Download
Download
Download
DOI: https://doi.org/10.1590/fst.13320
Abstract
Most people now have their meals outside their homes and are vulnerable to illness caused by food. Unsafe food preparation
and supply by vendors have made food safety a concern for public health. Jashore is a densely populated city, this study was
designed to evaluate food safety knowledge, attitude and practice (KAP) of food vendors in Jashore region, Bangladesh.
A randomized descriptive cross-sectional study on food safety KAP was conducted among 200 food vendors. Where 96%
were male food vendors, 72.5% were smokers, and 63% were found to be overweight or obese. While 72.5% vendors had
good knowledge of food safety, only 33% and 0.5% had good food safety attitude and practice, respectively. Among the
socio-demographic factors investigated, only the level of education showed significant influence (p = 0.005 and 0.015) on
the food safety knowledge and practice of the vendors. While handling food, over 90% vendors did not use any personal
protective equipment, 4.5% had diarrhoea, 8.5% did not wash their hands after going to the toilet and 28.5% reused
previous leftover oils. The data suggest that the overall food safety knowledge of suppliers in the Jashore region is good
but their attitudes and practices need to be improved.
Keywords: street food; food safety; hygiene; food control; food borne illness.
Practical Application: Increasing the food safety knowledge, attitudes and practices of street food vendors to reduce the
foodborne diseases.
1 Introduction
Street food (SF) and beverages are ready-to-eat food items Street food safety is a critical public health issue in the
prepared and sold by vendors in different public places especially third world and developing countries, including Bangladesh.
in streets and crowded bus or train stations in Bangladesh as (Khairuzzaman et al., 2014; Muinde & Kuria, 2005; Samapundo et al.,
well as other countries around the world (Food and Agriculture 2016). In those countries, street food is an important source of
Organization of the United Nations, 2013; Winarno & Alain, 1991). food for the urban dwellers and the concerns about street food
SF is an age-old practice and earning source of income in are the safety, nutritional value, vendor’s knowledge of food
several countries (Cortese et al., 2016). Worldwide increase of hygiene and the ineffectiveness of safety legislations (Hiamey
unemployment and poverty are the key factors behind people & Hiamey, 2018). In Bangladesh, street vendors are typically
tend to run street food businesses, because it requires minimal clustered in overcrowded areas including residential areas, near
experience and capital to set up (Addo-Tham et al., 2020; the workplaces, taxi ranks, railway stations and busy street
King et al., 2000). It plays a vital socio-economic role by providing pavements due to the hope of mass sales (Gamieldien & van
food and nutritional supports to the lower and middle-income Niekerk, 2017). People of all ages from different backgrounds
people at a reasonably low price and is valued for the unique taste consume these food items as these are inexpensive, convenient
of its food items (Khairuzzaman et al., 2014). It is a typical food and comparatively nutritious (Lues et al., 2006).
culture; due to the pricing of street food it is easily accessible to Foodborne diseases are a significant and growing public
everyone (Lucca & Torres, 2006). At the same time, due to their health problem in both developing and developed countries
current hectic lifestyle, people have to depend on street foods as (Bhattacharjya & Reang, 2014). Food items are contaminated
they are too busy to spend at home (Temeche et al., 2016). At the with microorganisms, can result in a foodborne disease outbreak
same time, street foods offer a pleasant diet for many consumers (Webb & Morancie, 2015). Several previous studies have indicated
and help low-income people’s livelihoods with contributions that a large proportion of street foods are contaminated with
to the economy. (Al Mamun et al., 2013; Anandhi et al., 2015; microorganisms and can cause diseases such as diarrhoea,
König et al., 2010). Around 2.5 billion people worldwide consume cholera, typhoid fever and food poisoning (Al Mamun et al.,
street foods per day (Fellows & Hilmi, 2011). 2013; Oguttu et al., 2014). Consumption of contaminated
226 226/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
food and water causes the death of about 2 million people per related sociodemographic viewpoint, the current study could
year, most of whom are children (World Health Organization, help other similar studies to evaluate food safety challenges at
2014). In general, food items from the street food vendors are the national and global levels.
processed and distributed in unsafe conditions, with less access
This study was therefore investigated into the knowledge,
to safe water, sanitation or waste disposal facilities. There is
attitude and practice of food safety and hygiene among local
widespread recognition in developing countries that street
street vendors in the Jashore area and thus suggest appropriate
food vendors frequently cook and sell food under unhygienic
steps to reduce the threats of related foodborne diseases to
conditions (Sharma & Mazumdar, 2014). Additionally, they
improve public health at local and national levels.
are often uneducated and have little knowledge about the
safe handling of foods (Lues et al., 2006). Several studies
have reported that the street food items are an appropriate 2 Materials and methods
medium for coliforms and antimicrobial-resistant pathogens This randomized cross-sectional study was conducted to
despite their diversity and temporary nature (Ghosh et al., investigate the awareness, behaviours and activities of street
2007; Guven et al., 2010; Hanashiro et al., 2005; Harakeh et al., food vendors (SFVs) and evaluate sociodemographic factors that
2005). Consequently, foodborne infections and intoxications are associated with these food safety parameters in the Jashore
can occur from the intake of food products from the street, region of Bangladesh. Data were randomly collected from the
rendering the safety of street food a significant public health vendors (n = 200) through a structured questionnaire from
concern (Bryan, 1988; Ekanem, 1998; Rheinländer et al., 2008; April 2019 to September 2019. Due to its overpopulation and
Sharma & Mazumdar, 2014). a large number of street food vendors, the district was chosen
In south-east Asia, especially Bangladesh is particular for as a study area. The research was conducted in three zones;
its cheap and diversified street food items, vendors prepare rural, urban, and slum. The protocols adopted for carrying out
their food items manually and sell to the consumers at various each analysis are listed in more detail below. Figure 1 shows the
crowded places (Al Mamun et al., 2013; Samapundo et al., 2016). location of the studied area.
Due to rapid urbanization and its related social and systemic
changes, demands for street food in Bangladesh are growing 2.1 Food safety knowledge, attitudes and practices questionnaire
day by day, despite the health problems associated with the
selling of various types of street food items. It has been shown During the field survey, data from the 200 street vendors
that there are approximately 130 forms of street food items were obtained via face-to-face questioning, which facilitated
are available in Bangladesh and about 2.5 million people eat to understand the realistic scenario of the current study.
street food every day (Food and Agriculture Organization The questionnaires were divided into two sections, one was the
of the United Nations, 2007). None of these food items have food safety KAP and another was the demographic information
any guarantee for their safe consumption. Also, interestingly, as previously described (Ngoc et al., 2011). The KAP’s part of
people do not consume these food items to satisfy their
appetite, instead consider them as nutritious and appealing
(Islam et al., 2017). Children who go to school eat these
unhealthy foods and get sick (Al Mamun et al., 2013). The low
level of awareness and vulnerability of current food laws and
regulations also lead to the adverse food safety situation in the
country (Atahar Ali, 2013). Only a few developing countries
have their national laws to regulate their food safety, where
developed world like EU (European Union) applies HACCP
principles or good safety practices through the skilled food
safety authority (Food and Agriculture Organization of the
United Nations, 2003; Trafialek et al., 2018).
