Research article

A survey to evaluate knowledge, attitudes, and practices associated with the risk of foodborne infection in a sample of Sicilian general population

  • Received: 07 February 2022 Revised: 29 April 2022 Accepted: 05 May 2022 Published: 11 May 2022
  • Although foodborne infections contracted at home are frequent diseases worldwide, there is a general lack of information. Main purpose of this cross-sectional study was to evaluate knowledge, attitudes, and practices (KAP) of a sample of the general Sicilian population about the risk of contracting foodborne diseases. It was carried out through a web-based questionnaire to a Sicilian population sample. The questionnaire collected socio-demographic data, health issues, KAP and self-reported diseases. Scores were calculated for summarizing the results. A total of 373 subjects participated into the study. Overall, 65.15% of the participants were females, 48.26% of all respondents were aged between 18 and 29 years and over one-third were students (34.58%). At least one episode of vomiting/diarrhoea in the previous 3 months was reported by 119 respondents. Practices were associated with knowledge (R2 = 0.02; p < 0.01) and attitudes (R2 = 0.13; p < 0.001) although with low degree of correlation. A lower practice score was statistically significantly associated with both onset of foodborne transmitted infections in participants and among the cohabitants of participants. Our results confirm that foodborne disease can be strongly associated with food handling at home and with unsafe practices. Specific education on food safety could help to reduce the risk but the adoption of good practices of food manipulation is the real key to assure a reduction in food outbreaks in residences.

    Citation: Emanuele Amodio, Giuseppe Calamusa, Salvatore Tiralongo, Federica Lombardo, Dario Genovese. A survey to evaluate knowledge, attitudes, and practices associated with the risk of foodborne infection in a sample of Sicilian general population[J]. AIMS Public Health, 2022, 9(3): 458-470. doi: 10.3934/publichealth.2022031

    Related Papers:

  • Although foodborne infections contracted at home are frequent diseases worldwide, there is a general lack of information. Main purpose of this cross-sectional study was to evaluate knowledge, attitudes, and practices (KAP) of a sample of the general Sicilian population about the risk of contracting foodborne diseases. It was carried out through a web-based questionnaire to a Sicilian population sample. The questionnaire collected socio-demographic data, health issues, KAP and self-reported diseases. Scores were calculated for summarizing the results. A total of 373 subjects participated into the study. Overall, 65.15% of the participants were females, 48.26% of all respondents were aged between 18 and 29 years and over one-third were students (34.58%). At least one episode of vomiting/diarrhoea in the previous 3 months was reported by 119 respondents. Practices were associated with knowledge (R2 = 0.02; p < 0.01) and attitudes (R2 = 0.13; p < 0.001) although with low degree of correlation. A lower practice score was statistically significantly associated with both onset of foodborne transmitted infections in participants and among the cohabitants of participants. Our results confirm that foodborne disease can be strongly associated with food handling at home and with unsafe practices. Specific education on food safety could help to reduce the risk but the adoption of good practices of food manipulation is the real key to assure a reduction in food outbreaks in residences.



    加载中


    Ethics approval



    In accordance with the Italian Law, studies based on observational studies with no sensitive data do not require ethical approval.

    Informed consent



    Although complete anonymity of each respondent was fully respected, an informed consent for participation and publication was given and obtained at the beginning of survey process.

    Conflict of interest



    The Authors declare no conflicts of interest and no financial support was received for this study.

