摘要
目的了解山西省餐饮服务单位合格碘盐覆盖情况,为适时采取针对性防治措施和科学调整干预策略提供依据,持续巩固消除碘缺乏病成果。方法2021年在山西省按东、西、南、北、中5个方位各抽取1个地级市,每个市各抽取1个山区县、1个平原县,每个县按东、西、南、北、中划分5个抽样片区,每个片区各抽取1个乡镇/街道,每个乡镇/街道各抽取2个企事业单位食堂(简称食堂)、5家中型餐馆和5家小型餐馆,调查餐饮服务单位基本情况,并采集其食用盐盐样,检测盐碘含量。另外,自山西省地方病防治研究所收集2021年碘缺乏病监测中与调查餐饮服务单位对应的县居民户盐碘检测数据,并与餐饮服务单位调查结果进行比较。结果共检测盐样660份,盐碘中位数为27.65 mg/kg,碘盐覆盖率为99.39%(656/660),合格碘盐覆盖率为90.76%(599/660)。食堂、中型餐馆、小型餐馆的盐碘中位数分别为26.70、28.00、27.60 mg/kg,合格碘盐覆盖率分别为95.54%(107/112)、90.42%(236/261)、89.20%(256/287),不同餐饮服务单位类型合格碘盐覆盖率比较,差异无统计学意义(χ^(2)=3.92,P=0.141)。平原县、山区县的盐碘中位数分别为28.00、27.20 mg/kg,合格碘盐覆盖率分别为88.67%(266/300)、92.50%(333/360),不同地理类型县合格碘盐覆盖率比较,差异无统计学意义(χ^(2)=2.87,P=0.090)。餐饮服务单位、居民户食用盐盐碘中位数分别为27.65、23.50 mg/kg,合格碘盐覆盖率分别为90.76%、95.91%,餐饮服务单位与居民户合格碘盐覆盖率比较,差异有统计学意义(χ^(2)=31.19,P<0.001)。结论山西省餐饮服务单位合格碘盐覆盖率总体上符合国家消除标准(>90%),但仍有部分县不达标,中、小型餐馆合格碘盐覆盖率也不容乐观,建议今后加强对餐饮服务单位食用盐的监测与监管。
Objective To investigate the coverage of qualified iodized salt in catering service units where residents ate out in Shanxi Province,so as to provide a basis for taking targeted preventive measures timely and adjusting of intervention strategies scientifically,and to consolidate the achievements of eliminating iodine deficiency disorders(IDD)continuously.Methods One prefecture level city from each of the five directions of east,west,south,north and middle in Shanxi Province in 2021 was selected.One mountainous county and one plain county were selected in each city.Each of the counties was divided into five sampled regions along five different geographic directions:east,west,south,north and middle.From each region,one town/street was selected randomly and then two canteens of enterprises and institutions(canteens),five medium-sized restaurants and five small restaurants were selected from each town/street.We investigated the basic information of catering service units,collected salt samples and then detected the iodine content of these salt samples.In addition,salt iodine testing data of county residents corresponding to catering service units in the 2021 iodine deficiency disorders monitoring were collected from the Shanxi Institute of Endemic Disease Prevention and Treatment,and compared with the survey results of catering service units.Results A total of 660 salt samples were detected,the median value of salt iodine was 27.65 mg/kg,the coverage rate of iodized salt was 99.39%(656/660),and the coverage rate of qualified iodized salt was 90.76%(599/660).The median value of salt iodine was 26.70,28.00 and 27.60 mg/kg in canteens,medium-sized restaurants and small restaurants,respectively,and the coverage rate of qualified iodized salt was 95.54%(107/112),90.42%(236/261),and 89.20%(256/287),respectively.There was no significant difference in the coverage rate of qualified iodized salt among different types of catering service units(χ^(2)=3.92,P=0.141).The median value of salt iodine was 28.00 and 27.20 mg/kg in mo
作者
冀晶
张向东
李红杰
郭百锁
张峰峰
吴赵明
武敏
Ji Jing;Zhang Xiangdong;Li Hongjie;Guo Baisuo;Zhang Fengfeng;Wu Zhaoming;Wu Min(Department of Iodine Deficiency Disorders and Keshan Disease,Shanxi Institute for Endemic Disease Prevention and Treatment,Linfen 041000,China;Clinical Laboratory,Shanxi Institute for Endemic Disease Prevention and Treatment,Linfen 041000,China)
出处
《中华地方病学杂志》
CAS
北大核心
2023年第10期786-789,共4页
Chinese Journal of Endemiology
基金
国家卫生健康委疾控局资助项目(2021)
关键词
碘
餐饮业
盐类
合格碘盐覆盖率
Iodine
Catering industry
Salts
Coverage rate of qualified iodized salt
