Knowledge, Attitude and Practice (KAP) among Foreigner Food Handlers at Restaurants with Long Operating Hours in Lembah Klang, Malaysia

Main Article Content

Shafizi Abdul Wahab
Sahilah Abd Mutalib
Lay Ching Chai
Razalee Sedek

Abstract




Introduction: Poor food handling practices in restaurants with long operating hours which is dominated by foreign food handlers that increase the risk of foodborne diseases. This study aims to measure the level of knowledge, atti- tudes and practices (KAP) and to compare practice face to face interview with observed food safety practices of for- eign food handlers in long-operating hours restaurants in Lembah Klang. Methods: This study was a cross-sectional study used face to face interviewer-assisted questionnaires with 117 foreign food handlers. A checklist guided obser- vation was used to identify the actual practice status of 14 respondents. Results: There were no significant differences (p > 0.05) between sociodemographic characteristics and knowledge, attitudes and practices of food handlers. The mean score of knowledge, attitude and practice were 66.00 ± 13.67, 79.56 ± 16.67 and 66.02 ± 16.05 respectively. A weak and significant correlation (p < 0.01) between mean score of knowledge and attitude; knowledge and prac- tice; and attitude and practice among foreigner food handlers (r = 0.287, r = 0.264, r = 0.285). The findings showed a significant difference (p < 0.001) between mean scores of practice face to face interview compared to observed practice (t = 5.467). Conclusion: Thus, this study demonstrated the food handlers had a good attitude toward food safety despite the moderate level of knowledge and practice that could be further improved. Meanwhile, actual prac- tices that much affected by culture could be further improved with effective enforcement.




Downloads

Download data is not yet available.

Article Details

How to Cite
Wahab, S. A., Abd Mutalib, S., Chai , L. C., & Sedek, R. (2024). Knowledge, Attitude and Practice (KAP) among Foreigner Food Handlers at Restaurants with Long Operating Hours in Lembah Klang, Malaysia. Malaysian Journal of Medicine and Health Sciences, 20(2). https://doi.org/10.47836/mjmhs.20.2.18
Section
Original Articles

References

Codex Alimentarius Commission. Recommended international code of practice general principles of food hygiene. CAC/RCP 1-1969, Rev. 3. Amended 1999.

World Health Organization (WHO). Five keys to safer food manual [Internet]. WHO Department of Food Safety, Zoonoses and Food borne Diseases; 2006 [cited 2019 Mac 10], Available from: http:// www. who.int/entity/foodsafety/publications/ consumer/manual_keys.pdf.

Jeinie MH, Saad M, Sharif MS, Nor NM. Food hygiene and safety and hygiene among culinary intern: Questionnaire for FHS quality. Procedia- Social and Behavioral Science. 2016a;222:299-305. doi: 10.1016/j.sbspro.2016.05.165

Jeewoon R, Nouvishika S, Kumar DS, Ramchandur AH. An investigation into how far does residents adopt measures to reduce microbial hazards during food handling. Current Research in Nutrition and Food Science. 2017;5(1):06-14. doi: 10.12944/

CRNFSJ.5.1.02

Malaysia Food Hygiene Regulations. 2009.

Jeinie MH, Saad M, Sharif MS, Nor NM. Food safety

and hygiene practice among hotel in Malaysia: a qualitative approach. Environment-Behaviour Proceedings Journal. 2016b;1(3):150-155. doi: 10.21834/e-bpj.v1i3.298

Wambui J, Karuri E, Lamuka P, Matofari J. Good hygiene practices among meat handlers in small and medium enterprise slaughterhouses in Kenya. Journal Food Control. 2017;81:34-39. doi: 10.1016/j.foodcont.2017.05.036

Nik Rosmawati NH, Wan Manan WM, Noor Izani NJ, Nik Nurain. Validity and Reliability of Food Safety Knowledge and Practices Questionnaire among Food Handlers. Journal of Health and the Environment. 2015;6(1):11-30.

Egan MB, Raats MM, Grubb SM, Eves A, Lumbers ML, Dean MS et al. A review of food safety and food hygiene training studies in the commercial sector. Food Control. 2007;18(10):1180-1190. doi: 10.1016/j.foodcont.2006.08.001

Al Suwaidi AH, Hussein H, Al Faisal W, El Sawaf E, Wasfy A. Hygienic Practices Among Food Handlers in Dubai. International Journal of Preventive Medicine Research. 2015;1(3):101-108.

