Food safety knowledge, attitude and self-reported practice of secondary school students in Beijing, China: A cross-sectional study

Chinese consumer preference for beef with geographical indications and other attributes

As the demand for beef products grows in the Chinese market, understanding consumer preferences for beef, especially those related to quality labelling, is essential. The recent agreement between China and the European Union to promote Geographical Indications (GIs) provides a new insight into preferences for beef with quality labelling. This paper assesses consumer preferences for beef products with GIs and other attributes. A nationwide survey is conducted including 1210 respondents in China by a choice experiment attributing GI label, 'green', 'hazard-free', and 'organic' labels, feeding regimes (grain-fed, grass-fed), country of origin (China, Ireland, Australia, Brazil), and price (30, 40, 80, 100 ¥/500 g). The random parameter logit model with error component reveals that Chinese consumers have a significant preference for grain-fed beef and domestic beef, and they are willing to pay a premium price for GI-labelled beef compared with other attributes. The interaction between GIs and country of origin is included to indicate the positive price impact of GIs on imported beef products. Demographic factors such as place of residence and occupation are found to affect consumer preferences for GIs.

Food safety knowledge, attitude, and practice among male and female food handlers: Evidence from fruit and vegetable producers in Ethiopia

Studies on the level of knowledge, attitude and handling practice towards food safety would help to determine the associated factors of knowledge, attitude and practice towards food safety; however, these studies did not explicitly address food safety concerns related to fruit and vegetables in Ethiopia. Men and women could have different levels of knowledge, attitude, and handling practice; however, these gendered effects were not addressed in previous studies. Using data collected in 2021 from 311 farm households in Ethiopia, this study aimed to analyze the level of knowledge, attitude, and handling practice of fruit and vegetable and associated factors among male and female food handlers. Data was analyzed using descriptive statistics, spearman's correlation, and econometric models (logit, multinomial logit and ordered probit). Education has a positive significant effect on knowledge, attitude and handling practices of fruit and vegetable handlers. However, the effect was higher in the females. No correlation could be obtained between knowledge and practices for the total respondents. However, knowledge had a positive but weak significant association with practices in the female group. We found a significant positive correlation between knowledge and attitude. These findings indicated that food safety knowledge of fruit and vegetable handlers will influence their attitude and a positive attitude would influence the practice in safe handling of fruit and vegetables. It therefore may require more targeted campaigns (i.e. from awareness creation to behavior change) to increase the ability of the community members to adopt best practices while reducing the barriers associated with consuming unhealthy diets.

Knowledge, attitude, and practices toward food safety among students in Bangladesh: A cross-sectional web-based study

Background

Foodborne diseases are a preventable but under-reported public health issue. These illnesses are a public health concern and contribute significantly to healthcare costs. People must understand how their knowledge, attitudes, and practices affect food safety and how they can reduce the risk of foodborne illness. This study aimed at investigating the current situation of knowledge, attitudes, and practices toward food safety among Bangladeshi students and identifying the determinants of having adequate knowledge, favorable attitudes, and good practices.

Methods

The research is based on a cross-sectional anonymous online survey that took place from January 1st to February 15th, 2022. Participants in this survey had to be at least 8th-grade students enrolled in Bangladeshi institutions. Upon description of the study's aim, the questionnaire's concept, assurances regarding respondents' confidentiality, and the study's voluntary nature, informed consent was taken from each participant before starting the survey. Descriptive statistics, Chi-square test, and logistic regression were used to explore the knowledge, attitudes, and practices of students and identify factors affecting them using the statistical software STATA.

Results

A total of 777 students participated in the study, the majority of them were male (63.96%) and aged between 18 and 25 years (60%). Almost half of the respondents were at the undergraduate level and less than half of the participants (45%) lived with their families. Among the participants, around 47% had adequate knowledge, 87% had favorable attitudes, and only 52% had good practices toward food safety. Female students, students having a food safety course/training, and students whose mothers were educated had significantly higher knowledge of food safety. Besides, students at higher education levels, students having a food safety course/training, and students with educated mothers displayed significantly higher odds of possessing favorable attitudes toward food safety. Similarly, female students, having a food safety course/training, students at higher education levels, and students with educated mothers were significantly associated with good practices toward food safety among students.

