Food safety knowledge,attitudes and practices of street food vendors and consumers in Port-au-Prince,Haiti

This study had the major objective of determining the food safety knowledge, attitudes and practices of vendors and consumers of street food in Port-au-Prince, Haiti. Haiti currently has no food safety legislation in place. 160 consumers and 80 vendors from four different communes (Tabarre, Delmas, Pétion-ville and downtown Port-au-Prince) volunteered to participate in the study. In general, consumers and vendors exhibited average food safety knowledge and attitude levels. Gender, training, level of education and location did not have a significant effect (p < 0.05) on the level of food safety knowledge of the consumers. Vendors were determined to have higher levels of food safety knowledge than consumers, whilst trained vendors had better food safety knowledge and attitudes compared to untrained vendors. The majority of vendors and consumers were aware of the importance of washing hands and proper cleaning with regards to the prevention of foodborne diseases. However, some other aspects were of concern. Consumers and vendors did not know that Hepatitis A, Salmonella spp. and Staphylococcus spp. are pathogens responsible of foodborne diseases. They also had difficulties in identifying the groups at risk of foodborne diseases and most were unaware of the importance of reheating food to fight against foodborne diseases. In the observational part of the study, it was found that in 60% of the cases, flies and animals were evident around the stall and 65% did not have access to potable water. The majority served food with bare hands and did not wash their hands after handling money. Additionally, 70% of the vendors did not chill pre-cooked food. The conditions in which street food vendors operate in Port-au-Prince are largely unacceptable from a food safety point of view and an effort should be made to provide them with adequate infrastructure including potable water, toilets and waste disposal facilities. The results of this study should be used to generate part of the impetus towards the development of enforcement of appropriate food safety legislation in Haiti.     

Practices,knowledge and risk factors of street food vendors in Uganda

Street food vendors in Kampala, Jinja and Masaka districts in Uganda were surveyed to assess risk factors, practices and knowledge of street food vendors with respect to food safety and hygiene. A total of 225 street food vendors were investigated from August 2008 and May 2009. A structured questionnaire and checklist were used in the interviews and focus group discussions. Street vendors (87.6%) were women and with low education level. Vendors had access to tap water within 5 min walk. Non-disposable plates/cups were the commonly used for vending food. Use of soap and cold water for washing utensils was common practice. Wash water recycled several times and only changed when very cloudy and soapy. Street vendors had some knowledge about diarrhoea and its associated risk factors. Toilet facilities were dominated by pour/flash toilet and pit latrine. Masaka (64.3%) and Jinja (38.9%) vendors disposed off the garbage at the vending sites whereas in Kampala (92.8%) used gunny bags.Cooked food was handled at ground level and exposed to flies. Masaka vendors (68.6%) had no hygiene regulations governing the street food vending business whereas Kampala (75.9%) and Jinja (65.3%) indicated hygiene regulations were enforced onsite management by local government. Vendors operated in a variety of vending structures and hygiene of premises was poor. Vendors suggested structural improvement of the vending sites and provision of more sanitary facilities. Street food vendors were aware hygienic practices, but do not put them in practice. Focus group discussants indicated a need to re-emphasize the personal hygiene and education. There is a need to reduce food contamination through education and provision of sanitary facilities at vending sites.     

Urban street foods in Shijiazhuang city,China: Current status,safety practices and risk mitigating strategies

Street foods often reflect traditional local cultures and offer a unique cultural experience to tourists and even to ordinary consumers. With the increasing pace of globalization and tourism, the safety of street foods has become one of the major concerns of public health. There is an urgent need, in China, to establish a national program to raise the food safety awareness and knowledge of street food vendors. The safety and hygiene status of street foods in Shijiazhuang city was investigated. Data on the street food vendors' food safety knowledge and practices, inspectors' regulatory capacity and consumers' purchasing habits were collected. Potential hazards in the preparation and sale of street foods were analyzed and strategies for ensuring the safety of street foods were recommended. The study showed that the street food safety risks are primarily due to the use of unqualified raw materials encouraged by ineffective inspections, poor infrastructure at the street food vending sites and lack of sanitation knowledge among street food vendors. In order to prevent street foods from being contaminated, more stringent and effective routine supervision and food safety practices should be adopted and the environmental conditions and facilities should be improved. Regular training in food processing technology, food safety knowledge and practical food safety evaluation methods should also be strengthened among street food vendors and food safety inspectors.     

