Research article

Health communication effects on food safety behaviors: A regression analysis of the determinants of food safety behaviors in health communication for life rural program districts

  • Received: 28 January 2020 Accepted: 09 August 2020 Published: 14 September 2020
  • We investigate the relationship between the adoption of practices shown to reduce the risk of aflatoxin consumption and several hypothesized protective factors—including exposure to social and behavior change communication and beliefs about the danger and severity of consumption of potentially contaminated foodstuffs. The study utilizes cross-sectional survey data collected from rural heads of households in Malawi as baseline data for a U.S. Agency for International Development-funded social and behavior change communication project, Health Communication for Life. We hypothesized that four groups of factors would be associated with the use of practices shown to reduce the risk of aflatoxin contamination and consumption—demographic factors, geographic location, exposure to health communication about food safety and risks of aflatoxin contamination, and beliefs. The exposure model and belief model found higher scores to be associated with adopting positive food safety behaviors and in the hypothesized directions. This indicates that exposing people to information about food safety increases their reported food safety behaviors across production, storage, and purchasing activities. The effects of exposure to food safety messages and beliefs about food safety persisted in our trimmed model, net of the effects of education. This finding indicates that communication channels and exposure to social and behavior change messaging are an effective means of influencing food safety behaviors especially in environments where educational levels are low. Our findings may well extend to contexts beyond our study area into other rural, agriculturally dependent, and low-education environments in southern Africa.

    Citation: Gretchen H. Thompson, Rachel Lenzi, James M. MacCarthy, Aulive Msoma, Bagrey Ngwira, Heather Chotvacs. Health communication effects on food safety behaviors: A regression analysis of the determinants of food safety behaviors in health communication for life rural program districts[J]. AIMS Agriculture and Food, 2020, 5(4): 578-598. doi: 10.3934/agrfood.2020.4.578

    Related Papers:

  • We investigate the relationship between the adoption of practices shown to reduce the risk of aflatoxin consumption and several hypothesized protective factors—including exposure to social and behavior change communication and beliefs about the danger and severity of consumption of potentially contaminated foodstuffs. The study utilizes cross-sectional survey data collected from rural heads of households in Malawi as baseline data for a U.S. Agency for International Development-funded social and behavior change communication project, Health Communication for Life. We hypothesized that four groups of factors would be associated with the use of practices shown to reduce the risk of aflatoxin contamination and consumption—demographic factors, geographic location, exposure to health communication about food safety and risks of aflatoxin contamination, and beliefs. The exposure model and belief model found higher scores to be associated with adopting positive food safety behaviors and in the hypothesized directions. This indicates that exposing people to information about food safety increases their reported food safety behaviors across production, storage, and purchasing activities. The effects of exposure to food safety messages and beliefs about food safety persisted in our trimmed model, net of the effects of education. This finding indicates that communication channels and exposure to social and behavior change messaging are an effective means of influencing food safety behaviors especially in environments where educational levels are low. Our findings may well extend to contexts beyond our study area into other rural, agriculturally dependent, and low-education environments in southern Africa.


