Home Food Safety Practice and Household Food Insecurity: A Structural Equation Modeling Approach
-
Fatemeh ESFARJANI
,
Hedayat HOSSEINI
,
Ramin KHAKSAR
,
Roshanak ROUSTAEE
,
Haleh ALIKHANIAN
,
Marjan KHALAFI
,
Amin MOUSAVI KHANEGHAH
,
Fatemeh MOHAMMADI-NASRABADI
Abstract
Background: Food safety and food security are interrelated concepts with a profound impact on the quality of human life. The current study, for the first time, was set to identify associations between home food safety practice and household food insecurity a structural equation modeling approach.
Methods: In this cross-sectional study, urban households were selected from among 10 health centers of five districts of Tehran, Iran (2015). The following questionnaires were completed: socioeconomic status (SES), food security and food safety. Structural Equation Modeling (SEM) was applied for predicting the relationships between SES, food insecurity, and food safety in households.
Results: Food security was observed in 56% of households. Mild, moderate and severe food-insecure households were determined to be 29%, 12%, and 3%, respectively. In addition, the scores of home food safety practice in 37.5%, 33% and 29.5% of the households were classified as desirable, acceptable and weak, respectively. Low-educated mothers having husbands with low educational and occupational level had a weaker food safety practice compared to high-educated ones. Based on the SEM results, an inverse association between food safety practice and food insecurity score was observed (t= -2.89, ɣ= 0.16).
Conclusion: Food insecurity and undesirable food safety practice were relatively prevalent among households. In addition, the economic and social factors could inversely affect both food insecurity and food safety practices.
1. Kinsey J (2005). Will food safety jeopardize food security? Agricultural Economics, 32:149-58.
2. Mohammadi-Nasrabadi F, Omidvar N, Khoshfetrat M, Kolahdooz F (2014). Household food insecurity in the Islamic Republic of Iran: a systematic review and meta-analysis. East Mediterr Health J, 20(11):698-706.
3. Ministry of Health and Medical Education (2015). Center of Foodborne Illness, Communicable Disease Management. Ministry of Health and Medical Education, Iran.
4. Tontisirin K, Nantel G, Bhattacharjee L (2002). Food-based strategies to meet the challenges of micronutrient malnutrition in the developing world. Proc Nutr Soc, 61(2):243-50.
5. World Health Organization (2002). Global strategy for food safety: safer food for better health: Food Safety Programme.
6. Morowati-Sharifabad M, Pourtaheri A, Fallahzadeh H et al (2013). Study of food handling behaviors among women in Kerman in 2013. Tolooe Behdasht, 12(2):159-73 [In Persian].
7. Kinsey J (2004). Does Food Safety Conflict with Food Security?: The Safe Consumption of Food: Food Industry Center, University of Minnesota.
8. Hanning I, O'Bryan C, Crandall P, Ricke S (2012). Food safety and food security. Nature Education Knowledge,3(10):9.
9. Marušić A (2011). Food safety and security: what were favourite topics for research in the last decade? J Glob Health,1(1):72-78.
10. Al-Sakkaf A (2015). Domestic food preparation practices: a review of the reasons for poor home hygiene practices. Health Promot Int, 30(3): 427–37.
11. Esfarjani F, Hosseini H, Mohammadi-Nasrabadi F et al (2016). Development of a Home Food Safety Questionnaire Based on the PRECEDE Model: Targeting Iranian Women. J Food Prot, 79(12):2128-35.
12. Mohammadi F, Omidvar N, Houshiar-Rad A et al (2012). Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran. Public Health Nutr, 15(1):149-57.
13. Munro BH (2005). Statistical methods for health care research. Philadelphia,United States Lippincott Williams & Wilkins.
14. Unnevehr L (2003). Food safety in food security and food trade: International Food Policy Research Institute Washington, DC.
15. Kwon J, Wilson AN, Bednar C, Kennon L (2008). Food safety knowledge and behaviors of women, infant, and children (WIC) program participants in the United States. J Food Prot, 71(8):1651-8.
16. Towns RE, Cullen RW, Memken JA, Nnakwe NE (2006). Food SafetyRelated Refrigeration and Freezer Practices and Attitudes of Consumers in Peoria and Surrounding Counties. J Food Prot, 69(7):1640-5.