Assessment of microbiological quality of raw fruit juice vended in Dar es Salaam city,Tanzania

Fresh fruit juices are highly nutritious food for human but the hygiene involved during preparation, packaging and storage make fresh juices prone to microbial contamination. This study was conducted to assess bacterial quality and establish the risk factors for contamination of raw fruit juices vended in Dar es Salaam city, Tanzania. Ninety fruit juice vendors were assessed for possible factors of microbial contamination in fruit juices. One juice sample per vendor was collected for microbial analysis using standard laboratory protocols of International Standards Organisation (ISO), Tanzania Bureau of Standards and Codex specifications. The results showed that the total plate counts (TPC) ranged between 2.32 and 8.54 (Log cfu/ml). About 72.2% of juice samples had TPC above Codex recommended maximum levels (3.7–4.7 Log cfu/ml). The prevalence of Escherichia coli in the juices was 80% with a range between 0.0 and 5.0 (Log MPN/ml) suggesting of direct faecal contamination or contamination from the environment. All samples were negative for Salmonella species. Risk factors for high TPC and E. coli counts which were statistically significant (P < 0.05) included type of juice, extraction methods, vending sites, storage containers and sex of the vendors. Generally, 78.9% of preparation and vending premises were unhygienic and encouraged contamination of the juices. It is concluded that, the overall handling, preparation practices and bacterial quality of unpasteurized fruit juices vended in Dare es Salaam city are poor. The government should educate the vendors on food safety and hygiene as well as enforcing regular monitoring of the quality of street fruit juices.     

Street vendors in Patna,India: Understanding the socio-economic profile,livelihood and hygiene practices

Street food vending is fundamental to daily life in many low and middle income countries where much of the urban population rely on food provided by street vendors. While street vendors are known to be important providers of food; limited research has investigated vendor’s hygiene practices and their socioeconomic circumstances in India. The aims of this study were to investigate the hygienic practices of food vendors and the context of their socioeconomic and living circumstances. Structured interviews were conducted with 31 street food vendors in Patna, India. The interviews explored issues around vending, hygiene practices, planning, and financial stability. Findings from this study indicate that food vendors are aware of good basic hygiene practices despite having low levels of literacy, low incomes, and limited job security.     

Socio-economic profile and food safety knowledge and practice of street food vendors in the city of Guwahati,Assam, India

Street food is an integral part of society in all countries – underdeveloped, developing or developed. As such the standard of hygiene maintained is a very vital matter. Every region has its sets of factors affecting the hygiene maintain. In the present study a survey was carried out in Guwahati city to determine the existing socio-economic status and food safety knowledge of street food vendors. Data on socio-economic and business profile of 80 vendors were collected using three standardized proformas.A study was also conducted on the existing knowledge of vendors on food safety and hygiene practices and methods of procurement of raw materials. The knowledge and procurement practices of the vendors were assessed for association with some relevant socio-economic factors. From the study it was observed that majority of street food vendors were mobile food vendors (54%) with the remaining being owners of small restaurants and food handlers. Majority of the food vendors were local to Guwahati city (93%). The average daily income of the mobile food vendors were between Rs. 200 to Rs. 600. It also was noted that only 30%–37% vendors were aware of hygienic practices of food handling and a mere 8%–11% of food vendors had knowledge on biological sources of food contamination.It was concluded that there is a high degree of association between procurement practices with the type of vendors, ownership status and average income. But no outstanding association exists with any socio-economic factor with the knowledge of the vendors on food hygiene. The street food scenario in the city was found to be quite dismal and requires stringent steps to improve matters.     

