DOI: https://doi.org/10.14710/jphtcr.v9i1.29222

Factors Influencing Food Handlers' Knowledge and Hygiene Behavior at Street Food Vendors in East Surabaya: A Cross-sectional Study

Occupational Safety and Health Study Program, Department of Health, Faculty of Vocational Studies, Universitas Airlangga, Surabaya, Jawa Timur , Indonesia

Received: 27 Aug 2025; Revised: 27 Jan 2026; Accepted: 30 Mar 2026; Published: 30 Apr 2026.
Open Access Copyright (c) 2026 The authors. Published by Faculty of Public Health, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Introduction: Street food vendors play a significant role in providing ready-to-eat food in urban areas, including East Surabaya, which has hundreds of street food outlets. However, issues related to hygiene and sanitation practices among food vendors remain a significant challenge. This study aimed to examine the factors influencing the knowledge and hygiene practices of food handlers among street vendors in East Surabaya.

Methods: This observational study used a cross-sectional approach and included 86 food handlers. Samples were selected using a purposive sampling technique with predetermined inclusion (location, age, willingness, and work period) and exclusion criteria (not active, health condition). Data were collected using a structured questionnaires. The independent variables were age, gender, and education, and the dependent variables were knowledge and behavior. Statistical analysis was performed using the chi-square test, and the Spearman test was used for ordinal data analysis.

Results: The results showed that 68.6% of respondents exhibited inadequate hygiene behavior, a proportion that was particularly prominent among those aged ≤ 30 years (77.8%), males (83.3%), and high school graduates (79.3%). Respondents' knowledge varied by age, gender, and education. Strong knowledge was more prevalent among female respondents and those with higher levels of education. Significant relationships were identified between sex and education level with knowledge (p = 0.000 and p = 0.005), as well as between sex and hygiene behavior (p = 0.002).

Conclusion: Female gender was the determinant for better knowledge and hygiene behavior, while higher education was the determinant of knowledge of food handlers. This indicates the need for more targeted educational interventions to improve hygiene practices among informal food handlers.

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FACTORS INFLUENCING FOOD HANDLERS’ KNOWLEDGE AND HYGIENE BEHAVIOR AT STREET FOOD VENDORS IN EAST SURABAYA: A CROSS-SECTIONAL STUDY
Subject Hygiene, Sanitation, Knowledge, Behavior, Street vendors
Type Research Results
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Keywords: Hygiene, Sanitation, Knowledge, Behavior, Street vendors

