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Aleksić M, Popov Raljić J, Gajić T, Blešić I, Dragosavac M, Penić M, Bugarčić J. Factors of Airline Selection and Reflight Intention During the Pandemic/Case of Serbian Airlines Users. Front Psychol 2022; 13:915321. [PMID: 35859818 PMCID: PMC9291440 DOI: 10.3389/fpsyg.2022.915321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 05/19/2022] [Indexed: 11/21/2022] Open
Abstract
The global pandemic coronavirus disease 2019 (COVID-19) has caused significant economic changes for all segments of the economy. Travel restrictions have landed several commercial airlines and significantly reduced their revenues. Safety measures are strict and very demanded, especially when it comes to food drinks and beverages served during flights. This article aims to discover the predictors that influenced the intention of the airline’s passengers to travel long-distance flights in unusual conditions of the COVID-19 pandemic and differs from current studies on airline selection and passenger loyalty because it includes changes in the behavior of employees who regularly fly medium- and long-distance flights. Requirements for passenger’s airline selection have been changed, which is why this study aimed to determine which factors influence the selection during reopening after lockdown. Determinants of food quality and safety during flights are a long-term challenge and could affect passengers’ choice of the airline they want to fly. This study was conducted during the reopening period of airlines, during the COVID-19 pandemic, on a sample of 369 Serbian passengers and employees on medium- and long-distance flights, in the period from November 20, 2020 to January 15, 2021. Regression analysis concluded that certain predictors such as food service quality and safety significantly affect the attitude, subjective norms, and perceived behavioral control (PBC) of passengers and trigger the intention that affects behaviors in the choice of the airline during the COVID-19 pandemic, especially when it comes to the flights with medium and long durations. To better interpret the effects, a path analysis was performed in the SPSS Analysis of Moment Structures (AMOS) software, version 26.00 with the aim to examine the importance and significance of causal relationships between groups of variables. The results confirmed the theory of planned behavior; that intentions are a significant mediator between the mentioned independent variables (attitudes about quality and safety of food, drinks and beverages, subjective norms, and perceived behavior control) and passenger behavior when rechoosing the same airline.
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Affiliation(s)
- Milica Aleksić
- Faculty of Tourism and Hotel Management (FTH), University of Business Studies, Banja Luka, Bosnia and Herzegovina
- *Correspondence: Milica Aleksić,
| | - Jovanka Popov Raljić
- Faculty of Tourism and Hotel Management, Singidunum University, Belgrade, Serbia
| | - Tamara Gajić
- Geographical Institute “Jovan Cvijić” SASA, Belgrade, Serbia
- Institute of Sports, Tourism and Service, South Ural State University, Chelyabinsk, Russia
- Faculty of Hotel Management and Tourism, University of Kragujevac, Vrnjačka Banja, Serbia
| | - Ivana Blešić
- Institute of Sports, Tourism and Service, South Ural State University, Chelyabinsk, Russia
- Department of Geography, Tourism and Hotel Management, The Faculty of Science, University of Novi Sad, Novi Sad, Serbia
| | | | - Mirjana Penić
- Department of Geography, Tourism and Hotel Management, The Faculty of Science, University of Novi Sad, Novi Sad, Serbia
| | - Jovan Bugarčić
- Faculty of Hotel Management and Tourism, University of Kragujevac, Vrnjačka Banja, Serbia
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Grout A, Speakman EM. In-flight transmission of foodborne disease: How can airlines improve? Travel Med Infect Dis 2020; 33:101558. [PMID: 31978609 DOI: 10.1016/j.tmaid.2020.101558] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Revised: 11/25/2019] [Accepted: 01/16/2020] [Indexed: 10/25/2022]
Abstract
Food contamination during air travel presents unique risks to those affected. Foodborne pathogens can cause serious illness among all on board, and potentially jeopardize flight safety. These risks are likely to increase with current trends of "densification" and a predicted massive expansion of air travel. While aircraft are being equipped with ever newer designs with a focus on efficiency and comfort, regulations remained largely unmodified in terms of basic hygiene requirements. Strict guidelines for food hygiene exist for on-ground food settings and catering kitchens. There is uncertainty about hygiene standards on board commercial aircraft, and little regulatory oversight of what happens to food in-flight. In two hypothetical scenarios we indicate the potential risks associated with poor food handling practice onboard aircraft, with the ultimate aim of bringing aviation food safety in line with on-ground regulations. Changes in cabin design alongside adequate training in safe food handling have the potential to increase public health protection. We urge a review of existing in-flight hygiene protocols to better direct the development of regulation, prevention, and intervention measures for aviation food safety.