Conclusion

The study shows that students in Bangladesh lack knowledge of food safety and have poor practices toward food safety. For the student population of Bangladesh, more systematic and targeted food safety education and training are required.

Reproducibility and Validity of a Self-Administered Food Safety Assessment Tool on Children and Adolescent's Risk Perception, Knowledge, and Practices

The present study aimed to verify the instrument's reliability and validity for assessing children and adolescents' risk perception, knowledge, and food safety practices in the school context. Moreover, it aimed to test the hypothesis that both application methods (paper and pencil (PAPI) and online) are valid. The instrument comprised three questionnaires and followed a strict protocol to combine online and PAPI models, resulting in five application forms. The sample consisted of 439 Brazilian students from 10 to 14 years old (y/o). The results related to reliability and validity indicated that the knowledge questionnaire presented adequate stability and discriminant validity coefficients. The self-reported practices questionnaire obtained acceptable coefficients of stability and internal consistency. Regarding risk perception data, it was observed that students attribute a low probability of Foodborne Diseases (FBD) outbreaks occurrence and low severity of possible symptoms. In addition, students demonstrated insufficient knowledge and inadequate practices on issues related to failures associated with the time and temperature of preparation, storage, and exposure of food, contamination of food, and consumption of unsafe food. In this context, the reproducibility and validity indices need to be interpreted and discussed correctly, and young people in food safety actions are a priority in facing FBD.

Theoretical framework for the determinants and management of food safety problem: A case study of the waste cooking oil issue in China

The public health issue of illegal waste cooking oil in China had become a well-known food safety problem since 2010, resulting in indigestion and stomach aches when they ate them unconsciously. The Chinese government has promulgated relevant food safety regulations to prevent this public health issue from worsening. Meanwhile, Chinese researchers have already conducted corresponding research and recommended several associated policy implementations; however, this illegal waste cooking oil issue persists more than 10 years later. Hence, a systematic and comprehensive analysis of the determinants and management of the waste cooking oil issue is needed to be reassessed. Unlike previous research based on first-hand data and the principles of grounded theory analysis, this novel research is the first attempt to employ second-hand data from 152 court judgments collected from the China Judgments Online official database by engaging the grounded theory analysis to develop a new theoretical framework. The results demonstrate that legal loopholes, food hygiene inspectors, and consumer self-protection consciousness are the three crucial determinant factors in this China's public health issue. As well, offender crime patterns and case characteristics play an essential role in leading to the final food safety. Furthermore, the demographic profiles of these public health criminals are also validated in the discussion part, including the criminals' age, educational background, the average judgment amount, and the sentencing span specific type of crime. Based on the findings, we propose three management guidelines for Chinese legislation: redefining the waste cooking oil issue, raising the hot pot restaurant sanitation permission threshold, and improving overall food safety awareness and education in communities. Importantly, our research outcomes could provide a new theoretical basis for China's waste cooking oil and other public health issues in China and even worldwide.

Citizen Characteristics and Their Participation in Food Safety Social Co-governance: Public Health Implications

Objective: Given that positive psychological capital motivates citizens to actively participate in social affairs, this study aims to provide insight into food safety risk management in China by empirically determining which individual characteristics are associated with positive psychological capital for actively participating in social co-governance.

Methods: A questionnaire-based survey was undertaken between December 5 and 10, 2020. The study participants were residents of Wuxi in China over the age of 18 years. A validated and pretested questionnaires was used to elicit responses with the participants. Student's t-test and one-way analysis of variance were performed to determine which individual characteristics are significantly correlated with the psychological capital of citizens who participate in co-governance. Post-hoc multiple comparisons were performed for each individual characteristic with a significant correlation to determine which categories of these characteristics yielded the significant differences. Study data were analyzed using IBM SPSS Statistics 24.0.