In Bangladesh, relatively few studies have been performed
on the awareness, attitudes and experience of vendors in food
safety (Khairuzzaman et al., 2014). Besides, some of the most
popular ready-to-eat food products sold on the streets in
Jashore are highly contaminated and do not meet the necessary
standards quality and safety levels (Hossain & Dey, 2019).
The current research focusing exclusively on the street food
vendors’ KAP was conducted in the Jashore region which is
one of the socioeconomically significant regions of Bangladesh
(Bangladesh Bureau of Statistics, 2017) with numerous and wide
variety of street foods sold there as well. So, undertaking this
study will determine the present scenario of street food safety
in the studied region and may help the food safety authorities
to improve their food safety programs. Furthermore, from a Figure 1. The study area. Source: Maps of Bangladesh (2012).
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 227/239 227
Food safety knowledge, attitudes and practices of street food vendors
the questionnaire used to assess the food safety knowledge, 2.2 Statistical analysis method
attitudes and practices of the street food vendors was according
The results of the survey were collected in excel sheets
to the previously published procedure (Ansari-Lari et al., 2010). and analysed using statistical package for the social sciences
The questions were asked in the mother tongue “Bengali” and the (SPSS version 22.0) to identify the key factors and major
responses were translated into the English language. Subsequently, impediments of ensuring food safety by the street vendors.
data were triangulated to present an overall impression of the Descriptive statistics to summarize the variables of interest
food vendor’s healthy practice, as shown previously (Cortese et al., and determine correlations between were applied. Statistical
2016). The socio-demographic part of the questionnaire was significance at 95% confidence level was considered (P ≤ 0.05).
designed to collect data on food handlers’ age, gender, civil status, The age, experience, BMI (Body Mass Index) and score results
smoking status, education level, monthly income, residence were divided into different categories as follows. For descriptive
area and so on. The questionnaire on food safety knowledge analysis, cut-off points of age were <25, 25 to 50 and >50 years.
was intended to obtain information on the experience of food For respondents’ experience of vending the cut of points were
handlers’ awareness of food handling, personal hygiene, cross <5, 5 to 9, 10 to 15 and >15 years. The cut off points of BMI
contamination, cleaning equipment and, packaging materials of the food vendors were <17.5 Kg/m2 (Underweight), 17.5-
etc. It included 21 questions, each with two possible answers. 22.99 Kg/m2 (Normal weight), 23-27.99 Kg/m2 (Overweight)
To reduce the response bias, the multiple-choice answers included and >28 Kg/m2 (Obese) (World Health Organization, 2004).
“yes & no” options (yes = 1 & no = 0). The score range was 0 to 21. Descriptive analyses were conducted to calculate the means,
Part II included 21 questions related to food handlers’ attitudes standard deviations, maximum and minimum values, and KAP
scores based on different socio-demographic variables of the
toward food safety. Food handlers were asked to indicate their
respondents. The following performed a comparison of the level
level of agreement to the statements using a three-point rating
of scores according to the socio-demographic characteristics
scale (2 = strongly agree, 1 = agree and, 0 = disagree). The score
by chi-square test. Independent samples t-testing conducted
range was 0 to 42. The scores were converted to 100 points. Part a comparison of two community variables such as gender and
III of the questionnaire consisted of a list of 23 practices that smoking with awareness, attitude or practice. Comparison of
would indicate food handlers’ practice. A five points rating scale more than two groups such as age, area of residence and level
(2 = always, 1= sometimes, 0 = never) was used for respondents of education were conducted by employing one-way ANOVA.
to rate the level of impact of each practice. The score range was The normality of the data was first tested by using the explorer
between 0 to 46. Subsequently, the KAP scores were converted test. Instead, through the use of square root transformation of
to 100 points. The score <50 was considered as indicating a poor, data, the negatively skewed scores were converted to the form
scores 50 to 75 as a median (adequate), and scores >75 as a good of normal distribution. Figure 2 represents the flowchart of
food safety knowledge, attitude, and practice level, respectively. the methodology.
228 228/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 229/239 229
Food safety knowledge, attitudes and practices of street food vendors
food vendors denied producing safe food than made it tasty. hands always before processing of foods. 49 percent (n = 98) of
Only 8.5% of the food vendors dissented with not to touch vendors always washed their hands before touching unwrapped
food with wounded hands. In addition, 11% (n = 22) of food raw food, while 49.5 percent sometimes and the rest never washed
vendors disagreed with not rubbing hands on the face or hair their hands. About 50% respondents always washed their hands
while working. Unexpectedly, 6% (n =12) did not know that after touching unwrapped raw foods while 33.5% sometimes
foodborne illnesses can have deleterious health and economic did. Only 54% respondents kept their nails short and removed
effects on society. Almost one-fourth (n = 43) of the vendors all adornments before starting activities regularly. During the
had no idea that cooked food could be contaminated when observation, we found 58% food vendors washed their hands
stored together with raw food. Besides, we also found that after touching prepared food. 4.5% food handlers worked when
about 27% (n = 55) of food vendors disagreed with the safety they had diarrhoea, while 72.5% cleaned the work area before
of polythene and paper bags in food packaging. starting work. This study also found that a good number of
vendors (78.5%) washed their hands using soap or detergent
Table 5 summarizes the food safety attitudes of the vendors. after going to the toilet. Besides, over 90% vendors did not use
In male and female vendors, 33.3% and 25% belonged to the apron, mask, cap and gloves during work. Disappointingly,
good category of food safety attitude, respectively. Significant when they were coughing or sneezing, just 18% used a tissue.
differences (p ≤ 0.05) between food vendors in their food Just below half (48%) of the vendors washed and sanitized their
safety attitudes were observed by the area of residence and knife after chopping raw foods, where 59% used detergent to
BMI, while other factors did not show a significant impact clean their equipment. Moreover, 42.5% of food handlers never
on the vendor’s food safety attitudes. The duration of the rubbed their hands on their face and hair while working and
vending years was not significant (p = 0.322) with their attitude 28.5% always reused oil.
towards food safety. A majority (49%) of the food vendors
scored at a moderate attitude level of food safety whereas The food safety activity ratings of the vendors as a function
about one third (33%) scored at a good attitude level of food of their socio-demographic characteristics are summarized in
safety. In addition, range indicates that vendors individually Table 7. About 75% of male and female vendors belonged to the
achieved a minimum 30.95 and a maximum 100 food safety poor category of food safety practice. Interestingly we found that
attitude score. vendors below 25 years and over 50 years of age did not have
good hygiene practice while one vendor aged 25-50 years had
good practice status. We found their mean score was all about
3.4 Food safety practice of street food vendors in Jashore city
same and age was not significant to mean score of practice
Table 6 demonstrates the food safety practices of food (p = 0.558). According to the years of vending experience, there
vendors. 86% of the street food vendors reported washing their was only one vendor who had good food safety practice. We
230 230/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
Table 3. Effect of gender, age, education level, residence area, smoking and BMI on the food safety knowledge of food vendors.
