{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:31:08Z","timestamp":1788449468622,"version":"build-2803163510"},"reference-count":71,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foods"],"abstract":"<jats:p>Foodborne diseases pose serious risks during pregnancy; however, cross-cultural studies on their cognitive and behavioral factors that influence safe practices are lacking. This study aimed to compare the food safety knowledge, attitudes, and practices (KAPs) of pregnant women in China and Syria and to develop a model that explores how food safety knowledge (FSK) and attitudes (FSAs) influence different practices. A cross-sectional study was conducted among 808 Chinese and 815 Syrian pregnant women using a validated questionnaire. Data were analyzed using descriptive statistics, Chi-square, and Partial Least Squares Structural Equation Modeling. Chinese women demonstrated higher FSK and more positive FSAs (59.0% vs. 48.5%, p = 0.001) than Syrian women, whereas Syrian women showed stronger personal hygiene practices (mean score: 4.06 \u00b1 0.68 vs. 3.93 \u00b1 0.67, p = 0.001). While FSK directly influenced FSAs in both cohorts (China: \u03b2 = 0.379, p &lt; 0.001; Syria: \u03b2 = 0.405, p &lt; 0.001), its translation into practices was culturally specific. For Chinese women, FSA fully mediated the relationship between FSK and temperature control (TC) practices (indirect effect: \u03b2 = 0.121, p &lt; 0.001) and partially mediated personal hygiene and cross-contamination (CC) prevention. In contrast, for Syrian women, FSA mediated the relationship with high-risk food (HRF) avoidance (indirect effect: \u03b2 = 0.092, p &lt; 0.05) and personal hygiene (indirect \u03b2 = 0.076, p &lt; 0.05). The findings conclude that the pathways from knowledge to practice are complex and culturally mediated, indicating that effective public health interventions must be tailored to specific socio-cultural contexts to improve food safety behaviors.<\/jats:p>","DOI":"10.3390\/foods14203564","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:44:10Z","timestamp":1760957050000},"page":"3564","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bridging the Knowledge\u2013Practice Gap: The Culturally Mediated Role of Attitude in Food Safety Behaviors During Pregnancy"],"prefix":"10.3390","volume":"14","author":[{"given":"Hala Ayman","family":"Alyousef","sequence":"first","affiliation":[{"name":"Hubei Key Laboratory of Food Nutrition and Safety, Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China"},{"name":"Department of Nutrition, Health Science Faculty, Homs University, Homs 2841, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Alhadad","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Health Science Faculty, Homs University, Homs 2841, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahani Ahmad","family":"Joukhadar","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Health Science Faculty, Homs University, Homs 2841, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1671-8028","authenticated-orcid":false,"given":"Nianhong","family":"Yang","sequence":"additional","affiliation":[{"name":"Hubei Key Laboratory of Food Nutrition and Safety, Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1155\/2005\/734814","article-title":"Listeriosis Prevention Knowledge among Pregnant Women in the USA","volume":"13","author":"Ogunmodede","year":"2005","journal-title":"Infect. Dis. Obstet. Gynecol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0889-8545(05)70217-5","article-title":"Pneumonia in Pregnancy","volume":"28","author":"Ramsey","year":"2001","journal-title":"Obstet. Gynecol. Clin. N. Am."},{"key":"ref_3","unstructured":"(2024, January 29). CDC Factors That Increase Your Risk for Food Poisoning, Available online: https:\/\/www.cdc.gov\/food-safety\/risk-factors\/?CDC_AAref_Val=https:\/\/www.cdc.gov\/foodsafety\/people-at-risk-food-poisoning.html."},{"key":"ref_4","first-page":"377","article-title":"TORCH Infection and Its Influence on High-Risk Pregnancy","volume":"12","author":"Baghel","year":"2020","journal-title":"J. South Asian Fed. Obstet. Gynaecol."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Arnold, K.C., and Flint, C.J. (2017). Cytomegalovirus, Parvovirus B19, Varicella Zoster, and Toxoplasmosis in Pregnancy. Obstetrics Essentials, Springer.","DOI":"10.1007\/978-3-319-57675-6_31"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Deng, H., Devleesschauwer, B., Liu, M., Li, J., Wu, Y., van der Giessen, J.W.B., and Opsteegh, M. (2018). Seroprevalence of Toxoplasma Gondii in Pregnant Women and Livestock in the Mainland of China: A Systematic Review and Hierarchical Meta-Analysis. Sci. Rep., 8.","DOI":"10.1038\/s41598-018-24361-8"},{"key":"ref_7","first-page":"70","article-title":"TORCH Infection among Women at Early Pregnancy in Hanyang District, Wuhan","volume":"17","author":"Liu","year":"2009","journal-title":"Chin. J. Birth Health Hered."