17. Patil SR, Cates S, Morales R (2005). Consumer food safety knowledge, practices, and demographic differences: findings from a meta-analysis. J Food Prot, 68(9):1884-94.
18. Moghaddam AF, Khoshnevisan F, Bondarianzadeh D et al (2014). Development of a food safety attitude and practice questionnaire for Iranian consumers. International Journal of Consumer Studies,38(4):367-73.
19. Gavaravarapu SRM, Vemula SR, Rao P et al (2009). Focus group studies on food safety knowledge, perceptions, and practices of school-going adolescent girls in South India. J Nutr Educ Behav, 41(5):340-6.
20. Gettings MA, Kiernan NE (2001). Practices and perceptions of food safety among seniors who prepare meals at home. J Nutr Educ, 33(3):148-54.
21. Parra PA, Kim H, Shapiro MA, Gravani RB, Bradley SD (2014). Home food safety knowledge, risk perception, and practices among Mexican-Americans. Food Control,37:115-25.
22. Subba Rao G, Sudershan R, Rao P et al (2007). Food safety knowledge, attitudes and practices of mothers-Findings from focus group studies in South India. Appetite,49(2):441-9.
23. Tabrizi JS, Nikniaz L, Sadeghi-Bazargani H et al (2017). Determinants of the food safety knowledge and practice among Iranian consumers: A population-based study from northwest of Iran. British Food J, 119(2):357-65.
24. Ansari-Lari M, Soodbakhsh S, Lakzadeh L (2010). Knowledge, attitudes and practices of workers on food hygienic practices in meat processing plants in Fars, Iran. Food Control, 21(3):260-3.
25. WHO. Food safety-Fact. sheet N 399; Accessed October 2017. https://www.who.int/campaigns/world-health-day/2015/fact-sheet.pdf
26. Piaseu N, Mitchell P (2004). Household food insecurity among urban poor in Thailand. J Nurs Scholarsh, 36(2):115-21.
27. Sharif ZM, Ang M (2001). Assessment of food insecurity among low income households in Kuala Lumpur using the Radimer/Cornell food insecurity instrument-A validation study. Malays J Nutr, 7:15-32.
28. Nnakwe N, Yegammia C (2002). Prevalence of food insecurity among households with children in Coimbatore, India. Nutr Res, 22(9):1009-16.
29. Salarkia N, Abdollahi M, Amini M, Neyestani TR (2014). An adapted Household Food Insecurity Access Scale is a valid tool as a proxy measure of food access for use in urban Iran. Food Sec, 6(2):275-82.
30. Daneshi-Maskooni M, Sakineh S-B, Badri-Fariman M et al (2017). Questionnaire-based Prevalence of Food Insecurity in Iran: A Review Article. Iran J Public Health, 46(11):1454-64.
31. Ghassemi H, Harrison G, Mohammad K (2002). An accelerated nutrition transition in Iran. Public Health Nutr, 5(1A):149-55.
32. Isanaka S, Mora-Plazas M, Lopez-Arana S (2007). Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogota, Colombia. J Nutr, 137(12):2747-55.
33. Ben-Davies ME, Kinlaw A, Estrada del Campo Y et al (2014). Risk factors associated with the presence and severity of food insecurity in rural Honduras. Public Health Nutr, 17(1):5-13.
34. Pardilla M, Prasad D, Suratkar S, Gittelsohn J (2014). High levels of household food insecurity on the Navajo Nation. Public Health Nutr, 17(1):58-65.
35. Dastgiri S, Mahdavi R, TuTunchi H, Faramarzi E (2006). Prevalence of obesity, food choices and socio-economic status: a cross-sectional study in the north-west of Iran. Public Health Nutr, 9(8):996-1000.
36. Zerafati-Shoae N, Omidvar N, Ghazi-Tabatabaie M et al (2007). Is the adapted Radimer/Cornell questionnaire valid to measure food insecurity of urban households in Tehran, Iran? Public Health Nutr, 10(8):855-61.
37. Shariff ZM, Lin KG (2004). Indicators and nutritional outcomes of household food insecurity among a sample of rural Malaysian women. Pak J Nutr, 3:50-55.