Number of respondents (%)
p-
Characteristics Poor Medium Good p†- value Mean ± SD Range
value
(<50) (≥50 to <75) (≥ 75)
Gender
Male 14(7.3) 40(20.8) 138(71.9) 78.74 ± 14.91 42.86-100
0.57 0.727‡
Female 0 1(12.5) 7(87.5) 82.73 ± 6.70 71.43-90.48
Age (years)
<25 2(5.3) 11(28.9) 25(65.8) 75.56 ± 13.83 42.86-95.24
25 to 50 11(7.8) 26(18.4) 104(73.3) 0.66 79.39 ± 14.99 0.127¥ 42.86-100
>50 1(4.8) 4(19.0) 16(76.2) 81.63 ± 13.65 47.62-100
Vending experience (year)
<5 3(5.6) 13(24.1) 38(70) 77.77 ± 14.21 42.86-100
5-9 7(9.3) 18(24) 50(66.7) 77.26 ± 16.13 42.86-100
0.406 .190¥
10-20 4(7.4) 6(11.1) 44(81.5) 80.24 ± 13.85 42.86-100
>20 0(0.0) 4(23.5) 13(76.5) 85.43 ± 10.30 66.67-100
Education level
Illiterate 6(10.9) 14(25.5) 35(63.6) 75.84 ± 15.43 42.86-100
Primary 8 (8.5) 26(27.7) 60(63.8) 75.48 ± 14.87 42.86-100
0.005** 0.005*¥
Secondary 0 (0) 1 (2.3) 43 (97.7) 87.55 ± 7.83 57.14-100
Higher 0 (0) 0 (0) 7 (100) 94.55 ± 5.78 85.71-100
Monthly income (BDT)
<5000 8(7.2) 3(21.4) 10(71.4) 79.25 ± 15.12 42.86-100
5000-10000 9(10.5) 18(20.9) 59(68.6) 77.68 ± 15.94 42.86-100
0.673 .846 ¥
10001-15000 3(3.9) 17(22.1) 57(74) 79.53 ± 13.94 42.86-100
>15000 1(4.3) 3(13) 19(82.6) 81.15 ± 12.22 47.62-100
Civil status
Single 1(6.2) 3(18.8) 12(75) 79.46 ± 14.72 47.62-100
Married 13(7.1) 37(20.2) 133(72.7) 0.414 78.89 ± 14.75 .816 42.86-100
Widow 0(0.0) 1(100) 0(0.0) 71.42 71.43
Residence area
Rural 6 (6.3) 17(17.7) 73(76) 80.00 ± 14.25 42.86-100
Urban 5 (5.4) 23 (25) 64 (69.6) 0.07 78.51 ± 14.52 0.316¥ 42.86-100
Slum 3 (25) 1 (8.3) 8 (66.7) 73.01 ± 18.75 42.86-90.48
Smoking
Yes 10(6.5) 32(20.6) 113(72.9) 78.80 ± 14.41 42.86-100
0.85 0.683‡
No 4 (8.9) 9(20) 32 (71.1) 79.25 ± 15.76 42.86-100
BMI
Under weight 1(25) 0(0) 3(75) 75.00 ± 21.42 42.86-85.71
Normal weight 3 (4.3) 16(22.9) 51 (72.9) 80.06 ± 13.88 42.86-100
0.65 0.534¥
Over weight 8 (7.6) 20 (19) 77 (73.3) 79.04 ± 14.76 42.86-100
Obese 2 (9.5) 5 (23.8) 14 (66.7) 75.05 ± 16.00 42.86-95.24
Total 14(7) 41(20.5) 145(72.5) 78.90 ± 14.68 42.86-100
Note: SD = Standard deviation, p = Significance value, BMI = Body Mass Index; BDT = Bangladeshi Taka (1 USD = 84.83 BDT); †Significance values by Chi-square test; ¥Significance
values by one-way ANOVA; ‡Significance values by independent sample “t” test; *Tests significant at p ≤ 0.01.
found that 82.4% of the vendors had poor food hygiene practice practice. We found one married vendor had good practice and
despite having more than 20 years of experience. There was only there was only one widow who scored poor level of practice.
one primary educated vendor, who had good score on food Among the vendors living in the urban area, 80.4% of them
safety practice. Higher educated vendors had lowest poor food had poor hygiene practice while 1.1% had good hygiene score.
safety practice level and highest mean of food safety practice
In addition, 33.3% of slum area vendors had medium level of
score than that of illiterate, primary and secondary passed
food safety practice. Vendors who had smoking habit, 74.8% of
vendors. The degree of education had significance (p = 0.015)
on food safety practice of vendors. Vendors who earned more them had bad hygiene practice and 77.8% of non-smokers had
than 15,000 BDT, 78.3% (n = 18) of them had poor hygiene poor scores. Moreover, 90.5% of obese vendors had poor food
practice, where 1.3% of the vendors whose monthly income safety practice and only 1% of overweight vendors had good
was between 10,001 and 15,000 BDT had good food safety hygiene practice. Furthermore, the minimum and maximum
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 231/239 231
Food safety knowledge, attitudes and practices of street food vendors
232 232/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
Table 5. Effect of gender, age, education level, residence area, smoking and BMI on the food safety attitude of vendors.
