Food safety knowledge, attitude, and hygiene practices of street-cooked food handlers in North Dayi District, Ghana
Tóm tắt
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. 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. 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]. 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.
Tài liệu tham khảo
World Health Organization WHO. WHO estimates of the global burden of foodborne diseases: foodborne disease burden epidemiology reference group 2007-2015: World Health Organization; 2015.
Brandwagt D, van den Wijngaard C, Tulen AD, Mulder AC, Hofhuis A, Jacobs R, et al. Outbreak of Salmonella Bovismorbificans associated with the consumption of uncooked ham products, the Netherlands, 2016 to 2017. Eurosurveillance. 2018;23:317–35.
Navarro-Garcia F. Escherichia coli O104: H4 pathogenesis: an enteroaggregative E. coli/Shiga toxin-producing E. coli explosive cocktail of high virulence. Enterohemorrhagic Escherichia coli Other Shiga Toxin-Producing E coli. 2015;1:503–29.
Etter AJ, West AM, Burnett JL, Wu ST, Veenhuizen DR, Ogas RA, et al. Salmonella Heidelberg food isolates associated with a Salmonellosis outbreak have enhanced stress tolerance capabilities. Appl Environ Microbiol. 2019;85:1–22.
WPSE, Netty D, Sangaran G. Paper review of factors, surveillance and burden of food borne disease outbreak in Malaysia. Malaysian J public Heal Med. 2013;13:98–105.
Monney I, Agyei D, Owusu W. Hygienic practices among food vendors in educational institutions in Ghana: the case of Konongo. Foods. 2013;2(3):282–94. https://doi.org/10.3390/foods2030282.
Fan YX, Liu XM, Bao YD. Analysis of main risk factors causing foodborne diseases in food catering business. Zhonghua Yu Fang Yi Xue Za Zhi. 2011;45:543–6.
Cheng Y, Zhang Y, Ma J, Zhan S. Food safety knowledge, attitude and self-reported practice of secondary school students in Beijing, China: a cross-sectional study. PLoS One. 2017;12:1–13.
Saad M, See TP, Adil MAM. Hygiene practices of food handlers at Malaysian government institutions training centers. Procedia-Social Behav Sci. 2013;85:118–27. https://doi.org/10.1016/j.sbspro.2013.08.344.
Abdalla MA, Suliman SE, Bakhiet AO. Food safety knowledge and practices of street foodvendors in Atbara City (Naher Elneel State Sudan). African J Biotechnol. 2009;8:6967–71.
Ayeh-Kumi PF, Quarcoo S, Kwakye-Nuako G, Kretchy JP, Osafo-Kantanka A, Mortu S. Prevalence of intestinal parasitic infections among food vendors in Accra, Ghana. J Trop Med Parasitol. 2009;32:1–8.
Dagne H, Raju RP, Andualem Z, Hagos T, Addis K. Food safety practice and its associated factors among mothers in Debarq Town, Northwest Ethiopia: community-based cross-sectional study. Biomed Res Int. 2019;1:1–9.
Kuchenmüller T, Hird S, Stein C, Kramarz P, Nanda A, Havelaar AH. Estimating the global burden of foodborne diseases-a collaborative effort. Eurosurveillance. 2009;14:1–13.
Ayaz WO, Priyadarshini A, Jaiswal AK. Food safety knowledge and practices among Saudi mothers. Foods. 2018;7(12):193–208. https://doi.org/10.3390/foods7120193.
Sani NA, Siow ON. Knowledge, attitudes and practices of food handlers on food safety in food service operations at the Universiti Kebangsaan Malaysia. Food Control. 2014;37:210–7. https://doi.org/10.1016/j.foodcont.2013.09.036.
Oridota SE, Ochulo NF, Akanmu ON, Olajide TO, Soriyan OO. Food hygiene and safety practices of food handlers and its determinants in Lagos State. J Med Res Pract. 2014;3:37–41.
Chukuezi CO. Food safety and hyienic practices of street food vendors in Owerri, Nigeria. Stud Sociol Sci. 2010;1:50–7.
Dun-Dery EJ, Addo HO. Food hygiene awareness, processing and practice among street food vendors in Ghana. Food Public Heal. 2016;6:65–74.
Tefera T, Mebrie G. Prevalence and predictors of intestinal parasites among food handlers in Yebu town, southwest Ethiopia. PLoS One. 2014;9:1–13.
Soon JM, Wahab IRA, Hamdan RH, Jamaludin MH. Structural equation modelling of food safety knowledge, attitude and practices among consumers in Malaysia. PLoS One. 2020;15:1–12.
Sharif L, Al-Malki T. Knowledge, attitude and practice of Taif University students on food poisoning. Food Control. 2010;21(1):55–60. https://doi.org/10.1016/j.foodcont.2009.03.015.
Kim J, Cho Y. Convergence evaluating food safety knowledge, attitude, and practice regarding food handler. J Korea Converg Soc. 2019;10:73–8.