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    [1] Shephard GS (2008) Impact of mycotoxins on human health in developing countries. Food Addit & Contam: Part A 25: 146-151.
    [2] Bennett J, Klich M (2003) Mycotoxins. Clin Microbiol Rev 16: 497-516. doi: 10.1128/CMR.16.3.497-516.2003
    [3] Sun G, Wang S, Hu X, et al. (2007) Fumonisin B1 contamination of home-grown corn in high-risk areas for esophageal and liver cancer in China. Food Addit & Contam 24: 181-185.
    [4] Khlangwiset P, Shephard GS, Wu F (2011) Aflatoxins and growth impairment: A review. Crit Rev Toxicol 41: 740-755. doi: 10.3109/10408444.2011.575766
    [5] Ferlay J, Soerjomataram I, Dikshit R, et al. (2014) Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136: E359-E386.
    [6] Abdallah MF, De Boevre M, Audenaert K, et al. (2018) Highlight report: Mycotoxins as food contaminants in Africa-challenges and perspectives. Arch Toxicol 92: 2151-2152. doi: 10.1007/s00204-018-2203-2
    [7] Stepman F (2018) Scaling-up the impact of aflatoxin research in Africa. The role of social sciences. Toxins 10: 136.
    [8] Khonga E (1985) Survey of fungi and mycotoxins in malts used in brewing opaque beer in Malawi. Luso: J Sci Technol 6: 49-56.
    [9] Matumba L, Monjerezi M, Biswick T, et al. (2014) A survey of the incidence and level of aflatoxin contamination in a range of locally and imported processed foods on Malawian retail market. Food Control 39: 87-91. doi: 10.1016/j.foodcont.2013.09.068
    [10] Matumba L, Monjerezi M, van Poucke C, et al. (2013) Evaluation of the bright greenish yellow fluorescence test as a screening technique for aflatoxin-contaminated maize in Malawi. World Mycotoxin J 6: 367-373. doi: 10.3920/WMJ2013.1563
    [11] Matumba L, Sulyok M, Monjerezi M, et al. (2014) Fungal metabolites diversity in maize and associated human dietary exposures relate to micro-climatic patterns in Malawi. World Mycotoxin J 8: 269-282.
    [12] Matumba L, Van Poucke C, Monjerezi M, et al. (2015) Concentrating aflatoxins on the domestic market through groundnut export: A focus on Malawian groundnut value and supply chain. Food Control 51: 236-239. doi: 10.1016/j.foodcont.2014.11.035
    [13] Monyo E, Njoroge SMC, Coe R, et al. (2012) Occurrence and distribution of aflatoxin contamination in groundnuts (Arachis hypogaea L) and population density of aflatoxigenic aspergilli in Malawi. Crop Prot 42: 149-155. doi: 10.1016/j.cropro.2012.07.004
    [14] Misihairabgwi JM, Ezekiel CN, Sulyok M, et al. (2019) Mycotoxin contamination of foods in Southern Africa: A 10-year review (2007-2016). Crit Rev Food Sci Nutr 59: 43-58. doi: 10.1080/10408398.2017.1357003
    [15] Alberts JF, Lilly M, Rheeder JP, et al. (2017) Technological and community-based methods to reduce mycotoxin exposure. Food Control 73: 101-109. doi: 10.1016/j.foodcont.2016.05.029
    [16] Matumba L, Monjerezi M, Kankwamba H, et al. (2015) Knowledge, attitude, and practices concerning presence of molds in foods among members of the general public in Malawi. Mycotoxin Res 32: 27-36.
    [17] Strosnider H, Azziz-Baumgartner E, Banziger M, et al. (2006) Workgroup report: Public health strategies for reducing aflatoxin exposure in developing countries. Environ Health Perspect 114: 1898-1903. doi: 10.1289/ehp.9302
    [18] Wu F, Mitchell NJ, Male D, et al. (2014) Reduced foodborne toxin exposure is a benefit of improving dietary diversity. Toxicol Sci 141: 329-334. doi: 10.1093/toxsci/kfu137
    [19] Lovo S, Veronesi M (2015) Crop diversification and child health: Empirical evidence from Tanzania. London: The Centre for Climate Change Economics and Policy (CCCEP); The Grantham Research Institute on Climate Change and the Environment.
    [20] Wu F, Khlangwiset P (2010) Evaluating the technical feasibility of aflatoxin risk reduction strategies in Africa. Food Addit&Contam Part A, Chem, Anal, Control, Exposure&Risk Assess 27: 658-676.
    [21] Ansari-Lari M, Soodbakhsh S, Lakzadeh L (2009) Knowledge, attitudes and practices of workers on food hygienic practices in meat processing plants in Fars, Iran. Food Control 21: 260-263.
    [22] Awuah RT, Agyemang KO, Fialor SC, et al. (2008) Are Ghanaians aware of the alatoxin menace? In: Leslie JF, Bandyopadhyay R, Visconti A, Mycotoxins: Detection Methods, Management, Public Health and Agricultural Trade. Cambridge, MA: CAB International, 327-334.
    [23] Bas M, Ersun AS, Gokhan K (2004) The evaluation of food hygiene knowledge, attitudes, and practices of food handlers in food businesses in Turkey. Food Control 17: 317-322.
    [24] Nee SO, Sani NA (2011) Assessment of knowledge, attitudes and practices (KAP) among food handlers at residential colleges and canteen regarding food safety. Sains Malaysiana 40: 403-410.
    [25] Soares LS, Almeida RCC, Cerqueira ES, et al. (2012) Knowledge, attitudes and practices in food safety and the presence of coagulasepositive staphylococci on hands of food handlers in the schools of Camaçari, Brazil. Food Control 27: 206-213. doi: 10.1016/j.foodcont.2012.03.016