Number of respondents (%)
Characteristics p†-value Mean ± SD p- value Range
Poor (<50) Medium (≥50 to <75) Good (≥ 75)
Gender
Male 34(17.7) 94(49) 64(33.3) 66.36 ± 16.20 30.95-100
0.82 0.573‡
Female 2(25) 4(50) 2(25) 63.09 ± 12.14 47.62-76.19
Age (years)
<25 8(21.1) 20(52.6) 10(26.3) 64.28 ± 16.08 30.95-92.86
25 to 50 25(17.7) 71(50.4) 45(31.9) 0.34 66.07 ± 15.87 0.315¥ 30.95-100
>50 3(14.3) 7(33.3) 11(52.4) 70.86 ± 17.03 38.10-100
Vending experience (year)
<5 12(22.2) 23(42.6) 19(35.2) 67.19 ± 16.78 30.95-97.62
5-9 12(16) 37(49.3) 26(34.7) 65.74 ± 15.62 30.95-92.86
0.710 0.322¥
10-20 11(20.4) 28(51.9) 15(27.8) 64.10 ± 16.13 30.95-100
>20 1(5.9) 10(58.8) 6(35.3) 72.12 ± 14.93 50.00-10
Education level
Illiterate 14(25.5) 22(40) 19(34.5) 65.19 ± 17.30 30.95-100
Primary 21(22.3) 48(51.1) 25(26.6) 64.00 ± 16.65 30.95-100
0.02* 0.055 ¥
Secondary 1(2.3) 25(56.8) 18(40.9) 71.21 ± 12.22 30.95-92.86
Higher 0(0) 3(42.9) 4(57.1) 73.12 ± 12.34 54.76-90.48
Monthly income (BDT)
<5000 4(28.6) 8(57.1) 2(14.3) 61.56 ± 19.89 30.95-97.62
5000-10000 18(20.9) 48(55.8) 20(23.3) 63.73 ± 15.39 30.95-90.48
0.066 0.090¥
10001-15000 11(14.3) 32(41.6)) 34(44.2) 69.35 ± 16.37 30.95-100
>15000 3(13) 10(43.5) 10(43.5) 68.01 ± 13.35 38.10-90.48
Civil status
Single 3(18.8) 7(43.8) 6(37.5) 66.81 ± 16.57 30.95-92.86
Married 33(18) 90(49.2) 60(32.8) 0.872 66.22 ± 16.08 0.908¥ 30.95-100
Widow 0(0.0) 1(100) 0(0.0) 59.52 59.52-59.52
Residence area
Rural 12(12.5) 51(53.1) 33(34.4) 68.62 ± 15.15 30.95-100
Urban 18(19.6) 42(45.7) 32(34.8) 0.02* 65.86 ± 16.08 0.001*¥ 30.95-92.86
Slum 6(50) 5(41.7) 1(8.3) 50.00 ± 14.06 30.95-76.19
Smoking
Yes 26(16.8) 77(49.7) 52(33.5) 66.69 ± 16.03 30.95-100
0.70 0.454‡
No 10(22.2) 21(46.75) 14(31.1) 64.65 ± 16.16 30.95-92.86
BMI
Under weight 1(25) 1(25) 2(50) 71.42 ± 30.11 33.33-100
Normal weight 9(12.9) 33(47.1) 28(40) 68.97 ± 14.79 30.95-100
0.42 0.048*¥
Over weight 20(19) 53(50.5) 32(30.5) 65.82 ± 15.42 30.95-97.62
Obese 6(28.6) 11(52.4) 4(19) 58.16 ± 18.23 30.95-92.86
Total 36(18) 98(49) 66(33) 66.23 ± 16.04 30.95-100
Note: SD = Standard deviation, p = Significance value, BMI = Body Mass Index, BDT = Bangladeshi Taka (1 USD = 84.83 BDT); †Significance values by Chi-square test; ¥Significance
values by one-way ANOVA; ‡Significance values by independent sample “t” test; *Tests significant at ≤ 0.05.
reported that the majority of the vendors aged between 40 to 59 numbers of vendors have been identified with abnormally
years (Cortese et al., 2016). In the current report, about 72% of obese body weight according to health status measurement by
vendors were smokers, while the proportion of smokers among BMI. Overwhelmingly, 52.5% and about 10% of the vendors
ordinary Bangladeshis was only 36.3% (Nargis et al., 2015). In a respectively were overweight and obese. Where in Bangladeshi
related study in India, prevalence of smokers among street food people, 18.9% were overweight and 4.6% were obese (Biswas et al.,
vendors reported was 68.5% (Kapoor et al., 2019). Nicotine and 2017). This might be due to the physical inactivity noticed
other harmful heavy metals will accumulate on the open food among vendors while selling foods. They most frequently sit on
at the time of smoking by vendors, which can then present one position for a long time, regular intake of energy-dense fast
significant health risks to customers, such as coronary heart foods away from home can often lead to their exceptionally high
disease (Barnoya & Glantz, 2004). To our surprise, significant weight. A study in the UK reported that meal away from home
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 233/239 233
Food safety knowledge, attitudes and practices of street food vendors
is higher in fat and lower in fibre, which increases consumer’s This belief is in line with another study in the United Kingdom,
BMI (Rennie et al., 2005). where 97% of respondents thought it was necessary to produce
healthy food than tasty food (Worsfold et al., 2004).
The mean ± SD of knowledge score was 78.90 ± 14.68,
which was comparably higher than street vendors surveyed in This study found significant variances in the food safety
Malaysia (Toh & Birchenough, 2000) and Turkey (Baş et al., attitude of vendors according to their educational levels and
2006). We found that vendor’s education has a major positive vending locations. In slum areas, vendors had the worst food safety
impact on their existing awareness about food hygiene, hence, scores compared to those of urban and rural areas. The current
vendors with a higher education status were found to have higher study found that the majority of the vendors were less educated,
knowledge on food safety than those less qualified. A comparable maybe like other developing countries where educated individuals
research in Kuching Town, Malaysia, also noted the vital role of seek jobs in the capital city (Addo-Tham et al., 2020). However,
education level in awareness of food safety (Rahman et al., 2016). with the increase in education level of the vendors, their food
On the other hand, there were no significant differences in the safety attitude improved. In Malaysia, there was also found
street food vendors’ level of awareness about food safety with a significant effect of education level on food safety attitudes
regards to their gender and age in Jashore city. These findings of food handlers (Toh & Birchenough, 2000). Education has
are supported by previous studies in Malaysia (Muyanja et al., been stated to play a key role in growing the awareness of food
2011) and Haiti (Samapundo et al., 2015). A research conducted safety of food handlers and thereby improving their attitudes
in Canada found that age had a major effect on the awareness to food safety and hygiene (World Health Organization, 2015).
of food safety of food handlers (McIntyre et al., 2013). In our As previously mentioned, a relatively more significant proportion
research, the age of food vending experience was not significantly of vendors were overweight and obese. Interestingly, with the
linked to the vendor’s awareness of food safety. However, this decrease of BMI level, food safety attitude of vendors significantly
study found an acceptable knowledge level on food safety among improved in this study.
the vendors studied.