The role of theoretical food safety training on Brazilian food handlers' knowledge,attitude and practice

The objectives of this study were 1. to identify the relationship of theoretical training with knowledge, attitudes, self-reported practices and observed practices and 2. to identify variables that influence observed practices. This study was cross-sectional and involved 183 randomly selected food handlers from different food businesses in Santos City, Brazil, as follows: street food kiosks, beach kiosks, restaurants, hospitals and school meal services. To evaluate knowledge, attitudes and self-reported practices, a structured questionnaire was used. Observed practices were evaluated using a checklist. A researcher observed and followed each food handler throughout the process of food handling/preparation during a workday. The majority of participants (68.3%) had participated in at least one food safety training session. The average percentage of correct answers on the knowledge questionnaire was 64%. Food handlers who had undergone training presented higher knowledge scores but did not differ from those who had not regarding attitudes, self-reported practices and observed practices. A regression model was used to study the variables associated with observed practices (p < 0.001). The variables related to observed practices were the knowledge score (β = 0.27, p < 0.01), experience (in years as a food handler) (β = 0.19, p = 0.01), the relationship between the number of meals and the number of food handlers (β = −0.19, p = 0.01), buildings and facilities adequacy (β = 0.20, p = 0.01) and the presence of a nutritionist (β = 0.42, p < 0.001). This study showed that training based on theoretical aspects is not related to the attitudes, self-reported practices and observed practices of Brazilian food handlers from different food services. However, training seems to be an effective tool for improving knowledge. The current wording of Brazilian legislation motivates food handlers to undergo training only for certification. Food safety laws should not only require certification but also enable the establishment of policies to monitor and ensure the adequacy of food services.     

The food safety knowledge and microbial hazards awareness of consumers of ready-to-eat street-vended food

Controlling and ensuring the safety of street-vended foods in many countries is a challenge considering that these foods are often less expensive and readily available. The objective of this study was to determine the food safety knowledge based on microbial hazard awareness of street food consumers in the Johannesburg municipality, South Africa. A cross-sectional survey study was conducted using a structured food safety questionnaire designed for this study. A total of 402 respondents, individuals who buy and consume ready-to-eat street-vended foods were randomly selected at various street-food vending cites in the Johannesburg municipality. Data collection was by means of a face-to face interviews. The majority of respondents were black males younger than 35 years. Individuals of within different gender, race, level of education and monthly income groups significantly (p < 0.05) differed in their responses regarding the frequency of purchasing and confidence in the safety of street-vended food. Better taste followed closely by affordability and accessibility were the most cited reasons for purchasing street-vended food. Although the majority of respondents were aware that certain food borne bacteria can cause diseases that may lead to death, over 70% of them have never heard about Salmonella spp, Escherichia coli, Listeria monocytogenes and Campylobacter jejuni. Although some consumers doubt the safety of street vended foods, they are not deterred from consuming them. Gender, race, the level of education and monthly income affect the way consumers of street-vended foods perceived the safety of street-vended foods and their desire to purchase them.     

Hygiene knowledge and practices of night market food vendors in Tainan City, Taiwan

Night markets are a unique part of Taiwanese culture and are ideal places to visit to taste local delicacies. “Visiting night markets” not only has become a habit for local residents, but also a particular favorite for non-local tourists. Street food vending in the night markets has been increasing for several years but this growth presents public health challenges, with evidence of diarrheal diseases. Therefore, there are emerging needs for understanding the hygiene knowledge and practices of food vendors to ensure hygienic preparation of street foods. This empirical study can be used in understanding the current situation of food hygiene practices in tourist night markets and in exploring proper strategies for improving food safety at the markets.     

