Takele Wubet Worku, Alemayehu Mekuriaw, Derso Terefe, Tariku Amare
Department of Community Health Nursing, School of Nursing College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Environmental Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Res Notes. 2018 Oct 17;11(1):738. doi: 10.1186/s13104-018-3829-0.
This study was aimed at determining the magnitude of prenatal iodine deficiency and its determinants among women attending antenatal care clinic at the University of Gondar Specialized Referral Hospital, Northwest Ethiopia. A cross-sectional study was conducted from March 13 to April 25/2017. Precisely, 378 pregnant women were included in the study selected via systematic random sampling technique. Urinary Iodine concentration was determined through spectrophotometer using Sandell-Kolthoff reaction. Iodine deficiency was defined as women having urinary iodine concentration of < 150 µg/L. Moreover, stool examination was done.
Subclinical iodine deficiency among pregnant women was 60.5% (95% CI 55%, 65.5%). The Median iodine concentration was 137 μg/L (IQR 80 μg/L). Being governmental employee [AOR = 0.42 (95% CI 0.1 = 20, 0.87)], cabbage consumption of twice or more times per week [AOR = 2.35 (95% CI 1.44, 3.82)], not consuming maize in the last 1 week [AOR = 0.29 (95% CI 0.18, 0.48)], poor household wealth status [AOR = 2.7 (95% CI 1.24, 5.89)], and second trimester of pregnancy [AOR = 2.43 (95% CI 1.37, 4.32)] were significantly associated with iodine deficiency. Prenatal iodine deficiency was high, which deemed a mild public Health problem. Therefore, improving household income, and nutrition education to minimize maize and cabbage consumption are recommended.
本研究旨在确定埃塞俄比亚西北部贡德尔大学专科医院产前保健门诊就诊妇女的产前碘缺乏程度及其决定因素。于2017年3月13日至4月25日进行了一项横断面研究。确切地说，通过系统随机抽样技术选取了378名孕妇纳入研究。采用桑德尔-科尔托夫反应，通过分光光度计测定尿碘浓度。碘缺乏定义为尿碘浓度<150μg/L的女性。此外，还进行了粪便检查。
孕妇亚临床碘缺乏率为60.5%（95%可信区间55%，65.5%）。碘浓度中位数为137μg/L（四分位间距80μg/L）。政府雇员[AOR = 0.42（95%可信区间0.1 = 20，0.87）]、每周食用两次或更多次卷心菜[AOR = 2.35（95%可信区间1.44，3.82）]、过去1周未食用玉米[AOR = 0.29（95%可信区间0.18，0.48）]、家庭财富状况差[AOR = 2.7（95%可信区间1.24，5.89）]以及妊娠中期[AOR = 2.43（95%可信区间1.37，4.32）]与碘缺乏显著相关。产前碘缺乏率较高，这被认为是一个轻度的公共卫生问题。因此，建议提高家庭收入，并开展营养教育以尽量减少玉米和卷心菜的消费。