Furthermore, the self-reported hygiene practice showed
99% of food vendors claimed that proper handling of foods that about 90% of the vendors in the present study did not
is an essential aspect of their job responsibilities. Where they all use any personal protective equipment as well as safety
knew good personal hygiene would avoid customer’s foodborne procedures. The poor socio-economic condition with lacking
illness. Just a small proportion of the vendors (10.5%) felt it was proper food safety knowledge among the street food vendors
more important to prepare tasty food than to make healthy food. is one of the potential reasons of their lower use of personal
234 234/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
protective equipment (Gadaga et al., 2014). These findings were 40% and 54% food vendor used personal hygiene (Muinde
quite similar to the findings in Kenya (87.7%) and contrast & Kuria, 2005; Muyanja et al., 2011; Pincemail et al., 2012;
with the studies undertaken in Haiti and Uganda, where Samapundo et al., 2016).
Table 7. Effect of gender, age, education level, residence area, smoking and BMI on the food safety practice of food vendors.
Number of respondents (%)
p†- p-
Characteristics Poor Medium Good Mean ± SD Range
value value
(<50) (≥50 to <75) (≥ 75)
Gender
Male 145(75.5) 46(24) 1(0.5) 46.32 ± 7.00 30.43-63.04
0.97 0.423‡
Female 6(75) 2(25) 0(0) 48.36 ± 8.75 34.78-60.87
Age (years)
<25 26(68.4) 12(31.6) 0(0) 47.34 ± 7.95 34.78-63.04
25 to 50 108(76.6) 31(22.7) 1(0.7) 0.73 46.30 ± 6.87 0.558 ¥
30.43-63.04
>50 17 (81) 4(19) 0(0.0) 45.34 ± 6.78 32.61-56.52
Vending experience (year)
<5 39(72.2) 15(27.8) 0(0.0) 46.29 ± 7.30 30.43-63.04
5-9 54(72) 20(26.7) 1(1.3) 46.85 ± 7.74 30.43-63.04
0.71 0.694
10-20 44(81.5) 10(18.5) 0(0.0) 45.55 ± 6.04 32.61-60.87
>20 14(82.4) 3(17.6) 0(0.0) 47.44 ± 6.34 34.78-58.70
Education level
Illiterate 42(76.4) 13(23.6) 0(0.0) 45.47 ± 7.33 56.52-60.87
Primary 72(76.6) 21(22.3) 1(1.1) 45.80 ± 7.36 0.015 * 56.52-63.04
0.48
Secondary 34(77.3) 10(22.7) 0(0.0) 47.67 ± 5.41 56.52-63.04
Higher 3(42.9) 4(57.1) 0(0.0) 53.60 ± 5.94 56.52-63.04
Monthly income (BDT)
<5000 11(78.6) 3(21.4) 0(0.0) 45.18 ± 6.55 36.96-58.70
5000-10000 60(69.8) 26(30.2) 0(0.0) 46.55 ± 7.748 30.43-63.04
0.565 0.917¥
10001-15000 62(80.5) 14(18.2) 1(1.3) 46.34 ± 6.55 30.43-63.04
>15000 18(78.3) 5(21.7) 0(0.0) 46.74 ± 6.66 34.78-60.87
Civil status
Single 13(81.2) 3(18.8) 0(0.0) 45.38 ± 6.86 34.78-58.70
Married 137(74.9) 45(24.6) 1(0.5) 0.951 46.53 ± 7.09 0.485¥ 30.43-63.04
Widow 1(100) 0(0.0) 0(0.0) 39.1304 39.13
Residence area
Rural 69(71.9) 27(28.1) 0(0.0) 46.67 ± 7.43 30.43-63.04
0.772¥
Urban 74(80.4) 17(18.5) 1(1.1) 0.40 46.02 ± 6.77 30.43-63.04
Slum 8(66.7) 4(33.3) 0(0) 47.10 ± 6.57 36.96-58.70
Smoking
Yes 116(74.8) 39(25.2) 0(0) 46.47 ± 6.86 30.43-63.04
0.14 0.798‡
No 35(77.8) 9(20) 1(2.2) 46.16 ± 7.79 30.43-60.87
BMI
Under weight 2(50) 0(0) 0(0) 49.45 ± 4.11 43.48-52.17
Normal weight 51(72.9) 19(27.1) 0(0) 46.74 ± 7.64 30.43-63.04
0.52 0.524 ¥
Over weight 79(75.2) 25(23.8) 1(1) 46.41 ± 7.00 30.43-60.87
Obese 19(90.5) 2(9.5) 0(0) 44.61 ± 5.65 34.78-58.70
Total 151(75.5) 48(24) 1(0.5) 46.40 ± 7.06 30.43-63.04
Note: SD = Standard deviation, p = Significance value, BMI = Body Mass Index; BDT = Bangladeshi Taka (1 USD = 84.83 BDT); †Significance values by Chi-square test; ¥Significance
values by one-way ANOVA; ‡Significance values by independent sample “t” test; *Tests Significant at ≤0.05.
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 235/239 235
Food safety knowledge, attitudes and practices of street food vendors
Table 8. The correlation between different socio-demographic variables and KAP score of food safety vendors.
Variables Age SM EL MI VEXP BMI FSK FSA FSP
Age 1b
SM 0.12b 1b
EL -.06b -.07b 1b
MI .23b .04b .16b 1b
VEXP .56b** .08b -.02b .20b** 1b
BMI 0.01b -.14b -.00b -.05b -.09b 1b
FSK .117b -.01b .33b** .06b .13b -.08b** 1a
FSA 0.1b .06b .14b* .16b* .02b -.08b* .38a** 1a
FSP -.07b .00b .17b* .03b -.01b* -.01b* .16a* .24a ** 1a
Note: SM = Smoking, EL = Education level, MI = Monthly Income, VEXP = Vending Experience, BMI = Body mass index, FSK = Food safety knowledge, FSA = Food safety attitude,
FSP = Food safety practice; aPearson linear correlation; bSpearman correlation; *Correlation is significant at the 0.05 level (2-tailed); **Correlation is significant at the 0.01 level (2-tailed).
236 236/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
Acknowledgements Bhowmik, S. K., & Saha, D. (2012). Street vending in ten cities in
India. New Delhi: Delhi National Association of Street Vendors
We thank Monokesh Kumer Sen for some relevant suggestions of India.
and Daniel Ta for his efforts in correcting few grammatical Biswas, T., Garnett, S. P., Pervin, S., & Rawal, L. B. (2017). The prevalence
mistakes in preparing this article. of underweight, overweight and obesity in Bangladeshi adults: Data
from a national survey. PLoS One, 12(5), e0177395. http://dx.doi.
