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新鲜蔬菜的处理:莫桑比克马普托市场的商贩知识、卫生行为与公共卫生。

Handling of Fresh Vegetables: Knowledge, Hygienic Behavior of Vendors, Public Health in Maputo Markets, Mozambique.

机构信息

Medical Parasitology Unit, Group of Opportunistic Protozoa/HIV and Other Protozoa, Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1700-001 Lisbon, Portugal.

Nova School of Business and Economics, Universidade Nova de Lisboa, Faculdade de Economia e Gestão, 1700-001 Lisbon, Portugal.

出版信息

Int J Environ Res Public Health. 2020 Aug 29;17(17):6302. doi: 10.3390/ijerph17176302.

Abstract

In developing countries, markets are the main supply of horticultural products to populations, but this can pose a public health challenge due to the risk of the fecal-oral transmission of gut pathogens. This transmission is strongly associated with inadequate public sanitation or low standards of personal and domestic hygiene, and their prevalence can cause gastrointestinal diseases, which are the third leading cause of death in Mozambique. This study aims at assessing the risk for public health of horticultural products supply chain, from the farmers-vendors to the consumers, in municipal markets in Maputo-City, Mozambique. Surveys (75) were conducted on vendors and an observational analysis was performed in the markets under study. The results showed that 62% of the vendors had access to water from boreholes or artisanal sources and the issue "access to water" was significantly different between markets ( = 0.004). Of the vendors who wash their products (53.3%), only 7.5% use tap-water for this purpose, with the difference in attitudes being statistically significant between vendors in the markets ( = 0.035). The majority (60.4%) said that vegetables and fruits can cause diseases due to pesticides and only 31.3% believe that the diseases may be related to poor hygiene. Despite the vendors' low knowledge of Good Hygiene Practices (GHP), we noticed that women have better practical assimilation of GHP when compared to men ( = 0.008). Although Maputo's markets are struggling to achieve quality hygiene standards in a reliable and sustainable manner, their resources are limited and significantly different ( = 0.044) from market to market, and this problem remains a concern for the public-health authorities of the city. In conclusion, the provision of adequate drinking water and sewage disposal systems, together with education for health of vendors, can reduce the risk of contamination of fresh food by the more common organisms causing diarrhea in children, including intestinal parasites.

摘要

在发展中国家,市场是向民众供应园艺产品的主要渠道,但这可能对公共卫生构成挑战,因为肠道病原体可能通过粪-口途径传播。这种传播与公共卫生条件差或个人及家庭卫生水平低密切相关,其流行可导致胃肠道疾病,这是莫桑比克的第三大死因。本研究旨在评估莫桑比克马普托市市政市场园艺产品供应链(从农民到商贩再到消费者)对公共卫生的风险。对商贩进行了(75)项调查,并对所研究市场进行了观察性分析。结果显示,62%的商贩可以从水井或手工水源获得水,而“获得水”这一问题在市场之间存在显著差异( = 0.004)。在清洗产品的商贩中(53.3%),只有 7.5%的商贩为此目的使用自来水,商贩对市场的态度存在显著差异( = 0.035)。大多数商贩(60.4%)表示,蔬菜和水果可能因农药残留而引发疾病,只有 31.3%的商贩认为疾病可能与卫生条件差有关。尽管商贩对良好卫生规范(GHP)的了解程度较低,但我们注意到,女性对 GHP 的实际掌握程度要好于男性( = 0.008)。尽管马普托市场正在努力以可靠和可持续的方式实现高质量的卫生标准,但它们的资源有限,而且各市场之间存在显著差异( = 0.044),这一问题仍然是城市公共卫生当局关注的问题。总之,提供充足的饮用水和污水处理系统,以及对商贩进行健康教育,可以降低新鲜食品被更常见的导致儿童腹泻的生物体污染的风险,包括肠道寄生虫。

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