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Knowledge of iodine nutrition in the South African adult population

Published online by Cambridge University Press:  02 January 2007

PL Jooste*
Affiliation:
Nutritional Intervention Research Unit, Medical Research Council, PO Box 19070, Tygerberg 7505, Cape Town, South Africa
N Upson
Affiliation:
Divison of Nutrition and Dietetics, School of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa
KE Charlton
Affiliation:
Divison of Nutrition and Dietetics, School of Health and Rehabilitation Sciences, University of Cape Town, Cape Town, South Africa Chronic Diseases of Lifestyle Unit, Medical Research Council, Tygerberg, Cape Town, South Africa
*
*Corresponding author: Email pieter.jooste@mrc.ac.za
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Abstract

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Objectives

To determine the level of knowledge regarding iodine nutrition and its relationship with socio-economic status in the South African population.

Design

A cross-sectional population survey collecting questionnaire information on knowledge of iodine nutrition and sociodemographic variables in a multistage, stratified, cluster study sample, representative of the adult South African population.

Setting

Home visits and personal interviews in the language of the respondent.

Subjects

Data were collected from one adult in each of the selected 2164 households, and the participation rate was 98%.

Results

Only 15.4% of respondents correctly identified iodised salt as the primary dietary source of iodine, 16.2% knew the thyroid gland needs iodine for its functioning, and a mere 3.9% considered brain damage, and 0.8% considered cretinism, as the most important health consequence of iodine deficiency. Compared with respondents from high socio-economic households, respondents from low socio-economic households were considerably less informed about aspects of iodine nutrition covered in this study.

Conclusions

The knowledge level of iodine nutrition is low among South Africans, particularly among the low socio-economic groups. These data suggest that the international emphasis on brain damage resulting from iodine deficiency has not been conveyed successfully to the consumer level in this country.

Type
Research Article
Copyright
Copyright © The Authors 2005

References

1Mohapatra, SSS, Bulliyya, G, Kerketta, AS, Geddam, JJB, Acharya, AS. 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 Pacific Journal of Clinical Nutrition 2001; 10: 5862.CrossRefGoogle Scholar
2Mallik, AK, Anand, K, Pandav, CS, Achar, DP, Lobo, J, Karmarkar, MG, et al. Knowledge, beliefs and practices regarding iodine deficiency disorders among the tribals in Car Nicobar. Indian Journal of Pediatrics 1998; 65: 115–20.CrossRefGoogle ScholarPubMed
3Dunn, JT. Seven deadly sins in confronting endemic iodine deficiency, and how to avoid them. Journal of Clinical Endocrinology and Metabolism 1996; 81: 1332–5.Google Scholar
4Haxton, DP. From knowledge to policy to practice. In: Hetzel, BS, Pandav, CS, eds. SOS for a Billion. The Conquest of Iodine Deficiency Disorders. New Delhi Oxford University Press, 1996 147–64.Google Scholar
5Hasler, J, Todd, C, Mutamba, J, Nyamandi, T, Jumo, D, Ropi, F. Africa struggles for independence from IDD. IDD Newsletter 1997; 13: 1727.Google Scholar
6Jooste, PL, Weight, MJ, Kriek, JA, Louw, AJ. Endemic goitre in the absence of iodine deficiency in schoolchildren of the Northern Cape Province of South Africa. European Journal of Clinical Nutrition 1999; 53: 812.CrossRefGoogle ScholarPubMed
7Jooste, PL, Weight, MJ, Kriek, JA. Iodine deficiency and endemic goitre in the Langkloof area of South Africa. South African Medical Journal 1997; 87: 1374–9.Google ScholarPubMed
8Jooste, PL, Weight, MJ, Lombard, CJ. Iodine concentration in household salt in South Africa. Bulletin of the World Health Organization 2001; 79: 534–40.Google ScholarPubMed
9Haupt, P. The South African Advertising Research Foundation universaing Standards Measure (SU-LSM™) – 12 years of continuous development [online]. Available at www.saarf.co.za. Accessed 28 October 2004.Google Scholar
10Cír, J. Consumer segments in Central and Eastern Europe. Research World 2004; 12: 18–9.Google Scholar
11Zargar, AH, Sofi, FA, Masoodi, SR, Laway, BA, Shah, NS, Wani, AI, et al. Pattern of salt consumption and awareness about iodine deficiency disorders in Kashmir Valley. IDD Newsletter 1996; 12: 46–8.Google Scholar
12World Health Organization (WHO)/United Nations Children's Fund/International Council for Control of Iodine Deficiency Disorders. Assessment of Iodine Deficiency Disorders and Monitoring their Elimination. WHO/NHD/01.1. Geneva: WHO, 2001.Google Scholar
13Çan, G, Ökten, A, Green, J. The role of local mass media in promoting the consumption of iodized table salt. Health Education Research 2001; 16: 603–7.Google Scholar
14Immelman, R, Towindo, T, Kalk, WJ, Paiker, J, Makuraj, S, Naicker, J, et al. Report of the South African Institute for Medical Research on Iodine Deficiency Disorder Survey of Primary School Learners for the Department of Health, South Africa. Pretoria: Department of Health and the South African Institute for Medical Research, 2000Google Scholar
15Jooste, PL, Weight, MJ, Lombard, CJ. Short-term effectiveness of mandatory iodization of table salt, at an elevated iodine concentration, on the iodine and goitre status of schoolchildren with endemic goitre. American Journal of Clinical Nutrition 2000; 71: 7580.CrossRefGoogle Scholar
16Jooste, PL. Assessment of the iodine concentration in table salt at the production stage in South Africa. Bulletin of the World Health Organization 2003; 81: 517–21.Google ScholarPubMed