},{"key":"ref_8","first-page":"534","article-title":"Seroprevalence of Toxoplasma Gondii and Toxocara Infections among Pregnant Women in Hangzhou City","volume":"32","year":"2020","journal-title":"Chin. J. Schistosomiasis Control."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Cong, W., Dong, X.-Y., Meng, Q.-F., Zhou, N., Wang, X.-Y., Huang, S.-Y., Zhu, X.-Q., and Qian, A.-D. (2015). Toxoplasma Gondii Infection in Pregnant Women: A Seroprevalence and Case-Control Study in Eastern China. Biomed. Res. Int., 2015.","DOI":"10.1155\/2015\/170278"},{"key":"ref_10","first-page":"29","article-title":"A Seroepidemiologic Survey on Toxoplasma Gondii Infection of Pregnant Women","volume":"8","author":"Liang","year":"2004","journal-title":"Chin. Prim. Health Care"},{"key":"ref_11","first-page":"531","article-title":"Prevalence of IgG Antibodies against Toxoplasma Gondii among Syrian Females of Childbearing Age","volume":"32","author":"Barah","year":"2011","journal-title":"Saudi Med. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.ijid.2019.01.007","article-title":"Listeriosis in Mainland China: A Systematic Review","volume":"81","author":"Fan","year":"2019","journal-title":"Int. J. Infect. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.1017\/S0950268821002673","article-title":"Risk Factors for Sporadic Listeriosis in Beijing, China: A Matched Case\u2013Control Study","volume":"150","author":"Niu","year":"2022","journal-title":"Epidemiol. Infect."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1108\/BFJ-03-2013-0060","article-title":"Food Hygiene Knowledge in Adolescents and Young Adults","volume":"117","author":"Mullan","year":"2015","journal-title":"Br. Food J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1016\/j.foodres.2018.10.030","article-title":"Food Safety Knowledge, Attitudes and Practices among Consumers in Developing Countries: An International Survey","volume":"116","author":"Odeyemi","year":"2019","journal-title":"Food Res. Int."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Jev\u0161nik, M., \u010cesen, A., \u0160anti\u0107, M., and Ovca, A. (2021). Food Safety Knowledge and Practices of Pregnant Women and Postpartum Mothers in Slovenia. Foods, 10.","DOI":"10.3390\/foods10102412"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Al Daour, R., Osaili, T.M., Hashim, M., Savvaidis, I.N., Salim, N.A., Al-Nabulsi, A.A., ElSayegh, H.B., Hubaishi, N., Coussa, A., and Salame, A. (2022). Food Safety Knowledge among Pregnant Women in the United Arab Emirates amid the COVID-19 Pandemic. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0279810"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Almanasrah, S., Osaili, T.M., Al-Nabulsi, A.A., Obeidat, N.A., Sindiani, A.M., Elsalem, L., Alkhalidy, H., Mohamad, M.N., Saleh, S.T., and Al Daour, R. (2022). Food Safety Knowledge and Risk Perception among Pregnant Women: A Cross-Sectional Study in Jordan during the COVID-19 Pandemic. Front. Sustain. Food Syst., 6.","DOI":"10.3389\/fsufs.2022.996302"},{"key":"ref_19","first-page":"1106","article-title":"Pregnant Women\u2019s Knowledge, Practices, and Needs Related to Food Safety and Listeriosis: A Study in British Columbia","volume":"58","author":"Taylor","year":"2012","journal-title":"Can. Fam. Physician"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"107175","DOI":"10.1016\/j.foodcont.2020.107175","article-title":"Pregnant Women\u2019s Confidence and Perceptions on Practices Related to Food Safety: A Study in Louisiana","volume":"113","author":"Cater","year":"2020","journal-title":"Food Control"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.foodcont.2017.01.009","article-title":"Awareness of Listeria and High-Risk Food Consumption Behavior among Pregnant Women in Louisiana","volume":"76","author":"Xu","year":"2017","journal-title":"Food Control"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Varol, M., and Kendilci, E.A. (2025). Pregnant Women\u2019s Knowledge, Attitudes, and Behaviours on Food Safety: A Cross-Sectional Study. BMC Pregnancy Childbirth, 25.","DOI":"10.21203\/rs.3.rs-7124395\/v1"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1080\/07399332.2024.2303518","article-title":"Cross-Cultural Food Practices and Nutrition Seeking Behaviors among Pregnant and Postpartum Indian Women Living in Australia","volume":"46","author":"McKay","year":"2025","journal-title":"Health Care Women Int."