Food safety knowledge of foodservice workers at a university campus by education level,experience, and food safety training

Food safety knowledge of university foodservice workers was evaluated and the relationship between food safety knowledge and education level, length of employment, and food safety training was assessed using a 40-item food safety questionnaire. Each knowledge question was scored as “1” for a correct answer and as “0” for an incorrect answer. The relationships between the level of education and food safety knowledge scores and length of employment in the foodservice industry and food safety knowledge scores were determined using bivariate correlation analysis. A total of 63.5% of the respondents had limited knowledge, 79% were well-informed about hygiene practices, while 33.9% of persons knew of correct time-temperature control measures. Kendall's tau = 0.067; p = 0.294 revealed a lack of strength of the relationship between education level and food safety knowledge. The relationship between length of employment and food safety knowledge was Kendall's tau = −0.133; p = 0.121. No mean differences (p = 0.426) were observed for mean knowledge scores between groups of food safety trained and untrained persons. Neither education level, nor the length of employment in the foodservice industry had a significant impact on food safety knowledge. The authors recommend that in order to improve food safety knowledge, attention should be given to the planning, implementation, monitoring, and evaluating food safety education programs.     

Street food on the coast of Salvador,Bahia, Brazil: A study from the socioeconomic and food safety perspectives

Street food includes various food items and drinks largely sold in public places, including leisure areas such as beaches. Despite the prevalence at this activity studies made within this scenario are few. Therefore, this study sought to characterize street food commercialization on the Salvador coast in Bahia, Brazil based on the socioeconomic, labor, and food safety perspectives. An exploratory and quantitative study was conducted on 14 beaches using questionnaires addressing the following areas: the socio-demographic characteristics of the food vendors, characteristics of the work, and hygienic and sanitary conditions of the activity. Our study included 247 food vendors with an average age of 40.3 years, of whom 55.9% were women, and 48.7% had completed an elementary education or less. The median time spent working in street food vending was nine years, and the average working day for the participants was 8.3 Furthermore, 46.2% of the participants worked only on weekends and 72.0% declared that their family income was between one and three times the minimum wage, of whom 29.1% had revenue from a source other than street food vending. Most of the vendor locations were fixed (57.5%), and the products sold were typically obtained from supermarkets (48.1%), suppliers (36.8%), and street markets (36.0%). Prepared food items were the most common (61.6%), although mineral water/soft drinks (35.8%) and beer (35.2%) were also commonly sold items, followed by acarajé (21.9%), coconut water (19.0%), fried fish (14.2%), and abará (12.5%). Only 38.3% of the perishable food items were kept in cooling containers. Of the interviewed individuals, 22.6% declared that they did not sanitize their hands when working, whereas 80.2% admitted to handling food and money simultaneously. Our study reveals the socioeconomic importance of the street food sector as well as the poor hygienic conditions of most street food vendor operations.     

Food safety and handling knowledge and practices of Lebanese university students

The aim of this study was to assess the level of food safety handling knowledge and practices among 1172 Lebanese university students (mean age 20.0 ± 1.6 SD) and to explore the association between their knowledge/practices and the socio-demographic and academic characteristics. Participants were undergraduate students enrolled in the Lebanese American University from different majors and years of study, from different areas of residence, living alone or with others, and having working or non-working mothers. They completed a questionnaire of 16 food handling practices and 14 food safety knowledge questions related to preparation, cross-contamination, storage and hygiene. On average, the students scored 53.6 ± 15.8% and 44.7 ± 14.3% on the knowledge and practices parts, respectively. Female students scored higher on both practices and knowledge questions than male students; however, the difference was significant (p < 0.001) for the practices part only. Health-related majors scored significantly (p ≤ 0.001) better on both practices and knowledge questions. Senior students scored highest on the knowledge questions, followed by juniors, sophomores and finally freshmen and the difference was borderline significant (p = 0.07). The area of residence had a significant (p = 0.006) effect on the food safety practices questions. Students living with parents scored higher in both knowledge and practices parts than those living alone or with roommates; howkver, the difference was significant (p = 0.009) in the knowledge part only. Students who cook all the time showed a significant (p = 0.001) lower difference in terms of their food safety knowledge compared to those who cook less frequently. Food handling practices and food safety knowledge scores were significantly (p < 0.001) related with a weak to moderate correlation coefficient (R = 0.231). Our results confirm the need for ongoing educational initiatives to improve the relatively low food awareness among the Lebanese young adults group.     

