Table 5. FHFS behaviors.
Baseline | 1st evaluation | 2nd evaluation | Baseline to 1st evaluation | 1st evaluation to 2nd evaluation | ||||||||||||||
n/N | (%) | n/N | (%) | n/N | (%) | Absolute change% | P value* 1 | Adjusted P value* 2 | Absolute change% | P value* 1 | Adjusted P value* 2 | |||||||
Caregivers' food hygiene behaviors | ||||||||||||||||||
Handwashing with soap at food eating and handling-related points | ||||||||||||||||||
Before eating | ||||||||||||||||||
34/125 | (27.2) | 33/132 | (25.0) | 93/184 | (50.5) | −2.2 | 0.688 | 0.762 | 25.5 | P<0.001 | P<0.001 | |||||||
Before feeding | ||||||||||||||||||
26/125 | (20.8) | 27/132 | (20.5) | 84/184 | (45.7) | −0.3 | 0.945 | 0.718 | 25.2 | P<0.001 | P<0.001 | |||||||
Before food preparation | ||||||||||||||||||
24/112 | (19.2) | 25/132 | (18.9) | 67/184 | (36.4) | −0.3 | 0.958 | 0.131 | 17.5 | 0.001 | 0.001 | |||||||
After handling raw food | ||||||||||||||||||
10/124 | (8.1) | 12/132 | (9.1) | 39/185 | (21.1) | 1.0 | 0.770 | 0.632 | 12.0 | 0.004 | 0.005 | |||||||
Handwashing with soap at sanitation-related points | ||||||||||||||||||
After using the toilet | ||||||||||||||||||
27/123 | (22.0) | 44/132 | (33.3) | 99/184 | (53.8) | 11.3 | 0.043 | 0.001 | 20.5 | P<0.001 | 0.002 | |||||||
After cleaning child's bottom | ||||||||||||||||||
21/124 | (16.9) | 24/132 | (18.2) | 42/185 | (22.7) | 1.3 | 0.793 | 0.536 | 4.5 | 0.328 | 0.290 | |||||||
After handling garbage | ||||||||||||||||||
13/124 | (10.5) | 16/132 | (12.1) | 13/184 | (7.1) | 1.6 | 0.680 | 0.532 | −5.0 | 0.125 | 0.015 | |||||||
When hands look dirty | ||||||||||||||||||
15/122 | (12.3) | 22/132 | (16.7) | 70/184 | (38.0) | 4.4 | 0.324 | 0.552 | 21.3 | P<0.001 | P<0.001 | |||||||
Children's food hygiene behaviors | ||||||||||||||||||
Handwashing with soap before eating | ||||||||||||||||||
40/119 | (33.6) | 44/132 | (33.3) | 90/185 | (48.6) | −0.3 | 0.963 | 0.881 | 15.3 | 0.007 | 0.020 | |||||||
Handwashing with soap after toilet use | ||||||||||||||||||
47/112 | (42.0) | 51/123 | (41.5) | 102/184 | (55.4) | −0.5 | 0.938 | 0.984 | 13.9 | 0.016 | 0.037 | |||||||
Caregivers' food safety behaviors | ||||||||||||||||||
Cross-contamination | ||||||||||||||||||
Using separate utensils (cutting board and knife) for raw food and cooked food | ||||||||||||||||||
77/125 | (61.6) | 110/132 | (83.3) | 152/185 | (82.2) | 21.7 | <0.001 | <0.001 | −1.1 | 0.786 | 0.682 | |||||||
Washing child's utensils (cup, bowl and spoon) with soap | ||||||||||||||||||
109/124 | (87.9) | 128/132 | (97.0) | 181/185 | (97.8) | 9.1 | 0.006 | 0.008 | 0.8 | 0.627 | 0.718 | |||||||
Food preparation on tables | ||||||||||||||||||
87/125 | (69.6) | 86/132 | (65.2) | 141/185 | (76.2) | −4.4 | 0.447 | 0.618 | 11.0 | 0.031 | 0.096 | |||||||
Food at safe temperature | ||||||||||||||||||
Good cooked food storage behavior (food for child in summer, more than 2 hours) | ||||||||||||||||||
88/125 | (70.4) | 107/132 | (81.1) | 162/185 | (87.6) | 10.7 | 0.046 | 0.125 | 6.5 | 0.111 | 0.317 | |||||||
Good cooked food storage behavior (food for child in summer, less than 2 hours) * 3 | ||||||||||||||||||
79/125 | (63.2) | 130/132 | (98.5) | 185/185 | (100.0) | 35.3 | <0.001 | <0.001 | 1.5 | 0.093 | 0.999 | |||||||
Good raw food storage behavior (food for child in summer) * 4 | ||||||||||||||||||
125/125 | (100.0) | 129/130 | (99.2) | 183/183 | (100.0) | −0.8 | 0.326 | 0.999 | 0.8 | 0.235 | 1.000 | |||||||
Adequate cooking | ||||||||||||||||||
Reheat leftovers of whole family before eating (food for whole family) * 5 | ||||||||||||||||||
–– | –– | 121/128 | (94.5) | 179/182 | (98.4) | ––– | ––– | 3.9 | 0.061 | 0.068 | ||||||||
FHFS score (out of 14 items) | ||||||||||||||||||
N | Mean (SD) | N | Mean (SD) | N | Mean (SD) | |||||||||||||
107 | 4.96 (2.9) | 123 | 5.50 (2.3) | 183 | 7.23 (2.4) | 0.129* 6 | 0.047* 7 | <0.001* 6 | <0.001* 7 |
1: Chi-square test or Fisher's exact test.
2: Logistic regression analysis.
3: Excluded from the FHFS score because none of the caregivers reported wrong cooked food storage behavior at the 2nd evaluation.
4: Excluded from the FHFS score because none of the caregivers reported wrong raw food storage at baseline and at the 2nd evaluation.
5: Excluded from the FHFS score because we did not measure this indicator in the baseline survey.
6: Independent-sample t-test.
7: Hierarchical multiple regression analysis.
Adjusted for caregiver type, age, occupation, and education level; number of people in household; refrigerator possession; number of children under five years; child's birth order, age, and sex; WTF water access level; and main water source for drinking, cooking, food preparation, and laundry and bathing.