Woh PY, Thong KL, Behnke JM, Lewis JW, Mohd Zain SN. Evaluation of basic knowledge on food safety and food handling practices amongst migrant food handlers in Peninsular Malaysia, Journal Food Control. 2016;70:64-73. doi: 10.1016/j. foodcont.2016.05.033

Teh NSA, Ab Hamid MR, Asmawi UMM, Nor NM. Food Hygiene’s Knowledge, Attitudes and Practices between Urban and Suburban Adolescents. Procedia-Social and Behavioral Sciences. 2016;234:36-44. doi: 10.1016/j. sbspro.2016.10.217

Salhadi NA, Ab Hamid MR, Osman NS, Nor NM. A qualitative study on the determination of healthy cafeteria practice in Selangor, Malaysia. Environment-Behaviour Proceedings, Journal. 2017;2(5):141-149. doi: 10.21834/e-bpj.v2i5.691

Norrakiah AS, Oi NS. Knowledge, attitudes, and practices of food handlers on food safety in food service operations at the Universiti Kebangsaan Malaysia. Food Control. 2024;37:210-2017. doi: 10.1016/j.foodcont.2013.09.036

Moy FM, Alias AA, Jani R, Halim HA, Low WY. Determinants of self-reported food safety practices among youths. British Food Journal, 2018;120(4): 891-900. doi: 10.1108/BFJ-04-2017-0224

Akabanda F, Hlortsi EH, Owusu-Kwarteng J. Food safety knowledge, attitudes and practices of institutional food handlers in Ghana. BMC Public Health. 2017;17: 40. doi: 10.1186/s12889-016- 3986-9.

Reboucas LT, Santiago LD, Martins LS, Menezes ACR. Araújo MPN, Almeida FCC. Food safety knowledge and practices of food handlers, head chefs and managers in hotels’ restaurants of Salvador, Brazil. Food Control Journal. 2017;73: 372–381. doi: 10.1016/j.foodcont.2016.08.026

Wakabayashi Y, Umeda K, Yonogi S, Nakamura H, Yamamoto K, Kumeda Y, Kawatsu K. Staphylococcal food poisoning caused by Staphylococcus argenteus harboring staphylococcal enterotoxin genes. Int. J. Food Microbiol. 2018;265: 23-29. doi: 10.1016/j.ijfoodmicro.2017.10.022.

Hamed A, Mohammed N. Food safety knowledge, attitudes and self-reported practices among food handlers in Sohaq Governorate, Egypt. Eastern Mediterranean Health of Journal. 2020;26(4):374- 381. doi: 10.26719/emhj.19.047

Bou-Mitri C, Mahmoud D, El-Gerges N, Abou Jaoude M. Food safety knowledge, attitude and practices of food handlers in lebanese hospitals: A cross-sectional study, Food Control. 2018;94:78- 84. doi: 10.1016/j.foodcont.2018.06.032

Naing L, Winn T, Rusli BN. Practical issues in calculating the sample size for prevalence studies. Archives of Orofacial Science. 2006;1: 9-14.

Rosnani AH, Son R, Mohhidin O, Toh PS, Chai LC. Assessment of knowledge, attitude and practices concerning food safety among restaurant workers in Putrajaya, Malaysia. Journal of Food Science Quality Management. 2014;32:20-27.

Samapundo S, Climat R, Xhaferi R, Devlieghere F. Food safety knowledge, attitudes and practices of street food vendors and consumers in Portau- Prince, Haiti. Journal Food Control. 2015;50: 457- 466. doi: 10.1016/j.foodcont.2014.09.010

Lee HK, Halim HA, Thong KL, Chai LC. Assessment of food safety knowledge, attitude, self-reported practices, and microbiological hand hygiene of food handlers. International Journal of Environmental Research and Public Health. 2017;55:1–14. doi: 10.3390/ijerph14010055

Al-Kandari D, Al-Abdeen J, Sidhu, J. Food safety knowledge, altitude and practices of food handlers in restaurants in Kuwait. Journal Food Control. 2019;103:103-110. doi: 10.1016/j. foodcont.2019.03.040

Nkhebenyane JS, Lues R. The knowledge, attitude, and practices of food handlers in central South African hospices. Journal of Food Science & Nutrition. 2020;8:2598-2607.doi: 10.1002/ fsn3.1499

Sirichokchatchawan W, Taneepanichskul N, Prapasarakul N. Predictors of knowledge, attitudes, and practices towards food safety among food handlers in Bangkok, Thailand. Journal of Food Control. 2021;126:108020. doi: 10.1016/j.foodcont.2021.108020

Codex Alimentarius Commission. Recommended international code of practice general principles of food hygiene. CAC/RCP 1e1969, Rev. 4. 2003.

