Abstract

In the fight against foodborne diseases, expanding access to information for different groups is needed. In this aspect, it is crucial to evaluate the target audience’s particularities. This study constructed and validated an instrument containing three questionnaires to identify the level of knowledge, practices, and risk perception of food safety by low-income students between 11 and 14 years old. The following steps were used: systematic search of the databases; conducting and analyzing focus groups; questionnaires development; and questionnaires analysis. After two judges’ rounds, the final version was reached with 11 knowledge items, 11 practice items, and five risk perception items. The content validation index values were higher than 0.80. The adopted methodology considered the students’ understanding and perceptions, as well the appropriate language to be used. Besides, it allowed the development of questionnaires that directly and straightforwardly covers the rules set by the World Health Organization for foodborne disease control called Five Keys to Safer Food (keep clean; separate raw and cooked; cook thoroughly; keep food at safe temperatures; and use safe water and raw materials). Its use can result in a diagnosis for elaborating educational proposals and other actions against foodborne illness in the most vulnerable population.

Highlights

  • Even though the prevalence of outbreaks of foodborne disease (FBD) is underreported, it results in socioeconomic losses worldwide

  • This research aims to construct and validate a structured questionnaire to assess knowledge, practices, and risk perception related to food safety in low-income students aged 11 to 14 years

  • This exploratory research was conducted in the Federal District (FD)—Brazil and it was approved by the Ethics Committee of the College of Health Sciences of the University of Brasilia—CEP/FS UnB (CAAE no 02033218.0.0000.0030)

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Summary

Introduction

Even though the prevalence of outbreaks of foodborne disease (FBD) is underreported, it results in socioeconomic losses worldwide. In 2010, there were 600 million cases, with 420,000 deaths, caused mainly by agents of diarrheal disease. FBD represents a challenge for food security, human health, economic prosperity, agriculture, market access, tourism, and sustainable development. Another important aspect is an imbalance in the disease’s distribution with a higher incidence in vulnerable populations, either economically, due to comorbidities, or by the age group (children and the elderly). In addition to being more susceptible to disease complications, such as dehydration, these populations may be more exposed to diseasecausing agents, mainly biological ones, viruses, parasites, and bacteria).

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