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Affiliation(s)
- Andrea Grout
- James Cook University, 1 James Cook Drive, Townsville, QLD, 4814, Australia.
| | - Elizabeth M Speakman
- Edinburgh Napier University, UK; London School of Hygiene & Tropical Medicine, UK.
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Abdelhakim AS, Jones E, Redmond E, Hewedi M, Seaman P. Cabin crew food safety training: A qualitative study. Food Control 2019. [DOI: 10.1016/j.foodcont.2018.09.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Zhao B, Dewald C, Hennig M, Bossert J, Bauer M, Pletz MW, Jandt KD. Microorganisms @ materials surfaces in aircraft: Potential risks for public health? - A systematic review. Travel Med Infect Dis 2018; 28:6-14. [PMID: 30056140 DOI: 10.1016/j.tmaid.2018.07.011] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 07/05/2018] [Accepted: 07/25/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Civil air travel is increasingly recognized as an important potential source for the rapid spread of infectious diseases that were geographically confined in the past, creating international epidemics with great health and socio-economic impact. OBJECTIVE The objective of this systematic review is to elucidate the correlations of materials surfaces (composition, structure, properties) and microbial dependences on them in aircraft. METHODS The review was prepared according to PRISMA guidelines. Based on a systematic search for studies published before 30 June 2018 in English, we selected and reviewed the contamination, tenacity, and transmission of microorganisms related to specific surfaces within the aircraft cabin. We also reviewed the chemical composition and properties of these surface materials applied within aircraft. RESULTS From a total of 828 records 15 articles were included for further analysis in this systematic review, indicating that the aircraft interior surfaces in seat areas (tray tables, armrests, seat covers) and lavatories (door knob handles, toilet flush buttons) are generally colonized by various types of potentially hazardous microorganisms. CONCLUSIONS The interior surfaces in seat and lavatory areas could pose higher health risks by causing infections due to their relatively high microbial contamination compared with other interior surfaces. The classification, chemical composition, surface structures and physicochemical properties of materials surfaces have a varied effect on the adhesion, colonization, tenacity and potential transmission of microorganisms within the aircraft cabin. Strategies are proposed for the interruption of surface-related infection chains in the aircraft field.
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Affiliation(s)
- Bin Zhao
- Chair of Materials Science (CMS), Otto Schott Institute of Materials Research (OSIM), Friedrich Schiller University Jena, Löbdergraben 32, 07743, Jena, Germany
| | - Carolin Dewald
- Chair of Materials Science (CMS), Otto Schott Institute of Materials Research (OSIM), Friedrich Schiller University Jena, Löbdergraben 32, 07743, Jena, Germany; Jena School for Microbial Communication (JSMC), Friedrich Schiller University Jena, Neugasse 23, 07743, Jena, Germany
| | - Max Hennig
- Chair of Materials Science (CMS), Otto Schott Institute of Materials Research (OSIM), Friedrich Schiller University Jena, Löbdergraben 32, 07743, Jena, Germany
| | - Jörg Bossert
- Chair of Materials Science (CMS), Otto Schott Institute of Materials Research (OSIM), Friedrich Schiller University Jena, Löbdergraben 32, 07743, Jena, Germany
| | - Michael Bauer
- Center for Sepsis Control and Care, Department of Anaesthesiology and Intensive Care Unit, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany
| | - Mathias W Pletz
- Institute for Infectious Diseases and Infection Control, Center for Sepsis Control and Care, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany.
| | - Klaus D Jandt
- Chair of Materials Science (CMS), Otto Schott Institute of Materials Research (OSIM), Friedrich Schiller University Jena, Löbdergraben 32, 07743, Jena, Germany; Jena School for Microbial Communication (JSMC), Friedrich Schiller University Jena, Neugasse 23, 07743, Jena, Germany.
