{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:56:00Z","timestamp":1790272560098,"version":"4.1.0"},"reference-count":50,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001713","name":"European and Developing Countries Clinical Trials Partnership","doi-asserted-by":"publisher","award":["DRIA2014-308 SOLID"],"award-info":[{"award-number":["DRIA2014-308 SOLID"]}],"id":[{"id":"10.13039\/501100001713","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01KA1617"],"award-info":[{"award-number":["01KA1617"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>The pork tapeworm<jats:italic>Taenia solium<\/jats:italic>is a zoonotic food-borne parasite endemic in many developing countries causing human cysticercosis and taeniosis as well as porcine cysticercosis. It mainly affects the health of rural smallholder pig farmers and their communities, resulting in lower health status, reduced pork quality, and economic loss due to condemnation of pigs or low pricing of pork. This qualitative study aimed to identify key food related practices linked to consumption of pork at village level, of importance for transmission of taeniosis. We used an interpretivist-constructivist paradigm in a multiple case study of exploratory qualitative research design. Data was acquired through guided and probing interviews with 64 pork cooks, and 14 direct observations in four villages in a<jats:italic>T<\/jats:italic>.<jats:italic>solium<\/jats:italic>endemic area of Mbeya Region in the Southern Highlands of Tanzania. The study showed that the informants were members of communities of practice through their pork cooking practices, one community of practice for the restaurant cooks and one for the home cooks, learning, sharing, and distributing their cooking skills. Furthermore, the analysis showed that the pork cooks generally had some awareness of there being something undesirable in raw pork, but they had very diverse understandings of what it was, or of its potential harm. Major potential transmission points were identified in restaurants and in home kitchens. It appears that the pork cooks act according to socio-cultural and economic factors guiding them in their actions, including pressure from customers in restaurants, the family values of tradition in the home kitchens, and the culturally guided risk perception and appraisal. These practices might generate potential transmission points. Future research on interventions aimed at preventing the spread of<jats:italic>T<\/jats:italic>.<jats:italic>solium<\/jats:italic>taeniosis should recognise the importance of tradition and culture in risky food practices.<\/jats:p>","DOI":"10.1371\/journal.pone.0274877","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T17:37:59Z","timestamp":1664991479000},"page":"e0274877","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["The role of cooking practices in the transmission of the foodborne parasite Taenia solium: A qualitative study in an endemic area of Southern Tanzania"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7920-2622","authenticated-orcid":true,"given":"Karen Schou","family":"M\u00f8ller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Magnussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3304-7422","authenticated-orcid":true,"given":"Stig Milan","family":"Thamsborg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gabri\u00ebl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Ngowi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette","family":"Magne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"issue":"1","key":"pone.0274877.ref001","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/S0001-706X(03)00051-2","article-title":"The emergence of Taenia solium cysticercosis in Eastern and Southern Africa as a serious agricultural problem and public health risk","volume":"87","author":"IK Phiri","year":"2003","journal-title":"Acta Trop"},{"issue":"1","key":"pone.0274877.ref002","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S0001-706X(03)00054-8","article-title":"Neurocysticercosis: regional status, epidemiology, impact and control measures in the Americas","volume":"87","author":"A Flisser","year":"2003","journal-title":"Acta tropica"},{"issue":"1","key":"pone.0274877.ref003","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S0001-706X(03)00055-X","article-title":"Taenia solium taeniosis\/cysticercosis in Asia: epidemiology, impact and issues","volume":"87","author":"V Rajshekhar","year":"2003","journal-title":"Acta tropica"},{"issue":"9","key":"pone.0274877.ref004","doi-asserted-by":"crossref","first-page":"831","DOI":"10.4315\/0362-028X-57.9.831","article-title":"Taenia solium neurocysticercosis","volume":"57","author":"JL Smith","year":"1994","journal-title":"Journal of Food Protection"},{"key":"pone.0274877.ref005","first-page":"302","volume":"23","author":"FAO\/WHO","year":"2014","journal-title":"Multicriteria-based ranking for risk management of food-borne parasites"},{"issue":"12","key":"pone.0274877.ref006","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/S1473-3099(02)00454-1","article-title":"Neurocysticercosis: an update.","volume":"2","author":"A. 