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"3824","DOI":"10.1108\/BFJ-01-2021-0026","article-title":"Food Safety Knowledge, Attitudes, Practices and Training of Fast-Food Restaurant Food Handlers: A Moderation Analysis","volume":"123","author":"Aquino","year":"2021","journal-title":"Br. Food J."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Soon, J.M., Wahab, I.R.A., Hamdan, R.H., and Jamaludin, M.H. (2020). Structural Equation Modelling of Food Safety Knowledge, Attitude and Practices among Consumers in Malaysia. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0235870"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"108456","DOI":"10.1016\/j.foodcont.2021.108456","article-title":"Knowledge, Attitude and Practice of Chicken Vendors on Food Safety and Foodborne Pathogens at Wet Markets in Dhaka, Bangladesh","volume":"131","author":"Siddiky","year":"2022","journal-title":"Food Control"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/j.foodcont.2016.08.032","article-title":"Structural Modeling of the Relationship among Food Safety Knowledge, Attitude and Behavior of Hotel Staff in Turkey","volume":"73","author":"Baser","year":"2017","journal-title":"Food Control"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"328","DOI":"10.3390\/nu5020328","article-title":"Food Safety Attitudes in College Students: A Structural Equation Modeling Analysis of a Conceptual Model","volume":"5","author":"Booth","year":"2013","journal-title":"Nutrients"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.foodcont.2015.07.042","article-title":"A Structural Modeling on Food Safety Knowledge, Attitude, and Behaviour among Bum Bum Island Community of Semporna, Sabah","volume":"60","author":"Lim","year":"2016","journal-title":"Food Control"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"108637","DOI":"10.1016\/j.foodres.2019.108637","article-title":"The Differences between Observed and Self-Reported Food Safety Practices: A Study with Food Handlers Using Structural Equation Modeling","volume":"125","author":"Pereira","year":"2019","journal-title":"Food Res. Int."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.foodres.2017.07.042","article-title":"Knowledge, Attitudes and Practices of Food Handlers in Food Safety: An Integrative Review","volume":"100","author":"Zanin","year":"2017","journal-title":"Food Res. Int."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"107447","DOI":"10.1016\/j.foodcont.2020.107447","article-title":"Influence of Educational Actions on Transitioning of Food Safety Culture in a Food Service Context: Part 1\u2013Triangulation and Data Interpretation of Food Safety Culture Elements","volume":"119","author":"Zanin","year":"2021","journal-title":"Food Control"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"107542","DOI":"10.1016\/j.foodcont.2020.107542","article-title":"Influence of Educational Actions on Transitioning of Food Safety Culture in a Food Service Context: Part 2-Effectiveness of Educational Actions in a Longitudinal Study","volume":"120","author":"Zanin","year":"2021","journal-title":"Food Control"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"108361","DOI":"10.1016\/j.foodcont.2021.108361","article-title":"Improving Safe Food-Handling Practices by Increasing Self-Efficacy","volume":"130","author":"Mergelsberg","year":"2021","journal-title":"Food Control"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1108\/IJCHM-09-2020-1030","article-title":"Unveiling the Food Safety Climate\u2019s Paths to Adequate Food Handling in the Hospitality Industry in Brazil","volume":"33","author":"Stedefeldt","year":"2021","journal-title":"Int. J. Contemp. Hosp. Manag."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/10705511.2022.2108813","article-title":"Review of Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R: A Workbook: By Joseph F. Hair Jr., G. Tomas M. Hult, Christian M. Ringle, Marko Sarstedt, Nicholas P. Danks, Soumya Ray. Cham, Switzerland: Springer, (2021). 197 pp. $0, Open Access; $59.99, Hardcover Book","volume":"30","author":"Edeh","year":"2021","journal-title":"Struct. Equ. Model. Multidiscip. J."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Hair, J.F., Hult, G.T.M., Ringle, C.M., Sarstedt, M., Danks, N.P., and Ray, S. (2021). Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R: A Workbook, Springer Nature.","DOI":"10.1007\/978-3-030-80519-7"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Hair, J.F., Hult, G.T.M., Ringle, C.M., Sarstedt, M., Danks, N.P., and Ray, S. (2021). An Introduction to Structural Equation Modeling. Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R: A Workbook, Springer.","DOI":"10.1007\/978-3-030-80519-7"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"109198","DOI":"10.1016\/j.foodcont.2022.109198","article-title":"Knowledge, Attitudes and Practices Model in Food Safety: Limitations and Methodological Suggestions","volume":"141","author":"Soon","year":"2022","journal-title":"Food Control"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.foodcont.2019.03.040","article-title":"Food Safety Knowledge, Attitudes and Practices of Food Handlers in Restaurants in Kuwait","volume":"103","author":"Sidhu","year":"2019","journal-title":"Food Control"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1108\/BFJ-12-2018-0799","article-title":"On-Farm Food Safety Knowledge, Attitudes and Self-Reported Practices of Layer Hen Farmers","volume":"121","author":"Thongpalad","year":"2019","journal-title":"Br. Food J."},{"key":"ref_42","unstructured":"Oxford Dictionary (2025, February 01). Definition of Knowledge. Available online: https:\/\/www.oxfordlearnersdictionaries.com\/definition\/english\/knowledge?q=knowledge."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Marklinder, I., Eskhult, G., Ahlgren, R., Bl\u00fccher, A., B\u00f6rjesson, S.-M.E., Moazzami, M., Schelin, J., and Danielsson-Tham, M.-L. (2022). A Structural Equation Model Demonstrating the Relationship between Food Safety Background, Knowledge, Attitudes and Behaviour among Swedish Students. Foods, 11.","DOI":"10.3390\/foods11111595"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"107025","DOI":"10.1016\/j.foodcont.2019.107025","article-title":"Another Look into the Knowledge Attitude Practice (KAP) Model for Food Control: An Investigation of the Mediating Role of Food Handlers\u2019 Attitudes","volume":"110","author":"Kwol","year":"2020","journal-title":"Food Control"},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Akabanda, F., Hlortsi, E.H., and Owusu-Kwarteng, J. (2017). Food Safety Knowledge, Attitudes and Practices of Institutional Food-Handlers in Ghana. BMC Public Health, 17.","DOI":"10.1186\/s12889-016-3986-9"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"108719","DOI":"10.1016\/j.foodcont.2021.108719","article-title":"Behavioral Predictors of Household Food-Safety Practices during the COVID-19 Pandemic: Extending the Theory of Planned Behavior","volume":"134","author":"Mucinhato","year":"2022","journal-title":"Food Control"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.foodcont.2014.03.012","article-title":"The Role of Theoretical Food Safety Training on Brazilian Food Handlers\u2019 Knowledge, Attitude and Practice","volume":"43","author":"Stedefeldt","year":"2014","journal-title":"Food Control"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Abu-Raya, B., Michalski, C., Sadarangani, M., and Lavoie, P.M. (2020). Maternal Immunological Adaptation during Normal Pregnancy. Front. Immunol., 11.","DOI":"10.3389\/fimmu.2020.575197"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.bpobgyn.2020.07.013","article-title":"Immunology and the Immunological Response in Pregnancy","volume":"76","author":"Orefice","year":"2021","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.yhbeh.2012.02.023","article-title":"Pregnancy and Pregnancy-Associated Hormones Alter Immune Responses and Disease Pathogenesis","volume":"62","author":"Robinson","year":"2012","journal-title":"Horm. Behav."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Bashour, H., Kharouf, M., and DeJong, J. (2021). Childbirth Experiences and Delivery Care During Times of War: Testimonies of Syrian Women and Doctors. Front. Glob. Womens Health, 2.","DOI":"10.3389\/fgwh.2021.605634"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.foodcont.2016.01.039","article-title":"Food Safety Education for People with Diabetes and Pregnant Women: A Positive Deviance Approach","volume":"66","author":"Feng","year":"2016","journal-title":"Food Control"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/j.foodcont.2014.06.012","article-title":"Awareness of Listeriosis among Portuguese Pregnant Women","volume":"46","author":"Mateus","year":"2014","journal-title":"Food Control"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.foodcont.2018.12.045","article-title":"A Cross Sectional Study on Food Safety Knowledge among Adult Consumers","volume":"99","author":"Ruby","year":"2019","journal-title":"Food Control"},{"key":"ref_55","unstructured":"World Health Organization (2023, November 19). Food Safety Key Facts. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/food-safety."