FOOD SAFETY BEHAVIOUR IN TRADITIONAL MARKETS: A NARRATIVE REVIEW OF FRAMEWORKS AND DETERMINANTS

Authors

  • NURLIYANA AZHAR Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia.
  • AZIZAN OMAR Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia.

DOI:

https://doi.org/10.55197/qjssh.v7i5.1391

Keywords:

informal food sector, food handlers, behavioural determinants, health belief model, social cognitive theory

Abstract

Food safety behaviour among food handlers in traditional markets remains a persistent public health concern, particularly in low- and middle-income countries where vendors operate within informal, resource-constrained environments. This narrative review synthesises current evidence on food safety behaviour in traditional markets, with attention to its multilevel determinants and the theoretical foundations provided by the Health Belief Model and Social Cognitive Theory. Literature was identified through targeted searches of PubMed, Scopus, Web of Science, and Google Scholar for publications between 2014 and 2026. Findings indicate that food safety behaviour in traditional markets is shaped by sociodemographic, structural, regulatory, economic, and psychosocial factors operating simultaneously. The Health Belief Model captures individual cognitive appraisal effectively but inadequately addresses structural realities, whereas Social Cognitive Theory complements this gap by emphasising reciprocal determinism. The integration of both frameworks offers a more comprehensive analytical lens for understanding food safety behaviour as a practice shaped by daily market conditions. The review proposes an integrated framework to guide future research, measurement, and intervention development for traditional market vendors working within informal livelihood systems.

Author Biography

  • AZIZAN OMAR, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia.

    Ketua Jabatan Perubatan Kesihatan Awam di Fakulti Perubatan dan Sains Kesihatan (FPSK), Universiti Malaysia Sabah.

References

[1] Abdul Aziz, N.A.S., Kamarulzaman, N.H., Abdul Hadi, A.H.I. (2024): Assessment of food safety knowledge, attitudes, and practices among street food vendors in Malaysia. – Canrea Journal: Food Technology, Nutritions, and Culinary Journal 7(2): 180-198.

[2] Bandura, A. (1986): Social foundations of thought and action: A social cognitive theory. – Prentice-Hall, Englewood Cliffs, NJ 617p.

[3] Begum, M., Alam, M.J., Parikh, P., De Steur, H. (2025): Understanding food safety knowledge, attitude, and practices of consumers and vendors: An umbrella review. – Food Control 171: 15p.

[4] Boutros, B., Roberts, K. (2020): Self-reported food safety behaviors in independent Chinese and Mexican restaurants in Kansas. – Food Protection Trends 40(5): 296-313.

[5] Bulochova, V., Evans, E.W., Haven-Tang, C., Redmond, E.C. (2024): Methods and measures in food service food safety research: A review of the published literature. – Heliyon 10(4): 15p.

[6] Carpenter, C.J. (2010): A meta-analysis of the effectiveness of Health Belief Model variables in predicting behavior. – Health Communication 25(8): 661-669.

[7] DeWaal, C.S., Okoruwa, A., Yalch, T., McClafferty, B. (2022): Regional Codex guidelines and their potential to impact food safety in traditional food markets. – Journal of Food Protection 85(8): 1148-1156.

[8] Elexson, N., Buyong, N.L., Lesen, D., Basiron, M.M., Ahad, N., Wan Jesfrydi, W.N.Q., Jamaludin, M.H., Fadilah, M.F.A., Azra, T., Tunung, R. (2023): A survey study on the assessment of food handler's compliance to personal hygiene practices regulation in selected Malaysia food outlets. – Food Research 7(1): 64-75.

[9] Food and Agriculture Organization of the United Nations, World Health Organization (2024): Guidelines for food hygiene control measures in traditional markets for food (CXG 103-2024). – Codex Alimentarius Commission, Rome 12p.

[10] Garsow, A.V., Hagos, S., Djimeu, E., Fokou, C., Swartz, H., Gebremedhin, G., Chacha, B., Lambertini, E. (2025): Food safety practices and behavior drivers in traditional food markets in Ethiopia: Assessing the potential for consumer-driven interventions. – International Journal of Environmental Research and Public Health 22(11): 22p.

