a School of Occupational and Public Health , Ryerson University , Toronto , ON , Canada.
b National Microbiology Laboratory , Public Health Agency of Canada , Guelph , ON , Canada.
Int J Environ Health Res. 2019 Aug;29(4):371-386. doi: 10.1080/09603123.2018.1544611. Epub 2018 Nov 8.
Various psychosocial and organizational factors have been investigated as determinants of food handlers' food safety behaviours. A systematic review and meta-analysis of studies in this area was conducted to identify and synthesize the key behavioural determinants. Standard systematic review steps were followed: comprehensive search strategy; relevance screening; article characterization; risk of bias assessment; data extraction; and random-effects meta-analysis. Sixty-two relevant studies were identified, and knowledge was the most commonly investigated behavioural determinant ( = 51). Increased knowledge was consistently associated with safe food handing behaviours across both correlation ( = 0.30; 95% confidence interval [CI]: 0.12, 0.46; = 24 studies; = 98%) and odds ratio (OR) measures (adjusted OR = 1.85; 95% CI: 1.27, 2.70; = 3; = 0%). Seven other behavioural determinant categories were also consistently associated with various food safety behaviour outcomes. In contrast, no association was found between food handler experience and behaviour. The findings can inform the development of targeted training initiatives for food handlers.
各种心理社会和组织因素已被研究作为食品处理者食品安全行为的决定因素。对该领域的研究进行了系统回顾和荟萃分析，以确定和综合关键行为决定因素。采用了标准的系统回顾步骤：全面的搜索策略；相关性筛选；文章特征描述；偏倚风险评估；数据提取；以及随机效应荟萃分析。确定了 62 项相关研究，知识是最常被研究的行为决定因素（= 51）。知识的增加与两种相关性（= 0.30；95%置信区间[CI]：0.12，0.46；= 24 项研究；= 98%）和比值比（OR）测量（调整后的 OR = 1.85；95%CI：1.27，2.70；= 3 项研究；= 0%）都始终与安全的食品处理行为相关。其他七个行为决定因素类别也与各种食品安全行为结果始终相关。相比之下，食品处理者的经验与行为之间没有关联。研究结果可为食品处理者的有针对性培训计划的制定提供信息。
