PDF(Pubmed)
Abstract：
UNASSIGNED: Iodine deficiency is the leading cause of preventable brain damage, with 30% of the world\'s population suffering from iodine deficiency disorders (IDDs). The objectives of the study are to estimate the prevalence of goitre among schoolchildren in the age group of 6-12 years, to find out the proportion of households with adequately iodised salt, and to assess the dietary iodine intake by measuring urinary iodine levels in the urine samples of school-going children.
UNASSIGNED: A cross-sectional study was conducted in four pre-selected districts of the Kashmir division of Jammu and Kashmir in school-going children aged 6 to 12 years. Multi-stage 30 cluster sampling was used to select the study sample. For the selection of 30 clusters in each district, probability proportional to size (PPS) was employed. From each cluster, 90 children were selected. From a sub-sample of children in each district, 540 salt samples and 270 urine samples were also collected.
UNASSIGNED: A total of 10,800 children aged 6-12 years were examined. Grade I goitre was present in 1382 (12.8%) and 116 (1.07%) which were having Grade II goitre. The weighted prevalence of goitre for four districts was 12.6%, lowest for district Ganderbal and highest for district Shopian. Half of the population in all the districts consumed salt with iodine levels of <15 ppm. Urinary iodine levels <99.9 mg/L were present in 15.7% indicating mild to moderate iodine deficiency.
UNASSIGNED: Though the present survey showed some decline in the total goitre rate (TGR) from a prevalence of 14.8% in 2017 to 12.6% in 2022, it continues to be a public health problem of mild to moderate intensity in Kashmir. The salt consumed at the household level was inadequately iodised. Hence, efforts in IDD elimination activities need to be scaled up further with emphasis on iodised salt quality control and intensive education at the community level.
UNASSIGNED: A cross-sectional study was conducted in four pre-selected districts of the Kashmir division of Jammu and Kashmir in school-going children aged 6 to 12 years. Multi-stage 30 cluster sampling was used to select the study sample. For the selection of 30 clusters in each district, probability proportional to size (PPS) was employed. From each cluster, 90 children were selected. From a sub-sample of children in each district, 540 salt samples and 270 urine samples were also collected.
UNASSIGNED: A total of 10,800 children aged 6-12 years were examined. Grade I goitre was present in 1382 (12.8%) and 116 (1.07%) which were having Grade II goitre. The weighted prevalence of goitre for four districts was 12.6%, lowest for district Ganderbal and highest for district Shopian. Half of the population in all the districts consumed salt with iodine levels of <15 ppm. Urinary iodine levels <99.9 mg/L were present in 15.7% indicating mild to moderate iodine deficiency.
UNASSIGNED: Though the present survey showed some decline in the total goitre rate (TGR) from a prevalence of 14.8% in 2017 to 12.6% in 2022, it continues to be a public health problem of mild to moderate intensity in Kashmir. The salt consumed at the household level was inadequately iodised. Hence, efforts in IDD elimination activities need to be scaled up further with emphasis on iodised salt quality control and intensive education at the community level.
摘要：
■碘缺乏是可预防的脑损伤的主要原因，世界上30%的人口患有碘缺乏病(IDDs)。这项研究的目的是估计6-12岁年龄组学童的甲状腺肿患病率,为了找出碘盐充足的家庭比例，并通过测量学童尿液样本中的尿碘水平来评估膳食碘摄入量。
■在查谟和克什米尔的克什米尔分区的四个预选地区对6至12岁的上学儿童进行了横断面研究。采用多阶段30整群抽样的方法选择研究样本。对于每个地区的30个集群的选择，采用与大小成正比的概率(PPS)。从每个集群中，选择了90名儿童。从每个地区的儿童子样本中，还收集了540份盐样品和270份尿样。
■共检查了10800名6-12岁的儿童。一级甲状腺肿在1382例（12.8％）和116例（1.07％）中存在II级甲状腺肿。四个地区的甲状腺肿加权患病率为12.6%,甘德巴尔地区最低，Shopian地区最高。所有地区的一半人口食用碘含量<15ppm的盐。15.7％的尿碘水平<99.9mg/L，表明轻度至中度碘缺乏。
■虽然目前的调查显示总甲状腺肿率（TGR）从2017年的14.8％下降到2022年的12.6％，但它仍然是克什米尔轻度至中度的公共卫生问题。家庭消耗的盐碘含量不足。因此，消除缺碘症活动的努力需要进一步扩大，重点是碘盐质量控制和社区一级的强化教育。
■在查谟和克什米尔的克什米尔分区的四个预选地区对6至12岁的上学儿童进行了横断面研究。采用多阶段30整群抽样的方法选择研究样本。对于每个地区的30个集群的选择，采用与大小成正比的概率(PPS)。从每个集群中，选择了90名儿童。从每个地区的儿童子样本中，还收集了540份盐样品和270份尿样。
■共检查了10800名6-12岁的儿童。一级甲状腺肿在1382例（12.8％）和116例（1.07％）中存在II级甲状腺肿。四个地区的甲状腺肿加权患病率为12.6%,甘德巴尔地区最低，Shopian地区最高。所有地区的一半人口食用碘含量<15ppm的盐。15.7％的尿碘水平<99.9mg/L，表明轻度至中度碘缺乏。
■虽然目前的调查显示总甲状腺肿率（TGR）从2017年的14.8％下降到2022年的12.6％，但它仍然是克什米尔轻度至中度的公共卫生问题。家庭消耗的盐碘含量不足。因此，消除缺碘症活动的努力需要进一步扩大，重点是碘盐质量控制和社区一级的强化教育。