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  1. Peraturan Pemerintah. Peraturan Pemerintah Republik Indonesia Nomor 86 Tahun 2019 Tentang Keamanan Pangan. Peratur Pemerintah Tentang Keamanan Pangan. 2019;2019(86):1–102
  2. Maharani T. Keracunan Alami & Non Alami. Buku Pedoman Keracunan Alami Non Alami. 2021;10(2):7–8
  3. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 033 Tahun 2012 tentang Bahan Tambahan Pangan. Kemenkes RI 2012
  4. Morestavia, Sema Sulistyowati L. Keluhan kesehatan konsumen dan higiene sanitasi makanan penyetan pedagang kaki lima di Jalan Arif Rachman Hakim Surabaya. J Kesehat Lingkung. 2014;7(2):83–9
  5. Alfia NL, Setyawan Y. Jurnal Kesehatan Primer Website : http://jurnal.poltekeskupang.ac.id/index.php/jkp Hygiene Behavior And The Risk Of Hepatitis Among Street Food Vendors In Surabaya. 2025;10(1):98–108
  6. Putri RM, Fayasari A. Hubungan Pengetahuan dan Sikap Hygiene Sanitasi dengan perilaku personal hygiene pada penjamah makanan kaki lima di Kecamatan Tapos Kota Depok. J Nutr Coll Vol 12, No 3 JuliDO - 1014710/jnc.v12i336845. 2023 Aug;
  7. Romadon FA, Amirus K, Sary L, Retnaningsih A. Penerapan Hygiene Sanitasi Penjamah Makanan pada Pedagang Kaki Lima (PKL) di Wilayah Kerja Puskesmas Metro Implementation of Food Handler Hygiene and Sanitation Among Street Vendors in the Metro Health Center Work Area. J Dunia Kesmas. 2024;13(4):301–12
  8. Insfran-rivarola A, Tlapa D, Limon-romero J, Ontiveros S. foods A Systematic Review and Meta-Analysis of the E ff ects
  9. Baş M, Şafak Ersun A, Kıvanç G. The evaluation of food hygiene knowledge, attitudes, and practices of food handlers’ in food businesses in Turkey. Food Control. 2006;17(4):317–22
  10. Charlesworth J, Mullan B. Examining Safe Food-Handling Knowledge, Behaviour, and Related Psychological Constructs among Individuals at Higher Risk of Food Poisoning and the General Population. Foods. 2023 Sep;12:3297
  11. Girma Z, Temesgen K, Dubale A, Waritu NC, Jemal M, Wakeyo MU. Food handling practices among street food vendors and their associated factors in the town administration of Gamo Zone, Southern Ethiopia. Front Food Sci Technol. 2025;Volume 5-
  12. Barjaktarovic-Labovic S, Joksimović I, Galić I, Knežević M, Mimović M. Food Safety Behaviours among Food Handlers in Different Food Service Establishments in Montenegro. Int J Environ Res Public Health. 2023 Jan;20:997
  13. Nkosi NV, Tabit FT. The food safety knowledge of street food vendors and the sanitary conditions of their street food vending environment in the Zululand District, South Africa. Heliyon. 2021;7(7):e07640
  14. Wallace F, Mittal N, Lambertini E, Nordhagen S. Vendor Knowledge, Attitudes, and Practices Related to Food Safety in Low- and Middle-Income Countries: A Scoping Review. J Food Prot. 2022;85(7):1069–78
  15. Azka NM, Undarwati A. The Influence of Gender on College Students’ Nutrition Knowledge and External Eating Style toward Healthy Food Choices. Amerta Nutr. 2025;9(1):26–33
  16. Tohonon AC, Koumassa OAB, Ouétchéhou R, Hounsou M, Dabadé DS. Knowledge, attitudes, and practices regarding food hygiene and safety among stakeholders in the street fruits and vegetables chains in Benin, West Africa. J Agric Food Res. 2025;24:102415
  17. Hu J. Gender difference in the effect of cultural distance on academic performance among cross-border students in China. 2021;4
  18. Angeliki Lazaridou. Gender Differences in Educational Leadership and Values: Adding Insights from a Neuro-Social Perspective. Eur J Educ Pedagog. 5(5 SE-Articles):54–61
  19. Alidu L, Grunfeld EA. Gender differences in beliefs about health : a comparative qualitative study with Ghanaian and Indian migrants living in the United Kingdom. 2017;1–8
  20. Barr E, Popkin R, Roodzant E, Jaworski B, Temkin SM. Gender as a social and structural variable: research perspectives from the National Institutes of Health (NIH). Transl Behav Med. 2024 Jan;14(1):13–22