    [1] Tirado C, Schmidt K (2001) WHO surveillance programme for control of foodborne infections and intoxications: preliminary results and trends across greater Europe. J Infect 43: 80-84. https://doi.org/10.1016/S0163-4453(01)90861-8
    [2] Gould LH, Walsh KA, Vieira AR, et al. (2013) Surveillance for foodborne disease outbreaks - United States, 1998–2008. MMWR Surveill Summ 62: 1-34.
    [3] Chaudhry R, Mahajan RK, Diwan A, et al. (2003) Unusual presentation of enteric fever: three cases of splenic and liver abscesses due to Salmonella typhi and Salmonella paratyphi A. Trop Gastroenterol 24: 198-199.
    [4] World Health OrganizationWHO estimates of the global burden of foodborne diseases (2015).
    [5] Dewey-Mattia D, Manikonda K, Hall AJ, et al. (2018) Surveillance for Foodborne Disease Outbreaks - United States, 2009–2015. MMWR Surveill Summ 67: 1-11. https://doi.org/10.15585/mmwr.ss6710a1
    [6] Scallan E, Hoekstra RM, Angulo FJ, et al. (2011) Foodborne illness acquired in the United States-major pathogens. Emerg Infect Dis 17: 7-15. https://doi.org/10.3201/eid1701.P11101
    [7] World Health OrganizationThe impact of food and nutrition on public health—the case for a food and nutrition policy and action plan for the European region of WHO, 2000–2005 (2000).
    [8] World Health OrganizationFood safety: resolution of the executive board of the WHO. Resolution WHA53.15 (2000).
    [9] Bouwknegt M, Devleesschauwer B, Graham H, et al. (2018) Prioritisation of food-borne parasites in Europe, 2016. Euro Surveill 23: 17-00161. https://doi.org/10.2807/1560-7917.ES.2018.23.9.17-00161
    [10] Torgerson PR, Devleesschauwer B, Praet N, et al. (2015) World Health Organization Estimates of the Global and Regional Disease Burden of 11 Foodborne Parasitic Diseases, 2010: A Data Synthesis. Plos Med 12: e100192. https://doi.org/10.1371/journal.pmed.1001920
    [11] Eurostat. Regions in Europe – 2021 interactive edition. Available from: https://ec.europa.eu/eurostat/cache/digpub/regions/#employment-rate-of-recent-graduates
    [12] Byrd-Bredbenner C, Berning J, Martin-Biggers J, et al. (2013) Food safety in home kitchens: a synthesis of the literature. Int J Environ Res Public Health 10: 4060-4085. https://doi.org/10.3390/ijerph10094060
    [13] Evans EW, Redmond EC (2018) Behavioral Observation and Microbiological Analysis of Older Adult Consumers' Cross-Contamination Practices in a Model Domestic Kitchen. J Food Prot 81: 569-581. https://doi.org/10.4315/0362-028X.JFP-17-378
    [14] Farias ADS, Akutsu RCCA, Botelho RBA, et al. (2020) Food Safety Conditions in Home-Kitchens: A Cross-Sectional Study in the Federal District/Brazil. Int J Environ Res Public Health 17: 4897. https://doi.org/10.3390/ijerph17134897
    [15] Cardoso MJ, Ferreira V, Truninger M, et al. (2021) Cross-contamination events of Campylobacter spp. in domestic kitchens associated with consumer handling practices of raw poultry. Int J Food Microbiol 338: 108984. https://doi.org/10.1016/j.ijfoodmicro.2020.108984
    [16] Møretrø T, Nguyen-The C, Didier P, et al. (2021) Consumer practices and prevalence of Campylobacter, Salmonella and norovirus in kitchens from six European countries. Int J Food Microbio 347: 109172. https://doi.org/10.1016/j.ijfoodmicro.2021.109172
    [17] Leman P (2001) Clinical and microbiological features of suspect sporadic food poisoning cases presenting to an accident and emergency department. Commun Dis Public Health 4: 209-212.
    [18] Food Standards AgencyFoodborne disease: developing a strategy to deliver the agencies targets. Paper no. FSA 00/05/02. Agenda item 4 (2020).
    [19] Nesbitt A, Majowicz S, Finley R, et al. (2009) High-risk food consumption and food safety practices in a Canadian community. J Food Prot 72: 2575-2586. https://doi.org/10.4315/0362-028X-72.12.2575
    [20] Scott E (2003) Food safety and foodborne disease in 21st century homes. Can J Infect Dis 14: 277-280. https://doi.org/10.1155/2003/363984
    [21] World Health OrganizationStatistical information on foodborne disease in Europe: Microbiological and chemical hazards (2002).
    [22] Draeger CL, Akutsu RCCA, Zandonadi RP, et al. (2018) Brazilian Foodborne Disease National Survey: Evaluating the Landscape after 11 Years of Implementation to Advance Research, Policy, and Practice in Public Health. Nutrients 11: 40. https://doi.org/10.3390/nu11010040
