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目的 了解新疆非碘盐的主要来源及其影响因素。方法 按卫生部消除碘缺乏病国际合作项目技术指导中心制定的《居民用户碘盐监测试点研究方案》执行。结果 共入户调查 17973户居民 ,其中食用碘盐的 12 4 78户 ,占 6 9.4 % ;食用非碘盐的 5 4 95户 ,占 30 .5 % ;北疆地区调查 76 72户 ,其中食用碘盐 6 4 37户 ,占 83.9% ,食用非碘盐 12 35户 ,占 19.1% ;东疆地区调查 12 0 0户 ,其中食用碘盐 74 7户 ,占 6 2 .2 % ,食用非碘盐 4 5 3户 ,占 37.7% ;南疆地区调查 910 1户 ,其中食用碘盐 5 2 94户 ,占5 8.2 % ,食用非碘盐 380 7户 ,占 4 1.8% ,在不同地域环境中食用非碘盐的分布比例由多至少分别为南疆、东疆、北疆 ,差异有显著性 (χ2 =132 9.87,P <0 .0 1)。影响非碘盐来源的主要因素是流动盐商 (占5 7.4 % ) ,其次是自采土盐 (占 2 3.0 % ) ,在不同地区其来源途径有所不同 ,在南疆和东疆地区的来源以流动盐贩为主 ,在北疆地区以村办商店为主 ;居民购买食用碘盐的影响因素主要取决于居民对碘缺乏病知识的知晓状况和当地的经济状况。结论 新疆的碘缺乏病防治工作还存在诸如健康教育宣传、盐业市场管理、监督监测等方面的问题 ,期待采取强有力的针对性措施
Objective To understand the main sources of non-iodized salt in Xinjiang and its influencing factors. Methods According to “Research Program of Pilot Monitoring of Iodized Salt in Residential Areas” formulated by the Technical Guidance Center of International Cooperation Program for the Elimination of Iodine Deficiency Disaster by the Ministry of Health. Results A total of 17973 households were investigated, of which 12 4 78 were iodized salt, accounting for 6 9.4%; 5 4 95 were non-iodized salt, accounting for 30.5%; 76 72 were surveyed in northern Xinjiang, Iodized salt 6 4 37 households, accounting for 83.9%, non-iodized salt consumption 12 35 households, accounting for 19.1%; Dongjiang area survey 12 0 households, of which 747 households eat iodized salt, accounting for 62.2%, consumption of non-iodine 453 households were salt, accounting for 37.7%; 9101 households were investigated in southern Xinjiang, of which 5,294 were iodized salt, accounting for 5 8.2% and 380 7 non-iodized salt, accounting for 4 1.8%. In different geographical environments The proportions of non-iodized salt consumption were at least south, east and north respectively, with significant difference (χ2 = 132 9.87, P <0.01). The main factors affecting the source of non-iodized salt are mobile salt traders (accounting for 5 7.4%), followed by self-recovery of salt (2-3.0%), and their sources are different in different regions. In southern and eastern Xinjiang The source is mainly mobile salt traders, and is mainly run by village shops in northern Xinjiang. The factors affecting the purchase of iodized salt by residents mainly depend on the residents’ knowledge of iodine deficiency disorders knowledge and local economic conditions. Conclusion There are still some problems in prevention and control of iodine deficiency disorders in Xinjiang such as health education publicity, salt market management, supervision and monitoring and other aspects, and look forward to take strong targeted measures