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乌干达北部儿童看护者的食品安全知识、态度及行为状况

Status of food safety knowledge, attitude, and practices of caregivers of children in northern Uganda.

作者信息

Achiro Eunice, Okidi Lawrence, Echodu Richard, Alarakol Simon Peter, Nassanga Prossy, Ongeng Duncan

机构信息

Department of Food Science and Postharvest Technology, Faculty of Agriculture and Environment Gulu University Gulu Uganda.

Department of Biology, Faculty of Science Gulu University Gulu Uganda.

出版信息

Food Sci Nutr. 2023 Jun 28;11(9):5472-5491. doi: 10.1002/fsn3.3504. eCollection 2023 Sep.


DOI:10.1002/fsn3.3504
PMID:37701219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10494620/
Abstract

The safety of homemade weaning foods in low- and middle-income countries is of great concern as rural households have limited access to standardized commercial weaning foods. In the Acholi subregion of Uganda, complementary foods are locally produced. However, there is limited information on the Food safety knowledge (FSK), food safety attitude (FSA), and food hygiene practices (FHP) of the caregivers. This study examined food safety knowledge, attitude, and practices of the caregivers of children 6-23 months of age in Amuru and Nwoya districts, Northern Uganda, between March 2019 and June 2019. A cross-sectional study was conducted involving 180 caregivers. Data were collected using semi-structured questionnaires and focus group discussions and analyzed using descriptive statistics, multivariate binary logistic regression, and thematic content analysis. Caregivers had sufficient FSK (74.1%) and positive FSA (68.1%). However, only 17.6% of them adhered to FHP. Frequency of food safety training ( = .041) and households with children who suffered from foodborne illness ( = .001) significantly predicted FSK. Conversely, both FSK and FSA were significantly predicted by gender roles in decision-making on household income ( = .006) and households with older children ( = .041). A significant positive correlation was observed between FSK and FSA ( = .406,  = .000). However, major barriers to adherence to FHP were inadequate sanitation facilities and caregiver's workload. The overall nontranslation of sufficient FSK and positive FSA into proper FHP calls for future intervention to harness the sociodemographic factors that influence FSK and FSA and address the barriers to FHP among caregivers.

摘要

在低收入和中等收入国家,自制断奶食品的安全性备受关注,因为农村家庭获得标准化商业断奶食品的机会有限。在乌干达的阿乔利次区域,辅食是当地生产的。然而,关于照顾者的食品安全知识(FSK)、食品安全态度(FSA)和食品卫生习惯(FHP)的信息有限。本研究调查了2019年3月至2019年6月期间乌干达北部阿穆鲁和恩沃亚地区6至23个月大儿童的照顾者的食品安全知识、态度和习惯。进行了一项横断面研究,涉及180名照顾者。使用半结构化问卷和焦点小组讨论收集数据,并使用描述性统计、多元二元逻辑回归和主题内容分析进行分析。照顾者有足够的食品安全知识(74.1%)和积极的食品安全态度(68.1%)。然而,只有17.6%的人坚持食品卫生习惯。食品安全培训频率(P = 0.041)和家中有患食源性疾病儿童的家庭(P = 0.001)显著预测了食品安全知识。相反,家庭收入决策中的性别角色(P = 0.006)和有较大儿童的家庭(P = 0.041)显著预测了食品安全知识和食品安全态度。食品安全知识和食品安全态度之间存在显著正相关(r = 0.406,P = 0.000)。然而,坚持食品卫生习惯的主要障碍是卫生设施不足和照顾者的工作量。将足够的食品安全知识和积极的食品安全态度全面转化为适当的食品卫生习惯,需要未来进行干预,以利用影响食品安全知识和食品安全态度的社会人口因素,并解决照顾者中食品卫生习惯的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d3a/10494620/cd3a8b5c9f20/FSN3-11-5472-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d3a/10494620/41220bf10630/FSN3-11-5472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d3a/10494620/cd3a8b5c9f20/FSN3-11-5472-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d3a/10494620/41220bf10630/FSN3-11-5472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d3a/10494620/cd3a8b5c9f20/FSN3-11-5472-g003.jpg

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[3]
Salmonella Bloodstream Infections in Hospitalized Children with Acute Febrile Illness-Uganda, 2016-2019.

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[4]
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[5]
Food security and safety concerns in animal production and public health issues in Africa: A perspective of COVID-19 pandemic era.

Ethics Med Public Health. 2020

[6]
Sanitation and Hygiene Practices in Small Towns in Tanzania: The Case of Babati District, Manyara Region.

Am J Trop Med Hyg. 2020-10

[7]
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Clin Immunol. 2020-6-13

[8]
Food safety knowledge, attitudes and practices of restaurant food handlers in a lower-middle-income country.

Food Sci Nutr. 2020-2-13

[9]
Public health risks related to food safety issues in the food market: a systematic literature review.

Environ Health Prev Med. 2019-11-30

[10]
The differences between observed and self-reported food safety practices: A study with food handlers using structural equation modeling.

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