[11] Global Alliance for Improved Nutrition (GAIN) (2023): Food safety, traditional markets, and consumer demand: A synthesis of EatSafe’s formative research across low- and middle-income countries. – Global Alliance for Improved Nutrition, USA 26p.

[12] Greenhalgh, T., Thorne, S., Malterud, K. (2018): Time to challenge the spurious hierarchy of systematic over narrative reviews? – European Journal of Clinical Investigation 48(6): 5p.

[13] Haddad, A.K., Ngah, A.H. (2024a): Testing health belief model on food safety behaviour in Jordanian restaurants: The moderating effect of willingness to comply. – Uncertain Supply Chain Management 12: 1225-1240.

[14] Haddad, A.K., Ngah, A.H. (2024b): The food safety behavior of Jordanian restaurant managers and supervisors: A social cognitive theory-based perspective. – Uncertain Supply Chain Management 12(1): 77-90.

[15] Insfran-Rivarola, A., Tlapa, D., Limon-Romero, J., Baez-Lopez, Y., Miranda-Ackerman, M., Arredondo-Soto, K., Ontiveros, S. (2020): A systematic review and meta-analysis of the effects of food safety and hygiene training on food handlers. – Foods 9(9): 20p.

[16] Janz, N.K., Becker, M.H. (1984): The Health Belief Model: A decade later. – Health Education Quarterly 11(1): 1-47.

[17] Jones, C.L., Jensen, J.D., Scherr, C.L., Brown, N.R., Christy, K., Weaver, J. (2015): The Health Belief Model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. – Health Communication 30(6): 566-576.

[18] Kuboka, M., Grace, D., Artursson, K., Lindahl, J., Carlsson, G., Mutua, F. (2024): Food safety in informal public markets in Kenya: Perceptions of stakeholders in the food chain. – Frontiers in Sustainable Food Systems 8: 16p.

[19] Leahy, E., Mutua, F., Grace, D., Lambertini, E., Thomas, L.F. (2022): Foodborne zoonoses control in low- and middle-income countries: Identifying aspects of interventions relevant to traditional markets which act as hurdles when mitigating disease transmission. – Frontiers in Sustainable Food Systems 6: 14p.

[20] Madjdian, D.S., Dankwah Badu, V., Ilboudo, G., Lallogo, V.R., Dione, M., van Asseldonk, M., Knight-Jones, T.J.D., de Vet, E. (2024a): Fast food over safe food? A qualitative evaluation of a food safety training intervention for street vendors applying the COM-B model in Ouagadougou, Burkina Faso. – PLOS ONE 19(11): 19p.

[21] Madjdian, D.S., van Asseldonk, M., Ilboudo, G., Dione, M., Ouedraogo, A.-A., Roesel, K., Grace, D., Talsma, E.F., Knight-Jones, T.J.D., de Vet, E. (2024b): Training and tool supply to enhance food safety behaviors among ready-to-eat chicken vendors in informal markets in Ouagadougou, Burkina Faso: A randomized-controlled trial. – Food Control 163: 13p.

[22] Manjarres-Posada, N.I., Onofre-Rodriguez, D.J., Benavides-Torres, R.A. (2020): Social Cognitive Theory and health care: Analysis and evaluation. – International Journal of Social Science Studies 8(4): 132-141.

[23] Mohd Yakin, H.S., Totu, A., Lokin, S.A., Sintang, S., Mahmood, N. (2022): Tamu: Its roles as a medium of cultural identity preservation among Sabah ethnic in the era of information technology and Industrial Revolution 4.0. – e-Bangi: Journal of Social Sciences and Humanities 19(5): 152-162.

[24] Nordhagen, S., Hagos, S., Gebremedhin, G., Lee, J. (2025): Vendor capacity and incentives to supply safer food: A perspective from urban Ethiopia. – Food Security 17(2): 331-344.

[25] Orji, R., Vassileva, J., Mandryk, R. (2012): Towards an effective health interventions design: An extension of the Health Belief Model. – Online Journal of Public Health Informatics 4(3): 10p.

