摘要
目的在山西省部分碘缺乏和水源性高碘地区开展重点人群使用通用碘盐检测试剂干预研究,探讨提高适合碘含量食用盐覆盖率的新方案,为巩固提升防治成果和调整防治干预措施提供科学依据。方法根据近3年全省居民食用盐监测结果,选取4个县的碘缺乏区域作为碘缺乏地区调查点;选取1个县的水源性高碘区域作为高碘地区调查点。每个调查点共抽取200名8~10岁非寄宿学生,100名孕妇(学生及孕妇简称重点人群)。在1年内共开展前后2次对照调查,包括发放通用碘盐检测试剂、食盐样品采集及半定量检测、尿碘样品采集及定量检测。结果干预前后碘缺乏地区学生合格碘盐食用率分别为80.8%和93.6%(χ^(2)=59.356,P<0.001),尿碘中位数(MUI)分别为218.3和278.2μg/L(χ^(2)=67.832,P<0.001);孕妇合格碘盐食用率分别为88.0%和94.0%(χ^(2)=8.791,P<0.001),MUI分别为189.9和212.1μg/L(χ^(2)=8.649,P=0.003)。干预前后水源性高碘地区学生未加碘食盐率分别为53.0%和94.5%(χ^(2)=88.962,P<0.001),MUI分别为435.6和362.5μg/L(χ^(2)=6.760,P=0.009);孕妇未加碘食盐率分别为47.0%和96.0%(χ^(2)=57.133,P<0.001),MUI分别为386.9和325.0μg/L(χ^(2)=5.781,P=0.016)。结论建议在合格碘盐食用率较低的碘缺乏地区和未加碘食盐率较低的水源性高碘地区,通过对重点人群精准发放通用碘盐检测试剂进行干预,助力《全国地方病巩固提升行动方案(2023—2025年)》目标如期实现。
Objective Conduct intervention research on the use of universal iodized salt test kit for key populations in areas with iodine deficiency and high iodine in water sources in Shanxi Province,to explore new solutions for improving the coverage of edible salt with suitable iodine content in problem areas,and provide scientific basis for consolidating and improving prevention and control achievements and adjusting prevention and control intervention measures.Methods Based on the monitoring results of edible salt consumption by residents in the province in the past three years,four counties with iodine deficiency were selected as survey points for iodine deficiency areas;Selected a high iodine water source area in one county as a survey point for high iodine areas.A total of 200 non boarding students aged 8-10 and 100 pregnant women(referred to as key groups for students and pregnant women)were selected from each survey site.Conducted two comparative surveys within one year,including the distribution of universal iodized salt testing reagents,salt sample collection and semi quantitative testing,and urine iodine sample collection and quantitative testing.Result The qualified iodized salt consumption rates of students in iodine deficient areas before and after intervention were 80.8%and 93.6%,respectively(χ^(2)=59.356,P<0.001),and the median urinary iodine(MUI)was 218.3 and 278.2μg/L,respectively(χ^(2)=67.832,P<0.001);The qualified iodized salt consumption rates for pregnant women were 88.0%and 94.0%,respectively(χ^(2)=8.791,P<0.001),with MUI values of 189.9 and 212.1μg/L,respectively(χ^(2)=8.649,P=0.003).The rates of non iodized salt among students in water source high iodine areas before and after intervention were 53.0%and 94.5%,respectively(χ^(2)=88.962,P<0.001),with MUI values of 435.6 and 362.5μg/L,respectively(χ^(2)=6.760,P=0.009);The rates of non iodized salt in pregnant women were 47.0%and 96.0%,respectively(χ^(2)=57.133,P<0.001),with MUI values of 386.9 and 325.0μg/L,respectively(χ^(2)=5.781,P=0.016).Conclusion It is recommended to intervene in iodine deficient areas with low qualified iodized salt consumption rates and water source high iodine areas with low non iodized salt rates by combining health education for key populations with precise distribution of universal iodized salt test kit,to help achieve the goals of the"National Action Plan for Consolidating and Improving Endemic Diseases(2023—2025)"as scheduled.
作者
温新平
贾清珍
程晓天
张向东
郭百锁
张峰峰
王永平
陈红云
WEN Xinping;JIA Qingzhen;CHENG Xiaotian;ZHANG Xiangdong;GUO Baisuo;ZHANG Fengfeng;WANG Yongping;CHEN Hongyun(Institute of Endemic Disease Prevention and Control of Shanxi Province,Linfen,Shanxi 041000,China)
出处
《中国地方病防治》
2026年第1期31-33,共3页
Chinese Journal of Control of Endemic Diseases
基金
山西省卫生健康委员会科研课题(2021138)。
关键词
盐碘
检测试剂
干预
Salt iodine
Test kit
Interfere