    [26] Azaman NNM, Kamarulzaman NH, Shamsudin MN, et al. (2016) Stakeholders' knowledge, attitude, and practices (KAP) towards aflatoxins contamination in peanut-based products. Food Control 70: 249-256. doi: 10.1016/j.foodcont.2016.05.058
    [27] Ilesanmi FF, Ilesanmi OS (2011) Knowledge of aflatoxin contamination in groundnut and the risk of its ingestion among health workers in Ibadan, Nigeria. Asian Pac J Tropical Biomed 1: 493-495. doi: 10.1016/S2221-1691(11)60108-1
    [28] Jolly CM, Bayard B, Awuah RT, et al. (2009) Examining the structure of awareness and perceptions of groundnut aflatoxin among Ghanaian health and agricultural professionals and its influence on their actions. J Socio-Econ 38: 280-287. doi: 10.1016/j.socec.2008.05.013
    [29] Ezekiel CN, Sulyok M, Babalola DA, et al. (2013) Incidence and consumer awareness of toxigenic Aspergillus section Flavi and aflatoxin B1 in peanut cake from Nigeria. Food Control 30: 596-601. doi: 10.1016/j.foodcont.2012.07.048
    [30] Sanders M, De Middelseer G, Vervaet S, et al. (2014) The awareness about mycotoxin contamination of food and feed: A survey in the Flemish population. World Mycotoxin J 8: 375-380.
    [31] Anitha S, Tsusaka TW, Njoroge SM, et al. (2019) Knowledge, attitude and practice of Malawian farmers on pre- and post-harvest crop management to mitigate aflatoxin contamination in groundnut, maize and sorghum-implication for behavioral change. Toxins 11: 716. doi: 10.3390/toxins11120716
    [32] Mboya RM, Kolanisi U (2014) Subsistence farmers' mycotoxin contamination awareness in the SADC Region: Implications on Millennium Development Goal 1, 4 and 6. J Human Ecol 46: 21-31. doi: 10.1080/09709274.2014.11906702
    [33] Magembe KS, Mwatawala MW, Mamiro DP, et al. (2016) Assessment of awareness of mycotoxins infections in stored maize (Zea mays L.) and groundnut (arachis hypogea L.) in Kilosa District, Tanzania. Int J Food Contam 3: 12.
    [34] Beyene AA, Woldegiorgis AZ, Adish AA, et al. (2016) Assessment of mothers' knowledge and practice towards aflatoxin contamination in complementary foods in Ethiopia: From pre-harvest to household. World Mycotoxin J 9: 535-544. doi: 10.3920/WMJ2016.2088
    [35] Kumar GDS, Popat MN (2010) Farmers' perceptions, knowledge and management of aflatoxins in groundnuts (Arachis hypogaea L.) in India. Crop Prot 29: 1534-1541. doi: 10.1016/j.cropro.2010.08.019
    [36] Hochbaum G (1958) Public Participation in Medical Screening Programs: A Socio-Psychological study. Washington, DC: US Department of Health, Education and Welfare.
    [37] Fisher W, Fisher J, Harman J (2003) The information-motivation-behavioral skills model: A general social psychological approach to understanding and promoting health behavior. In: Suls J, Wallston K, Social Psychological Foundations of Health and Illness. Malden, MA: Blackwell, 82-116.
    [38] Ajzen I (1991) The theory of planned behavior. Organ Behav Human Decis Processes 50: 179-211. doi: 10.1016/0749-5978(91)90020-T
    [39] Glanz K, Rimer BK, Viswanath K (2008) Health behavior and health education: Theory, research, and practice (4th ed.), Jossey-Bass.
    [40] Davis K (1963) The theory of change and response in modern demographic history. Popul Index 29: 345-366. doi: 10.2307/2732014
    [41] Omran A (1971) The epidemiologic transition. A theory of the epidemiology of population change. Milbank Q 49: 509-538.
    [42] Young FW, Lyson TA (2001) Structural pluralism and all-cause mortality. Am J Public Health 91: 136-138. doi: 10.2105/AJPH.91.1.136
    [43] Anderson NB, Armstead CA (1995) Toward understanding the association of socioeconomic status and health: A new challenge fro bio-psychological approach. Psychomatic Med 57: 213-225. doi: 10.1097/00006842-199505000-00003
    [44] Duncan OD, Schnore LF, Rossi PH (1959) Cultural, behavioral and ecological perspectives in the study of social organization. Am J Social O 65: 132-153. doi: 10.1086/222654
    [45] Young FW, Minai K (2002) Community ecology: A new theory and an illustrative test. Res Human Ecol 9: 31-40.
    [46] R Core Team (2019) R 3.6.1: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Available from: https://www.R-project.org.
    [47] Revelle W (2018) psych: Procedures for personality and psychological research. 1.8.12 ed. Evanston, IL: Northwestern University.
    [48] Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Pschometrika 16: 297-334. doi: 10.1007/BF02310555
    [49] Nunnaly JC (1978) Psychometric Theory. New York: McGraw-Hill.
    [50] Wei T, Simko V (2017) "corr plot": Visualization of a correlation matrix. 0.84 ed.
    [51] Fox J, Weisberg S (2019) An {R} Companion to Applied Regression, Third Edition. Thousand Oaks, CA: Sage.
    [52] Flavio B, Daniela C, Pasquale S (2018) Genetically modified food versus knowledge and fear: A Noumenic approach for consumer behaviour. Food Res Int 111: 682-688. doi: 10.1016/j.foodres.2018.06.013
    [53] Parimi V, Kotamraju VKK, Sudini HK (2018) On-farm demonstrations with a set of good agricultural practices (GAPs) proved cost-effective in reducing pre-harvest aflatoxin contamination in groundnut. Agronomy 8: 10. doi: 10.3390/agronomy8020010
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