    [23] Moschonas G, Geornaras I, Stopforth JD, et al. (2012) Antimicrobials for reduction of Salmonella contamination in uncooked, surface-browned breaded chicken products. J Food Prot 75: 1023-1028. https://doi.org/10.4315/0362-028X.JFP-11-492
    [24] MacDougall L, Fyfe M, McIntyre L, et al. (2004) Frozen chicken nuggets and strips-a newly identified risk factor for Salmonella Heidelberg infection in British Columbia, Canada. J Food Prot 67: 1111-1115. https://doi.org/10.4315/0362-028X-67.6.1111
    [25] Guerrero T, Bayas-Rea R, Erazo E, et al. (2022) Nontyphoidal Salmonella in Food from Latin America: A Systematic Review. Foodborne Pathog Dis 19: 85-103. https://doi.org/10.1089/fpd.2020.2925
    [26] Redmond EC, Griffith CJ (2003) Consumer food handling in the home: a review of food safety studies. J Food Prot 66: 130-161. https://doi.org/10.4315/0362-028X-66.1.130
    [27] Akabanda F, Hlortsi EH, Owusu-Kwarteng J (2017) Food safety knowledge, attitudes and practices of institutional food-handlers in Ghana. BMC Public Health 17: 40. https://doi.org/10.1186/s12889-016-3986-9
    [28] Feng Y, Archila-Godínez JC (2021) Consumer Knowledge and Behaviors Regarding Food Safety Risks Associated with Wheat Flour. J Food Prot 84: 628-638. https://doi.org/10.4315/JFP-19-562
    [29] Baptista RC, Rodrigues H, Sant'na AS (2020) Consumption, knowledge, and food safety practices of Brazilian seafood consumers. Food Res Int 132: 109084. https://doi.org/10.1016/j.foodres.2020.109084
    [30] Phang HS, Bruhn CM (2011) Burger preparation: what consumers say and do in the home. J Food Prot 74: 1708-1716. https://doi.org/10.4315/0362-028X.JFP-10-417
    [31] Woteki CE, Facinoli SL, Schor D (2001) Keep food safe to eat: healthful food must be safe as well as nutritious. J Nutr 131: 502S-509S. https://doi.org/10.1093/jn/131.2.502S
    [32] Zanin LM, da Cunha DT, de Rosso VV, et al. (2017) Knowledge, attitudes and practices of food handlers in food safety: An integrative review. Food Res Int 100: 53-62. https://doi.org/10.1016/j.foodres.2017.07.042
    [33] Westaway MS, Viljoen E (2020) Health and hygiene knowledge, attitudes and behaviour. Health Place 6: 25-32. https://doi.org/10.1016/S1353-8292(99)00027-1
    [34] Takanashi K, Chonan Y, Quyen DT, et al. (2009) Survey of food-hygiene practices at home and childhood diarrhoea in Hanoi, Viet Nam. J Health Popul Nutr 27: 602-611. https://doi.org/10.3329/jhpn.v27i5.3636
    [35] Tomaszewska M, Trafialek J, Suebpongsang P, et al. (2018) Food Hygiene Knowledge and practice of consumers in Poland and in Thailand - A survey. Food Control 85: 76-84. https://doi.org/10.1016/j.foodcont.2017.09.022
    [36] Al-Ghazali M, Al-Bulushi I, Al-Subhi L, et al. (2020) Food Safety Knowledge and Hygienic Practices among Different Groups of Restaurants in Muscat, Oman. Int J Food Sci : 8872981. https://doi.org/10.1155/2020/8872981
    [37] Nurudeen AA, Lawal AO, Ajayi SA (2014) A survey of hygiene and sanitary practices of street food vendors in the Central State of Northern Nigeria. J Pub Health 6: 174-181. https://doi.org/10.5897/JPHE2013.0607
    [38] Food Safety and Inspection Service - U.S. Department of Agriculture (USDA)Keep Food Safe! Food Safety Basics.
    [39] Evans HS, Madden P, Douglas C, et al. (1998) General outbreaks of infectious intestinal disease in England and Wales: 1995 and 1996. Commun Dis Public Health 1: 165-171.
    [40] Aureli P, Orefice L Alimentazione Sicura in Ambito Domestico: Obiettivi e Raccomandazioni per la Prevenzione e Sorveglianza Delle Tossinfezioni Alimentari (2020).
    [41] Serrem K, Illés CB, Serrem C, et al. (2021) Food safety and sanitation challenges of public university students in a developing country. Food Sci Nutr 9: 4287-4297. https://doi.org/10.1002/fsn3.2399
    [42] Zyoud S, Shalabi J, Imran K, et al. (2019) Knowledge, attitude and practices among parents regarding food poisoning: a cross-sectional study from Palestine. BMC Public Health 19: 586. https://doi.org/10.1186/s12889-019-6955-2
    [43] Sivaramalingam B, Young I, Pham MT, et al. (2015) Scoping Review of Research on the Effectiveness of Food-Safety Education Interventions Directed at Consumers. Foodborne Pathog Dis 12: 561-570. https://doi.org/10.1089/fpd.2014.1927
  • Reader Comments
  • © 2022 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(2315) PDF downloads(225) Cited by(3)

Article outline

Figures and Tables

Tables(4)

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog