Gadget Use Duration, Sleep Quality, and Anaemia Among Adolescent Girls: A Cross-Sectional Study in Makassar, Indonesia

Suchi Avnalurini Sharief; Sitti Hadriyanti Hamang; Nurhayati Nurhayati

doi:10.47650/pjphsr.v6i1.2463

Suchi Avnalurini Sharief Midwifery Study Program, Faculty of Public Health, Muslim University of Indonesia, Makassar, Indonesia
Sitti Hadriyanti Hamang Midwifery Study Program, Faculty of Public Health, Muslim University of Indonesia, Makassar, Indonesia
Nurhayati Nurhayati Midwifery Study Program, Faculty of Public Health, Muslim University of Indonesia, Makassar, Indonesia

DOI: https://doi.org/10.47650/pjphsr.v6i1.2463

Keywords: Anaemia, Adolescent girls, Gadget, Sleep Quality

Abstract

The increasing duration of gadget use among adolescent girls has raised concerns regarding its potential impact on sleep quality and nutritional health, including anaemia. Prolonged exposure to electronic screens may disrupt normal sleep patterns, which can interfere with physiological processes involved in haemoglobin synthesis. This study aimed to examine the association between gadget use duration, sleep quality, and anaemia among adolescent girls in Makassar, Indonesia. A cross-sectional study was conducted among adolescent girls in Makassar. Data on gadget use duration were collected using a structured questionnaire, while sleep quality was assessed using a validated sleep quality instrument. Haemoglobin levels were measured to determine anaemia status. Data were analysed using descriptive statistics and bivariate analysis to assess associations between variables. The results showed that a considerable proportion of participants reported prolonged gadget use, particularly more than three hours per day. Poor sleep quality was more common among adolescents with longer gadget use duration. Anaemia was identified in a notable proportion of participants. Statistical analysis revealed a significant association between gadget use duration and sleep quality, as well as between sleep quality and anaemia status. Adolescents with prolonged gadget use and poor sleep quality were more likely to experience anaemia. In conclusion, prolonged gadget use is associated with impaired sleep quality, which may increase the risk of anaemia among adolescent girls. These findings highlight the importance of promoting healthy gadget use habits and adequate sleep as part of anaemia prevention strategies in adolescent populations.

References

Avnalurini, S., Patimah, S., Mahmud, U., & Jayanti, I. (2025). Identify The Type and Cause of Anaemia in Pregnant Women by Examining Peripheral Blood Smears. Multidisciplinary Science Journal, 1–6. Https://Doi.Org/Http://Dx.Doi.Org/10.31893/Multiscience.2025280

Central Bureau of Statistics. (2024). Indonesian Telecommunication Statistics 2023. Central Bureau of Statistics.

Bin Laeto, A., Sarahdeaz Fazzaura Putri, S., Febri Zulissetiana, E., Bin Laeto Siti Sarahdeaz Fazzaura Putri Eka Febri Zulissetiana Swanny Faculty Medicine, A., History Article, D., & Key, K. (2022). Relationship Sleep Quality of Adolescents During the Covid-19 Pandemic with Activity Physical and Screen-Time.

Duration Use Gawai, H., Stress, T., Gender, J., Residence with Eating Patterns, and, Residence with Eating Patterns of Jember Adolescents Wardasaidah Alfain Rohim Nutrition, D. Di, & Science Sports and Health, F. (ND). Cleonara Yanuar Dini.

Gucie , N.A., Destani Sandy, Y., Mutiara, E., & Haryana, NR (2024). Connection Sleep Quality and Nutritional Status with Anaemia Incidence in Vocational High Schools Pharmaca Medan. https://Journal.Unnes.Ac.Id/Sju/Index.Php/Nutrizione/

Ivana, I., & Rochmah Ida Ayu Trisno Putri, N. (2021). The Relationship Between Gadget Usage and Adolescent Sleep Quality. In The Relationship Between Gadget Usage and Adolescent Sleep Quality. Jphtcr (Vol. 4, Issue 1).

Kalsum, U., Mayangsari, R., Qlifianti Demmalewa, J., College of Health Sciences Health Works, S., Key, K., Fe, A., Sleep Correspondence Author Umi Kalsum, K., Gizi, P., & Health Works Jln Dock Lapulu Abeli District, Kendari City, Stik. (ND). Relationship Fe Intake and Sleep Quality with the Incidence of Anaemia in Adolescent Girls at Sman 2 Wawotobi Regency Konawe. Https://Jurnal.Karyakesehatan.Ac.Id/Jgi

Ministry of Health of the Republic of Indonesia. (2014). Regulation of the Minister of Health of the Republic of Indonesia Number 25 of 2014 concerning Child Health Efforts.

Ministry of Health of the Republic of Indonesia. (2018). National Report on Basic Health Research 2018.

Ministry of Health of the Republic of Indonesia. (2022). Technical Guidelines for the Management of Anaemia in Adolescent Girls Through Iron Supplement Tablets. Directorate of Nutrition, Directorate General of Public Health, Ministry of Health of the Republic of Indonesia.

Ministry of Health of the Republic of Indonesia. (2024). Indonesian Health Survey 2024 2023: Portrait of a Healthy Indonesia. Ministry of Health of the Republic of Indonesia.

