Sun Hao, Gao Min, Guo Wenxing, Zhang Qi, Bai Yanbo, Gao Shu, Wu Wen, Zhang Wanqi
School of Public Health, Tianjin Medical University, Tianjin 300070, China.
Wei Sheng Yan Jiu. 2019 Nov;48(6):932-937.
To investigate the consumption status of iodized and iodine-free salt and the attitude and reasons for Tianjin residents to choose salt after the reformation of the salt industry systems, and to provide a scientific basis for iodine supplementation and protect the public iodine adequate.
Stratified sampling method was used to investigate supermarkets of different sizes in 16 districts of Tianjin from December 2017 to May 2018. And 4-8 different sizes supermarkets were selected in the east, south, west, north, and middle directions of each district, and 25 consumers were selected in each district to conduct a questionnaire survey by Population Proportionate Sampling(PPS). Questionnaire survey was used by investigators to ask and record the respondents age, gender, salt type, time to eat a bag of salt, number of people dining, frequency of seafood consumption, special populations in the family(children, pregnant women or lactating women), reasons for choosing iodized salt or iodine-free salt. And the supermarket sales staff were questioned on the type and proportion of salt sold, the monthly sales of iodized salt and non-iodized salt, and the trend of sales volume.
The sales volume of iodized salt was significantly greater than that of noniodized salt in the 94 different supermarkets(P<0. 05). Supermarkets with a rise in sales volume of non-iodized salt and iodized salt accounted for 40. 0% and 32. 9%, respectively. Significance difference was found in the prevalence of thyroid disease among people with different salt selection types(χ2= 15. 052, P<0. 05). The prevalence of thyroid disease is higher in the non-iodized salt group. No significant difference was found in the prevalence of thyroid disease between different genders and age groups(χ2= 0. 937, P > 0. 05; χ~2=2. 442, P > 0. 05). From the reasons why consumers choose different types of salt, the choice of iodized salt in the population, habits(45. 0%) accounted for a larger proportion, the prevention of thyroid disease accounted for 49. 6%. Among the people who chose to have no iodized salt, it is considered that Tianjin is a seaside city that does not need iodine supplementation, accounting for 55. 9%, and those who prevent thyroid disease account for 35. 6%. Prevention of thyroid disease account for 46. 9% and those who do not need iodine supplementation account for 40. 0% in a mixed population.
There are blindness and misunderstanding when consumers select the type of salt.
了解盐业体制改革后天津市居民碘盐和无碘盐的消费状况以及选择食盐的态度和原因,为补碘工作提供科学依据,保障公众碘营养充足。
采用分层抽样方法,于2017年12月至2018年5月对天津市16个区不同规模超市进行调查。在每个区的东、南、西、北、中方向选取4 - 8家不同规模超市,采用按比例概率抽样(PPS)方法,每个区选取25名消费者进行问卷调查。调查员通过问卷调查询问并记录受访者的年龄、性别、食盐种类、一袋盐食用时间、就餐人数、海鲜食用频率、家庭中的特殊人群(儿童、孕妇或哺乳期妇女)、选择碘盐或无碘盐的原因。同时对超市销售人员询问所售食盐的种类及比例、碘盐和非碘盐的月销售量以及销售量变化趋势。
94家不同超市中碘盐销售量显著大于非碘盐(P<0.05)。非碘盐和碘盐销售量上升的超市分别占40.0%和32.9%。不同食盐选择类型人群的甲状腺疾病患病率差异有统计学意义(χ² = 15.052,P<0.05),非碘盐组甲状腺疾病患病率较高。不同性别和年龄组甲状腺疾病患病率差异无统计学意义(χ² = 0.937,P>0.05;χ² = 2.442,P>0.05)。从消费者选择不同类型食盐的原因来看,人群中选择碘盐,习惯(45.0%)占比较大,预防甲状腺疾病占49.6%。在选择无碘盐的人群中,认为天津是沿海城市无需补碘的占55.9%,预防甲状腺疾病的占35.6%。在混合人群中,预防甲状腺疾病占46.9%,无需补碘占40.0%。
消费者在选择食盐类型时存在盲目性和误区。