1.Analysis of monitoring results on iodine deficiency disorders in Hongkou District of Shanghai from 2012 to 2016
Tiantian LIU ; Deyun QI ; Yanwei JIANG ; Ke LIN
Chinese Journal of Endemiology 2017;36(12):892-894
Objective To understand the coverage of iodized salt and the iodine nutritional status of schoolchildren in Hongkou District of Shanghai City and to provide a basis for adjusting corresponding intervention measures.Methods From 2012 to 2016,according to the "Shanghai Iodine Deficiency Disease Surveillance Program",a street was chosen from five directions as east,west,south,north and centre in Hongkou District.According to the annual monitoring plan,a certain amount of residents or schoolchildren aged 8-10 were chosen for monitoring,collecting salt samples from residents or children's home to detect salt iodine,and collecting urine samples of children to detect urinary iodine level (which was not tested in 2013).Determination of iodine salt was based on "Determination of Iodine by the General Test Method for the Salt Industry" (GB/T 13025.7-2012),urinary iodine determination was based on "Arsenic and Cerium Catalytic Spectrophotometric Determination of Iodine in Urine" (WS/T 107-2006).Results From 2012 to 2016,a total of 1 550 edible salt samples were tested,including 847 qualified iodized salts,299 unqualified iodized salts and 404 non-iodized salts,the coverage of iodized salt was 73.9%,and the consumption rate of qualified iodized salt was 54.6%.A total of 591 urine samples were tested in 2012,2014-2016.The median of urinary iodine was 177.2 μg/L;of which < 100 μg/L was 103,accounting for 17.4%;100-199 μg/L was 248,accounting for 42.0%;and ≥300 μg/L was 91,accounting for 15.4%.Conclusions The residents in Hongkou District of Shanghai City do not meet the target of iodized salt coverage and consumption rates of qualified iodized salt.The average urinary iodine level of schoolchildren aged 8-10 years has reached the national standard for eliminating iodine deficiency disorders;we should further improve the consumption rate of qualified iodized salt.
2.Abnormal spinal curvature and influencing factors in children and adolescents in Hongkou District, Shanghai
QI Deyun, LI Liping, JIANG Yanwei, ZHOU Yuan
Chinese Journal of School Health 2021;42(3):444-447
Objective:
To investigate the incidence of abnormal spinal curvature and related factors in primary and secondary school students in the Hongkou District of Shanghai, so as to provide evidence for abnormal spinal curvature prevention and treatment.
Methods:
Using a stratified cluster random sampling method, 1 884 students of grade 4 to grade 12 from seven schools were investigated via questionnaires for abnormal spinal curvature in Hongkou District.
Results:
The detectable rate of abnormal spinal curvature was 7.2%, The detectable rate of abnormal spinal curvature increased with increasing age(P<0.01): senior high school (15.7%) > vocational high school (8.1%) > junior high school (3.4%) > primary school(1.8%)(χ 2=91.24, P<0.01). The detectable rate of spinal curvature among female students was 8.6%, which was higher than that among male students(5.9%), and the difference was significant(χ 2=5.27, P<0.05). Multivariate Logistic regression analysis showed that the factors influencing abnormal spinal curvature included phase of studying, nutritional status and time spent engaged in outdoor activities every day(P<0.05).
Conclusion
Abnormal spinal curvature is one of the common conditions that endangers the health of children and adolescents. The collaboration of the school, students and parents is required to strengthen screening and prevention.