Disparity between High Iodised Salt Usage and Knowledge of Iodine Nutrition in Pregnancy among Pregnant Women: A Cross-Sectional Study
DOI:
https://doi.org/10.21048/IJND.2022.59.2.29116Keywords:
Iodine deficiency, knowledge, awareness, iodised salt, pregnancy, iodine nutritionAbstract
The micronutrient Iodine is essential throughout life especially during fetal brain development. The deficiency of which is deemed the single most important cause of preventable mental retardation. Iodine Deficiency Disorders (IDD) is manifested in infancy and childhood, which are primarily influenced by low iodine levels in pregnancy. Using iodised salt is a key to ensure elimination of IDD, for which the knowledge and awareness of iodised salt are of prime importance. The study was aimed to determine the knowledge of iodine nutrition and its association with awareness and usage of iodised salt among pregnant women living in eastern UP. Hospital-based cross-sectional study was conducted through random sampling on 200 pregnant women at the regional women’s hospital, Prayagraj, Uttar Pradesh, India. A pre-tested interview schedule was used to assess knowledge. Scores and descriptive statistics were analyzed, bivariate analyses were employed to describe and determine the association among variables. Mean age of respondents was 25.23 ±3.75. The majority of the population belonged to the lower middle (38%) and upper lower class (36%). Nearly half had heard of the nutrient ‘Iodine’ and 37% self-reported usage of iodised salt whereas usage as per brand was 81%. The mean knowledge score was 1.53. Three-fourths of the respondents (74.5%) had a low level of knowledge and a quarter of the respondents (25.5%) had a high level of knowledge. These scores were significantly associated with socioeconomic status, usage of iodised salt (both self-reported and brand used) and with an awareness of iodine as an essential nutrient and its deficiencies (p<0.05). The study shows a significant disparity between knowledge of iodised salt, its use and actual consumption, which can be attributed to successful Universal Salt Iodisation; however, the disparity highlights the need for strategic awareness schemes in women of reproductive age.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
All the articles published in IJND are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).
Please contact us at editor@informaticsglobal.com for permissions related to commercial use of the article(s).
Accepted 2022-03-02
Published 2022-05-11
References
Nutrition International, ICCIDD, AIIMS and Kantar. India Iodine Survey 2018-19 National Report, New Delhi, India, 2019.
NFHS 5. International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5) : India. Mumbai. International Institute for Population Sciences, 2021.
Ministry of Health and Family Welfare. Government of India. National Family Health Survey - 4 State Fact Sheet Uttar Pradesh, 2017.
Mohapatra, S.S.S. Elimination of iodine deficiency disorders by 2000 and its bearing on the people in a district of Orissa, India: A knowledge-attitude-practices study. Asia Pac. J. Clin. Nutr., 2001, 10, 58-62. https://doi.org/10.1046/j.1440-6047.2001.00203.x DOI: https://doi.org/10.1046/j.1440-6047.2001.00203.x
McMullan, P., Hunter, A., McCance, D., Woodside, J.V. and Mullan, K. Knowledge about iodine requirements during pregnancy and breastfeeding among pregnant women living in Northern Ireland. BMC Nutr., 2019, 5, 1-6. https://doi.org/10.1186/s40795-019-0285-8 DOI: https://doi.org/10.1186/s40795-019-0285-8
Glasauer, P. and Macias, Y.F. Guidelines for assessing nutrition-related Knowledge, Attitude and Practices. Rome: Food and Agriculture Organisation of the United Nations, Nutrition, 2014. https://doi.org/10.3354/ame037063 DOI: https://doi.org/10.3354/ame037063
Henjum, S., Brantsæter, A.L., Kurniasari, A., Dahl, L., Aadland, E.K., Gjengedal, E.L.F. and Aakre, I. Suboptimal iodine status and low iodine knowledge in young Norwegian women. Nutr., 2018, 10. https://doi.org/10.3390/nu10070941 DOI: https://doi.org/10.3390/nu10070941
Khairnar, M.R., Wadgave, U. and Shimpi, P.V. Kuppuswamy’s socio-economic status scale: A revision of occupation and income criteria for 2016, Ind. J. Pediat., 2017, 84, 3-6. https://doi.org/10.1007/s12098-016-2223-y DOI: https://doi.org/10.1007/s12098-016-2223-y
Pandav, C.S., Yadav, K., Salve, H.R., Kumar, R., Goel, A.D. and Chakrabarty, A. High national and sub-national coverage of iodised salt in India: Evidence from the first National Iodine and Salt Intake Survey (NISI) 2014-2015. Pub. Health Nutr., 2018, 21, 3027-3036. https://doi.org/10.1017/S1368980018002306 DOI: https://doi.org/10.1017/S1368980018002306
Tran, T.D., Hetzel, B. and Fisher, J. Access to iodized salt in 11 low-and lower-middle-income countries: 2000 and 2010. Bull. Wor. Health Organiz., 2016, 94, 122-129. https://doi.org/10.2471/blt.1 5.160036 DOI: https://doi.org/10.2471/BLT.15.160036
Bazezew, M.M., Yallew, W.W. and Belew, A.K. Knowledge and practice of iodized salt utilization among reproductive women in Addis Ababa City. BMC Res. Notes, 2018, 11, 1-8. https://doi.org/10.1 186/s13104-018-3847-y DOI: https://doi.org/10.1186/s13104-018-3847-y
Garnweidner-Holme, L., Aakre, I., Lilleengen, A.M., Brantsæter, A.L. and Henjum, S. Knowledge about iodine in pregnant and lactating women in the Oslo area, Norway. Nutr., 2017, 9, 1-11. https://doi.org/10.3390/nu9050493 DOI: https://doi.org/10.3390/nu9050493
Datta, A., Karmakar, N., Nag, K. and Singha, S. A study on knowledge, attitude and practices regarding household consumption of iodized salt among selected urban women of Tripura, India. J. Clin. Diag. Res., 2018, 12, 16-20. https://doi.org/10.7860/JCDR/2018/37587.12252 DOI: https://doi.org/10.7860/JCDR/2018/37587.12252
Jaiswal, N., Melse-Boonstra, A., Thomas, T., Basavaraj, C., Sharma, S.K., Srinivasan, K. and Zimmermann, M. B. High prevalence of maternal hypothyroidism despite adequate iodine status in Indian pregnant women in the first trimester. Thyroid, 2014, 24, 1419-1429. https://doi.org/10.1089/thy.2014.0071 DOI: https://doi.org/10.1089/thy.2014.0071
Kumar, P., Tiwari, V.K. and Gautam, R. Salt : An Eevaluation of national iodine deficiency disorders. OIDA Int. J. Sustainable Develop., 2013, 5.