References org/10.1371/journal.pone.0177395. PMid:28510585.
Bryan, F. L. (1988). Risks of practices, procedures and processes
Adane, M., Teka, B., Gismu, Y., Halefom, G., & Ademe, M. (2018). that lead to outbreaks of foodborne diseases. Journal of Food
Food hygiene and safety measures among food handlers in street Protection, 51(8), 663-673. http://dx.doi.org/10.4315/0362-
food shops and food establishments of Dessie town, Ethiopia: a 028x-51.8.663.
community-based cross-sectional study. PLoS One, 13(5), e0196919.
http://dx.doi.org/10.1371/journal.pone.0196919. PMid:29723288. Cortese, R. D. M., Veiros, M. B., Feldman, C., & Cavalli, S. B. (2016).
Food safety and hygiene practices of vendors during the chain of
Addo-Tham, R., Appiah-Brempong, E., Vampere, H., Acquah-Gyan, street food production in Florianopolis, Brazil: a cross-sectional
E., & Gyimah Akwasi, A. (2020). Knowledge on food safety and study. Food Control, 62, 178-186. http://dx.doi.org/10.1016/j.
food-handling practices of street food vendors in Ejisu-Juaben foodcont.2015.10.027.
Municipality of Ghana. Advances in Public Health, 2020, 1-7. http://
Ekanem, E. O. (1998). The street food trade in Africa: safety and socio-
dx.doi.org/10.1155/2020/4579573.
environmental issues. Food Control, 9(4), 211-215. http://dx.doi.
Afolaranmi, T. O., Hassan, Z. I., Bello, D. A., & Misari, Z. (2015). org/10.1016/S0956-7135(97)00085-6.
Knowledge and practice of food safety and hygiene among food
Fellows, P., & Hilmi, M. (2011). Selling street and snack foods. In Food
vendors in primary schools in Jos, Plateau State, North Central
and Agriculture Organization of the United Nations – FAO. FAO
Nigeria. Journal of Medical Research, 4(2), 16-22.
diversification booklet (Vol. 18). Rome: FAO.
Al Mamun, M., Rahman, S. M. M., & Turin, T. C. (2013). Knowledge
Food and Agriculture Organization of the United Nations – FAO &
and awareness of children’s food safety among school-based street
World Health Organization – WHO. (2003). Assuring food safety
food vendors in Dhaka, Bangladesh. Foodborne Pathogens and
and quality: guidelines for strengthening national food control systems.
Disease, 10(4), 323-330. http://dx.doi.org/10.1089/fpd.2012.1283.
Rome: FAO.
PMid:23458028.
Food and Agriculture Organization of the United Nations – FAO.
Anandhi, N., Janani, & Krishnaveni, N. (2015). Microbiological quality (2007). Crop prospects and food situation: global cereal production
of selected street-vended foods in Coimbatore, India. African brief (No. 4). Rome: FAO.
Journal of Microbiological Research, 9(11), 757-762. http://dx.doi.
org/10.5897/ajmr2013.6421. Food and Agriculture Organization of the United Nations – FAO. (2013).
The state of food insecurity in the world: the multiple dimensions of
Ansari-Lari, M., Soodbakhsh, S., & Lakzadeh, L. (2010). Knowledge, food security. Rome: FAO.
attitudes and practices of workers on food hygienic practices in
meat processing plants in Fars, Iran. Food Control, 21(3), 260-263. Gadaga, T. H., Samende, B. K., Musuna, C., & Chibanda, D. (2008).
http://dx.doi.org/10.1016/j.foodcont.2009.06.003. The microbiological quality of informally vended foods in Harare,
Zimbabwe. Food Control, 19(8), 829-832. http://dx.doi.org/10.1016/j.
Asaduzzaman, M., Kabir, R. A., & Radović-Marković, M. (2015). Gender foodcont.2007.07.016.
inequality in Bangladesh. Journal of Women’s Entrepreneurship and
Gadaga, T., Ntsike, M., & Ntuli, V. (2014). Socio-economic and hygienic
Education, 3-4, 54-64.
aspects of street food vending in Maseru City, Lesotho. USWA
Atahar Ali, A. N. M. (2013). Food safety and public health issues in Research Journal of Agriculture, Science and Technology, 5, 28-39.
Bangladesh: a regulatory concern. European Food and Feed Law
Gamieldien, F., & van Niekerk, L. (2017). Street vending in South Africa:
Review, 8(1), 31-40. https://www.jstor.org/stable/24325889.
an entrepreneurial occupation. South African Journal of Occupational
Bamidele, J. O., Oladele, E. A., Adeoye, O. A., & Adebimpe, W. O. Therapy, 47(1), 24-29. http://dx.doi.org/10.17159/2310-3833/2017/
(2015). Hygiene practices among workers in local eateries of Orolu vol47n1a5.
community in south Western Nigeria. Annals of Medical and Health
Ghosh, M., Wahi, S., Kumar, M., & Ganguli, A. (2007). Prevalence
Sciences Research, 5(4), 235-240. http://dx.doi.org/10.4103/2141-
of enterotoxigenic Staphylococcus aureus and Shigella spp. in
9248.160176. PMid:26229710.
some raw street vended Indian foods. International Journal of
Bangladesh Bureau of Statistics – BBS. (2017). Bangladesh statistics 2017. Environmental Health Research, 17(2), 151-156. http://dx.doi.
Bangladesh: Bangladesh Bureau of Statistics, Statistics Informatics org/10.1080/09603120701219204. PMid:17616871.
Division, Ministry of Planning. Guven, K., Mutlu, M. B., Gulbandilar, A., & Cakir, P. (2010).
Barnoya, J., & Glantz, S. A. (2004). Secondhand smoke: the evidence Occurrence and characterization of staphylococcus aureus isolated
of danger keeps growing. The American Journal of Medicine, from meat and dairy products consumed in Turkey. Journal of
116(3), 201-202. http://dx.doi.org/10.1016/j.amjmed.2003.11.005. Food Safety, 30(1), 196-212. http://dx.doi.org/10.1111/j.1745-
PMid:14749167. 4565.2009.00200.x.
Baş, M., Şafak Ersun, A., & Kıvanç, G. (2006). The evaluation of food Hanashiro, A., Morita, M., Matté, G. R., Matté, M. H., & Torres, E. A.
hygiene knowledge, attitudes, and practices of food handlers’ in food F. S. (2005). Microbiological quality of selected street foods from a
businesses in Turkey. Food Control, 17(4), 317-322. http://dx.doi. restricted area of São Paulo City, Brazil. Food Control, 16(5), 439-
org/10.1016/j.foodcont.2004.11.006. 444. http://dx.doi.org/10.1016/j.foodcont.2004.05.004.
