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尼泊尔加德满都大都会城市肉类处理人员中与肉类卫生操作相关的因素。

Factors associated with meat hygiene-practices among meat-handlers in Metropolitan City of Kathmandu, Nepal.

作者信息

Bhandari Rabindra, Singh Anil Kumar, Bhatt Prakash Raj, Timalsina Ashish, Bhandari Rama, Thapa Pratibha, Baral Jijeebisha, Adhikari Sunil, Poudel Pramila, Chiluwal Sudip, Joshi Prakash Chandra, Adhikari Nabin

机构信息

Central Department of Public Health, Institute of Medicine, Kathmandu, Nepal.

Nepal Health Research Council, Ramshahpath, Kathmandu.

出版信息

PLOS Glob Public Health. 2022 Nov 9;2(11):e0001181. doi: 10.1371/journal.pgph.0001181. eCollection 2022.

Abstract

Meat hygiene refers to all conditions and measures necessary to ensure safety and suitability of meat at all stages of the food chain. Inadequate hygiene practices allow consumers to be exposed to pathogens causing public health problems. Inadequate facilities and hygiene practices in meat shops results in meat contamination. The study aimed to identify factors associated with meat hygiene practices among meat handlers in the Metropolitan City of Kathmandu, Nepal. A cross-sectional study was designed with a semi-structured questionnaire and observation checklist that collected information about hygiene practices from 320 consenting meat-handlers by interviewer-administered technique. Data was entered in EpiData and analyzed using IBM SPSS version 21. Descriptive statistics of frequency distribution were used to report meat hygiene-practices and other independent variables, with multivariate logistic regression to establish predictors of meat hygiene-practices at 5% level of significance. The study revealed that less than half (44.4%) of the meat handlers had satisfactory meat hygiene practices. The adjusted regression analysis showed, strong evidence (p<0.01) of association of higher education level (AOR = 2.8, 95% CI = 1.7-4.5), other occupational involvement (AOR = 2.2, 95% CI = 1.9-2.4), and being officially registered (AOR = 2.8, 95% CI = 1.2-6.8) with meat hygiene practices. However, there was fair evidence (p<0.05) of association between shorter duration of meat being processed to sale (AOR = 0.57, P = 0.042) and meat hygiene practices. In this study, the satisfactory meat hygiene practices of meat handlers was low. The educational level, registration status of shops, involvement in other jobs, and awareness on meat hygiene were identified as key factors associated with meat hygiene practices. Thus, these factors need to be considered while developing programs to improve meat hygiene practices among the meat handlers. Meat handlers should be provided with training and orientation program for improving the meat hygiene practices.

摘要

肉类卫生是指在食物链的各个阶段确保肉类安全和适宜性所必需的所有条件和措施。卫生措施不当会使消费者接触到导致公共卫生问题的病原体。肉店设施不足和卫生措施不当会导致肉类污染。该研究旨在确定尼泊尔加德满都大都会市肉类处理人员中与肉类卫生措施相关的因素。采用横断面研究方法,设计了半结构化问卷和观察清单,通过访谈员管理技术从320名同意参与的肉类处理人员那里收集有关卫生措施的信息。数据录入EpiData,并使用IBM SPSS 21版进行分析。频率分布的描述性统计用于报告肉类卫生措施及其他自变量,采用多因素logistic回归在5%的显著性水平上确定肉类卫生措施的预测因素。研究表明,不到一半(44.4%)的肉类处理人员具有令人满意的肉类卫生措施。校正回归分析显示,高等教育水平(比值比[AOR]=2.8,95%置信区间[CI]=1.7 - 4.5)、其他职业参与情况(AOR = 2.2,95% CI = 1.9 - 2.4)以及正式注册(AOR = 2.8,95% CI = 1.2 - 6.8)与肉类卫生措施之间存在强关联证据(p<0.01)。然而,肉类加工至销售的时间较短(AOR = 0.57,P = 0.042)与肉类卫生措施之间存在一定关联证据(p<0.05)。在本研究中,肉类处理人员令人满意的肉类卫生措施水平较低。教育水平、店铺注册状况、其他工作参与情况以及肉类卫生意识被确定为与肉类卫生措施相关的关键因素。因此,在制定提高肉类处理人员肉类卫生措施的项目时需要考虑这些因素。应向肉类处理人员提供培训和指导项目,以改善肉类卫生措施。

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