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Knowledge on Iodized Salt Use and Iodine Content of Salt Among Households in the Hohoe Municipality, Volta Region - Ghana

Received: 8 July 2016     Accepted: 19 August 2016     Published: 6 September 2016
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Abstract

Background: Micronutrient deficiencies particularly, Iodine, Zinc, Iron and Vitamin A, continue to inflict substantial health, economic and social encumbrances globally. Ghana is among the world's population that resides in areas with high iodine deficiency. In the Volta region of Ghana, only 24.6% of households consume iodized salt, and this is far below the 90% WHO/UNICEF mandatory recommendation of Universal Salt Iodization (USI) for countries with high iodine deficiency. This study was to estimate the iodine content of household salt, and knowledge on iodized salt use in the Hohoe municipality, Volta Region, Ghana. Methods: This study was descriptive cross-sectional in design, using a multi-stage sampling technique to select respondents from all the seven sub-municipalities in the municipality. Data was collected from women in charge of household meals preparation using structured questionnaires and rapid field iodine test kits. The collected data was entered into Epi data version 3.1 and then exported to Stata version 11. Descriptive statistics such as determination of proportions, frequencies, mean and standard deviation were used in describing the population. Chi-square test and logistic regression were used to assess the associations between the dependent and independent variables. A p-value <0.05 was considered as statistically significant. Results: Four hundred and fifty women with a mean age of 40.4 years (±2.1 SD) were surveyed. Respondents had quite a good knowledge (59.3%) on iodine, 41.1% knew the benefits and deficiencies of iodine, and 69.8% stored their salt in covered containers. However, only 24.2% of household salt contained adequate iodine of ≥15ppm. In addition, majority (75%) consumed local salt with little (<15ppm) or no iodine (0ppm). Also, those with secondary and tertiary education were more likely to use iodized salt (P <.001). Rural households were more likely to use iodized salt (P =.002) than the urban households. Conclusions: The results suggest that respondents’ knowledge did not necessarily translate into iodized salt use. Enforcement of existing laws and policies on universal salt iodization and quality assurance of iodized salt from the production to the distribution point should be enforced, and offenders punish to serve as a deterrent.

Published in Central African Journal of Public Health (Volume 2, Issue 1)
DOI 10.11648/j.cajph.20160201.11
Page(s) 1-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Iodine Content, Iodized Salt, Knowledge, Household, Hohoe Municipality, Ghana

References
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[17] GNA. (2011, September 28). Consumption of iodated salt in Ghana is low.
[18] Buxton, C., & Baguune, B. (2012). Knowledge and practices of people in Bia District, Ghana, with regard to iodine deficiency disorders and intake of iodized salt. Archives of Public Health, 70(5), 8–7.
[19] Asibey-Berko, E., Amoah, A. G., Addo, F., & Agyepong, E. (1998). Endemic goitre and urinary iodine levels in rural communities in the Bolgatanga and Builsa districts of the upper east region of Ghana. East African Medical Journal, 75(9), 501–503.
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[28] Sebotsa, M. L. D., Dannhauser, A., Mollentze, W. F., Mollentze, G. M., Mahomed, F. A., & Jooste, P. L. (2009). Knowledge, attitudes and practices regarding iodine among patients with hyperthyroidism in the Free State, South Africa. South African Journal of Clinical Nutrition, 22(1). Retrieved from http://www.ajol.info/index.php/sajcn/article/view/49078
[29] Gidey, B., Alemu, K., Atnafu, A., Kifle, M., Tefera, Y., & Sharma, H. R. (2015). Availability of Adequate Iodized Salt at Household Level and Associated Factors in Rural Communities in Laelay Maychew District, Northern Ethiopia: A Cross Sectional Study. Journal of Nutrition and Health Sciences, 1(4), 1.
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    Nicholas Aku Sarah, Appiah Kubi Prince, Ahiabor Seth Yao, Asalu Adebayo Geoffrey, Takramah Kwami Wisdom, et al. (2016). Knowledge on Iodized Salt Use and Iodine Content of Salt Among Households in the Hohoe Municipality, Volta Region - Ghana. Central African Journal of Public Health, 2(1), 1-10. https://doi.org/10.11648/j.cajph.20160201.11

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    Nicholas Aku Sarah; Appiah Kubi Prince; Ahiabor Seth Yao; Asalu Adebayo Geoffrey; Takramah Kwami Wisdom, et al. Knowledge on Iodized Salt Use and Iodine Content of Salt Among Households in the Hohoe Municipality, Volta Region - Ghana. Cent. Afr. J. Public Health 2016, 2(1), 1-10. doi: 10.11648/j.cajph.20160201.11

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    AMA Style

    Nicholas Aku Sarah, Appiah Kubi Prince, Ahiabor Seth Yao, Asalu Adebayo Geoffrey, Takramah Kwami Wisdom, et al. Knowledge on Iodized Salt Use and Iodine Content of Salt Among Households in the Hohoe Municipality, Volta Region - Ghana. Cent Afr J Public Health. 2016;2(1):1-10. doi: 10.11648/j.cajph.20160201.11