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Abstract
Importance Travel among US citizens is becoming increasingly common, and travel during pregnancy is also speculated to be increasingly common. During pregnancy, the obstetric provider may be the first or only clinician approached with questions regarding travel. Objective In this review, we discuss the reasons women travel during pregnancy, medical considerations for long-haul air travel, destination-specific medical complications, and precautions for pregnant women to take both before travel and while abroad. To improve the quality of pretravel counseling for patients before or during pregnancy, we have created 2 tools: a guide for assessing the pregnant patient's risk during travel and a pretravel checklist for the obstetric provider. Evidence Acquisition A PubMed search for English-language publications about travel during pregnancy was performed using the search terms "travel" and "pregnancy" and was limited to those published since the year 2000. Studies on subtopics were not limited by year of publication. Results Eight review articles were identified. Three additional studies that analyzed data from travel clinics were found, and 2 studies reported on the frequency of international travel during pregnancy. Additional publications addressed air travel during pregnancy (10 reviews, 16 studies), high-altitude travel during pregnancy (5 reviews, 5 studies), and destination-specific illnesses in pregnant travelers. Conclusions and Relevance Travel during pregnancy including international travel is common. Pregnant travelers have unique travel-related and destination-specific risks. We review those risks and provide tools for obstetric providers to use in counseling pregnant travelers.
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Özilgen S, Özilgen M. General Template for the FMEA Applications in Primary Food Processing. ADVANCES IN BIOCHEMICAL ENGINEERING/BIOTECHNOLOGY 2016; 161:29-69. [DOI: 10.1007/10_2016_52] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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International outbreak investigation of Salmonella Heidelberg associated with in-flight catering. Epidemiol Infect 2013; 142:833-42. [PMID: 23890227 DOI: 10.1017/s0950268813001714] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Rapid and wide dispersal of passengers after flights makes investigation of flight-related outbreaks challenging. An outbreak of Salmonella Heidelberg was identified in a group of Irish travellers returning from Tanzania. Additional international cases sharing the same flight were identified. Our aim was to determine the source and potential vehicles of infection. Case-finding utilized information exchange using experts' communication networks and national surveillance systems. Demographic, clinical and food history information was collected. Twenty-five additional cases were identified from Ireland, The Netherlands, Norway, USA and Canada. We conducted a case-control study which indicated a significant association between illness and consumption of milk tart (OR 10.2) and an egg dish (OR 6) served on-board the flight. No food consumed before the flight was associated with illness. Cases from countries other than Ireland provided supplementary information that facilitated the identification of likely vehicles of infection. Timely, committed international collaboration is vital in such investigations.
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Abstract
Almost 2 billion people travel aboard commercial airlines every year. Health-care providers and travellers need to be aware of the potential health risks associated with air travel. Environmental and physiological changes that occur during routine commercial flights lead to mild hypoxia and gas expansion, which can exacerbate chronic medical conditions or incite acute in-flight medical events. The association between venous thromboembolism and long-haul flights, cosmic-radiation exposure, jet lag, and cabin-air quality are growing health-care issues associated with air travel. In-flight medical events are increasingly frequent because a growing number of individuals with pre-existing medical conditions travel by air. Resources including basic and advanced medical kits, automated external defibrillators, and telemedical ground support are available onboard to assist flight crew and volunteering physicians in the management of in-flight medical emergencies.
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Affiliation(s)
- Danielle Silverman
- Department of Emergency Medicine, Georgetown University Hospital and Washington Hospital Center, Washington, DC, USA
| | - Mark Gendreau
- Department of Emergency Medicine, Lahey Clinic Medical Center, Burlington, MA, USA
- Tufts Medical School, Boston, MA, USA
- Correspondence to: Dr Mark Gendreau, Department of Emergency Medicine, Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805, USA
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