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An Overview of Food Safety Regulatory Violations Found in Foodborne Outbreak-Linked Warning Letters Issued by the United States Food and Drug Administration. 美国食品和药物管理局发布的食源性疫情相关警告信中发现的违反食品安全法规的概述。
Q4 Medicine Pub Date : 2025-11-01
Brett Weed, Christina K Carstens, Mallorye Lovett, Leslie Hintz, Stelios Viazis

The United States Food and Drug Administration (FDA), in collaboration with federal, state, and local partners, identifies, responds to, and prevents outbreaks linked to FDA-regulated products. If FDA determines a firm is not in compliance with applicable FDA requirements, the firm may be informed through a Warning Letter (WL). This study provides an overview of the WLs issued to firms that were involved in FDA-led multistate foodborne outbreak investigations. WLs, issued from January 2018 through August 2023, were obtained from the FDA.gov website. Twenty-two of these WLs were issued to domestic firms after the conclusion of foodborne outbreak investigations. Forty-six regulatory citations were identified across the WLs, with 1-8 violations per WL. Microbial pathogens accounted for the food safety hazards cited in all but one letter, with Salmonella representing the majority of hazards. Two citations were issued most frequently: deficiencies in Foreign Supplier Verification Plans, and failure to identify and evaluate hazards requiring a preventive control. FDA is committed to protecting the nation's food supply, and WLs help achieve prompt voluntary compliance. Understanding the regulatory violations identified during outbreak investigations may help the food industry and regulators alike focus prevention efforts and reduce the burden of foodborne illness.

美国食品和药物管理局(FDA)与联邦、州和地方合作伙伴合作,确定、应对和预防与FDA监管产品有关的疫情。如果FDA确定一家公司不符合适用的FDA要求,该公司可能会通过警告信(WL)被告知。本研究概述了向参与fda领导的多州食源性疫情调查的公司发出的wl。2018年1月至2023年8月发布的WLs可从FDA.gov网站获得。其中22份是在食源性暴发调查结束后发给国内公司的。在整个WL中发现了46个监管引用,每个WL有1-8个违规行为。除了一个字母外,所有字母中提到的食品安全危害都是微生物病原体造成的,其中沙门氏菌占了大多数危害。最常提出的两项理由是:外国供应商核查计划的缺陷,以及未能查明和评价需要采取预防控制措施的危害。FDA致力于保护国家的食品供应,而WLs有助于迅速实现自愿遵守。了解疫情调查期间发现的违规行为可能有助于食品行业和监管机构集中预防工作,减轻食源性疾病的负担。
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引用次数: 0
Cleaning: A Retail and Foodservice Perspective. 清洁:零售和餐饮服务的视角。
Q4 Medicine Pub Date : 2025-06-01
Juan Goncalves, Beth Wittry, David Buckley, Veronica Moore, Tajah Blackburn, Kristen Willis, Christopher Lynch, Amanda Bakken, Chip Manuel, Angie Fraser

Surface sanitation is used to mitigate the transmission of infectious agents and is the collective process of washing a surface then rinsing it with potable water to remove debris and residual cleaning agent. If necessary and depending on surface type, contamination event, or regulatory requirement, an antimicrobial agent (chemical sanitizer or disinfectant) registered with the Environmental Protection Agency or heat (steam or hot water) can be applied to the surface to reduce or inactivate pathogenic microorganisms. The absence of universally defined terms and regulations pertaining to the various stages of surface sanitation has resulted in confusion, potentially leading to inadequate sanitation practices and persistent surface contamination. We addressed this issue by raising awareness of the significance of surface cleaning and elucidating the fundamental principles, key considerations, and potential areas for improvement concerning surface cleaning. Specific topics covered include a comprehensive description of surface cleaning, barriers hindering effective surface cleaning, correlation between contamination and foodborne disease outbreaks, and variations among cleaning agents. To maintain conciseness and relevance, the exclusive focus is on hard, nonporous surfaces, which have been identified as potential sources for the transmission of pathogenic microorganisms associated with foodborne illnesses.