Isoni Auad L, Cortez Ginani V, Stedefeldt E, Yoshio Nakano E, Costa Santos Nunes A, Puppin Zandonadi R. Food safety knowledge, attitudes, and practices of Brazilian food truck food handlers. Nutrients. 2019;11(8):1784–803. https://doi.org/10.3390/nu11081784.
Zhao Y, Yu X, Xiao Y, Cai Z, Luo X, Zhang F. Netizens’ food safety knowledge, attitude, behaviors, and demand for science popularization by WeMedia. Int J Environ Res Public Health. 2020;17(3):730–40. https://doi.org/10.3390/ijerph17030730.
Ma L, Chen H, Yan H, Wu L, Zhang W. Food safety knowledge, attitudes, and behavior of street food vendors and consumers in Handan, a third tier city in China. BMC Public Health. 2019;19(1):1128–39. https://doi.org/10.1186/s12889-019-7475-9.
Tabit FT, Teffo LA. An assessment of the food safety knowledge and attitudes of food handlers in hospitals. BMC Public Health. 2020;20:311–22.
Lema K, Abuhay N, Kindie W, Dagne H, Guadu T. Food hygiene practice and its determinants among food handlers at University of Gondar, Northwest Ethiopia, 2019. Int J Gen Med. 2020;13:1129–37. https://doi.org/10.2147/IJGM.S262767.
Yenealem DG, Yallew WW, Abdulmajid S. Food safety practice and associated factors among meat handlers in Gondar town: a cross-sectional study. J Environ Public Health. 2020;1:1–7.
Adane M, Teka B, Gismu Y, Halefom G, Ademe M. Food hygiene and safety measures among food handlers in street food shops and food establishments of Dessie town, Ethiopia: a community-based cross-sectional study. PLoS One. 2018;13:1–13.
Ababio PF, Lovatt P. A review on food safety and food hygiene studies in Ghana. Food Control. 2015;47:92–7. https://doi.org/10.1016/j.foodcont.2014.06.041.
Yeleliere E, Cobbina SJ, Abubakari ZI. Review of microbial food contamination and food hygiene in selected capital cities of Ghana. Cogent Food Agric. 2017;3:1–12.
Ghana Standard Authority GSA. Personal communication with standard documentation department. 2013.
Sarkodie NA, Bempong EK, Tetteh ON, Saaka AC, Moses GK. Assessing the level of hygienic practices among street food vendors in Sunyani township. Pakistan J Nutr. 2014;13(10):610–5. https://doi.org/10.3923/pjn.2014.610.615.
Odonkor ST, Kurantin N, Sallar AM. Food safety practices among postnatal mothers in Western Ghana. Int J Food Sci. 2020;1:1–10.
Monney I, Agyei D, Ewoenam BS, Priscilla C, Nyaw S. Food hygiene and safety practices among street food vendors: an assessment of compliance, institutional and legislative framework in Ghana. Food public Heal. 2014;4:306–15.
Rahman M, Arif MT, Bakar K, bt Tambi Z. Food safety knowledge, attitude and hygiene practices among the street food vendors in Northern Kuching city, Sarawak. Borneo Sci. 2012;31:95–103.
World Health Organization WHO. Five Keys to Safer Food Manual; Department of Food Safety, Zoonoses and Foodborne Disease. 2006; www.who.int/entity/foodsafety/.
Azanaw J, Gebrehiwot M, Dagne H. Factors associated with food safety practices among food handlers: facility-based cross-sectional study. BMC Res Notes. 2019;12(1):683–9. https://doi.org/10.1186/s13104-019-4702-5.
Fariba R, Gholamreza JK, Saharnaz N, Ehsan H, Masoud Y. Knowledge, attitude, and practice among food handlers of semi-industrial catering: a cross sectional study at one of the governmental organization in Tehran. J Environ Heal Sci Eng. 2018;16(2):249–56. https://doi.org/10.1007/s40201-018-0312-8.
Ghana Statistical Service GSS. Population and housing census 2010 district and analytical report. 2010.
GHS GHS. Annual report, Ghana Health Service: GHS; 2020.
Cochran WG. Sampling technique. Third edit. New York: John Wiley & Sons; 1977.
Byrd-Bredbenner C, Berning J, Martin-Biggers J, Quick V. Food safety in home kitchens: a synthesis of the literature. Int J Environ Res Public Health. 2013;10(9):4060–85. https://doi.org/10.3390/ijerph10094060.
Hashanuzzaman M, Bhowmik S, Rahman MS, Zakaria MUMA, Voumik LC, Mamun A-A. Assessment of food safety knowledge, attitudes and practices of fish farmers and restaurants food handlers in Bangladesh. Heliyon. 2020;6:1–8.
