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        <dc:title>A latent class analysis of food hygiene and handling practices among urban and peri-urban residents in Hyderabad, India</dc:title>
        <dc:creator>Lagerkvist, C J</dc:creator>
        <dc:creator>Hatab, A A</dc:creator>
        <dc:creator>Nedumaran, S</dc:creator>
        <dc:creator>Ravula, P</dc:creator>
        <dc:subject>Food and Nutrition</dc:subject>
        <dc:subject>Food Security</dc:subject>
        <dc:subject>Agricultural Economics</dc:subject>
        <dc:description>In developing countries, food-borne diseases, attributable to lack of, or inappropriate, food hygiene and handling&#13;
practices at home, are expected to increase due to a rapid growth in the consumption of fats and animal source&#13;
foods. The context-specific and situational practices corresponding to underlying traits of food hygiene and&#13;
handling practices for home-cooked food were investigated for a set of 662 randomly selected households in&#13;
Hyderabad, India. Results indicate that about one-third of the households lack access to a refrigerator. Of those&#13;
with a refrigerator, a majority (83%) had the temperature set at medium, with an actual temperature ranging&#13;
from 8 to 11 ◦C. Results also show that smell, followed by food appearance rather than taste or labelled expiry&#13;
dates were used as the main criteria for edibility. Furthermore, six indicators related to handling, storage and&#13;
cooking non-vegetarian food and three indicators related to storage of the cooked food were assessed. For&#13;
households with a refrigerator, the latent class analysis identified three exclusive and exhaustive subgroups of&#13;
households representing the heterogeneity of handling and hygiene traits, while two subgroups were identified&#13;
for households not having a refrigerator. Only a small proportion of households (12.6%) with a refrigerator were&#13;
profiled as having adequate and consistent practices. Remaining subgroups revealed substantial within-group&#13;
variations in terms of consistency in certain behaviors. Next, latent class modelling with covariates related to&#13;
socio-demographic, socio-economic, socio-spatial variables and health or dietary outcomes showed that having&#13;
higher than a primary school education, having a high percentage of food expenditure, or non-optimal refrigerator&#13;
temperature were predictive of the latent class with more adequate practices. For households without a&#13;
refrigerator, five covariates related to social class, age, income, and obesity distinguished the latent classes. These&#13;
findings of latent trait-specific behaviors have implications for actions aiming to inform and direct behavioral&#13;
change interventions on food safety practices in the developing countries.</dc:description>
        <dc:publisher>Elsevier</dc:publisher>
        <dc:date>2020-10</dc:date>
        <dc:type>Article</dc:type>
        <dc:type>PeerReviewed</dc:type>
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        <dc:language>en</dc:language>
        <dc:identifier>http://oar.icrisat.org/11694/1/main2.pdf</dc:identifier>
        <dc:identifier>  Lagerkvist, C J and Hatab, A A and Nedumaran, S and Ravula, P  (2020) A latent class analysis of food hygiene and handling practices among urban and peri-urban residents in Hyderabad, India.  Food Control (TSI), 121.  pp. 1-9.  ISSN 0956-7135     </dc:identifier>
        <dc:relation>https://doi.org/10.1016/j.foodcont.2020.107677</dc:relation>
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