Consumer awareness and perception to food safety hazards in Trinidad,West Indies

Little is known on consumer perception and awareness to food safety in Trinidad, West Indies. A survey was conducted on 121 consumers who handled meat on food safety knowledge and handling practices at homes. Most (P < 0.01; 83.2%) categorised food safety as ‘very’ important. Consumers differed (P < 0.05) in their perception as to the most feared food hazard. Escherichia coli (89.7%) and Salmonella (85.7%) were most known (P < 0.01) of microbial types. Restaurant (55.0%) was regarded to be the most likely place where food poisoning could occur. There was no distinct (P > 0.05) trust in food safety authorities. Gender had (P > 0.05) no influence on responses. The study highlighted gaps in food safety knowledge and critical violations in food handling.     

Food safety knowledge and training participation are associated with lower stress and anxiety levels of Brazilian food handlers

The objectives of this study were: 1) identify the state anxiety, trait anxiety levels and perceived stress levels of food handlers and; 2) Verify the association of these scores with food safety variables like: food safety knowledge, attitudes, practices and with job characteristics. This study involved 183 randomly selected food handlers from different food businesses in Santos city, Brazil, as follows: street food kiosks, beach kiosks, restaurants, hospitals and school meal services. To evaluate knowledge, attitudes and self-reported practices, a structured questionnaire was used. Observed practices were evaluated using a checklist. The State Trait Anxiety Inventory – STAI was applied to assess the levels of state and trait anxiety with a score range from 10 to 80. To evaluate stress the Perceived Stress Questionnaire – PSQ was used with a score range from zero to one. Food handlers presented 39.22; 10.1 (mean; standard deviation) of state anxiety score, 39.58; 9.6 of trait anxiety score and a perceived stress score of 0.36; 0.09. Observed practices presented a weak negative correlation with state anxiety (r = −0.26; p = 0.014) but not with trait anxiety (r = −0.18; p = 0.09) and stress (r = 0.03; p = 0.78). Using generalized linear models were observed that a higher stress level, trait anxiety and state anxiety were found in food handlers who do not participated in food safety training and with lower knowledge scores of food safety. These findings show that training can not only improve knowledge but possibly empower food handlers, increase their self-efficacy and reduce anxiety and stress levels.     

Will capacity building training interventions given to street food vendors give us safer food?: A cross-sectional study from India

Successful food hygiene training and the consent of safe food handling practices learnt during training are critical elements in the control of food-borne illnesses throughout the world. It is true for food handlers and vendors belonging to all sectors. But, it is all the more urgent for street vendors because they are more exposed to environmental hazards and are predominantly from much weaker socio-economic backgrounds and yet cater to the general mass. Using a cross-sectional study design a sample of 80 street food vendors were selected and provided with training to evaluate the existing Knowledge, Attitude and Practice (KAP) regarding food safety and hygiene and the change of the same after training interventions. Responses regarding KAP on food safety and hygiene before and after training revealed that there was a significant change in their perception to food safety knowledge and also practices. The knowledge level of the food vendors increased from an average 24.35%–66.2% after training interventions. The overall performance rating of full adoption of good hygiene practices by the vendors ranged from 37.5% to 50.8% in post-training period.     

Hand hygiene knowledge,attitudes and practices among food handlers at primary schools in Hulu Langat district,Selangor (Malaysia)

The purpose of this study was to investigate the hand hygiene knowledge, attitudes and practices of food handlers from 38 primary schools in Hulu Langat district, Selangor State in Malaysia. Hand hygiene knowledge, principally regarding ready-to-eat foods, the existence of bacteria and correct hand-washing methods were lacking among the food handlers. From the observations reported herein, the use of masks and hand-washing with proper technique were neglected by most food handlers. In the demographic profile analysed, there were significant differences (p ≤ 0.05) in the following areas: hand-washing practices between genders (p = 0.039), hand hygiene attitudes and glove use between nationalities (p = 0.002 and p = 0.029, respectively); and personal hygiene knowledge between groups with different levels of education (p = 0.048). This study revealed a slightly positive relationship between hand hygiene knowledge and self-reported practices of food handlers (r = 0.249, p = 0.022). The results showed that further continuous effort should be invested in hand hygiene education and enforcement for food handlers from primary schools in the Hulu Langat district. This study provided data about the current knowledge, attitudes and practices of food handlers from institutional foodservice operations in Malaysia regarding hand hygiene.     