[26] Rifat, M.A., Talukdar, I.H., Lamichhane, N., Atarodi, V., Alam, S.S. (2022): Food safety knowledge and practices among food handlers in Bangladesh: A systematic review. – Food Control 142: 11p.

[27] Rosenstock, I.M. (1974): Historical origins of the Health Belief Model. – Health Education Monographs 2(4): 328-335.

[28] Salleh, H., Avoi, R., Abdul Karim, H., Osman, S., Kaur, N., Dhanaraj, P. (2023): Translation, cross-cultural adaptation to Malay, and psychometric evaluation of the AIM-IAM-FIM questionnaire: Measuring the implementation outcome of a community-based intervention programme. – PLOS ONE 18(11): 12p.

[29] Skivington, K., Matthews, L., Simpson, S.A., Craig, P., Baird, J., Blazeby, J.M., Boyd, K.A., Craig, N., French, D.P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M., Moore, L. (2021): A new framework for developing and evaluating complex interventions: Update of Medical Research Council guidance. – BMJ 374: 11p.

[30] Soon, J.M. (2019): Rapid Food Hygiene Inspection Tool (RFHiT) to assess hygiene conformance index (CI) of street food vendors. – LWT 113: 8p.

[31] Sukhera, J. (2022): Narrative reviews: Flexible, rigorous, and practical. – Journal of Graduate Medical Education 14(4): 414-417.

[32] Thaivalappil, A., Waddell, L., Greig, J., Meldrum, R., Young, I. (2018): A systematic review and thematic synthesis of qualitative research studies on factors affecting safe food handling at retail and food service. – Food Control 89: 97-107.

[33] Tirmizi, L.I.T., Son, R., New, C.Y., Brand, H. (2018): The effectiveness of food handler training programmes in Malaysia and Ireland to prevent food-borne disease. – Food Research 2(3): 247-257.

[34] Toh, P.S., Birchenough, A. (2000): Food safety knowledge and attitudes: Culture and environment impact on hawkers in Malaysia. – Food Control 11(6): 447-452.

[35] Wan Nawawi, W.N.F., Ramoo, V., Chong, M.C., Abdullah, K.L. (2022): A systematic review of the knowledge, attitude, and practices (KAP) of food safety among street food handlers. – International Food Research Journal 29(6): 1226-1239.

[36] Wang, M., Gong, S., Tang, J., Weng, Z., Wu, X. (2023): What motivates food workers to adhere with WHO guidelines to combat the COVID-19? A social cognitive theory perspective. – Frontiers in Public Health 11: 10p.

[37] Weiner, B.J., Lewis, C.C., Stanick, C., Powell, B.J., Dorsey, C.N., Clary, A.S., Boynton, M.H., Halko, H. (2017): Psychometric assessment of three newly developed implementation outcome measures. – Implementation Science 12(1): 11p.

[38] World Health Organization (WHO) (2015): WHO estimates of the global burden of foodborne diseases: Foodborne disease burden epidemiology reference group 2007-2015. – WHO Press, Geneva 265p.

[39] World Health Organization (WHO) (2006): Five Keys to Safer Food Manual. – WHO Press, Geneva 28p.

[40] Yeargin, T.A., Gibson, K.E., Fraser, A.M. (2021): New approach to food safety training: A review of a six-step knowledge-sharing model. – Journal of Food Protection 84(11): 1852-1862.

[41] Young, I., Thaivalappil, A., Greig, J., Meldrum, R., Waddell, L. (2018): Explaining the food safety behaviours of food handlers using theories of behaviour change: A systematic review. – International Journal of Environmental Health Research 28(3): 323-340.

[42] Zanin, L.M., da Cunha, D.T., de Rosso, V.V., Capriles, V.D., Stedefeldt, E. (2017): Knowledge, attitudes and practices of food handlers in food safety: An integrative review. – Food Research International 100: 53-62.

Downloads

Published

2026-10-31

Issue

Section

Articles

How to Cite

FOOD SAFETY BEHAVIOUR IN TRADITIONAL MARKETS: A NARRATIVE REVIEW OF FRAMEWORKS AND DETERMINANTS. (2026). Quantum Journal of Social Sciences and Humanities, 7(5), 594-608. https://doi.org/10.55197/qjssh.v7i5.1391