Bhattacharjya, H., & Reang, T. (2014). Safety of street foods in Agartala, Harakeh, S., Yassine, H., Gharios, M., Barbour, E., Hajjar, S., El-Fadel, M.,
North East India. Public Health, 128(8), 746-748. https://doi. Toufeili, I., & Tannous, R. (2005). Isolation, molecular characterization
org/10.1016/j.puhe.2014.05.013. and antimicrobial resistance patterns of Salmonella and Escherichia
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 237/239 237
Food safety knowledge, attitudes and practices of street food vendors
coli isolates from meat-based fast food in Lebanon. The Science of assessment of compliance, institutional and legislative framework
the Total Environment, 341(1-3), 33-44. http://dx.doi.org/10.1016/j. in Ghana. Food and Public Heath, 4(6), 306-315. http://dx.doi.
scitotenv.2004.09.025. PMid:15833239. org/10.5923/j.fph.20140406.08.
Hiamey, S. E., & Hiamey, G. A. (2018). Street food consumption in a Muinde, O. K., & Kuria, E. (2005). Hygienic and sanitary practices of
Ghanaian Metropolis : The concerns determining consumption vendors of street foods in Nairobi Kenya. African Journal of Food,
and non-consumption. Food Control, 92, 121-127. http://dx.doi. Agriculture, Nutrition and Development, 5(1), 1-14.
org/10.1016/j.foodcont.2018.04.034. Muyanja, C., Nayiga, L., Brenda, N., & Nasinyama, G. (2011). Practices,
Hossain, M., & Dey, B. K. (2019). Microbial contamination of handmade knowledge and risk factors of street food vendors in Uganda.
sauce used by street food vendors in Jashore, Bangladesh. Journal Food Control, 22(10), 1551-1558. http://dx.doi.org/10.1016/j.
of Food Quality and Hazards Control, 6(3), 115-120. https://doi. foodcont.2011.01.016.
org/10.18502/jfqhc.6.3.1385.
Nargis, N., Thompson, M. E., Fong, G. T., Driezen, P., Hussain, A. K.,
Islam, N., Arefin, Md. Shamsul, Nigar, T., Haque, S. N., Haq, K. I., Ruthbah, U. H., Quah, A. C., & Abdullah, A. S. (2015). Prevalence
Emran, Md. T. A., & Nazrul, T. (2017). Street food eating habits in and patterns of tobacco use in Bangladesh from 2009 to 2012:
Bangladesh: a study on Dhaka city. Int. Journal of Management and evidence from International Tobacco Control (ITC) Study. PLoS One,
Development Studies, 6(9), 49-57. 10(11), e0141135. http://dx.doi.org/10.1371/journal.pone.0141135.
Kapoor, S., Mohanty, V., & Balappanavar, A. Y. (2019). Tobacco use: PMid:26559051.
Exploring the beliefs of street food vendors in Delhi, India. Journal Ngoc, T., & Thanh, C. (2015). Food safety behavior, attitudes and
of Indian Association of Public Health Dentistry, 17(1), 14. http:// practices of street food vendors and consumers in Vietnam (Master’s
dx.doi.org/10.4103/jiaphd.jiaphd_208_18. dissertation). Faculty of Bioscience Engineering, Universiteit Gent,
Khairuzzaman, M., Chowdhury, F. M., Zaman, S., Al Mamun, A., & Bélgica.
Bari, M. L. (2014). Food safety challenges towards safe, healthy, and
Ngoc, T., Thanh, C., Reviewers, P., Iwu, A. C., Uwakwe, K. A., Duru,
nutritious street foods in Bangladesh. International Journal of Food
C. B., Diwe, K. C., Chineke, H. N., Merenu, I. A., Oluoha, U. R.,
Science, 2014, 1-9. http://dx.doi.org/10.1155/2014/483519.
Madubueze, U. C., Ndukwu, E., Ohale, I., Soon, J. A. N. M. E. I.,
King, L. K., Awumbila, B., Canacoo, E. A., & Ofosu-Amaah, S. (2000). An Baines, R., Seaman, P., Infections, I., Malliarou, M., Kudavidnange,
assessment of the safety of street foods in the Ga district, of Ghana; B. P., & Kosatsky, T. (2011). Assessing the knowledge, attitudes and
Implications for the spread of zoonoses. Acta Tropica, 76(1), 39-43. practices of street food vendors in the city of johannesburg regarding
http://dx.doi.org/10.1016/S0001-706X(00)00087-5. PMid:10913764. food hygiene and safety. Food Control, 30, 150-156.
König, A., Kuiper, H. A., Marvin, H. J. P., Boon, P. E., Busk, L., Cnudde, Oguttu, J. W., McCrindle, C. M., Makita, K., & Grace, D. (2014).
F., Cope, S., Davies, H. V., Dreyer, M., Frewer, L. J., Kaiser, M., Kleter, Investigation of the food value chain of ready-to-eat chicken and
G. A., Knudsen, I., Pascal, G., Prandini, A., Renn, O., Smith, M. R., the associated risk for staphylococcal food poisoning in Tshwane
Traill, B. W., & van der Voet, H., vanTrijp, H., Vos, E., & Wentholt, Metropole, South Africa. Food Control, 45, 87-94. http://dx.doi.
M. T. A. (2010). The SAFE FOODS framework for improved risk org/10.1016/j.foodcont.2014.04.026.
analysis of foods. Food Control, 21(12), 1566-1587. http://dx.doi.
org/10.1016/j.foodcont.2010.02.012. Omemu, A. M., & Aderoju, S. T. (2008). Food safety knowledge
and practices of street food vendors in the city of Abeokuta,
Liu, Z., Zhang, G., & Zhang, X. (2014). Urban street foods in Shijiazhuang
Nigeria. Food Control, 19(4), 396-402. http://dx.doi.org/10.1016/j.
city, China: Current status, safety practices and risk mitigating
foodcont.2007.04.021.
strategies. Food Control, 41, 212-218. http://dx.doi.org/10.1016/j.
foodcont.2014.01.027. Otu, S. S. (2014). Food Hygiene Practices Among Food Handlers in Ahmadu
Bello University (A.B.U.), Zaria. Zaria: Ahmadu Bello University.
