Adulteration of raw milk in the rural areas of Barisal district of Bangladesh

Public health risks related to food safety issues in the food market: a systematic literature review

BACKGROUND

Food safety in the food market is one of the key areas of focus in public health, because it affects people of every age, race, gender, and income level around the world. The local and international food marketing continues to have significant impacts on food safety and health of the public. Food supply chains now cross multiple national borders which increase the internationalization of health risks. This systematic review of literature was, therefore, conducted to identify common public health risks related to food safety issues in the food market.

METHODS

All published and unpublished quantitative, qualitative, and mixed method studies were searched from electronic databases using a three step searching. Analytical framework was developed using the PICo (population, phenomena of interest, and context) method. The methodological quality of the included studies was assessed using mixed methods appraisal tool (MMAT) version 2018. The included full-text articles were qualitatively analyzed using emergent thematic analysis approach to identify key concepts and coded them into related non-mutually exclusive themes. We then synthesized each theme by comparing the discussion and conclusion of the included articles. Emergent themes were identified based on meticulous and systematic reading. Coding and interpreting the data were refined during analysis.

RESULTS

The analysis of 81 full-text articles resulted in seven common public health risks related with food safety in the food market. Microbial contamination of foods, chemical contamination of foods, food adulteration, misuse of food additives, mislabeling, genetically modified foods (GM foods), and outdated foods or foods past their use-by dates were the identified food safety-related public health risks in the food market.

CONCLUSION

This systematic literature review identified common food safety-related public health risks in the food market. The results imply that the local and international food marketing continues to have significant impacts on health of the public. The food market increases internationalization of health risks as the food supply chains cross multiple national borders. Therefore, effective national risk-based food control systems are essential to protect the health and safety of the public. Countries need also assure the safety and quality of their foods entering international trade and ensure that imported foods conform to national requirements.

What Determines the Purchase Intention of Liquid Milk during a Food Security Crisis? The Role of Perceived Trust, Knowledge, and Risk

Until today, inadequate food supply, malnutrition, food adulteration, etc., are still the key concern in developing economies. In order to address these issues of food security crisis, and to stimulate a sustainable supply of liquid milk (LM), a consumer behavior model was created, in which consumers’ perceived knowledge, trust and risk were the major catalysts. To shed light on this context, the study examined the effect of consumers’ perceived knowledge (PK) on their perceived risk (PR) and trust (in information sources and in the product). Further, the influence of consumers’ perceived knowledge, risk, and trust on their attitude and purchase intention (PI) were investigated via an exclusive survey design. The survey was conducted in the urban area of Dhaka and Chittagong, Bangladesh. The sample of 712 households was selected randomly and interviewed using a structured questionnaire. The data were analyzed employing descriptive statistics, exploratory factor analysis, confirmatory factor analysis, and structural equation modelling. The results show that during a food security crisis, consumers’ perceived knowledge amplifies their perceived risk and their trust in information sources (ISs). During such a period, their perceived knowledge does not induce purchase intention but trust in ISs does. Again, consumers’ perceived risk leads to reduced trust in products, and hence in LM, but not reduced trust in ISs. Moreover, a paradoxical influence was found, where consumers’ perceived risks had no significant effect on the PI, meaning that they underestimate the risk of purchasing LM. The results also show that when explaining the purchase intention of LM, the effect of ‘trust in ISs’ was higher than that of their perceived ‘trust in the product (LM)’ and perceived knowledge.

Health Consciousness and Its Effect on Perceived Knowledge, and Belief in the Purchase Intent of Liquid Milk: Consumer Insights from an Emerging Market

This study is based on the influence of consumers' health consciousness (HC), perceived knowledge (PK) and beliefs affecting the attitude and purchase intent (PI) of the consumers. The outcome of this study is obtained through an exclusive survey conducted on a randomly selected sample of 712 households who purchase liquid milk (LM) in the cities of Dhaka and Chittagong in Bangladesh. A structured questionnaire is used to interview these participants to obtain data which are analysed employing descriptive statistics, Confirmatory Factor Analysis, and Structural Equation Modelling. The results of the analyses corroborate that consumers' health consciousness has a positive impact on perceived knowledge, belief, and attitude, but not on purchase intent. In addition, belief affects both the attitude and PI positively. Although consumers' perceived knowledge is too low to constitute their attitude towards LM, it has a positive, significant impact on the PI. The results also reveal that more than a third of the respondents consume LM several times per month, followed by more than a quarter of the sampled respondents who consume LM several times per week, and these consumption patterns have a positive and significant influence on the PI. Moreover, the monthly income of the family, age, and labelling preference are significantly correlated with PI.

A critical review of arsenic exposures for Bangladeshi adults

Groundwater, the most important source of water for drinking, cooking, and irrigation in Bangladesh, is a significant contributor to the daily human intake of arsenic. Other arsenic intake pathways, established as relevant for Bangladeshi adults through this review, include consumption of contaminated edible plant parts and animal-origin food, inhalation of contaminated air, soil ingestion, betel quid chewing, and tobacco smoking. This review qualifies and quantifies these arsenic intake pathways through analysis of the range of arsenic levels observed in different food types, water, soil, and air in Bangladesh, and highlights the contributions of dietary intake variation and cooking method in influencing arsenic exposures. This study also highlights the potential of desirable dietary patterns and intakes in increasing arsenic exposure which is relevant to Bangladesh where nutritional deficiencies and lower-than-desirable dietary intakes continue to be a major concern.