Results: A total of 752 completed responses were received. Most respondents were females (52.39%), aged 26–45 (66.09%), married (70.48%), company employees (44.28%), and in good health (89.76%). Most had a household size of 3 (55.98%), a bachelor's degree (40.96%), a personal annual income of more than 100,000 yuan (26.46%), and no children aged under 18 (50.27%) or pregnant women (93.22%) in their households. Data analysis indicated that education, income, and health status significantly associate with the psychological capital of citizens to participate in co-governance. Citizens with high education, high income, and good health status have higher psychological capital to participate in co-governance.

Conclusion: The present study suggested citizens are likely to actively participate in food safety social co-governance only when they have at least one of the following three characteristics: (1) higher than average income in their city of residence; (2) a bachelor's degree or higher education; or (3) good health. Therefore, motivating citizens to participate in co-governance is a long-term process in China. The fundamental strategy is to increase the income of citizens, especially among low-income groups, promote education to improve the food safety literacy of the public, and improve sanitation and public health.

Food Safety Knowledge, Attitudes, and Practices Among Jordan Universities Students During the COVID-19 Pandemic

Objective: This study aimed to evaluate food safety knowledge, attitudes and practices (KAP) amongst university students in Jordan and changes in food-related behaviors during the COVID-19 pandemic. Correlation between food safety KAP scores and general characteristics of university students was also evaluated. Methods: A cross-sectional study was conducted where an Internet-based questionnaire was distributed through social media platforms. The sample consisted of 1,739 respondents from 29 Jordanian universities. The participants completed a 58-item questionnaire covering demographical characteristics and different food safety aspects which were namely "COVID-19 food-related attributes," "food cooking and storage," "personal hygiene." "cross-contamination prevention/disinfection procedures." and "restaurant hygiene." Descriptive statistics, Chi square tests and binary logistic analysis were used to assess the data. Results: The sample consisted of 67.2% females with a mean age of 21.3 ± 1.8 years. The average overall score of the tested aspects was 14.1/34.0 which corresponds to 41.3% of the questions being answered correctly. The percentage of correct answers of "COVID-19 food-related attributes," "food cooking and storage," "cross-contamination prevention/disinfection procedures," "personal hygiene" and "restaurant hygiene" was 56.8, 36.6, 28.4, 44.6. and 36.9%, respectively. A significant (P <0.05) association between respondents' food safety KAP scores and gender, marital status, university degree, employment status, self-rating of food safety knowledge, and the source of food safety information. Conclusion: University students in Jordan had insufficient KAP scores which is a concerning trend during the pandemic. Teaching fundamentals of food safety in the form of short courses/ lectures is recommended.

Awareness of Foodborne Pathogens among Students: A Cross-Sectional Study in the Kingdom of Saudi Arabia

Food poisoning associated with microbial pathogens causes millions of foodborne disease cases in the Kingdom of Saudi Arabia. Awareness about foodborne pathogens may play a positive role in the reduction of foodborne illnesses. The present cross-sectional study investigates awareness about five major microbial pathogens (Salmonella, Campylobacter, Staphylococcus, Listeria, and Escherichia coli) among university students (n = 399) from four major cities in the Kingdom of Saudi Arabia. Multiple logistic regression models were used to predict the determinants of inadequate knowledge. Of the 399 study participants, only 34.5% of students knew the above-mentioned foodborne pathogens. Awareness varied by pathogen, and the variations appeared to be related to age, sex, education, and field of study. In comparison to students in health sciences, students in computer sciences were found to be less knowledgeable about foodborne pathogens (OR: 2.85; 95% CI: 1.36-5.99). Our findings suggest that awareness about microbial pathogens is low among students and is associated with their field of study. Effective education programs about foodborne hazards could help improve students' awareness of microbial pathogens.

Food safety knowledge, attitude, and hygiene practices of street-cooked food handlers in North Dayi District, Ghana

BACKGROUND

Food safety and hygiene are currently a global health apprehension especially in unindustrialized countries as a result of increasing food-borne diseases (FBDs) and accompanying deaths. This study aimed at assessing knowledge, attitude, and hygiene practices (KAP) of food safety among street-cooked food handlers (SCFHs) in North Dayi District, Ghana.

