationship between animal protein consumption and the incidence of anemia (p=0.000). Furthermore, there was no significant relationship between adherence to iron supplement intake and the incidence of anemia (p=0.326), although adolescent girls who were non-adherent had a higher risk of developing anemia compared to those who regularly consumed iron supplements.