Customers’ Knowledge, Attitude, and Practices towards Food Hygiene and Safety Standards of Handlers in Food Facilities in Hanoi, Vietnam
Open accessAbstract
Efforts to prevent foodborne illnesses in food facilities require sufficient knowledge on hygiene and safety standards from both food processors and customers. However, studies about knowledge, attitude, and practices of customers towards these issues are constrained. This study explored the knowledge, attitude, and practices (KAP) of customers regarding the practices of food facilities as well as potential associated factors. A cross-sectional survey was conducted in Hanoi from September to October 2015. Questions about knowledge, attitude, and practice towards food hygiene and safety were asked, alongside sociodemographic characteristics. Multivariate Tobit regression was used to identify the associated factors with the KAP. Among 1740 customers, the highest mean score of 98.4 (SD = 10.1) was found in knowledge about practices with raw and cooked food, following by knowledge about environmental practices when processing food (mean = 93.1, SD = 17.3), and knowledge about environmental requirements when processing food (mean = 33.3, SD = 33.3). Most of customers considered the processing and selling of hygienic meals without leaving any food overnight as the most important feature for food facilities (73.8%). About 63.2% of participants chose not to report food safety violation by facilities to authorities. The higher score of knowledge was found in groups of people who were not single, had college/university or higher education, and had specific criteria when choosing their places to eat. These findings imply the need for enhancing customers’ protection systems, the capability of inspecting and supervising the food processing progress by local authorities, and the awareness of customers about the environmental requirements of food facilities.
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Food spoilage and quality issues were examined in 2 studies.
“food spoilage and quality issues (n = 2) [56,63]”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
The Results report that 73.8% of customers considered the freshness and cleanliness of food served the most important feature of a food facility, supporting the food-quality aspect. The paper does not report examining food spoilage. The cited paper alone cannot establish the citing document’s count of two studies. (LLM, conf=0.82)
Experimental — accuracy not yet measuredStudies from Vietnam documented good understanding of hand hygiene and separation of raw and cooked foods.
“Furthermore, studies from Vietnam [63,68] documented good understanding of hand hygiene and separation of raw and cooked foods.”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
The Results report that Hanoi customers scored highly on knowledge of practices involving raw and cooked food, including using utensils to pick up cooked food; the Discussion likewise says most had good knowledge in this area. The cited paper does not report a finding of good understanding of hand hygiene (searched: hand hygiene, hand washing, wash hands). Its respondents were customers, not food handlers. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn several studies, individuals with higher levels of education exhibited significantly better food safety knowledge and attitudes.
“In several studies, individuals with higher levels of education exhibited significantly better food safety knowledge and attitudes [57,61,62,63,65,68,72].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
The Results (section 3; page not provided) report that customers with college/university or higher education had higher food-safety knowledge scores, and the Statistical Analysis section specifies a significance threshold of p < 0.05. The paper does not report that higher education was associated with better food-safety attitudes, so it supports only the knowledge part of the claim. (LLM, conf=0.87)
Experimental — accuracy not yet measuredMost studies collected information through a combination of interviews and questionnaire-based surveys.
“Most of the studies collected information through a combination of interviews and questionnaire-based surveys [47,48,52,55,56,59,61,62,63,64,66,69].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
Among 10 studies, the proportion of female participants was notably higher than males.
“Among the 10 studies [48,49,53,56,59,62,63,66,68,69] the proportion of female participants was notably higher than the males.”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
Three studies measured both food safety knowledge and attitudes.
“Ten studies [47,49,51,53,54,58,64,69,70,72] measured both food safety knowledge and practices, while three studies measured both knowledge and attitudes [63,67,68].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
Several studies reported good or satisfactory knowledge levels.
“Several studies reported good or satisfactory knowledge levels [49,50,51,52,57,58,60,63,68], while other studies described knowledge as average or mixed [47,55,61,62,67,71].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
In Vietnam, consumers prioritized freshness and cleanliness when choosing food outlets, yet 63% were unwilling to report safety violations to authorities.
“Similarly, in Vietnam, consumers prioritized freshness and cleanliness when choosing food outlets, yet 63% were unwilling to report safety violations to authorities [63].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
One additional study revealed a mixed picture.
“One additional study revealed a mixed picture [63].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
Marital status was positively associated with food safety knowledge and practices in Jordan, and with knowledge scores in Vietnam.
“Marital status was positively associated with food safety knowledge and practices in Jordan [49], and with knowledge scores in Vietnam [63].”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
Only four studies comprehensively examined all three components-knowledge, attitudes, and practices.
“Only four studies [52,55,63,71] comprehensively examined all three components—knowledge, attitudes, and practices”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
While three studies found adequate and satisfactory attitudes, one identified poor attitudes, and other studies revealed mixed results.
“While three studies [62,67,71] found adequate and satisfactory attitudes, one [52] identified poor attitudes, and other studies [55,63] revealed mixed results.”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
Marital status and employment status also showed significant associations in a few studies.
“Marital status and employment status also showed significant associations in a few studies (e.g., [49,51,63]).”
From Food Safety Knowledge, Attitude, and Practices (KAP) of Urban Consumers in Low-Income and Lower-Middle-Income Countries (LLMICs): A Scoping Review (2026) · cites this paper as [63]
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- Authors
- Nguyen, A. T. L., Tran, B. X., Le, H. T., Le, X. T. T., Do, K. N., Do, H. T., Vu, G. T., Nguyen, L. H., Latkin, C. A., Ho, C. S. H., & Ho, R. C. M.
- Affiliations
- Hanoi Medical University (VN)
- Johns Hopkins University (US)
- Duy Tan University (VN)
- Trường ĐH Nguyễn Tất Thành (VN)
- National University Hospital (SG)
- National University of Singapore (SG)
- Corresponding author
- Tran, Bach Xuan
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2018-09-25
- Volume
- 15
- Issue
- 10
- Pages
- 2101
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC6211044
- OpenAlex
- W2892590800
- Cited by
- 39
- References
- 18
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 21 · 2021: 8 · 2020: 1 · 2019: 2 · 2018: 1
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
- National University of Singapore (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- food hygiene, food safety, food handlers, foodborne illness prevention, food safety violations, food choice criteria, sociodemographic factors, Hanoi
- MeSH terms
- Dietary Exposure, Adult, Cross-Sectional Studies, Female, Food Handling, Food Services, Humans, Hygiene, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Surveys and Questionnaires, Vietnam, Multivariate Analysis, Young Adult, Food Safety
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