Health, J., Meditory , S., Lestari, S., Arif, A., Riski , M., Zuitasari, A., Midwifery, PS, Kader, U., Palembang, B., Program, M., & Midwifery, S. (ND). Related Factors with the Incidence of Anaemia in Adolescent Girls Aged 13-14 Years in a Boarding School Al- Amalul Khair Islamic Boarding School, Palembang City Factors Related to the Incident of Anaemia in Adolescent Girls Aged 13-14 Years at the Al- Amalul Khair Islamic Boarding School Dormitory Palembang City . Https://Jurnal.Syedzasaintika.Ac.Id

Ministry of Communication and Information of the Republic of Indonesia (2023). Status of Digital Literacy in Indonesia 2022 .

Liebig, L., Bergmann, A., Voigt, K., Balogh, E., Birkas , B., Faubl, N., Kraft, T., Schöniger , K., & Riemenschneider, H. (2023). Screen Time And Sleep Among Medical Students In Germany. Scientific Reports , 13 (1). https://Doi.Org/10.1038/S41598-023-42039-8

Maghfirah , N., Masfufah Masfufah & Nuristha Febrianti . (2024). Screen Time and Sleep Quality with Hemoglobin Levels in Adolescent Girls. Vitamins: Journal General Health Sciences , 3 (1), 01–09. Https://Doi.Org/10.61132/Vitamin.V2i4.730

Nagata, J.M., Weinstein, S., Bashir, A., Lee, S., Abubakr , ; , Al- Shoaibi , AA, Iris, ;, Shao, Y., Ganson, KT, Testa, ; Alexander, He, J., Garber, AK, Nagata, J.M., Weinstein, S., Bashir, A., Lee, S., Al- Shoaibi , A., Shao, IY, & Garber, AK (ND). Associations Of Contemporary Screen Time Modalities With Early Adolescent Nutrition .

National Sleep Foundation. (2020). National Sleep Foundation Highlights New Evidence For Screen Time Usage And Poor Sleep [Internet]. 2020 Dec 1 [Cited 2025 Jun 18]. Available From: Https://Www.Thensf.Org/National-Sleep-Foundation-Highlights-New-Evidence-For-Screen-Time-Usage-And-Poor-Slee . Www.Thensf.Org /National-Sleep-Foundation-Highlights-New-Evidence-For-Screen-Time-Usage-And-Poor-Sleep/

Nisa, J., Maulidya Chikmah , A., & Arsita Harnawati , R. (ND). The Effects Of Gadgets On The Occurrence Of Anaemia In Teenage Girls . https://Doi.Org/10.30591/Siklus.V9i1.1653.G1082

Ouyang, J., Peng, Y., & Gong, Y. (2022). New Perspectives On Sleep Regulation By Tea: Harmonizing . 1–20.

Pangarkar, T. (2025). Mobile Internet Usage Statistics 2025 By Best Network Technology . Https://Scoop.Market.Us/Mobile-Internet-Usage-Statistics/

Patimah, S., Masriadi, Abbas, HH, & Sharief, SA (2025). Exploration Of Strategies to Overcome Dual-Triple Burden of Malnutrition in Adolescent Girls Based on Local Wisdom: A Qualitative Study. Window Of Health, 8 (1), 59–72. Https://Doi.Org/Https://Doi.Org/10.33096/Woh.V8i1.2601

Rah, J. H., Melse-Boonstra, A., Agustina, R., Zutphen, K. G. Van, & Kraemer, K. (2021). The Triple Burden of Malnutrition Among Adolescents in Indonesia. 42, 4–8. https://Doi.Org/10.1177/03795721211007114

Rosdiana, R., & Suryani, L. (2025). Relationship Sleep Quality with Risk of Anaemia in Adolescent Girls: A Cross-Sectional Study in Pekanbaru State Umbrella Health Institute. Jubida, 4 (1), 133–151. https://Doi.Org/10.58794/Jubida.V4i1.1524

Sharief, SA, & M, A. (2019). Comparison Administration of Fe Tablets + Vitamin A and Fe Tablets + Folic Acid to Increased Hemoglobin Levels. Journal Forikes Voice Health Research, 10 (1), 219–222. Https://Doi.Org/Doi: Http://Dx.Doi.Org/10.33846/Sf10312

Sharief, SA, & M., A. (2021). Eating Habits and the Incidence of Anaemia. Journal Health Research Voice Forikes, 12 (2013), 168–172. Https://Doi.Org/Doi: Http://Dx.Doi.Org/10.33846/Sf12nk131

WHO. (2025a). Anaemia: Key Facts. Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Anaemia

WHO. (2025b). WHO Global Anaemia Estimates, 2025 Edition: Global Anaemia Estimates in Women 15–49 Years, By Pregnancy Status.

Woran, K., Kundre, RM, Pondaag, FA, Science Study Program Nursing, M., Medicine, F., Sam Ratulangi, U., & Science Studies Nursing Faculty Sam Ratulangi University of Medicine, P. (ND). Analysis Connection Use of Social Media with Sleep Quality in Adolescents. In Journal Nursing (JKP) (Vol. 8, Issue 2).

World Health Organization and United Nations Children's Fund (Unicef ). (2024). Best Practices for Anaemia Surveys in Population-Level Hemoglobin Measurement Technical Brief.