The Indian Journal of Nutrition and Dietetics

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Disparity between High Iodised Salt Usage and Knowledge of Iodine Nutrition in Pregnancy among Pregnant Women: A Cross-Sectional Study


Affiliations
1 Food Nutrition and Public Health, Sam Higginbottom University of Agriculture, Technology and Sciences, Naini, Prayagraj, Uttar Pradesh - 211 007, India
2 Food Nutrition and Public Health, Sam Higginbottom University of Agriculture, Technology and Sciences, Naini, Prayagraj, Uttar Pradesh - 211 007, India
     

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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.

Keywords

Iodine Deficiency, Knowledge, Awareness, Iodised Salt, Pregnancy, Iodine Nutrition
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  • 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

  • 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

  • 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

  • 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

  • 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/s12 098-016-2223-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/S13 68980018002306

  • 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

  • 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/10.1186/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

  • 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

  • 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

  • Kumar, P., Tiwari, V.K. and Gautam, R. Salt : An Evaluation of national iodine deficiency disorders. OIDA Int. J. Sustainable Develop., 2013, 5.


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  • Disparity between High Iodised Salt Usage and Knowledge of Iodine Nutrition in Pregnancy among Pregnant Women: A Cross-Sectional Study

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Authors

Sofia Rani Saggu
Food Nutrition and Public Health, Sam Higginbottom University of Agriculture, Technology and Sciences, Naini, Prayagraj, Uttar Pradesh - 211 007, India
Ranu Prasad
Food Nutrition and Public Health, Sam Higginbottom University of Agriculture, Technology and Sciences, Naini, Prayagraj, Uttar Pradesh - 211 007, India
Anisha Verma
Food Nutrition and Public Health, Sam Higginbottom University of Agriculture, Technology and Sciences, Naini, Prayagraj, Uttar Pradesh - 211 007, India

Abstract


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.

Keywords


Iodine Deficiency, Knowledge, Awareness, Iodised Salt, Pregnancy, Iodine Nutrition

References