The Correlation between Vitamin C Intake, Fiber Intake, and Academic Stress Levels with Anemia Incident among Female Students at the Medicine Faculty of State University of Surabaya

Dinda Marsha Lina Aisyiah; Wildan Alfira Gusrianto; Fitriana Nugraheni; Roselynne Roselynne

doi:10.55606/ijhs.v6i2.7746

Authors

Dinda Marsha Lina Aisyiah University Negeri Surabaya
Wildan Alfira Gusrianto University Negeri Surabaya
Fitriana Nugraheni University Negeri Surabaya
Roselynne Roselynne University Negeri Surabaya

DOI:

https://doi.org/10.55606/ijhs.v6i2.7746

Keywords:

Academic stress level, Anemia, Female students, Fiber intake level, Vitamin C intake level

Abstract

Anemia remains a critical public health problem, particularly among young women, including female university students. Its occurrence is influenced by dietary intake and psychological factors such as academic stress. This study aimed to analyze the relationship between vitamin C intake, fiber intake, academic stress, and anemia incidence among female medical students at Universitas Negeri Surabaya. A cross-sectional analytical observational design was used with 85 respondents selected through proportional stratified random sampling. Vitamin C and fiber intake were assessed using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), academic stress was measured with the Perceived Academic Stress Scale (PASS), and anemia status was determined through hemoglobin measurement using the Easy Touch GCHb device. The Chi-Square test analyzed associations between nutrient intake and anemia, while Fisher’s Exact Test examined the relationship between academic stress and anemia. The results showed significant associations between vitamin C intake and anemia (p < 0.001), fiber intake and anemia (p < 0.001), and academic stress and anemia (p = 0.003). Anemia was common among respondents with insufficient vitamin C intake, low fiber intake, and high stress levels. These findings indicate that adequate nutrition and effective stress management are important for reducing anemia risk among female students in this population

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