表面卫生是用来减轻传染因子的传播,是清洗表面然后用饮用水冲洗以清除碎片和残留清洗剂的集体过程。如果有必要,根据表面类型、污染事件或法规要求,可以在环境保护署注册的抗菌剂(化学消毒剂或消毒剂)或加热(蒸汽或热水)应用于表面,以减少或灭活病原微生物。由于缺乏与地面卫生各阶段有关的普遍定义的术语和条例,造成了混乱,可能导致卫生做法不足和持续的地面污染。我们通过提高对表面清洁重要性的认识,阐明表面清洁的基本原则、关键考虑因素和潜在的改进领域来解决这个问题。所涵盖的具体主题包括对表面清洁的全面描述,阻碍有效表面清洁的障碍,污染与食源性疾病爆发之间的相关性,以及清洁剂之间的变化。为了保持简洁性和相关性,本文的重点是硬的、无孔的表面,这些表面已被确定为与食源性疾病相关的病原微生物传播的潜在来源。
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引用次数: 0
Understanding the Potential Risks of Consuming Raw Morel Mushrooms: Challenges and Lessons Learned from a Recent Outbreak Linked to Raw Morel Mushrooms. 了解食用生羊肚菌的潜在风险:从最近与生羊肚菌有关的疫情中吸取的挑战和教训。
Q4 Medicine Pub Date : 2025-05-01
Adiam Tesfai, Rachel Hinnenkamp, Brett Weed, Brittany Carpenter, Karl Klontz, Solomon Gebru, Laurie Williams, Stephen Hughes, Guy Skinner, Tim Jackson, Michael Yeh, Stelios Viazis

Foodborne poisoning from mushroom consumption remains a critical food safety concern. An outbreak of mushroom poisoning in Montana in 2023 was linked to morel mushrooms imported from China. After eating at a restaurant in Montana, 51 people experienced gastrointestinal illness, resulting in three hospitalizations and two deaths,. Ultimately, the outbreak was linked to the consumption of undercooked and raw morel mushrooms, highlighting the importance of proper cooking to reduce toxin levels and mitigate the risk of illness. Concerns regarding potential harmful effects of consuming raw morels suggest the need for increased awareness and caution among consumers and restaurants. Relevant food safety recommendations since the outbreak occurred have become publicly available, including messaging to avoid the consumption of raw morels and thorough cooking of these mushrooms. The investigation revealed industry knowledge gaps in the safe preparation of morel mushrooms, shedding light on the impact of inadequate food safety measures. Regulatory guidance, voluntary labeling information, and further outreach to consumers promoting awareness and use of publicly available cooking advice may enhance awareness and safety regarding consumption of morel mushrooms.

食源性蘑菇中毒仍然是一个严重的食品安全问题。2023年蒙大拿州爆发的蘑菇中毒事件与从中国进口的羊肚菌有关。在蒙大拿州的一家餐馆吃饭后,51人出现了胃肠道疾病,导致3人住院,2人死亡。最终,疫情与食用未煮熟和生的羊肚菌有关,这突出了适当烹饪对降低毒素水平和减轻疾病风险的重要性。对食用生羊肚菌潜在有害影响的担忧表明,消费者和餐馆需要提高意识和谨慎。自疫情发生以来,相关的食品安全建议已公开,包括避免食用生羊肚菌和彻底煮熟这些蘑菇的信息。调查揭示了业界在安全制备羊肚菌方面的知识差距,揭示了食品安全措施不足的影响。监管指导、自愿贴标信息以及进一步向消费者推广宣传和使用公开的烹饪建议,可能会提高对食用羊肚菌的认识和安全性。
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引用次数: 0
Examining Age and Food Irradiation Knowledge as Influential Factors on Purchase of Irradiated Foods - United States, August 2022. 研究年龄和食品辐照知识对购买辐照食品的影响因素--美国,2022 年 8 月。
Q4 Medicine Pub Date : 2024-01-01
Tamara N Crawford, Michael Ablan, Michelle Canning, Katherine E Marshall, Misha Robyn

Foodborne illness affects approximately 48 million Americans annually. Food irradiation is a safe and effective way to kill bacteria and extend a product's shelf-life. However, challenges to wider implementation of this technology include consumer hesitancy stemming from misconceptions about safety and lack of knowledge of irradiation's benefits. Research has shown that consumers are more willing to accept irradiation if informed about its safety. Due to increases in multistate foodborne outbreaks and consumers' growing concern and expectation of food safety, it is an opportune time to reconsider irradiation as a food safety tool. Consumer attitudes toward food safety differ by demographic characteristics; however, research on the association of demographic factors with attitudes on food irradiation are limited. Data collected from a survey (N=1,009) conducted in August 2022 were analyzed to describe the relationship between age and food irradiation knowledge as influential factors to purchase irradiated foods. More than half (56%) of respondents reported that learning more about irradiation would likely influence purchasing decisions; older adults were more knowledgeable about food irradiation. These findings suggest that age could be an important factor to consider when tailoring messaging as a prevention strategy around the benefits of food irradiation.