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Wenger","year":"1999"},{"key":"pone.0274877.ref027","first-page":"63","volume-title":"Chapter 4: Situating learning in communities of practice.","author":"J Lave","year":"1991"},{"key":"pone.0274877.ref028","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511815355","volume-title":"Situated learning: legitimate peripheral participation","author":"J Lave","year":"1991"},{"key":"pone.0274877.ref029","volume-title":"Psychotherapy in everyday life","author":"O. Dreier","year":"2008"},{"key":"pone.0274877.ref030","first-page":"373","author":"SDN Cook","journal-title":"Culture and Organizational Learning1993"},{"issue":"4","key":"pone.0274877.ref031","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1177\/0018726716661040","article-title":"Thinking together: What makes Communities of Practice work?","volume":"70","author":"I Pyrko","year":"2017","journal-title":"Human Relations"},{"key":"pone.0274877.ref032","unstructured":"Schwandt T. Constructivist, Interpretivist Approaches to Human Inquiry1994."},{"key":"pone.0274877.ref033","volume-title":"The art of case study research","author":"RE Stake","year":"1995"},{"key":"pone.0274877.ref034","volume-title":"Qualitative research from start to finish","author":"RK Yin","year":"2016","edition":"2"},{"key":"pone.0274877.ref035","volume-title":"The paradigm dialog.","author":"EG Guba","year":"1990"},{"key":"pone.0274877.ref036","unstructured":"National Bureau of Statistics T. Mbeya Region Basic Demographic and Socio-Economic Profile, Population and Housing Census. In: National Bureau of Statistics T, editor. 2012."},{"issue":"14","key":"pone.0274877.ref037","first-page":"11","article-title":"Smallholder Pig Marketing Systems in the Southern Highlands of Tanzania","volume":"6","author":"EC Kimbi","year":"2016","journal-title":"Journal of Natural Sciences Research"},{"issue":"3","key":"pone.0274877.ref038","first-page":"196","article-title":"solium Cysticercosis -Taeniasis among Smallholder Farmers in Selected Villages in Kilolo District in Iringa Region in Southern Highlands of Tanzania.","volume":"3","author":"AF Maridadi","year":"2011","journal-title":"Knowledge and Practices Related to T.International Journal of Animal and Veterinary Advances"},{"key":"pone.0274877.ref039","unstructured":"Kimbi E. Evaluation of Smallholder Pig Production and Marketing Systems in Relation to Porcine Cysticercosis in Mbeya Region, Tanzania. Ph.D. thesis, Sokoine University of Agriculture, Tanzania; 2010, 297 pp."},{"issue":"2","key":"pone.0274877.ref040","doi-asserted-by":"crossref","first-page":"98","DOI":"10.4314\/asr.v14i2.70239","article-title":"Gender Inequality in the Division of Household Labour in Tanzania.","volume":"14","author":"S Feinstein","year":"2010","journal-title":"African sociological review."},{"issue":"3","key":"pone.0274877.ref041","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1086\/230046","article-title":"Was There a Hawthorne Effect?","volume":"98","author":"SRG Jones","year":"1992","journal-title":"The American journal of sociology"},{"key":"pone.0274877.ref042","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/ice.2015.216","article-title":"The Hawthorne Effect in Infection Prevention and Epidemiology.","volume":"36","author":"L Chen","year":"2015","journal-title":"Infection control and hospital epidemiology."},{"key":"pone.0274877.ref043","unstructured":"URT. Food (Control of Quality) (Slaughterhouses, Slaughtering and Inspection of Meat), Regulations 1993. (sic). In: United Republic of Tanzania MoH, editor. Department of Health: United Republic of Tanzania; 1993. p. 43."},{"key":"pone.0274877.ref044","volume-title":"The White Meat Value Chain in Tanzania. A report from the Southern Highlands Food Systems Programme.","author":"RT Wilson","year":"2015"},{"key":"pone.0274877.ref045","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.socscimed.2014.09.030","article-title":"Controlling parasites, understanding practices: the biosocial complexity of a One Health intervention for neglected zoonotic helminths in northern Lao PDR","volume":"120","author":"K Bardosh","year":"2014","journal-title":"Social science & medicine (1982)."},{"key":"pone.0274877.ref046","author":"R. R\u00fcegg S","year":"2017","journal-title":"A Blueprint to Evaluate One Health"},{"key":"pone.0274877.ref047","volume-title":"Closing the gap in a generation: health equity through action on the social determinants of health.","author":"WHO","year":"2008"},{"key":"pone.0274877.ref048","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195083316.001.0001","volume-title":"Social Epidemiology.","author":"LF Berkman","year":"2000"},{"issue":"9650","key":"pone.0274877.ref049","first-page":"1661","article-title":"Closing the gap in a generation: health equity through action on the social determinants of health","volume":"372","author":"MP Marmot","year":"2008","journal-title":"The Lancet (British edition)."},{"issue":"6","key":"pone.0274877.ref050","doi-asserted-by":"crossref","first-page":"e0009470","DOI":"10.1371\/journal.pntd.0009470","article-title":"A qualitative assessment of the context and enabling environment for the control of Taenia solium infections in endemic settings.","volume":"15","author":"N Ngwili","year":"2021","journal-title":"PLoS neglected tropical diseases."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0274877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T13:47:21Z","timestamp":1701179241000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0274877"}},"subtitle":[],"editor":[{"given":"Eric","family":"F\u00e8vre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,10,5]]},"references-count":50,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0274877","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,5]]}}}