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Mario Teisl, Sara B. Fein, Alan S. Levy, Amy Lando

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1 Mario Teisl, Sara B. Fein, Alan S. Levy, Amy Lando
Educating home food preparers: Where has the message gotten through? An analysis of trends in at-home food handling and consumption practices in the United States Mario Teisl, Sara B. Fein, Alan S. Levy, Amy Lando

2 Methods Combined the 1988, 1993, 1998, 2001 and 2006 U.S. Food Safety Surveys all data are weighted to adjust for probability of selection, race, education and gender Various statistical methods are used (e.g., ANOVA, multivariate regression) Three major variable groups Knowledge/awareness Risk perceptions Behaviors

3 Results – Knowledge

4 93 98 01 06 Ever heard of… Camplybacter? 5 A 8 B 13 C Listeria? 9 A 15 B 31 C E. coli? 87 A 88 A 85 B Salmonella? 80 A 94 B 92 C 89 D Can a food be made safe if it has salmonella? can’t be made safe 38A 24B 23C 40 D

5 01 06 How much juice is pasteurized? 64 A 65 B Heard/read any health problems related to unpasteurized juice? 27 A 17 B What did you hear? may contain germs 16 A 35 B risk groups 6 A 7 A boil the juice 1 A

6 01 06 Heard anything about mercury as a problem in seafood? 68 A 79 B Heard of any group advised to be careful of eating seafood because of mercury? pregnant women 35 A 58 B nursing mothers 2 A young children 28 A other response 36 A 22 B

7 Results – Risk perceptions

8 93 98 01 06 How common is it to get food poisoning from home? very/somewhat 50 A 59 B 48 C How common is it to get food poisoning from restaurants? 68A 72A 71A 70 A

9 93 98 01 06 Do you think food contamination by germs is a… serious problem 38 A 57 B 53 C 31 D somewhat a problem 53 40 41 58 not a problem at all 8 3 5 11

10 98 01 06 Is it somewhat/very likely that raw ____has germs that could make you sick? Fruit 12 A 14 B 16 C Vegetables 11 A 13 B 14 C Eggs 49 A 54 B Shellfish 68B 71A Chicken 75A 77A 80B Beef 60A

11 98 01 06 How likely are you to get sick if… vegetables you eat raw touch raw meat or chicken Somewhat/very likely 44 A 53B 55 C you eat meat or chicken not fully cooked 69 A 67 B you forget to wash your hands before cooking Somewhat/very likely 26 A 27 A 33 B

12 Results – Behaviors

13 How do you serve hamburgers? Rare Medium Well
88 93 98 01 06 How do you serve hamburgers? Rare 4 A 3 A 3 B 2 B Medium 37 34 23 24 Well 59 63 74 73 Does "medium/medium well/medium rare” mean they are.. still pink in the middle? 66 A 65 A 63 A 63A

14 01 06 After cooking, what do you use to carry the food from the grill? Do you use . . . the same plate/pan you used to carry it to the grill 7 A 6 B a different plate or pan 76 80 serve directly from grill 17 14 Do you… use the plate as is 19 A 36 B first wipe or rinse it 27 24 wash it with soap 54 40

15 98 01 06 Which of the following raw foods did you eat? Clams 4 A 6 B Oysters 8 A 12 B 11 B Steak tartare 5 B Fish 10 A 16 B 18 C Sprouts 26 A 27 A Did you eat uncooked hot dogs? 15 A 13 B

16 98 01 06 Have you eaten soft/runny eggs or soft meringue? 44 A 42 B Did you eat any foods containing raw eggs? Batter 28 A 26 B Frosting 10 A 8 B Ceaser salad 8 A 9 A Mousse 2 A 4 B 3 C Eggnog 5 A 6 A Ice cream 7 A 5 B Milk shakes 4 A 3 A

17 98 01 06 Before preparing food, how often do you wash your hands with soap? All/most of the time 93 A 92 A 94 B Do you wash/rinse tomatoes?  98 A 97 B Do you wash/rinse cantaloupe?  54 A 57 B Do you wash/rinse strawberries?  97 A

18 88 93 98 01 06 After you have cracked open raw eggs, do you … wash hands with soap 22 A 34 B 37 B 40 C After handling raw meat or chicken, do you … 71 A 66 B 78 C 82 D 81D After handling raw fish, do you … wash hands with soap  77 B 81C 78 D

19 88 93 98 01 06 After cutting raw meat/chicken, what do you do with the surface? use as is 2 A 1 B rinse/wipe 29 30 17 15 12 wash soap/bleach 66 78 81 83 use different board 3 2 4 After cutting raw fish/shellfish, what do you do with the surface? 1 A 0 B 0 C 10 7 8 80 86 91 90 use a different board 1

20 88 93 98 01 06 If you cook a pot of meat/chicken stew and want to save it for the next day, when do you put it in the refrigerator? immediately 20 A 23 B 29 C 27 C 24 D How long to cool at room temperature? less than 2 hours 88 A 83 B 87 C 85 C If the stew contains fish/shellfish, when do you put it in refrigerator? Immediately 35 A 46 B 42 B 43 B How long to cool at room temperature? less than 2 hours 91 A 86 B 87 B

21 Conclusions Knowledge about lesser known pathogens has improved
Awareness of health issues related to unpasteurized juice has dropped, but a related knowledge of germs increased Knowledge and awareness of mercury-related issues have improved

22 Conclusions Risk perceptions
some improvements in non-meat related issues awareness of the dangers of cross-contamination has gone up.   

23 Conclusions Some major improvements in cooking, cleaning and food storage behaviors from  Little change before then, and only slight improvement since. Eating risky foods has not budged except for increases in eating some raw seafood for a decrease in eating undercooked hamburgers


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