Osaili TM, Jamous DOA, Obeidat BA, Bawadi HA, Tayyem RF, Subih HS. Food safety knowledge among food workers in restaurants in Jordan. Food Control. 2013;31(1):145–50. https://doi.org/10.1016/j.foodcont.2012.09.037.
Soares LS, Almeida RCC, Cerqueira ES, Carvalho JS, Nunes IL. Knowledge, attitudes and practices in food safety and the presence of coagulase-positive staphylococci on hands of food handlers in the schools of Camaçari, Brazil. Food Control. 2012;27(1):206–13. https://doi.org/10.1016/j.foodcont.2012.03.016.
Amegah KE, Addo HO, Ashinyo ME, Fiagbe L, Akpanya S, Akoriyea SK, et al. Determinants of hand hygiene practice at critical times among food handlers in educational institutions of the Sagnarigu municipality of Ghana: a cross-sectional study. Environ Health Insights. 2020;14:1–10.
Akabanda F, Hlortsi EH, Owusu-Kwarteng J. Food safety knowledge, attitudes and practices of institutional food-handlers in Ghana. BMC Public Health. 2017;17(1):40–9. https://doi.org/10.1186/s12889-016-3986-9.
Apanga S, Addah J, Sey DR. Food safety knowledge and practice of street food vendors in rural Northern Ghana. Food Public Heal. 2014;4:99–103.
Adesokan HK, Akinseye VO, Adesokan GA. Food safety training is associated with improved knowledge and behaviours among foodservice establishments’ workers. Int J Food Sci. 2015;1:1–8.
Bou-Mitri C, Mahmoud D, El Gerges N, Jaoude MA. Food safety knowledge, attitudes and practices of food handlers in Lebanese hospitals: a cross-sectional study. Food Control. 2018;94:78–84. https://doi.org/10.1016/j.foodcont.2018.06.032.
Derso T, Tariku A, Ambaw F, Alemenhew M, Biks GA, Nega A. Socio-demographic factors and availability of piped fountains affect food hygiene practice of food handlers in Bahir Dar Town, northwest Ethiopia: a cross-sectional study. BMC Res Notes. 2017;10(1):628–35. https://doi.org/10.1186/s13104-017-2965-2.
Al RA. On the contribution of student experience survey regarding quality management in higher education: an institutional study in Saudi Arabia. J Serv Sci Manag. 2010;3:464–9.
Siau AMF, Son R, Mohhiddin O, Toh PS, Chai LC. Food court hygiene assessment and food safety knowledge, attitudes and practices of food handlers in Putrajaya. Int Food Res J. 2015;22:1843–54.
Samapundo S, Climat R, Xhaferi R, Devlieghere F. Food safety knowledge, attitudes and practices of street food vendors and consumers in Port-au-Prince, Haiti. Food Control. 2015;50:457–66. https://doi.org/10.1016/j.foodcont.2014.09.010.
Murray R, Glass-Kaastra S, Gardhouse C, Marshall B, Ciampa N, Franklin K, et al. Canadian consumer food safety practices and knowledge: foodbook study. J Food Prot. 2017;80(10):1711–8. https://doi.org/10.4315/0362-028X.JFP-17-108.
Zhang H, Lu L, Liang J, Huang Q. Knowledge, attitude and practices of food safety amongst food handlers in the coastal resort of Guangdong, China. Food Control. 2015;47:457–61.
Berry TD, Fournier AK. Examining university students’ sneezing and coughing etiquette. Am J Infect Control. 2014;42(12):1317–8. https://doi.org/10.1016/j.ajic.2014.09.003.
Khanal G, Poudel S. Factors associated with meat safety knowledge and practices among butchers of Ratnanagar municipality, Chitwan, Nepal: a cross-sectional study. Asia Pacific J Public Heal. 2017;29(8):683–91. https://doi.org/10.1177/1010539517743850.
Faremi FA, Olatubi MI, Nnabuife GC. Food safety and hygiene practices among food vendors in a Tertiary Educational Institution in South Western Nigeria. Eur J Nutr Food Saf. 2018;8(2):59–70. https://doi.org/10.9734/EJNFS/2018/39368.
Fadaei A. Assessment of knowledge, attitudes and practices of food workers about food hygiene in Shahrekord restaurants, Iran. World Appl Sci J. 2015;33:1113–7.
Radu S, Othman M, Toh PS, Chai LC. Assessment of knowledge, attitude and practices concerning food safety among restaurant workers in Putrajaya, Malaysia. Food Sci Qual Manag. 2014;32:20–7.
Osaili TM, Al-Nabulsi AA, Krasneh HDA. Food safety knowledge among foodservice staff at the universities in Jordan. Food Control. 2018;89:167–76. https://doi.org/10.1016/j.foodcont.2018.02.011.
Jespersen L, MacLaurin T, Vlerick P. Development and validation of a scale to capture social desirability in food safety culture. Food Control. 2017;82:42–7. https://doi.org/10.1016/j.foodcont.2017.06.010.