Implementation of the Food Traffic Light System to Improve Health Literacy Among Food Handlers in the Canteen of Politeknik Kesehatan Megarezky
Abstract
The low literacy and health knowledge of food handlers have a significant impact on the health quality in canteens, both for consumers and the canteen environment itself. This study aims to improve the health knowledge and literacy of food handlers in canteens through the implementation of the Food Traffic Light System (FTLS). FTLS is a guide for selecting healthy food by adopting a traffic light system. This research is a quantitative study with a pre-experimental design using a one-group pre-test and post-test approach to assess the impact of training on health literacy and knowledge of the food traffic light system among food handlers at the canteen of Politeknik Kesehatan Megarezky. Pre-experimental research aims to test the effect of an intervention on characteristics of interest to the researcher. This study was conducted from September to December 2024 using validated questionnaires.The respondents in this study were 13 individuals working as food handlers. The data were analyzed descriptively using Microsoft Excel and SPSS 21. The paired t-test results for the literacy variable showed a Sig value of 0.000 (≤0.05), indicating an improvement in health literacy regarding the Food Traffic Light System before and after the training. Regarding knowledge, the paired t-test results also showed a Sig value of 0.000 (≤0.05), indicating a significant difference in knowledge before and after the training. This study emphasizes the importance of improving literacy and knowledge for food handlers to create a healthy canteen. Additionally, the study recommends conducting research with a larger sample and using complex method for future studies.
Keyword: Food Traffic Light System, Healthy Canteen, Health Literacy, Health Promoting University
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Abo-Khalil, A. G. (2024). Integrating sustainability into higher education challenges and opportunities for universities worldwide. Heliyon, 10(9), e29946. https://doi.org/10.1016/J.HELIYON.2024.E29946
Agustin, H., Musfirah, M., & Rahayu, A. (2023). Creating a health promotion university through healthy canteen development in a private university. International Journal of Public Health Science, 12(4), 1779–1787. https://doi.org/10.11591/IJPHS.V12I4.22970
Anuli, U. E., Ndimballan, H., Kanteh, A., Lamin Bah, M., & Bah, M. L. (2022). A Comparative Study on Food Hygiene and Safety Practices of Local and Contemporary Bread Bakers in the Gambia. American Journal of Food Science and Technology, Vol. 10, 2022, Pages 153-161, 10(4), 153–161. https://doi.org/10.12691/AJFST-10-4-2
Arinda, D. F., Yuliana, I., & Sari, D. M. (2024). Nutrition Education Effect in Increasing Knowledge and Ability to Interpret Nutrition Facts in Adolescents. International Journal of Integrated Health Sciences, 12(2). https://doi.org/10.15850/ijihs.v12.n2.3564
Aspian, N. A., Tunung, R., Jamaluddin, Ismail, Sharkawi, Alan, Lepun, P., Rosli, A., Nillian, E., & Anyi, U. (2024). Food safety knowledge, attitude, and practice of consumers in Malaysia: a review 1. MINI REVIEW Food Research, 8(3), 417–423. https://doi.org/10.26656/fr.2017.8(3).243
Budiningsari, D., Helmiyati, S., Wisnusanti, S. U., Lestari, L. A., & Putie, S. A. (2023). Customer satisfaction survey, menu development and HACCP training to improve the food service quality of canteens. Journal of Community Empowerment for Health, 6(1), 30–36. https://doi.org/10.22146/JCOEMPH.77001
Calabro, R., Kemps, E., Prichard, I., & Tiggemann, M. (2024). Effects of traffic light labelling and increased healthy range on beverage choices from vending machines. Public Health Nutrition, 27(1). https://doi.org/10.1017/S1368980024000843
Coughlin, S. S., Vernon, M., Hatzigeorgiou, C., & George, V. (2020). Health Literacy, Social Determinants of Health, and Disease Prevention and Control. Journal of Environment and Health Sciences, 6(1), 3061. https://pmc.ncbi.nlm.nih.gov/articles/PMC7889072/
Gautam, S., Jain, A., Chaudhary, J., Gautam, M., Gaur, M., & Grover, S. (2024). Concept of mental health and mental well-being, it’s determinants and coping strategies. Indian Journal of Psychiatry, 66(Suppl 2), S231. https://doi.org/10.4103/INDIANJPSYCHIATRY.INDIANJPSYCHIATRY_707_23
Harnianti, harnianti, & Yazlim, N. (2023). Peningkatan Literasi Kesehatan dan Pengetahuan Tentang Food Traffic Light System Pada Mahasiswa Politeknik Karya Persada Muna. Preventif : Jurnal Kesehatan Masyarakat, 14(1), 10–25. https://doi.org/10.22487/PREVENTIF.V14I1.418