METHODS

This was a descriptive cross-sectional study conducted on 407 SCFHs in North Dayi District, Ghana. The World Health Organization's Five Keys to Safer Food for food handlers and a pretested structured questionnaire were adapted for data collection among stationary SCFHs along principal streets. Significant parameters such as educational status, average monthly income, registered SCFHs, and food safety training course were used in bivariate and multivariate logistic regression models to calculate the power of the relationships observed.

RESULTS

The majority 84.3% of SCFHs were female and 56.0% had not attended a food safety training course. This study showed that 67.3%, 58.2%, and 62.9% of SCFHs had good levels of KAP of food safety, respectively. About 87.2% showed a good attitude of separating uncooked and prepared meal before storage. Good knowledge of food safety was 2 times higher among registered SCFHs compared to unregistered [cOR=1.64, p=0.032]. SCFHs with secondary education were 4 times good at hygiene practices of food safety likened to no education [aOR=4.06, p=0.003]. Above GHc1500 average monthly income earners were 5 times good at hygiene practices of food safety compared to below GHc500 [aOR=4.89, p=0.006]. Registered SCFHs were 8 times good at hygiene practice of food safety compared to unregistered [aOR=7.50, p<0.001]. The odd for good hygiene practice of food safety was 6 times found among SCFHs who had training on food safety courses likened to those who had not [aOR=5.97, p<0.001].

CONCLUSIONS

Over half of the SCFHs had good levels of KAP of food safety. Registering as SCFH was significantly associated with good knowledge and hygiene practices of food safety. Therefore, our results may present an imperative foundation for design to increase food safety and hygiene practice in the district, region, and beyond.

Design and Development of an Instrument on Knowledge of Food Safety, Practices, and Risk Perception Addressed to Children and Adolescents from Low-Income Families

In the fight against foodborne diseases, expanding access to information for different groups is needed. In this aspect, it is crucial to evaluate the target audience’s particularities. This study constructed and validated an instrument containing three questionnaires to identify the level of knowledge, practices, and risk perception of food safety by low-income students between 11 and 14 years old. The following steps were used: systematic search of the databases; conducting and analyzing focus groups; questionnaires development; and questionnaires analysis. After two judges’ rounds, the final version was reached with 11 knowledge items, 11 practice items, and five risk perception items. The content validation index values were higher than 0.80. The adopted methodology considered the students’ understanding and perceptions, as well the appropriate language to be used. Besides, it allowed the development of questionnaires that directly and straightforwardly covers the rules set by the World Health Organization for foodborne disease control called Five Keys to Safer Food (keep clean; separate raw and cooked; cook thoroughly; keep food at safe temperatures; and use safe water and raw materials). Its use can result in a diagnosis for elaborating educational proposals and other actions against foodborne illness in the most vulnerable population.

Development and Validation of a Questionnaire on Consumer Psychological Capital in Food Safety Social Co-governance

Consumers play an important role as one of the main actors in food safety social co-governance. To create a pattern of food safety social co-governance, the active and effective participation of consumers is critical. To encourage consumers to participate in food safety social co-governance voluntarily and positively, we attempted to develop and preliminarily validate a multidimensional questionnaire on consumer psychological capital that could be used to measure the degree of consumer participation in food safety social co-governance. The aim of the initial sample (N = 170) and test sample 2 (N = 204) was to investigate the factor structure of a preliminary measure of consumer psychological capital. A 4-factor model with 23 items explained 61.05% of the total variance in item scores. The aim of test sample 3 (N = 30) was to measure the retest reliability. Test sample 4 (N = 1,076) was randomly allocated to the modeling sample (N = 538) and validation sample (N = 538) to verify questionnaire reliability and validity. Convergent validity, discriminant validity, and the internal inconsistency coefficients of the questionnaire were assessed in the modeling sample. While processing CFA, we deleted 9 items with small standardized factor loadings. The remaining 14 items in the final revised 4-factor model included self-efficacy, resilience, hope, and optimism. The fit indices of the revised four-factor model and second-order factor model in the modeling sample revealed an acceptable model fit. The convergent validity and discriminant validity of the revised model were good and acceptable, respectively. A cross-validation procedure confirmed the appropriateness of the revised four-factor model and second-order factor model in the validation sample. The cross-validation results confirmed that the fit indices of the revised four-factor model fitted the data well and the second-order factor model in the validation sample reached acceptable values. We concluded that the questionnaire developed in this study had good reliability and stable and acceptable construct validity. It could provide a theoretical basis for measuring psychological capital in food safety co-governance.

