Food hygiene, deprivation, types of premises and rates of gastrointestinal illnesses in the UK

Food hygiene, deprivation, types of premises and rates of gastrointestinal illnesses in the UK
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英国的食品卫生、贫困、场所类型和胃肠道疾病发生率

DOI:
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发表时间:
2013
影响因子:
3.2
通讯作者:
B. Collins
B. Collins
中科院分区:
医学3区
文献类型:
--
作者:
B. Collins

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摘要目的了解经济贫困、住房类型、食品卫生得分与英国胃肠道疾病患病率之间的关系。设计数据来自英国食品标准局,大约30万家英国餐厅的卫生评分基于当地政府食品安全官员的访问。这些分数按房屋类型、贫困程度和地方当局进行了分析。绘制了地方当局级别的平均得分图,并与卫生保护局实验室检测到的胃肠道疾病的比率进行了比较。背景:英国。341个销售或生产食品的地方当局区域中的英国工厂(N 311 458)。结果平均食品卫生得分与贫困之间的关系不大,但有统计学意义,这是由于贫困地区拥有更多卫生得分较低的场所造成的;这些场所分别是酒吧/俱乐部(N 40 525)、餐馆/咖啡馆/食堂(N 73 052)、小型零售商(N 42 932)和外卖(N 36 708)。地方当局的平均食品卫生分数和实验室检测到的胃肠道疾病发病率之间没有建立关系;然而,这一结果并不排除食品卫生和胃肠道疾病发病率之间的关系,因为实验室检测到的发病率只占社区实际发病率的一小部分。结论英国某些类型的场所更有可能具有较低的卫生得分,这意味着它们应该更多地成为执法的目标。这些类型的房屋在经济最贫困的地区更为普遍。
Abstract Objective To understand more about the relationship between economic deprivation, types of premises, food hygiene scores and rates of gastrointestinal illness in the UK. Design Data were extracted from the UK Food Standards Agency for about 300 000 UK premises which had hygiene scores based on visits from local authority food safety officers. These scores were analysed by type of premises, deprivation and local authority. Local authority-level average scores were mapped and compared with rates of laboratory-detected gastrointestinal illness from the Health Protection Agency. Setting UK. Subjects UK premises (n 311 458) from 341 local authority areas that sell or produce food. Results There was a modest but statistically significant relationship between average food hygiene score and deprivation, which was caused by deprived areas having more of the categories of premises with significantly lower hygiene scores; these were pub/club (n 40 525), restaurant/café/canteen (n 73 052), small retailer (n 42 932) and takeaway (n 36 708). No relationship was established between local authority average food hygiene scores and rates of laboratory-detected gastrointestinal illness; however, this result does not preclude a relationship between food hygiene and rates of gastrointestinal illnesses, as laboratory-detected illness rates make up only a small proportion of actual rates of illness in the community. Conclusions Certain types of UK premises are more likely to have low hygiene scores, which means that they should be targeted more for enforcement. These types of premises are more prevalent in the most economically deprived areas.