Utilization of Adequately Iodized Salt and its Barriers Among Sub-Urban Households of Chengalpattu District- Tamil Nadu

Authors

  • Siddharthan Athiyaman epartment of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India
  • Virudhunagar Muthuprakash Anantha Eashwar Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India
  • Hariharan Surathkumaar Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India
  • Umadevi Ramachandran Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India

DOI:

https://doi.org/10.26911/jepublichealth.2024.09.04.05

Abstract

Background: Iodine is a crucial nutrient humans need for healthy mental and physical development. Iodine deficiency disorder (IDD) continues to pose a real threat to public health across several nations, including India. This study aimed to estimate the prevalence of the use of adequately iodized salt and to determine the barriers to the use of adequately iodized salt among suburban households.
Subjects and Method: A Community-based cross-sectional study was done among 250 sub-urban households using a multistage sampling technique in Chengalpattu district, Tamil Nadu. The study was carried out between the period of July to November 2023. Data was collected by both standardized and pre-tested semi-structured questionnaires. The iodine content of salt was assessed by an MBI spot testing kit. The dependent variable was adequately iodized salt and the independent variable was sociodemographic details and variables related to the utilization of iodized salt. Data were analyzed using SPSS version 25.
Results: The prevalence of utilization of adequately iodized salt was 76.8 % and barriers to the use of adequately iodized salt among sub-urban households were, using a wet spoon/hand to take salt from the container, container of the salt kept open / both ways, storing salt in the steel container and storing in the original salt pocket itself.
Conclusion: Specific education regarding proper storage, handling, duration, and the importance of iodized salt needs to be implemented to increase community awareness and to focus on behavior change communication to bring a positive attitude toward the utilization of iodized salt.

Keywords:

iodine, iodine deficiency, parts per million, cross-sectional, storage practices

Correspondence

Siddharthan A. Department of Community Medicine, Sree Balaji Medical College and Hospital, No.7 Works Road, Chromepet, Chennai-600044, Tamil Nadu, India. Email: siddharthan17@gmail.com.

Author Biographies

Virudhunagar Muthuprakash Anantha Eashwar, Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India

Community Medicine and Associate Professor 

Hariharan Surathkumaar, Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India

Department of Community Medicine and Assistant Professor

Umadevi Ramachandran, Department of Community Medicine, Sree Balaji Medical College and Hospital, Chennai, India

Department of Community Medicine and Retired Professor

References

Abebe Z, Tariku A, Gebeye E (2017). Avail-ability of adequately iodized in North-west Ethiopia: a cross-sectional study. Arch Public Health. 75: 1-9. doi: 10.1186/s13690-017-0201-0.

Antenah Z, Negash S, Assefa B (2017). 'Utilization of Iodized Salt and Associated Factors at Household Level in Jekulo Woreda, North East Ethiopia, Cross-Sectional Study. Nutr Food Sci Int J. 3(1): 1-7. doi: 10.19080/NFSIJ.2017.-03.555605.

Bazezew MM, Yallew WW, Belew AK (2018). Knowledge and practice of iodized salt utilization among reproductive women in Addis Ababa City. BMC research notes. 11: 1-8. doi:10.1186/s13104-018-3847-y.

Chauhan N, Gupta A, Priyanka P, Singh R, Rattan S (2021). A cross-sectional survey of iodized salt consumption and assessment of community knowledge at household level in the tribal area of north India. IJAR. 11(5):1–3. doi: 10.36106/ijar/7602779

Datta A, Karmakar N, Nag K, Singha S (2018). A study on knowledge, attitude, and practices regarding house-hold consumption of iodized salt among selected urban women of Tripura, India. JCDR. 12(11). doi: 10.7860/JCDR/2018/37587.12252

Deepika PS, Rao BT, Vamsi A, Valleswary K, Sekhar MC (2019). A cross-sectional study on proper use of iodized salt in communities of rural areas and its relevant factors in Prakasam district, Andhra Pradesh, India. Int J Community Med Public Health. 6(3): 1083-90. doi:10.18203/23946040.ijcmph20190590

Gebremariam HG, Yesuf ME, Koye DN (2013). Availability of Adequately Iodized Salt at Household Level and Associated Factors in Gondar Town, Northwest Ethiopia. ISRN Public Health. doi:10.1155/2013/160582.