Haringi, Suhartin., et.al. (2019). Peningkatan Literasi Kesehatan dan Pengetahuan Tentang Food Traffic Light System Pada Penjamah Makanan di Kantin Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada. Thesis. https://etd.repository.ugm.ac.id/penelitian/detail/178849
HHK, T. (2023). Enhancing Healthy Food Choices in a University Canteen Exploring the Influence of Menu Labeling. Open Access Journal of Waste Management & Xenobiotics, 6(4), 1–8. https://doi.org/10.23880/OAJWX-16000190
Hill, A., Blake, M., Alston, L. V., Nichols, M. S., Bell, C., Fraser, P., Le, H. N. D., Strugnell, C., Allender, S., & Bolton, K. A. (2023). How healthy and affordable are foods and beverages sold in school canteens? A cross-sectional study comparing menus from Victorian primary schools. Public Health Nutrition, 26(11), 2559. https://doi.org/10.1017/S136898002300126X
Ji, Y. G., & Ko, W. H. (2022). Developing a Catering Quality Scale for University Canteens in China: From the Perspective of Food Safety. Sustainability (Switzerland), 14(3). https://doi.org/10.3390/SU14031281
Jing, S. (n.d.). Food Borne Disease and the Lifestyles of the Students and Food Handlers in Rural Schools: A Preliminary Observation. Malaysian Journal of Social Sciences and Humanities (MJSSH), 6(9), 2021. https://doi.org/10.47405/mjssh.v6i9.956
Kinoshita, S., Hirooka, N., Kusano, T., Saito, K., & Aoyagi, R. (2024). Does health literacy influence health-related lifestyle behaviors among specialists of health management? A cross-sectional study. BMC Primary Care, 25(1), 29. https://doi.org/10.1186/S12875-024-02263-1
Kühn, L., Bachert, P., Hildebrand, C., Kunkel, J., Reitermayer, J., Wäsche, H., & Woll, A. (2022). Health Literacy Among University Students: A Systematic Review of Cross-Sectional Studies. Frontiers in Public Health, 9, 680999. https://doi.org/10.3389/FPUBH.2021.680999
Miller, C. J., Smith, S. N., & Pugatch, M. (2019). Experimental and Quasi-Experimental Designs in Implementation Research. Psychiatry Research, 283, S0165-1781(19)30683-3. https://doi.org/10.1016/J.PSYCHRES.2019.06.027
Ramezankhani, A., Ghaffari, M., & Namdari, M. (2024). Effect of Food Traffic Light Training on Moth-er’s Knowledge, Attitude and Practice. Journal of Research & Health, 14(6), 593–598. https://doi.org/10.32598/JRH.14.6.2359.1
Rubai, W. L., Masfiah, S., Firda, A., & Maqfiroch, A. (2023). The Correlation of Health Literacy Related to Health-Promoting University towards Healthy Behavior Among The Academic Community. Jurnal Promosi Kesehatan Indonesia, 18(1), 52–63. https://doi.org/10.14710/JPKI.18.1.52-63
Sadeghi, F., Pashaeypoor, S., Nikpajouh, A., & Negarandeh, R. (2024). The impact of healthy nutrition education based on traffic light labels on food selection, preference, and consumption in patients with acute coronary syndrome: a randomized clinical trial. BMC Public Health, 24(1), 1–10. https://doi.org/10.1186/S12889-024-18805-2/TABLES/4
Shangguan, S., Afshin, A., Shulkin, M., Ma, W., Marsden, D., Smith, J., Saheb-Kashaf, M., Shi, P., Micha, R., Imamura, F., & Mozaffarian, D. (2018). A Meta-analysis of Food Labeling Effects on Consumer Diet Behaviors and Industry Practices. American Journal of Preventive Medicine, 56(2), 300. https://doi.org/10.1016/J.AMEPRE.2018.09.024
Shoghli, A., Maleki, A., Masjedi, M. R., Hessari, M. B., & Khodaei, S. (2023). The effect of peer-to-peer education on health literacy, knowledge, and adherence to COVID-19 protocols in vulnerable adolescents. BMC Primary Care, 24(1), 1–11. https://doi.org/10.1186/S12875-023-01979-W/TABLES/5
Stanford Social Innovation Review. (2024). Collective Impact for Health and Wellbeing: Lessons from UCLA’s Healthy Campus Initiative. Ssir.Org.
Sunarya, R. O., & Yudhastuti, R. (2019). An Overview Of Food Hygiene And Sanitation In Campus C Canteens Universitas Airlangga Surabaya. Jurnal Kesehatan Lingkungan, 11(2), 158–164. https://doi.org/10.20473/jkl.v11i2.2019.158-164
WHO. (2018). Types of Healthy Settings; Health Promoting Universities. Http://Www.Who.Int/Healthy_settings/Types/Universities/En/.
Yoong, S. L., Nathan, N., Reilly, K., Sutherland, R., Straus, S., Barnes, C., Grady, A., & Wolfenden, L. (2019). Adapting implementation strategies: a case study of how to support implementation of healthy canteen policies. Public Health, 177, 19–25. https://doi.org/10.1016/J.PUHE.2019.07.003
Young, I., Greig, J., Wilhelm, B. J., & Waddell, L. A. (2019). Effectiveness of Food Handler Training and Education Interventions: A Systematic Review and Meta-Analysis. Journal of Food Protection, 82(10), 1714–1728. https://doi.org/10.4315/0362-028X.JFP-19-108
DOI: http://dx.doi.org/10.30829/contagion.v6i2.22049
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