食源性疾病每年影响约 4800 万美国人。食品辐照是一种安全有效的杀灭细菌和延长产品保质期的方法。然而,这项技术的广泛应用面临着挑战,其中包括消费者因对安全性的误解和缺乏对辐照益处的了解而犹豫不决。研究表明,如果消费者了解辐照的安全性,他们会更愿意接受辐照。由于多州食源性疾病爆发的增加以及消费者对食品安全的日益关注和期望,现在是重新考虑辐照作为食品安全工具的恰当时机。消费者对食品安全的态度因人口特征而异;然而,有关人口因素与对食品辐照的态度之间关系的研究却很有限。我们对 2022 年 8 月进行的一项调查(样本数=1,009)中收集的数据进行了分析,以描述年龄与食品辐照知识之间的关系,并将其作为购买辐照食品的影响因素。超过一半(56%)的受访者表示,了解更多有关辐照的知识可能会影响购买决策;老年人对食品辐照的了解更多。这些结果表明,在围绕食品辐照的益处定制信息作为预防策略时,年龄可能是一个需要考虑的重要因素。
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引用次数: 0
Focus Groups Exploring U.S. Adults' Knowledge, Attitudes, and Practices Related to Irradiation as a Food Safety Intervention, 2021. 焦点小组探究美国成年人对作为食品安全干预措施的辐照的认识、态度和做法,2021 年。
Q4 Medicine Pub Date : 2023-11-01
Michael Ablan, Mabel Sheau Fong Low, Katherine E Marshall, Roshni Devchand, Laura Koehler, Hannah Hume, Misha Robyn

Food irradiation has been studied comprehensively and has been determined to be a safe and effective process for improving food safety. Despite this potential public health impact and current use in developed countries, the technology is not commonly used in the United States, with consumer acceptance often cited as a barrier. Given changes in consumer food-purchasing trends, advancements in irradiation technology, and an increase in multistate foodborne outbreaks, it is an opportune time to revisit consumer acceptance and factors that influence the purchase of irradiated food. We conducted seven focus groups to assess knowledge, attitudes, and practices regarding irradiation as a food safety intervention. Meetings were virtual, lasted 90 min, and were held March 15-18, 2021. Participants were stratified into three groups using quota sampling: adults aged 18-64 years, parents of children aged 0-4 years, and adults aged 65 years and older. Consistent with past research, consumers were unaware of what food irradiation is. Facilitators for purchasing irradiated foods included protection from foodborne illness, reduced risk from certain foods, and support from public health agencies. Barriers included lack of knowledge, safety concerns, price, packaging, and a distrust of food technology. The results from these focus groups can inform public messaging and foodborne illness prevention strategies.

