Magnitude and associated factors of goiter, and iodized salt utilization among adolescent girls in the highland area of North Shewa zone, Central Ethiopia


Magnitude and associated factors of goiter, and iodized salt utilization among adolescent girls in the highland area of North Shewa zone, Central Ethiopia


Abayneh Birlie

Department of Public Health, College of health Science, Debre Birhan University


International Journal of Food and Nutrition Research

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

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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.


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