Lucca, A., & Torres, E. A. F. S. (2006). Street-food: the hygiene conditions
of hot-dogs sold in São Paulo, Brazil. Food Control, 17(4), 312-316. Pincemail, J., Kevers, C., Tabart, J., Defraigne, J. O., & Dommes, J. (2012).
http://dx.doi.org/10.1016/j.foodcont.2004.11.005. Cultivars, culture conditions, and harvest time influence phenolic
Lues, J. F. R., Rasephei, M. R., Venter, P., & Theron, M. M. (2006). and ascorbic acid contents and antioxidant capacity of strawberry
Assessing food safety and associated food handling practices in street (Fragaria x ananassa). Journal of Food Science, 77(2), C205-C210.
food vending. International Journal of Environmental Health Research, http://dx.doi.org/10.1111/j.1750-3841.2011.02539.x. PMid:22251305.
16(5), 319-328. http://dx.doi.org/10.1080/09603120600869141. Rahman, M. M., Arif, M. T., Bakar, K., & Tambi, Z. (2016). Food safety
PMid:16990173. knowledge, attitude and hygiene practices among the street food vendors
Ma, L., Chen, H., Yan, H., Wu, L., & Zhang, W. (2019). Food safety in Northern Kuching City, Sarawak. Borneo Science, 31, 95-103.
knowledge, attitudes, and behavior of street food vendors and Rennie, K. L., Johnson, L., & Jebb, S. A. (2005). Behavioural determinants of
consumers in Handan, a third tier city in China. BMC Public obesity. Best Practice & Research. Clinical Endocrinology & Metabolism,
Health, 19(1), 1128. http://dx.doi.org/10.1186/s12889-019-7475-9. 19(3), 343-358. http://dx.doi.org/10.1016/j.beem.2005.04.003.
PMid:31419983. PMid:16150379.
Maps of Bangladesh. Jashore (2012). Retrieved from http://maps-of- Rheinländer, T., Olsen, M., Bakang, J. A., Takyi, H., Konradsen, F., &
bangladesh.blogspot.com/search/label/Jessore Samuelsen, H. (2008). Keeping up appearances: Perceptions of street
McIntyre, L., Vallaster, L., Wilcott, L., Henderson, S. B., & Kosatsky, food safety in urban Kumasi, Ghana. Journal of Urban Health, 85(6),
T. (2013). Evaluation of food safety knowledge, attitudes and 952-964. http://dx.doi.org/10.1007/s11524-008-9318-3. PMid:18821020.
self-reported hand washing practices in FOODSAFE trained and Samapundo, S., Cam Thanh, T. N., Xhaferi, R., & Devlieghere,
untrained food handlers in British Columbia, Canada. Food Control, F. (2016). Food safety knowledge, attitudes and practices
30(1), 150-156. http://dx.doi.org/10.1016/j.foodcont.2012.06.034. of street food vendors and consumers in Ho Chi Minh city,
Monney, I., Agyei, D., Ewoenam, B. S., Priscilla, C., & Nyaw, S. (2014). Vietnam. Food Control, 70, 79-89. http://dx.doi.org/10.1016/j.
Food hygiene and safety practices among street food vendors: an foodcont.2016.05.037.
238 238/239 Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021
Hossen et al.
Samapundo, S., Climat, R., Xhaferi, R., & Devlieghere, F. (2015). Food foodhandling practices and outbreaks of food poisoning and their
safety knowledge, attitudes and practices of street food vendors prevention. Food Control, 11(6), 447-452. http://dx.doi.org/10.1016/
and consumers in Port-au-Prince, Haiti. Food Control, 50, 457-466. S0956-7135(00)00008-6.
http://dx.doi.org/10.1016/j.foodcont.2014.09.010. Trafialek, J., Drosinos, E. H., Laskowski, W., Jakubowska-Gawlik,
Sharma, I., & Mazumdar, J. A. (2014). Assessment of bacteriological K., Tzamalis, P., Leksawasdi, N., Surawang, S., & Kolanowski, W.
quality of ready to eat food vended in streets of Silchar city, Assam, (2018). Street food vendors’ hygienic practices in some Asian and
India. Indian Journal of Medical Microbiology, 32(2), 169-171. http:// EU countries – A survey. Food Control, 85, 212-222. http://dx.doi.
dx.doi.org/10.4103/0255-0857.129809. PMid:24713905. org/10.1016/j.foodcont.2017.09.030.
Singh, C., Singh, H., Singh, H., Singh, B., Singh, N., Youdon, T., Kaur, Webb, M., & Morancie, A. (2015). Food safety knowledge of foodservice
H., & Marwaha, S. (2017). Assessing the hygiene practices among workers at a university campus by education level, experience,
street food vendors in Mohali. The International Journal of Indian and food safety training. Food Control, 50, 259-264. http://dx.doi.
Psychology, 5(1). https://doi.org/ 10.25215/0501.027. org/10.1016/j.foodcont.2014.09.002.
Temeche, M., Satheesh, N.,& Tolera, K. D. (2016). Food safety knowledge, Winarno, F. G., & Alain, A. (1991). Street foods in developing countries:
practice and attitude of food handlers in traditional Hotels of Jimma lessons from Asia. Rome: FAO.
Town, Southern Ethiopia. Annals. Food Science and Technology, World Health Organization – WHO. (2004). Appropriate body-mass index
17, 507-517. for Asian populations and its implications for policy and intervention
Tessema, A. G., Gelaye, K. A., & Chercos, D. H. (2014). Factors affecting strategies: report of a WHO expert consultation. Geneva: WHO.
food handling Practices among food handlers of Dangila town World Health Organization – WHO. (2014). WHO initiative to estimate
food and drink establishments, North West Ethiopia. BMC Public the global burden of foodborne diseases: fourth formal meeting of the
Health, 14(1), 571. http://dx.doi.org/10.1186/1471-2458-14-571. Foodborne Disease Burden Epidemiology Reference Group (FERG):
PMid:24908104. sharing new results, making future plans, and preparing ground for
Thakur, A. T., & Singh, U. (2018). A study on sanitation, hygiene practices the countries. Geneva: WHO.
and food safety knowledge among food vendors in different sectors World Health Organization – WHO. (2015). World Health Day 2015:
of Chandigarh, India. Journal of Applied and Natural Science, 10(3), food safety. improving food safety, from farm to plate. Geneva: WHO.
931-934. http://dx.doi.org/10.31018/jans.v10i3.1860. Worsfold, D., Worsfold, P. M., & Griffith, C. J. (2004). An assessment
Toh, P. S., & Birchenough, A. (2000). Food safety knowledge and of food hygiene and safety at farmers’ markets. International Journal
attitudes: culture and environment impact on hawkers in Malaysia: of Environmental Health Research, 14(2), 109-119. http://dx.doi.org
Knowledge and attitudes are key attributes of concern in hawker /10.1080/0960312042000209507. PMid:15203456.
Food Sci. Technol, Campinas, 41(Suppl. 1): 226-239, June 2021 239/239 239