对食品辐照进行了全面的研究,并确定它是一种安全有效的改善食品安全的工艺。尽管辐照技术具有潜在的公共健康影响,而且目前已在发达国家得到应用,但在美国却并不普遍,消费者的接受程度往往是一个障碍。鉴于消费者购买食品趋势的变化、辐照技术的进步以及多州食源性疾病爆发的增加,现在是重新审视消费者接受程度和影响购买辐照食品的因素的恰当时机。我们开展了七个焦点小组,以评估有关辐照作为食品安全干预措施的知识、态度和做法。会议采用虚拟形式,持续 90 分钟,于 2021 年 3 月 15 日至 18 日举行。采用配额抽样法将参与者分为三组:18-64 岁的成年人、0-4 岁儿童的父母和 65 岁及以上的成年人。与过去的研究一致,消费者并不了解什么是食品辐照。购买辐照食品的促进因素包括防止食源性疾病、降低某些食品的风险以及公共卫生机构的支持。阻碍因素包括缺乏知识、安全顾虑、价格、包装以及对食品技术的不信任。这些焦点小组的讨论结果可以为公共信息传播和食源性疾病预防策略提供参考。
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引用次数: 0
Minimally Processed Vegetables: Consumer Profile, Consumption Habits, and Perceptions of Microbiological Risk 最小限度加工蔬菜:消费者概况、消费习惯和微生物风险感知
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.4315/fpt-22-027
U. Pinto
This study was conducted to characterize the profile of Brazilian consumers of minimally processed vegetables (MPV) by analyzing consumption habits and perceptions of microbiological risk. An online survey with 27 closed-end questions was administered using Google Forms. The survey consisted of questions regarding participants’ demographic characteristics, consumption of fresh vegetables and MPV, and perception of the microbiological risk associated with the consumption of MPV. The majority of the 1,510 participants (77.5%) were women, 42.3% were 26 to 40 years of age, 42.3% were married, 19.7% were students, 54.4% had a graduate degree, and 39.4% had a monthly family income between 5 and 15 times the minimum wage. Most participants (95.3%) reported consuming fresh vegetables, but only 45.4% reported the consumption of MPV. Among MPV consumers, convenience and practicality were the main determining factors (77.8%) in the purchase of these products. The high price of MPV was the main limiting factor (66.4%). Pearson’s chi-square test indicated that only monthly family income was positively associated with the consumption of vegetables and the perception of microbiological risks related to MPV. These data contribute to a better understanding of the profile of Brazilian MPV consumers and will be important as an exposure assessment component of vegetable risk assessment models.
本研究通过分析消费习惯和对微生物风险的认知,对巴西最低限度加工蔬菜(MPV)消费者的特征进行了描述。使用谷歌表格进行了一项包含27个封闭式问题的在线调查。该调查包括参与者的人口统计特征、新鲜蔬菜和MPV的消费以及与MPV消费相关的微生物风险的感知等问题。在1510名参与者中,大多数(77.5%)是女性,42.3%在26至40岁之间,42.3%已婚,19.7%是学生,54.4%拥有研究生学位,39.4%的家庭月收入在最低工资的5至15倍之间。大多数参与者(95.3%)报告食用新鲜蔬菜,但只有45.4%报告食用MPV。在MPV消费者中,便利性和实用性是购买这些产品的主要决定因素(77.8%)。MPV价格高是主要限制因素(66.4%)。皮尔逊卡方检验表明,只有家庭月收入与蔬菜消费量和与MPV相关的微生物风险感知呈正相关。这些数据有助于更好地了解巴西MPV消费者的概况,并将作为蔬菜风险评估模型的暴露评估组成部分。
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引用次数: 1
Evaluating Misinformation on YouTube about Washing Produce Before and During the COVID-19 Pandemi 评估YouTube上关于在新冠肺炎Pandemi之前和期间清洗农产品的错误信息
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.4315/fpt-22-016
Geena Verma
be videos have been a significant source of public health and food safety misinformation during the COVID-19 pandemic. Specifically, the washing of produce with soap and other substances was promoted in the early stages of the pandemic through YouTube videos. Therefore, we conducted a study to analyze produce washing messaging in YouTube videos posted during, compared to prior to, the COVID-19 pandemic. Videos were identified via targeted keyword searches. Produce washing methods were coded and classified according to government recommendations. A total of 100 YouTube videos were identified and analyzed; 66 videos were posted during the pandemic and 34 before the pandemic. Of the 100 videos, 70 contained nonfactual information about produce washing. Videos posted by bloggers were more likely to contain nonfactual information compared to videos posted by the government and organizations (78 versus 29%). Videos posted during the pandemic were more likely to have nonfactual information than those posted before the pandemic (56 versus 17%). This study found that individual bloggers contributed to the spread of misinformation about produce washing in YouTube videos, resulting in potentially harmful behavior changes among consumers. Efforts are needed from food safety educators and public health officials to improve the accuracy of food safety information disseminated on YouTube.
