Consumers’ raw poultry washing practices: A cross-sectional and observational study in eight Southeast Asian countries

Consumers are recommended not to wash raw poultry before cooking since this practice increases risks of cross contamination with foodborne pathogens. However previous studies had identified that consumers were unaware of this incorrect behaviour. This study aims to assess consumers' self-reported and observed raw poultry washing practices in Southeast Asian (SEA) countries. A mixed method design was employed, with data collected via a cross-sectional survey across eight SEA countries, observational studies and semi-structured interviews conducted in Indonesia and Malaysia. Ninety-six percent (n = 2009) of surveyed participants reported that they washed raw poultry at home. Participants from Laos and Philippines, older, married and low-income participants reported washing raw poultry more frequently. The main reasons for washing raw poultry were to remove dirt, slime, blood or feathers and the act of washing makes them feel safer. Participants from Cambodia (OR = 2.855, p < 0.001), Indonesia (OR = 3.208, p < 0.001), Laos (OR = 3.012, p < 0.05), Malaysia (OR = 2.003, p < 0.05) and Thailand (OR = 2.148, p < 0.001) were 2.00–3.21 times more confident about not washing raw poultry upon understanding the rationale that washing does not reduce microbial load. Participants who purchased from supermarkets (OR = 1.785, p < 0.05) were significantly more confident about not washing raw poultry compared to other sources of raw poultry. Our observation study identified various cross contamination pathways including lack of hand hygiene practices, inadequate cleaning and sanitation procedures, and cross contamination of raw poultry and washed water to surrounding areas. Semi-structured interviews revealed that participants preferred to wash raw poultry due to the lack of cleanliness of raw poultry purchased from traditional markets and the act is ingrained in their cultural practice. Due to consumers' preference for freshly slaughtered poultry and perceived cleanliness of raw poul