Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study
Abstract Background Iodine deficiency is a global public health threat, affecting an estimated two billion people. The median urinary iodine concentration is more reliable in determining recent iodine intakes and the risks of iodine deficiency. Therefore, this study was aimed to identify the factors...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-023-02516-8 |
| _version_ | 1827905291100880896 |
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| author | Agize Asfaw Mifta Behailu Abdu Oumer Tigist Gebremariam Kenzudin Asefa |
| author_facet | Agize Asfaw Mifta Behailu Abdu Oumer Tigist Gebremariam Kenzudin Asefa |
| author_sort | Agize Asfaw |
| collection | DOAJ |
| description | Abstract Background Iodine deficiency is a global public health threat, affecting an estimated two billion people. The median urinary iodine concentration is more reliable in determining recent iodine intakes and the risks of iodine deficiency. Therefore, this study was aimed to identify the factors associated with recent iodine intake level using median urinary iodine concentration as an indicator among household food handlers in southwest Ethiopia. Methods A community-based survey was conducted with selected households using a pretested interviewer-administered questionnaire in southwest Ethiopia. A 20-gram sample of table salt and a 5 ml causal urine samples were also collected and analyzed using rapid test kit and a Sandell-Kolthoff reaction, respectively. A salt iodine concentration above 15 ppm was classified as adequately iodized and a median urinary iodine concentration between 100 and 200µgl− 1 was considered as adequate iodine intake. A bivariable and multivariable logistic regression model was fitted. Crude and adjusted odds ratios with their 95% confidence levels were reported. Associations with a p-value ≤ 0.05 were used to declare statistical significance. Results A total of 478 women were included, with a mean age of 33.2 (± 8.4 years). Only 268 (56.1%) of the households had adequately iodized salt (> 15 ppm). The median urinary iodine concentration (interquartile range) was 87.5 µg l− 1 (45.6-107.6). In a fitted multivariable logistic regression model (p-value = 0.911), illiterate women (AOR = 4.61; 95% CI: 2.17, 9.81), poorly iodized salt in the household (AOR = 25.0; 95% CI: 13–48), salt purchased from open market (AOR = 1.93; 95% CI: 1.0, 3.73) and women who do not read the label during purchasing the salt (AOR = 3.07; 95% CI: 1.31, 7.17) were important predictors of the risk of Iodine deficiency. Conclusion Despite public health efforts to improve iodine intake, its deficiency is still a major public health problem among southwest Ethiopian women. |
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| format | Article |
| id | doaj.art-58f2f752191b45fb998e86e25bafdedb |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-13T00:39:36Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-58f2f752191b45fb998e86e25bafdedb2023-07-09T11:23:30ZengBMCBMC Women's Health1472-68742023-07-012311910.1186/s12905-023-02516-8Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional studyAgize Asfaw0Mifta Behailu1Abdu Oumer2Tigist Gebremariam3Kenzudin Asefa4Department of Public Health, College of Medicine and Health Sciences, Wolkite UniversityDepartment of Public Health, College of Medicine and Health Sciences, Wolkite UniversityDepartment of Public Health, College of Medicine and Health Sciences, Wolkite UniversityDepartment of Public Health, College of Medicine and Health Sciences, Wolkite UniversityDepartment of Public Health, College of Medicine and Health Sciences, Wolkite UniversityAbstract Background Iodine deficiency is a global public health threat, affecting an estimated two billion people. The median urinary iodine concentration is more reliable in determining recent iodine intakes and the risks of iodine deficiency. Therefore, this study was aimed to identify the factors associated with recent iodine intake level using median urinary iodine concentration as an indicator among household food handlers in southwest Ethiopia. Methods A community-based survey was conducted with selected households using a pretested interviewer-administered questionnaire in southwest Ethiopia. A 20-gram sample of table salt and a 5 ml causal urine samples were also collected and analyzed using rapid test kit and a Sandell-Kolthoff reaction, respectively. A salt iodine concentration above 15 ppm was classified as adequately iodized and a median urinary iodine concentration between 100 and 200µgl− 1 was considered as adequate iodine intake. A bivariable and multivariable logistic regression model was fitted. Crude and adjusted odds ratios with their 95% confidence levels were reported. Associations with a p-value ≤ 0.05 were used to declare statistical significance. Results A total of 478 women were included, with a mean age of 33.2 (± 8.4 years). Only 268 (56.1%) of the households had adequately iodized salt (> 15 ppm). The median urinary iodine concentration (interquartile range) was 87.5 µg l− 1 (45.6-107.6). In a fitted multivariable logistic regression model (p-value = 0.911), illiterate women (AOR = 4.61; 95% CI: 2.17, 9.81), poorly iodized salt in the household (AOR = 25.0; 95% CI: 13–48), salt purchased from open market (AOR = 1.93; 95% CI: 1.0, 3.73) and women who do not read the label during purchasing the salt (AOR = 3.07; 95% CI: 1.31, 7.17) were important predictors of the risk of Iodine deficiency. Conclusion Despite public health efforts to improve iodine intake, its deficiency is still a major public health problem among southwest Ethiopian women.https://doi.org/10.1186/s12905-023-02516-8EthiopiaFood handlersIodine deficiencyIodine intakeIodized salt |
| spellingShingle | Agize Asfaw Mifta Behailu Abdu Oumer Tigist Gebremariam Kenzudin Asefa Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study BMC Women's Health Ethiopia Food handlers Iodine deficiency Iodine intake Iodized salt |
| title | Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study |
| title_full | Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study |
| title_fullStr | Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study |
| title_full_unstemmed | Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study |
| title_short | Factors associated with recent iodine intake level among household food handlers in Southwest Ethiopia: a cross-sectional study |
| title_sort | factors associated with recent iodine intake level among household food handlers in southwest ethiopia a cross sectional study |
| topic | Ethiopia Food handlers Iodine deficiency Iodine intake Iodized salt |
| url | https://doi.org/10.1186/s12905-023-02516-8 |
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