在2019冠状病毒病大流行期间,视频一直是公共卫生和食品安全错误信息的重要来源。具体而言,在大流行的早期阶段,通过YouTube视频推广了用肥皂和其他物质清洗农产品。因此,我们进行了一项研究,分析了在2019冠状病毒病大流行期间和之前发布的YouTube视频中的农产品清洗信息。视频是通过有针对性的关键词搜索来识别的。根据政府的建议,对农产品清洗方法进行了编码和分类。总共有100个YouTube视频被识别和分析;大流行期间发布了66个视频,大流行之前发布了34个视频。在这100个视频中,有70个包含了关于农产品清洗的非事实信息。与政府和组织发布的视频相比,博主发布的视频更有可能包含非事实信息(78%对29%)。大流行期间发布的视频比大流行前发布的视频更有可能包含非事实信息(56%对17%)。这项研究发现,个别博主助长了YouTube视频中有关农产品清洗的错误信息的传播,导致消费者的潜在有害行为改变。食品安全教育工作者和公共卫生官员需要努力提高在YouTube上传播的食品安全信息的准确性。
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引用次数: 1
Identifying Predictors of Safe Food Handling Practices among Canadian Households with Children Under Eighteen Years 在加拿大有18岁以下儿童的家庭中确定安全食品处理实践的预测因素
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.4315/fpt-21-039
David Obande
Poor food handling practices at home are a common cause of foodborne illness. Children are more susceptible to foodborne illness than adults. Because children’s food safety depends on the safe food handling practices of parents and caregivers, this study aims to identify determinants of safe food handling practices among Canadian families with children under 18 years. Data for Canadian households with children (n = 294) were extracted from a larger telephone survey conducted across all Canadian provinces and territories between 2014 and 2015. Four food safety practice outcomes and six demographic variables were examined using multivariable logistics regression. Most survey participants were females (56%) who had less than a bachelor’s degree (67%) and were caring for one child (55%). Approximately 90% of caregivers reported proper hand hygiene, and 79% refrigerated leftovers within 2 h of cooking. Only 33% of caregivers reported preventing cross-contamination, and fewer reported using food thermometers for poultry cuts (13%) and hamburgers (11%). Those in the higher income and education categories were less likely to follow safe food handling practices such as hand hygiene and safe refrigeration of leftovers. This research highlights the need for food safety interventions that target Canadian families with children within certain demographic groups.
家中不良的食物处理方法是食源性疾病的常见原因。儿童比成人更容易感染食源性疾病。因为儿童的食品安全取决于父母和照顾者的安全食品处理做法,本研究旨在确定加拿大家庭中18岁以下儿童的安全食品处理做法的决定因素。有孩子的加拿大家庭(n = 294)的数据来自2014年至2015年间在加拿大所有省份和地区进行的一项更大规模的电话调查。采用多变量logistic回归对四个食品安全实践结果和六个人口统计变量进行了检验。大多数调查参与者是女性(56%),没有学士学位(67%),照顾一个孩子(55%)。大约90%的护理人员报告了适当的手卫生,79%的人在烹饪后2小时内将剩菜冷藏。只有33%的护理人员报告防止交叉污染,更少的人报告使用食物温度计检测家禽伤口(13%)和汉堡包(11%)。那些收入和受教育程度较高的人不太可能遵循安全的食品处理方法,如手卫生和剩菜的安全冷藏。这项研究强调了针对某些人口群体中有孩子的加拿大家庭进行食品安全干预的必要性。
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引用次数: 0
Assessing Physical Attributes Associated with Implementation of Risk Management Practices among Small Strawberry Farms 评估与小型草莓农场风险管理实践实施相关的物理属性
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.4315/fpt-22-014
A. Fraser
Fresh strawberries are susceptible to contamination with foodborne pathogens, illustrating the importance of on-farm risk management practices (RMP). Understanding context is necessary for successful implementation of RMP, highlighting the importance of characterizing physical attributes (PA) associated with RMP. We determined the PA associated with implementation of eight RMP on 20 small (≤ 2 acres; 8,094 m2) strawberry farms in the southeastern United States. Descriptive statistics were performed to determine frequency of PA across farms. PA scores, presence or absence of observed PA expressed as a percentage, were calculated for each of the eight RMP. All 20 (100%) farms used plasticulture to grow strawberries. All (100%) used drip irrigation systems, and 19 (95%) had an adequate number of bathrooms and handwashing stations. Nearly all (95%) did not have a body fluid spill kit. Sixteen (80%) farms used groundwater or surface water for irrigation, with five (31%) treating the water and eight (50%) testing the microbiological quality of irrigation water. PA scores ranged from 55 to 90%, with the highest (90%) for animal control and the lowest (55%) for food safety signage. These findings can inform strawberry-specific safety interventions aimed to increase RMP implementation. More broadly, this represents another approach to informing commodity-specific training needs.