38. Lim T-P, Chye FY, Sulaiman MR et al (2016). A structural modeling on food safety knowledge, attitude, and behaviour among Bum Bum Island community of Semporna, Sabah. Food Control, 60:241-6.
39. Gambo Boukary A, Diaw A, Wünscher T (2016). Factors affecting rural households’ resilience to food insecurity in Niger. Sustainability, 8:181.
40. Mohammadi Nasrabadi F. Measurement and modeling of household food security in urban households in the city of Tehran. [PhD thesis]. Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Iran; 2008 [in Persian].
41. FAO/WHO Second International Conference on Nutrition (ICN2). FAO Headquarters, Rome, Italy 2014.
2. Mohammadi-Nasrabadi F, Omidvar N, Khoshfetrat M, Kolahdooz F (2014). Household food insecurity in the Islamic Republic of Iran: a systematic review and meta-analysis. East Mediterr Health J, 20(11):698-706.
3. Ministry of Health and Medical Education (2015). Center of Foodborne Illness, Communicable Disease Management. Ministry of Health and Medical Education, Iran.
4. Tontisirin K, Nantel G, Bhattacharjee L (2002). Food-based strategies to meet the challenges of micronutrient malnutrition in the developing world. Proc Nutr Soc, 61(2):243-50.
5. World Health Organization (2002). Global strategy for food safety: safer food for better health: Food Safety Programme.
6. Morowati-Sharifabad M, Pourtaheri A, Fallahzadeh H et al (2013). Study of food handling behaviors among women in Kerman in 2013. Tolooe Behdasht, 12(2):159-73 [In Persian].
7. Kinsey J (2004). Does Food Safety Conflict with Food Security?: The Safe Consumption of Food: Food Industry Center, University of Minnesota.
8. Hanning I, O'Bryan C, Crandall P, Ricke S (2012). Food safety and food security. Nature Education Knowledge,3(10):9.
9. Marušić A (2011). Food safety and security: what were favourite topics for research in the last decade? J Glob Health,1(1):72-78.
10. Al-Sakkaf A (2015). Domestic food preparation practices: a review of the reasons for poor home hygiene practices. Health Promot Int, 30(3): 427–37.
11. Esfarjani F, Hosseini H, Mohammadi-Nasrabadi F et al (2016). Development of a Home Food Safety Questionnaire Based on the PRECEDE Model: Targeting Iranian Women. J Food Prot, 79(12):2128-35.
12. Mohammadi F, Omidvar N, Houshiar-Rad A et al (2012). Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran. Public Health Nutr, 15(1):149-57.
13. Munro BH (2005). Statistical methods for health care research. Philadelphia,United States Lippincott Williams & Wilkins.
14. Unnevehr L (2003). Food safety in food security and food trade: International Food Policy Research Institute Washington, DC.
15. Kwon J, Wilson AN, Bednar C, Kennon L (2008). Food safety knowledge and behaviors of women, infant, and children (WIC) program participants in the United States. J Food Prot, 71(8):1651-8.
16. Towns RE, Cullen RW, Memken JA, Nnakwe NE (2006). Food SafetyRelated Refrigeration and Freezer Practices and Attitudes of Consumers in Peoria and Surrounding Counties. J Food Prot, 69(7):1640-5.
17. Patil SR, Cates S, Morales R (2005). Consumer food safety knowledge, practices, and demographic differences: findings from a meta-analysis. J Food Prot, 68(9):1884-94.
18. Moghaddam AF, Khoshnevisan F, Bondarianzadeh D et al (2014). Development of a food safety attitude and practice questionnaire for Iranian consumers. International Journal of Consumer Studies,38(4):367-73.
19. Gavaravarapu SRM, Vemula SR, Rao P et al (2009). Focus group studies on food safety knowledge, perceptions, and practices of school-going adolescent girls in South India. J Nutr Educ Behav, 41(5):340-6.
20. Gettings MA, Kiernan NE (2001). Practices and perceptions of food safety among seniors who prepare meals at home. J Nutr Educ, 33(3):148-54.
21. Parra PA, Kim H, Shapiro MA, Gravani RB, Bradley SD (2014). Home food safety knowledge, risk perception, and practices among Mexican-Americans. Food Control,37:115-25.
22. Subba Rao G, Sudershan R, Rao P et al (2007). Food safety knowledge, attitudes and practices of mothers-Findings from focus group studies in South India. Appetite,49(2):441-9.
