Research Article of International Journal of Food and Nutrition Research
Magnitude and associated factors of goiter, and iodized salt utilization among adolescent girls in the highland area of North Shewa zone, Central Ethiopia
Department of Public Health, College of health Science, Debre Birhan University
Background: Iodine deficiency disorder is a common and preventable global public health problem that causes irreversible mental retardation. IDD is more prevalent in developing countries, especially in mountain areas. Therefore this study aimed to assess the magnitude and associated factors of goiter among adolescent girls. The knowledge and utilization of iodine-rich foods and iodized salt of adolescent girls in the highland area of North Shewa zone, Central Ethiopia was also assessed.
Methods: An institution-based cross-sectional study was conducted from October 5, 2018, to December 30, 2019. A multistage sampling technique was used to select 477 adolescent girls from 12 schools. A pre-tested structured self-administered questionnaire, anthropometric measure and thyroid gland examination were used for data collection. The collected data were entered into Epi Data 3.1 software and analyzed using Anthro plus and SPSS version 21 software.
Results: The overall prevalence of goiter was 50.4% of which 35.4% were palpable and 15.0% were visible goiter. Being post-menarche (AOR=3.241, 95% CI= (1.288-8.152)) and thin (AOR=1.124, 95% CI= (1.068-14.680)) adolescent girl increased the risk goiter. Two hundred seventy (60.8%) adolescent girls had awareness about salt iodization and 54.5% girls said it is important to prevent goiter. Though packed salt was used by 58.2% only 30.6% of households of adolescent girls add salt immediately before the end of cooking or after cooking.
Conclusions: Goiter is a serious health problem that affects about half of adolescent girls in the study area. The risk of developing goiter was higher among girls who initiated menstruation and suffered from thinness. There is low awareness about iodized salt and packed salt utilization. In addition to universal salt iodization as a strategy to eliminate IDD, emphasis to awareness creation on salt iodization and its proper utilization is required.
Keywords: Goiter, iodized salt, adolescent girls, North Shewa, Ethiopia
How to cite this article:
Abayneh Birlie.Magnitude and associated factors of goiter, and iodized salt utilization among adolescent girls in the highland area of North Shewa zone, Central Ethiopia. International Journal of Food and Nutrition Research, 2019; 3:32.
1. FAO, WHO. Human Vitamin and Mineral Requirements: Report of a Joint FAO/WHO expert consultation in Bangkok, Thailand. Rome, Italy: Food and Agriculture Organization 2001.
2. Belachew T, Gebremariam A, Worku Legesse, Asres T, Tiku S, Kebede E, et al. Micronutrient Deficiency: For the Ethiopian Health Center Team.2005.
3. WHO. Vitamin and Mineral Nutrition Information System: Goitre as a determinant of the prevalence and severity of iodine deficiency disorders in populations 2014.
4. WHO. Nutrition in adolescence: Issues and Challenges for the Health Sector: issues in adolescent health and development. Geneva2005.
5. WHO. Adolescent Nutrition: A Review of the Situation in Selected South-East Asian Countries. New Delhi: WHO regional office of South-East Asia, 2006.
6. GR F. Textbook of adolescent medicine. Nutrition and growth. Philadelphia1992. p. 68-74.
7. California Nutrition and Physical Activity Guidelines for Adolescents: Adolescent Nutrition2013.
8. Khara T, Mates E, Mason F. Adolescent Nutrition: Policy and programming in SUN+ countries. London: Save the Children; 2015.
9. Nutrition and Physical Activity Guidelines for Adolescents: Adolescent Nutrition. California2013.
10. UNICEF-WHO Joint Committee on Health Policy. World Summit for Children – Mid Decade Goal: Iodine Deficiency Disorders. Geneva: United Nations Children’s Fund, World Health Organization, 1994 (JCHPSS/94/2.7).
11. WHO, UNICEF. World Health Organization, United Nations Children’s Fund. Joint Statement: Reaching optimal iodine nutrition in pregnant and lactating women and young children. Geneva: World Health Organization; 2007.
12. Remarkable progress against iodine deficiency in Ethiopia. IDD NEWSLETTER 2017.
13. Chuko T, Bagriansky J, Brown AT. Ethiopia’s long road to USI. IDD NEWSLETTER 2015.
14. Hailu A. Ethiopian National Micronutrient Survey Report. Ethiopian Public Health Institute, Ministry of Health, 2016.
15. CSA. Population Projections for Ethiopia 2007-2037. Addis Abab2013.
16. MoH. National Nutrition Program II 2016-2020. Addis Ababa: Ethiopian Ministry of Health; 2016.
17. Kibatu G, Nibret E, Gedefaw M. The status of iodine nutrition and iodine deficiency disorders among school children in Metekel zone, Northwest Ethiopia. Ethiop J Health Sci. 2014;23(1):109-16.
18. Workie SB, Abebe YG, Gelaye AA, Mekonen TC. Assessing the status of iodine deficiency disorder (IDD) and associated factors in Wolaita and Dawro Zones School Adolescents, southern Ethiopia BMC Res Notes. 2017;10:156.
19. Mezgebu Y, Mossie A, Rajesh PN, Beyene G. Prevalence and severity of iodine deficiency disorder among children 6-12 years of age in Shebe Senbo district, Jimma zone, Southwest Ethiopia. Ethiop J Health Sci. 2012;22(3):196-204.
20. Mushtaq R, Ramzan M, Bibi A. Effects of iodine deficiency goiter on academic performance of girls. Biomedica. 2014;30(1):40-3.
21. Abuye C, Berhane Y, Tessema.Ersumo. The role of changing diet and altitude on goitre prevalence in five regional states in Ethiopia. East African Journal of Public Health 2008;5(3):163-8.
22. Zimmermann M. Key barriers to global iodine deficiency disorder control: a summery2007.
23. Imdad S, Muzaffar R, Shoukat MS. Appraisal of Iodine Status and Goiter Rate in Adolescent School Girls of City District Lahore. P J M H S 2013;7(3):630-4.
24. Kapil U, Sareen N, Nambiar VS, Khenduja P, Sofi NY. Iodine Nutritional Status among Adolescent Girls in Uttarakhand, India. Journal of Tropical Pediatrics. 2016;62:81-2.
25. Shahid A, Siddiqui F, Bhatti M, Ahmed M, Khan MW. Assessment of Nutritional Status of Adolescent College Girls at Rawalpindi. ANNALS. 2009;15(1):11-6.
26. FLEURY Y, MELLE GV, WORINGER V, GAILLARD RC, PORTMANN L. Sex-Dependent Variations and Timing of Thyroid Growth during Puberty. J Clin Endocrinol Metab. 2001;86:750-4.
27. Ara G, Melse-boonstra A, S.K.Roy, Alam N, Ahmed S, Khatun UH, et al. Sub-clinical iodine deficiency still prevalent in Bangladeshi adolescent girls and pregnant women. Asian Journal of Clinical Nutrition. 2010;2(1):1-12.
28. Qamar MF, Abbas S. PREVALENCE AND CASE REPORTS OF GOITER AT DISTRIC BAHAWALPUR, PAKISTAN. SciInt (Lahore). 2012;24(1):33-7.
29. Demissie T. Availability and Knowledge of Iodized Salt at Household Level and Associated Factors at Debre Tabor Town, Northwest Ethiopia. J Nutr Health Sci. 2019;6(1):101.
30. ABESSA ZF, MASHALLA YJ. Knowledge about goitre among female school-going children in Wellega Province, Ethiopia. Tanzania Journal of Health Research 2018;20(4).
31. Amabye TG. Knowledge of Iodine Deficiency