The knowledge and practice of food safety by young and adult consumers

Each year, millions of people worldwide suffer from food-borne diseases and illnesses. Therefore, food-related infection is an important health problem in many countries. The study was conducted in Ankara Province of Turkey to determine food safety and food preparation practices of young and adult consumers. The sampling group was composed of randomly-selected 646 young and 815 adult individuals and questionnaires were applied with face-to-face interviews made between April and December, 2006. It was discovered that food safety knowledge of young consumers is at an insufficient level and their practices are inappropriate. It was also revealed that there is a significantly meaningful difference between the food safety knowledge and food preparation practice scores of young and adult consumers in favor of adult consumers (P < 0.001).     

Street food vending in Asia: some policy and legal aspects

Street food vending is ubiquitous in much of Asia. It is an activity that provides employment to many, while providing nutritious, inexpensive and tasty food to millions of working men, women and children and students. Microbiological and chemical contamination, unhygienic practices and lack of basic amenities including potable water are some of the many problems associated with street food vending. Different countries have sought to regulate this industry in different ways; in Asia, out of some 30 countries more than one-half have a system for the registration of food vendors and 24 have an inspectorate for supervision. More effective regulation is possible only through a comprehensive system that considers this industry as a formal and legal activity that needs to be fully integrated into the developmental process. There is also a need to have a broader statutory definition of street food vending and more realistic and relevant legal provisions.     

Food safety knowledge,attitudes and self-reported practices of food handlers in institutional foodservice in Accra,Ghana

The aim of this study was to evaluate the food safety knowledge, attitude and practices (KAP) of food handlers from institutional food service establishments that serve hospitals, boarding senior high schools and prisons in Accra, Ghana. A total of 278 food handlers (56.8% of hospital, 30.9% of schools and 12.3% of prison food service) participated in the cross-sectional study. Data was collected by face-to-face interviews, and responses were scored to determine the level of food safety KAP. Respondents who scored ≥70% of the maximum possible score were adjudged to have sufficient knowledge and practices and positive attitudes. Results showed that respondents generally had insufficient food safety knowledge and practices with means scores of 20.99 ± 7.64 (46%) and 9.35 ± 5.62 (52%) respectively. Attitudes towards food safety were generally negative but with a comparatively higher mean score of 12.64 ± 3.06 (63%). Areas of most concern were 1) Lack of knowledge of sources of contamination/cross-contamination and appropriate holding temperatures for food. 2) Poor practices included multiple freeze-thaw cycles for frozen food and 3) Infrequent hand washing during food preparation after coughing or sneezing. There is the need for continuous risk based training to educate and effect behavioral changes among food handlers. This process will encourage positive attitudes towards food safety and consequently promote good food safety practices.     

A structural modeling on food safety knowledge,attitude, and behaviour among Bum Bum Island community of Semporna,Sabah

The objective of this study was to evaluate the relationship among food safety knowledge, attitude and behavior in Bum Bum Island community, Semporna, Sabah. Proportional stratified sampling method was used in this survey. A total of 250 respondents were selected randomly from ten villages in Bum Bum Island. Face-to-face interview was conducted to complete the questionnaire. In general, respondents exhibited average food safety knowledge level especially in their awareness of personal hygiene and kitchenware hygiene. Food safety attitude of the community was found strongly affected their food safety behavior in positive way, which was proven by the highest standard β among variables tested (β₁ = 0.885, p < 0.05). However, food safety knowledge was negatively affected the food safety behavior of the respondents (β₁ = −0.128, p < 0.05). Our result confirmed that Structural Equation Modeling (SEM) was successfully used to model the relationship among food safety knowledge, attitude and behavior.