Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022

The prevalence of listeriosis in China has been increasing in recent years. Listeriosis primarily spreads through contaminated food. However, the resilient causative organism, Listeria monocytogenes, and its extended incubation period pose challenges in identifying risk factors associated with food...

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Main Authors: Yanlin Niu, Weiwei Li, Biyao Xu, Wen Chen, Xiaojuan Qi, Yijing Zhou, Ping Fu, Xiaochen Ma, Yunchang Guo
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Emerging Microbes and Infections
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Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2024.2307520
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author Yanlin Niu
Weiwei Li
Biyao Xu
Wen Chen
Xiaojuan Qi
Yijing Zhou
Ping Fu
Xiaochen Ma
Yunchang Guo
author_facet Yanlin Niu
Weiwei Li
Biyao Xu
Wen Chen
Xiaojuan Qi
Yijing Zhou
Ping Fu
Xiaochen Ma
Yunchang Guo
author_sort Yanlin Niu
collection DOAJ
description The prevalence of listeriosis in China has been increasing in recent years. Listeriosis primarily spreads through contaminated food. However, the resilient causative organism, Listeria monocytogenes, and its extended incubation period pose challenges in identifying risk factors associated with food consumption and food-handling habits. This study aimed to identify the risk factors associated with food consumption and food-handling habits for listeriosis in China. A matched case–control study (1:1 ratio) was conducted, which enrolled all eligible cases of listeriosis between 1 January 2013 and 31 December 2022 in China. Basic information and possible risk factors associated with food consumption and food-handling habits were collected. Overall, 359 patients were enrolled, including 208 perinatal and 151 non-perinatal cases. Univariate and multivariable logistic analyzes were performed for the perinatal group. For the perinatal and non-perinatal groups, ice cream and Chinese cold dishes were the high-risk foods for listeriosis (odds ratio (OR) 2.09 95% confidence interval (CI): 1.23–3.55; OR 3.17 95% CI: 1.29–7.81), respectively; consumption of leftovers and pet ownership were the high-risk food-handling habits (OR 1.92 95% CI: 1.03–3.59; OR 3.00 95% CI: 1.11–8.11), respectively. In both groups, separation of raw and cooked foods was a protective factor (OR 0.27 95% CI: 0.14–0.51; OR 0.35 95% CI: 0.14–0.89), while refrigerator cleaning reduced the infection risk by 64.94–70.41% only in the perinatal group. The identification of high-risk foods and food-handling habits for listeriosis is important for improving food safety guidelines for vulnerable populations.
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spelling doaj-art-66fc960a4d8e47f3941aa18c3a53ad462024-12-07T04:40:16ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512024-12-0113110.1080/22221751.2024.2307520Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022Yanlin Niu0Weiwei Li1Biyao Xu2Wen Chen3Xiaojuan Qi4Yijing Zhou5Ping Fu6Xiaochen Ma7Yunchang Guo8Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaNational Health Commission Key Laboratory of Food Safety Risk Assessment, Chinese Academy of Medical Science Research Unit (No.2019RU014), China National Center for Food Safety Risk Assessment, Beijing, People’s Republic of ChinaShanghai Municipal Center for Disease Control and Prevention, Shanghai, People’s Republic of ChinaSichuan Center for Disease Control and Prevention, Chengdu, People’s Republic of ChinaZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, People’s Republic of ChinaJiangsu Provincial Center for Disease Control and Prevention, Nanjing, People’s Republic of ChinaNational Health Commission Key Laboratory of Food Safety Risk Assessment, Chinese Academy of Medical Science Research Unit (No.2019RU014), China National Center for Food Safety Risk Assessment, Beijing, People’s Republic of ChinaBeijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaNational Health Commission Key Laboratory of Food Safety Risk Assessment, Chinese Academy of Medical Science Research Unit (No.2019RU014), China National Center for Food Safety Risk Assessment, Beijing, People’s Republic of ChinaThe prevalence of listeriosis in China has been increasing in recent years. Listeriosis primarily spreads through contaminated food. However, the resilient causative organism, Listeria monocytogenes, and its extended incubation period pose challenges in identifying risk factors associated with food consumption and food-handling habits. This study aimed to identify the risk factors associated with food consumption and food-handling habits for listeriosis in China. A matched case–control study (1:1 ratio) was conducted, which enrolled all eligible cases of listeriosis between 1 January 2013 and 31 December 2022 in China. Basic information and possible risk factors associated with food consumption and food-handling habits were collected. Overall, 359 patients were enrolled, including 208 perinatal and 151 non-perinatal cases. Univariate and multivariable logistic analyzes were performed for the perinatal group. For the perinatal and non-perinatal groups, ice cream and Chinese cold dishes were the high-risk foods for listeriosis (odds ratio (OR) 2.09 95% confidence interval (CI): 1.23–3.55; OR 3.17 95% CI: 1.29–7.81), respectively; consumption of leftovers and pet ownership were the high-risk food-handling habits (OR 1.92 95% CI: 1.03–3.59; OR 3.00 95% CI: 1.11–8.11), respectively. In both groups, separation of raw and cooked foods was a protective factor (OR 0.27 95% CI: 0.14–0.51; OR 0.35 95% CI: 0.14–0.89), while refrigerator cleaning reduced the infection risk by 64.94–70.41% only in the perinatal group. The identification of high-risk foods and food-handling habits for listeriosis is important for improving food safety guidelines for vulnerable populations.https://www.tandfonline.com/doi/10.1080/22221751.2024.2307520case–control studylisteriosisrisk factorfood consumptionfood-handling habitperinatal
spellingShingle Yanlin Niu
Weiwei Li
Biyao Xu
Wen Chen
Xiaojuan Qi
Yijing Zhou
Ping Fu
Xiaochen Ma
Yunchang Guo
Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022
Emerging Microbes and Infections
case–control study
listeriosis
risk factor
food consumption
food-handling habit
perinatal
title Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022
title_full Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022
title_fullStr Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022
title_full_unstemmed Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022
title_short Risk factors associated with food consumption and food-handling habits for sporadic listeriosis: a case–control study in China from 2013 to 2022
title_sort risk factors associated with food consumption and food handling habits for sporadic listeriosis a case control study in china from 2013 to 2022
topic case–control study
listeriosis
risk factor
food consumption
food-handling habit
perinatal
url https://www.tandfonline.com/doi/10.1080/22221751.2024.2307520
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