Food Safety Knowledge, Attitude, and Practice of College Students, Ethiopia, 2019: A Cross-Sectional Study

BACKGROUND

Since the dawn of human history, foodborne diseases have been a problem for all societies, and it is an increasing public health issue worldwide. The objective of this study is to examine knowledge, practice, and attitude in food safety among college students in the city Gondar, northwest Ethiopia.

METHODS

A cross-sectional study was conducted among 430 randomly selected college students in Gondar City, northwest Ethiopia, from October 8 to November 30, 2019. The data was gathered through a self-administered questionnaire. The collected data were checked for completeness, coded manually, and entered into Epi Info version 7, then exported to SPSS version 26 for more data checking, cleaning, and analysis. One-way ANOVA was done for examining sociodemographic variable association with KAP, and Pearson correlation analysis was conducted to measure the association among food safety knowledge, attitude, and practice scores. The p value < 0.05 was considered statistically significant for both tests.

RESULTS

The number of females was higher among the study participants (65.5%). The mean age of participates was 21.1 ± 9.14 (SD) years. The higher percentage (45.7%) of the participants were students in the second year. The overall scores of the food safety knowledge, attitude, and practices of the respondents were 35.7% (good), 38.0% (good), and 29.1% (positive), respectively. Participants with differences in gender, year of study, and food safety training had a substantial variation in overall food safety knowledge (p value < 0.05). The findings have clearly shown that knowledge of food safety does not directly affect the attitude towards food safety (p value > 0.05). On the other hand, overall food safety practice differed in terms of sex, year of schooling, and knowledge of food safety (p value < 0.05) among participants. Training and knowledge score had significant correlation among respondents (p value < 0.05).

CONCLUSION

This study revealed that the overall knowledge, practices, and attitude towards food safety among college students were very low. There was a significant association between knowledge and practice while food safety practices were independent with an attitude among the students. Such results indicated that there could be problems with foodborne diseases. Therefore, the findings of this study proposed that strength should be done to improve the existing food safety knowledge, practice, and attitude in college students in addition to their normal education.

Food safety knowledge and self-reported practices among adolescents in rural secondary schools in Nigeria

BACKGROUND

Severe foodborne disease outbreaks have occurred in different continents of the globe in recent decades, particularly due to ineffective food laws, regulatory systems and inadequate food handling knowledge among food handlers and consumers. The purpose of the present study was to assess the food safety knowledge and practices among secondary school students in rural parts of Kogi State, Nigeria.

METHODS

A cross-sectional study using self-administered questionnaires was carried out between October and December, 2017. The study was carried out in two public secondary schools located in a rural area in Kogi State, North-central Nigeria. All consenting students in both schools were recruited for the study. Descriptive analysis and chi-square (χ²) tests were carried out using Statistical Package for Service Solutions v.20.

RESULTS

A total of 259 out of 300 survey questionnaires were completed and returned (86.33%). The mean age of the study participants was 15.9 ± 2.5 years. There were more males than females (55.2%, n = 143). The mean percent knowledge score was 75.79%. The mean percent practice score was 82.48%. More than half (n = 143, 55.2%) respondents had a good knowledge level, and 54.4% (n = 141) had a good practice level. A significant association was found only between food hygiene knowledge and mothers' education (χ² = 9.49, p = 0.023).

CONCLUSION

The overall food safety knowledge and practice among the secondary school students surveyed was good. Targeted educational interventions on food safety can be made to improve knowledge and practice of food hygiene among students.