23. Tabrizi JS, Nikniaz L, Sadeghi-Bazargani H et al (2017). Determinants of the food safety knowledge and practice among Iranian consumers: A population-based study from northwest of Iran. British Food J, 119(2):357-65.
24. Ansari-Lari M, Soodbakhsh S, Lakzadeh L (2010). Knowledge, attitudes and practices of workers on food hygienic practices in meat processing plants in Fars, Iran. Food Control, 21(3):260-3.
25. WHO. Food safety-Fact. sheet N 399; Accessed October 2017. https://www.who.int/campaigns/world-health-day/2015/fact-sheet.pdf
26. Piaseu N, Mitchell P (2004). Household food insecurity among urban poor in Thailand. J Nurs Scholarsh, 36(2):115-21.
27. Sharif ZM, Ang M (2001). Assessment of food insecurity among low income households in Kuala Lumpur using the Radimer/Cornell food insecurity instrument-A validation study. Malays J Nutr, 7:15-32.
28. Nnakwe N, Yegammia C (2002). Prevalence of food insecurity among households with children in Coimbatore, India. Nutr Res, 22(9):1009-16.
29. Salarkia N, Abdollahi M, Amini M, Neyestani TR (2014). An adapted Household Food Insecurity Access Scale is a valid tool as a proxy measure of food access for use in urban Iran. Food Sec, 6(2):275-82.
30. Daneshi-Maskooni M, Sakineh S-B, Badri-Fariman M et al (2017). Questionnaire-based Prevalence of Food Insecurity in Iran: A Review Article. Iran J Public Health, 46(11):1454-64.
31. Ghassemi H, Harrison G, Mohammad K (2002). An accelerated nutrition transition in Iran. Public Health Nutr, 5(1A):149-55.
32. Isanaka S, Mora-Plazas M, Lopez-Arana S (2007). Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogota, Colombia. J Nutr, 137(12):2747-55.
33. Ben-Davies ME, Kinlaw A, Estrada del Campo Y et al (2014). Risk factors associated with the presence and severity of food insecurity in rural Honduras. Public Health Nutr, 17(1):5-13.
34. Pardilla M, Prasad D, Suratkar S, Gittelsohn J (2014). High levels of household food insecurity on the Navajo Nation. Public Health Nutr, 17(1):58-65.
35. Dastgiri S, Mahdavi R, TuTunchi H, Faramarzi E (2006). Prevalence of obesity, food choices and socio-economic status: a cross-sectional study in the north-west of Iran. Public Health Nutr, 9(8):996-1000.
36. Zerafati-Shoae N, Omidvar N, Ghazi-Tabatabaie M et al (2007). Is the adapted Radimer/Cornell questionnaire valid to measure food insecurity of urban households in Tehran, Iran? Public Health Nutr, 10(8):855-61.
37. Shariff ZM, Lin KG (2004). Indicators and nutritional outcomes of household food insecurity among a sample of rural Malaysian women. Pak J Nutr, 3:50-55.
38. Lim T-P, Chye FY, Sulaiman MR et al (2016). A structural modeling on food safety knowledge, attitude, and behaviour among Bum Bum Island community of Semporna, Sabah. Food Control, 60:241-6.
39. Gambo Boukary A, Diaw A, Wünscher T (2016). Factors affecting rural households’ resilience to food insecurity in Niger. Sustainability, 8:181.
40. Mohammadi Nasrabadi F. Measurement and modeling of household food security in urban households in the city of Tehran. [PhD thesis]. Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Iran; 2008 [in Persian].
41. FAO/WHO Second International Conference on Nutrition (ICN2). FAO Headquarters, Rome, Italy 2014.
| Files | ||
| Issue | Vol 48 No 10 (2019) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v48i10.3495 | |
| Keywords | ||
| Household food insecurity Home food safety practice Structural equation modeling | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
ESFARJANI F, HOSSEINI H, KHAKSAR R, ROUSTAEE R, ALIKHANIAN H, KHALAFI M, MOUSAVI KHANEGHAH A, MOHAMMADI-NASRABADI F. Home Food Safety Practice and Household Food Insecurity: A Structural Equation Modeling Approach. Iran J Public Health. 2019;48(10):1870-1878.