Jaiswal N, Melse-Boonstra A, Sharma SK, Srinivasan K, Zimmermann MB (2015). The iodized salt programme in Bangalore, India provides adequate iodine intakes in pregnant women and more-than-adequate iodine intakes in their children. Public Health Nutr. 18(3): 403–413. doi: 10.1017/S13689-8001400055X.

Jeyaprabha V, Edward S, Prasanth K (2020). Knowledge, attitude, practice about iodized salt usage among mothers in urban areas of Kancheepuram district, Tamil Nadu. Clinical Medicine 7(3).

Jha RK, Das S, Dey S, Dutta S, Khan N, Lakshminarayanan S, Pandav CS et al. (2023). National and sub-national estimates of household coverage of iodized salt and urinary iodine status among women of reproductive age in India: Insights from the India Iodine Survei 2018–2019. J Nutr. 153(9):2717–2725. doi: 10.1016/j.tjnut.2023.06.037.

Pandav CS, Yadav K, Moitra M, Sankar R, Chakrabarty A, Kumar R (2010). Salt for Life: Household Salt Iodization Coverage and Consumer Perspectives in India. Indian J Endocrinol Metab. 14(3): 79-84. doi:10.4103/2230-8210.66799.

Karmakar N, Datta A, Nag K, Datta SS, Datta S (2019). Knowledge, attitude, and practice regarding household consumption of iodized salt among rural women of Tripura, India: A mixed-methods study. J Educ Health Promot,8(1):21.doi:10.4103/jehp.jehp_248_18

Kaur G, Anand T, Bhatnagar N, Kumar A, Jha D, Grover S (2017). Past, present, and future of iodine deficiency disorders in India: Need to look outside the blinkers. J Family Med Prim Care. 6(2): 182-190. doi:1 0.4103/jfmpc.jfmpc_372_16

Kumar D, Raina SK, Chauhan R, Kumar P, Sharma S (2021). Iodine intake among pregnant mothers residing in hilly terrains of two districts of Himachal Pradesh, India. Indian J Public Health, 65(2):185-189. doi:10.4103/ijph.IJPH-_1407_20

Maramag CC, Tengco LW, Rayco-Solon P, Solon JAA, Maglalang HC, Solon FS (2007). Stability of iodine in iodized fresh and aged salt exposed to simulated market conditions. Food Nutr Bull. 28(4): 412–418. doi:10.1177/156-482650702800406

Mekonnen TC, Eshete S, Wasihun Y, Arefaynie M, Cherie N (2018). Availability of adequately iodized salt at the household level in Dessie and Combolcha Towns, South Wollo, Ethiopia. BMC Public Health. 18: 1-9. doi:10.1186/s12889-018-6066-5

Nutrition International, ICCIDD, Kantar, (2019). India Iodine Survey 2018-19 National Report, New Delhi, India.

Rana R, Raghuvanshi RS (2013). Effect of different cooking methods on iodine losses. J Food Sci Technol. 50: 1212–1216. doi:10.1007/s13197-011-0436-7

Sarah NA, Prince AK, Yao AS, Geoffrey AA, Wisdom TK, Margaret K (2016) Knowledge on iodized salt use and iodine content of salt among house-holds in the Hohoe municipality, Volta region - Ghana. Central Afr J Public Health.2(1):1-10.doi: 10.11648/j.cajph-.20160201.11.

UNICEF (2024). Iodine. United Nations Children's Fund

WHO (2024). Households consuming adequately iodized salt (≥15 parts per million) World Health Organization.

Zimmermann MB, Jooste PL, Pandav CS (2008). Iodine-deficiency disorders. The Lancet 372(9645): 1251–1262. doi: 10.1016/S0140-6736(08)61005-3.

Downloads

Published
2024-10-16

Issue
Vol. 9 No. 4 (2024)

Section
flow-chart-line Articles

How to Cite
Athiyaman, S., Eashwar, V. M. A., Surathkumaar, H., & Ramachandran, U. (2024). Utilization of Adequately Iodized Salt and its Barriers Among Sub-Urban Households of Chengalpattu District- Tamil Nadu. Journal of Epidemiology and Public Health, 9(4), 448–457. https://doi.org/10.26911/jepublichealth.2024.09.04.05