  21. Yi N young. Age differences in food safety knowledge , attitudes , and practices among consumers in Seoul. 2025;19(3):440–52
  22. Kulpiisova A, Dikhanbayeva F, Tegza A, Tegza I, Abzhanova S, Moldakhmetova Z, et al. Assessment of food safety awareness and hygiene practices among food handlers in Almaty, Kazakhstan. BMC Public Health. 2025;25(1):2871
  23. Chu L, Tsai JL, Fung HH. Association between age and intellectual curiosity : the mediating roles of future time perspective and importance of curiosity. Eur J Ageing. 2021;18(1):45–53
  24. Ariga S. Hubungan Antara Tingkat Pendidikan dan Tingkat Pengetahuan dengan Perilaku Hidup Sehat , Berkualitas di Lingkungan Rumah The Relationship Between Education Level and Knowledge Level with Healthy , Quality Life Behavior in the Home Environment. Edu Soc J Pendidikan, Ilmu Sos dan Pengabdi Kpd Masy. 2022;2(3):723–30
  25. Cutler DM, Lleras-Muney A. Understanding differences in health behaviors by education. J Health Econ. 2010;29(1):1–28
  26. Olsen JA, Chen G, Lamu AN. The relative importance of education and health behaviour for health and wellbeing. BMC Public Health. 2023;23(1):1981
  27. Permatasari I, Handajani S, Sulandjari S, Faidah M. Faktor Perilaku Higiene Sanitasi Makanan pada Penjamah Makanan MAKANAN PEDAGANG KAKI LIMA. J Tata Boga. 2021;10(2):223–33
  28. Lachman ME. Adult Development, Psychology of. In: Smelser NJ, Baltes PBBTIE of the S& BS, editors. Oxford: Pergamon; 2001. p. 135–9
  29. Karakteristik H, Terhadap P, Hygiene P, Makanan P, Boga J, Asrama GB, et al. Hubungan Karakteristik Pekerja Terhadap Personal Hygiene Penjamah Makanan Jasa Boga Golongan B Asrama Haji Kota Palembang. 2023;1(2):16–23
  30. Aprivia S, Yulianti A. Hubungan Tingkat Pengetahuan dan Perilaku dengan Penerapan Personal Hygiene Penjamah Makanan Tahun 2021. J Kesehat Lingkung. 2021;11(2):79–89
  31. Septiyani D, Suryani D, Yulianto A. Hubungan Pengetahuan, Sikap, Tingkat Pendidikan dan Usia dengan Perilaku Keamanan Pangan Ibu Rumah Tangga di Kecamatan Pasaleman, Cirebon. Gorontalo J Public Heal. 2021;4(1):45–54
  32. Fatmawati S, Rosidi A, Handarsari E, Semarang UM. Perilaku Higiene Pengolah Makanan Berdasarkan Pengetahuan Tentang Higiene Mengolah Makanan Dalam Penyelenggaraan Makanan Di Pusat Pendidikan Dan Latihan Olahraga Pelajar Jawa Tengah. 2013;2(November):30–8
  33. Nufikrizd A, Rustiawan A. Hubungan Karakteristik Individu dengan Perilaku Keamanan Pangan pada Penjamah Makanan di Ruang Makan Kawasan Wisata Kuliner Pantai Depok Kabupaten Bantul. URECOL. 2020;357–65
  34. Ma L, Chen H, Yan H, Wu L, Zhang W. Food safety knowledge, attitudes, and behavior of street food vendors and consumers in Handan, a third tier city in China. BMC Public Health. 2019;19(1):1128
  35. Rahman S, Hossain S, Pulok FH. Analysis of Food Safety Knowledge and Practices Among Food Handlers in Restaurants and Street Food Markets in Dhaka , Bangladesh : A Cross-Sectional Study. 2025;2025
  36. Young I, Greig J, Wilhelm BJ, Waddell LA. Effectiveness of Food Handler Training and Education Interventions: A Systematic Review and Meta-Analysis. J Food Prot. 2019;82(10):1714–28
  37. Malavi DN, Abong’ GO, Muzhingi T. Effect of food safety training on behavior change of food handlers: A case of orange-fleshed sweetpotato purée processing in Kenya. Food Control. 2021;119:107500
  38. Ncube F, Kanda A, Chijokwe M, Mabaya G, Nyamugure T. Food safety knowledge , attitudes and practices of restaurant food handlers in a lower-middle-income country. 2020;(July 2019):1677–87
  39. Pai AS, Jaiswal S. A Comprehensive Review of Food Safety Culture in the Food Industry : Leadership , Organizational Commitment , and Multicultural Dynamics. 2024;

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