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  • @article{10.11648/j.cajph.20160201.11,
      author = {Nicholas Aku Sarah and Appiah Kubi Prince and Ahiabor Seth Yao and Asalu Adebayo Geoffrey and Takramah Kwami Wisdom and Kweku Margaret},
      title = {Knowledge on Iodized Salt Use and Iodine Content of Salt Among Households in the Hohoe Municipality, Volta Region - Ghana},
      journal = {Central African Journal of Public Health},
      volume = {2},
      number = {1},
      pages = {1-10},
      doi = {10.11648/j.cajph.20160201.11},
      url = {https://doi.org/10.11648/j.cajph.20160201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20160201.11},
      abstract = {Background: Micronutrient deficiencies particularly, Iodine, Zinc, Iron and Vitamin A, continue to inflict substantial health, economic and social encumbrances globally. Ghana is among the world's population that resides in areas with high iodine deficiency. In the Volta region of Ghana, only 24.6% of households consume iodized salt, and this is far below the 90% WHO/UNICEF mandatory recommendation of Universal Salt Iodization (USI) for countries with high iodine deficiency. This study was to estimate the iodine content of household salt, and knowledge on iodized salt use in the Hohoe municipality, Volta Region, Ghana. Methods: This study was descriptive cross-sectional in design, using a multi-stage sampling technique to select respondents from all the seven sub-municipalities in the municipality. Data was collected from women in charge of household meals preparation using structured questionnaires and rapid field iodine test kits. The collected data was entered into Epi data version 3.1 and then exported to Stata version 11. Descriptive statistics such as determination of proportions, frequencies, mean and standard deviation were used in describing the population. Chi-square test and logistic regression were used to assess the associations between the dependent and independent variables. A p-value <0.05 was considered as statistically significant. Results: Four hundred and fifty women with a mean age of 40.4 years (±2.1 SD) were surveyed. Respondents had quite a good knowledge (59.3%) on iodine, 41.1% knew the benefits and deficiencies of iodine, and 69.8% stored their salt in covered containers. However, only 24.2% of household salt contained adequate iodine of ≥15ppm. In addition, majority (75%) consumed local salt with little (<15ppm) or no iodine (0ppm). Also, those with secondary and tertiary education were more likely to use iodized salt (P <.001). Rural households were more likely to use iodized salt (P =.002) than the urban households. Conclusions: The results suggest that respondents’ knowledge did not necessarily translate into iodized salt use. Enforcement of existing laws and policies on universal salt iodization and quality assurance of iodized salt from the production to the distribution point should be enforced, and offenders punish to serve as a deterrent.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Knowledge on Iodized Salt Use and Iodine Content of Salt Among Households in the Hohoe Municipality, Volta Region - Ghana
    AU  - Nicholas Aku Sarah
    AU  - Appiah Kubi Prince
    AU  - Ahiabor Seth Yao
    AU  - Asalu Adebayo Geoffrey
    AU  - Takramah Kwami Wisdom
    AU  - Kweku Margaret
    Y1  - 2016/09/06
    PY  - 2016
    N1  - https://doi.org/10.11648/j.cajph.20160201.11
    DO  - 10.11648/j.cajph.20160201.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 1
    EP  - 10
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20160201.11
    AB  - Background: Micronutrient deficiencies particularly, Iodine, Zinc, Iron and Vitamin A, continue to inflict substantial health, economic and social encumbrances globally. Ghana is among the world's population that resides in areas with high iodine deficiency. In the Volta region of Ghana, only 24.6% of households consume iodized salt, and this is far below the 90% WHO/UNICEF mandatory recommendation of Universal Salt Iodization (USI) for countries with high iodine deficiency. This study was to estimate the iodine content of household salt, and knowledge on iodized salt use in the Hohoe municipality, Volta Region, Ghana. Methods: This study was descriptive cross-sectional in design, using a multi-stage sampling technique to select respondents from all the seven sub-municipalities in the municipality. Data was collected from women in charge of household meals preparation using structured questionnaires and rapid field iodine test kits. The collected data was entered into Epi data version 3.1 and then exported to Stata version 11. Descriptive statistics such as determination of proportions, frequencies, mean and standard deviation were used in describing the population. Chi-square test and logistic regression were used to assess the associations between the dependent and independent variables. A p-value <0.05 was considered as statistically significant. Results: Four hundred and fifty women with a mean age of 40.4 years (±2.1 SD) were surveyed. Respondents had quite a good knowledge (59.3%) on iodine, 41.1% knew the benefits and deficiencies of iodine, and 69.8% stored their salt in covered containers. However, only 24.2% of household salt contained adequate iodine of ≥15ppm. In addition, majority (75%) consumed local salt with little (<15ppm) or no iodine (0ppm). Also, those with secondary and tertiary education were more likely to use iodized salt (P <.001). Rural households were more likely to use iodized salt (P =.002) than the urban households. Conclusions: The results suggest that respondents’ knowledge did not necessarily translate into iodized salt use. Enforcement of existing laws and policies on universal salt iodization and quality assurance of iodized salt from the production to the distribution point should be enforced, and offenders punish to serve as a deterrent.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana

  • Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana

  • Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana

  • Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana

  • Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana

  • Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho, Ghana

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