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/nur.20147","article-title":"The Content Validity Index: Are You Sure You Know What\u2019s Being Reported? Critique and Recommendations","volume":"29","author":"Polit","year":"2006","journal-title":"Res. Nurs. Health"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.foodcont.2017.09.022","article-title":"Food Hygiene Knowledge and Practice of Consumers in Poland and in Thailand-A Survey","volume":"85","author":"Tomaszewska","year":"2018","journal-title":"Food Control"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.foodcont.2018.06.032","article-title":"Food Safety Knowledge, Attitudes and Practices of Food Handlers in Lebanese Hospitals: A Cross-Sectional Study","volume":"94","author":"Mahmoud","year":"2018","journal-title":"Food Control"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.foodcont.2015.04.032","article-title":"Determinants of Food Hygiene Knowledge among Youths: A Cross-Sectional Online Study","volume":"59","author":"Low","year":"2016","journal-title":"Food Control"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1108\/EBR-11-2018-0203","article-title":"When to Use and How to Report the Results of PLS-SEM","volume":"31","author":"Hair","year":"2019","journal-title":"Eur. Bus. Rev."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Marcoulides, G.A. (1998). The Partial Least Squares Approach to Structural Equation Modeling. Modern Methods for Business Research, Lawrence Erlbaum Associates Publishers.","DOI":"10.4324\/9781410604385"},{"key":"ref_62","first-page":"1","article-title":"Common Method Bias in PLS-SEM: A Full Collinearity Assessment Approach","volume":"11","author":"Kock","year":"2015","journal-title":"Int. J. e-Collab."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/002224378101800104","article-title":"Larcker Evaluating Structural Equation Models with Unobservable Variables and Measurement Error","volume":"18","author":"Fornell","year":"1981","journal-title":"J. Mark. Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.lrp.2013.01.001","article-title":"Partial Least Squares Structural Equation Modeling: Rigorous Applications, Better Results and Higher Acceptance","volume":"46","author":"Hair","year":"2013","journal-title":"Long Range Plan."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.foodcont.2015.12.006","article-title":"Knowledge of Food Safety and Handling in Households: A Survey of Food Handlers in Mainland China","volume":"64","author":"Gong","year":"2016","journal-title":"Food Control"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"107789","DOI":"10.1016\/j.foodcont.2020.107789","article-title":"Consumer Knowledge, Risk Perception and Food-Handling Behaviors\u2013A National Survey in China","volume":"122","author":"Wang","year":"2021","journal-title":"Food Control"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.foodcont.2018.07.042","article-title":"Food Safety Related Knowledge, Attitudes, and Practices (KAP) among the Students from Nursing, Education and Medical College in Chongqing, China","volume":"95","author":"Luo","year":"2019","journal-title":"Food Control"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"2926","DOI":"10.1016\/S2095-3119(20)63388-3","article-title":"Impacts of the COVID-19 Pandemic on Consumers\u2019 Food Safety Knowledge and Behavior in China","volume":"19","author":"Shi","year":"2020","journal-title":"J. Integr. Agric."},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Azanaw, J., Gebrehiwot, M., and Dagne, H. (2019). Factors Associated with Food Safety Practices among Food Handlers: Facility-Based Cross-Sectional Study. BMC Res. Notes, 12.","DOI":"10.1186\/s13104-019-4702-5"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"108279","DOI":"10.1016\/j.foodcont.2021.108279","article-title":"Consumer Risk Perception and Trusted Sources of Food Safety Information during the COVID-19 Pandemic","volume":"130","author":"Thomas","year":"2021","journal-title":"Food Control"},{"key":"ref_71","first-page":"41","article-title":"Pregnant Women\u2019s Knowledge of, and Adherence to, New Zealand Food Safety in Pregnancy Guidelines","volume":"133","author":"Jeffs","year":"2020","journal-title":"N. Z. Med. J."}],"container-title":["Foods"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-8158\/14\/20\/3564\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:27:52Z","timestamp":1760959672000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-8158\/14\/20\/3564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,20]]},"references-count":71,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["foods14203564"],"URL":"https:\/\/doi.org\/10.3390\/foods14203564","relation":{},"ISSN":["2304-8158"],"issn-type":[{"value":"2304-8158","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,20]]}}}