Al-Shabib NA, Mosilhey SH, Husain FM. Cross- sectional study on food safety knowledge, attitude and practices of male food handlers employed in restaurants of King Saud University, Saudi Arabia. Food Control Journal. 2016;59:212-217. doi:

1016/j.foodcont.2015.05.002

Burton M, Cobb E, Donachie, P, Judah G, Curtis V, Schmid W-P. The Effect of Handwashing with Water or Soap on Bacterial Contamination of Hands. Int. J. Environ. Res. Public Health. 2011; 8: 97-104. doi: 10.3390/ijerph8010097

Manes MR, Kuganantham P, Jagadeesan M, Laxmidevi M, Dworkin MS. A Step Towards Improving Food Safety in India: Determining Baseline Knowledge and Behaviors Among Restaurant Food Handlers in Chennai. Journal of Environmental Health. 2016;78(6):18-25.

Ncube F, Kanda A, Chijokwe M, Mabaya G, Nyamugure T. Food safety knowledge, attitudes and practices of restaurant food handlers in a lower-middle-income country. Journal of Food Science & Nutrition. 2020;8:1677-1687. doi: 10.1002/fsn3.1454.

Zanin LM, da Chunha, DT, de Rosso VV, Capriles VD, Stedefelt E. Knowledge, attitudes and practices of food handlers in food safety: An integrarive review. Food Res. Int. 2017;67:19-24. doi: 10.1016/j.foodres.2017.07.042.

Cunha DT, Stedefeldt E, Rosso VV. The role of theoretical food safety training on Brazilian food handlers’ knowledge, attitude and practice. Food Control. 2014b;43:167–174. doi: 10.1016/j. foodcont.2014.03.012

Kwol VS, Eluwole KK, Avci T, Lasisi TT. Another look into the Knowledge Attitude Practice (KAP) model for food control: an investigation of the mediating role of food handlers’ attitudes. Food Control Journal. 2020;110:107025. doi: 10.1016/j. foodcont.2019.107025

Rabori MM, Avazpour M, Eskandarinasab M, Khalooei A. Food safety knowledge, attitude, and practice among restaurant food handlers in Kerman, Iran. J. Environ. Treat. Tech. 2020;8(1): 535-539.

Mali SK, Haque MR, Sen LC, Debnath S, Rashid MH. Vendors and Consumers Status and Microbial Analysis of Open Restaurant Foods in Patuakhali District University. Global Journal of Medical Research: C Microbiology and Pathology. 2020; 20(1):7-17. doi: 10.34257/GJMRCVOL20IS1PG7

Hashanuzzaman M, Bhowik S, Rahman MS, Abu Zakaria MUM, Voumik LC, Al Mamun A. Assessment of food safety knowledge, attitudes and practices of fish farmers and restaurants food handlers in Bangladesh. Heliyon. 2020;6(11):e05485. doi: 10.1016/j.heliyon.2020.e05485.

Jeinie MH, Saad M, Sharif MS, Nor NM. A conceptual model of food hygiene and safety: implication for future research. Procedia-Social and Behavioral Science. 2015;201:121-127. doi: 10.1016/j.sbspro.2015.08.140

Bryan FL, Jermini M, Schmitt R, Chilufya EN, Michael M, Matoba A, et al. Hazard associated with holding and reheating foods at vending sites in a small town in Zambia. Journal of Food Protection. 1997;60(4):391-398. doi: 10.4315/0362-028X- 60.4.391

Cheng Y, Zhang Y, Ma J, Zhan S. Food safety knowledge, attitude and self-reported practice of secondary school students in Beijing, China: A cross- sectional study. PloS one. 2017;12(11):e0187208. doi: 10.1371/journal.pone.0187208.

Auad LI, Ginani VC, Stedefeldt E, Nakano EY, Nunes ACS, Zandonadi RP. Food safety knowledge, attitudes, and practices of Brazilian food truck food handlers. Nutrients. 2019;11(8):1784. doi: 10.3390/nu11081784.

Da Cunha DT, Stedefeldt E, Rosso VV. He is worse than I am: The positive outlook of food handlers about foodborne disease. Food Quality and Preference. 2014;35:95–97. doi: 10.1016/j. foodqual.2014.02.009