新鲜草莓容易受到食源性病原体的污染,这说明了农场风险管理实践(RMP)的重要性。理解上下文对于RMP的成功实施是必要的,强调了表征与RMP相关的物理属性(PA)的重要性。我们确定了与在美国东南部20个小型(≤2英亩;8094平方米)草莓农场实施8个RMP相关的PA。进行描述性统计以确定各农场PA的频率。对八个RMP中的每一个计算PA得分,即观察到的PA的存在或不存在,以百分比表示。所有20个(100%)农场都使用了塑料栽培来种植草莓。所有人(100%)都使用了滴灌系统,19人(95%)有足够数量的浴室和洗手台。几乎所有人(95%)都没有体液溢出试剂盒。十六(80%)个农场使用地下水或地表水灌溉,其中五(31%)个农场处理水,八(50%)个农场测试灌溉水的微生物质量。PA评分在55%至90%之间,动物控制得分最高(90%),食品安全标志得分最低(55%)。这些发现可以为旨在增加RMP实施的草莓特定安全干预措施提供信息。更广泛地说,这代表了为特定商品的培训需求提供信息的另一种方法。
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引用次数: 0
Perceptions of Risk, Control, and Responsibility Regarding Food Safety among Consumers in Lebanon 黎巴嫩消费者对食品安全风险、控制和责任的认识
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.4315/fpt-22-020
E. Evans
The political situation in Lebanon has reportedly impacted the implementation of food safety law. Although responsibility is placed upon the food industry to ensure food safety, consumers should also take responsibility. To date, no studies have explored the perceptions of risk, control, and responsibility of consumers regarding food safety in the region. Consequently, this study explored the food safety perceptions of consumers in Lebanon by using quantitative researcher measures. Lebanese consumers (n = 95) responded to a self-complete questionnaire to determine perceptions of risk, control, responsibility, and hygiene consciousness regarding food safety. Correlations were determined between personal perceptions of risk, control, responsibility, and hygiene consciousness (P < 0.001), whereby low levels of risk were correlated with high levels of control, responsibility, and hygiene consciousness. Statistically significant differences were determined between perceived risk, control, responsibility, and hygiene consciousness for “self” compared with other people (“others”) (P < 0.005), suggesting consumers in Lebanon exhibit perceptions of invulnerability, optimistic bias, illusion of control, and superiority bias. The most notable finding was that experiencing foodborne illness had a negative impact upon perceptions of risk, control, and responsibility to prevent foodborne illness. The perceptions and biases identified among study respondents are of great importance to help inform the development of future food safety interventions.
据报告,黎巴嫩的政治局势影响了食品安全法的执行。虽然食品行业有责任确保食品安全,但消费者也应该承担责任。迄今为止,还没有研究探索该地区消费者对食品安全的风险、控制和责任的看法。因此,本研究探讨了消费者的食品安全观念,在黎巴嫩使用定量研究员的措施。黎巴嫩消费者(n = 95)回答了一份自我完成的问卷,以确定对食品安全的风险、控制、责任和卫生意识的看法。确定了个人对风险、控制、责任和卫生意识的感知之间的相关性(P < 0.001),即低水平的风险与高水平的控制、责任和卫生意识相关。与他人(“他人”)相比,“自我”的感知风险、控制、责任和卫生意识之间存在统计学显著差异(P < 0.005),这表明黎巴嫩消费者表现出无懈可击的感知、乐观偏见、控制错觉和优越感偏见。最值得注意的发现是,经历食源性疾病会对风险、控制和预防食源性疾病的责任产生负面影响。在研究受访者中确定的观念和偏见对于帮助告知未来食品安全干预措施的发展非常重要。
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引用次数: 1
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Food Protection Trends
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