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Research article

Bisphenol A Toxicity: Familiarity, Knowledge, Attitude, and Practice Among University Students in Lebanon

Lama Assi, Muhieddine Labban, Fouad El-Dana, Divina Justina Hasbani, Lea Moujaes, Mounir Al-Gibbawi, Maha Makki, Hani Tamim
DOI: 10.21203/rs.2.12717/v1

Abstract

Background: In the absence of strict regulations, the extent of exposure to Bisphenol A (BPA) toxicity depends mainly on the consumers’ own knowledge, attitude, and practices about the matter. The aim of this study was to assess the current level of familiarity and knowledge about BPA, attitude towards it, practices related to the use of BPA-containing products, and the predictors of each. Methods : We carried out a cross-sectional study among students at the American University of Beirut, Lebanon, between January and April 2017.  Full-time students above the age of 18 and registered in a specific major were eligible to participate in the study. An English questionnaire that assesses familiarity, as well as knowledge, attitude, and practice (KAP) was developed based on current literature and expert opinion. Demographics, lifestyle, and level of familiarity with the topic were assessed among all participants. Predictors of familiarity, defined as knowing at least a little about BPA, were assessed among all participants using bivariate and multivariate analyses. Among students familiar with BPA, predictors of higher KAP scores were assessed by similar analyses. Adjusted odds ratios (OR) with 95% confidence interval (CI) were reported. Results : The level of familiarity with BPA was 23.7%. Studying in a health-related field was a predictor of familiarity (adjusted OR=3.11; CI: 2.08-4.66). Among those familiar with BPA, a higher study level predicted better knowledge (adjusted OR=3.03; CI: 1.33-6.89) and better practices to avoid BPA (adjusted OR=2.53; CI: 1.08-5.97). Additionally, a higher family income was a predictor of higher knowledge and better practice, with an adjusted OR of 2.82 (CI: 1.12-7.08), and 2.9 (CI: 0.99-8.56), respectively. Father education was also a predictor of safer practices with an adjusted OR of 2.58 (CI: 1.01-6.56). Furthermore, female gender was the only predictor of higher attitudes towards BPA and its potential health effect (adjusted OR=2.19; CI: 1.08-4.46). Conclusion : Familiarity with BPA among university students in Lebanon is low. Future research is needed to determine the level of familiarity, knowledge, attitude, and practice among the general Lebanese population. Awareness campaigns and policy change are needed to ensure lower exposure to BPA.

Keywords
Bisphenol A, Plastic, Familiarity, Knowledge, Attitude, Practice

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Posted 14 Aug, 2019

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Toxicology

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Preprint: Please note that this article has not completed peer review.
Research article

Bisphenol A Toxicity: Familiarity, Knowledge, Attitude, and Practice Among University Students in Lebanon

Lama Assi, Muhieddine Labban, Fouad El-Dana, Divina Justina Hasbani, Lea Moujaes, Mounir Al-Gibbawi, Maha Makki, Hani Tamim

STATUS: In Review

Comments: 0
PDF Downloads: 0
HTML Views: 3

Integrity Check:

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Abstract

Background: In the absence of strict regulations, the extent of exposure to Bisphenol A (BPA) toxicity depends mainly on the consumers’ own knowledge, attitude, and practices about the matter. The aim of this study was to assess the current level of familiarity and knowledge about BPA, attitude towards it, practices related to the use of BPA-containing products, and the predictors of each. Methods : We carried out a cross-sectional study among students at the American University of Beirut, Lebanon, between January and April 2017.  Full-time students above the age of 18 and registered in a specific major were eligible to participate in the study. An English questionnaire that assesses familiarity, as well as knowledge, attitude, and practice (KAP) was developed based on current literature and expert opinion. Demographics, lifestyle, and level of familiarity with the topic were assessed among all participants. Predictors of familiarity, defined as knowing at least a little about BPA, were assessed among all participants using bivariate and multivariate analyses. Among students familiar with BPA, predictors of higher KAP scores were assessed by similar analyses. Adjusted odds ratios (OR) with 95% confidence interval (CI) were reported. Results : The level of familiarity with BPA was 23.7%. Studying in a health-related field was a predictor of familiarity (adjusted OR=3.11; CI: 2.08-4.66). Among those familiar with BPA, a higher study level predicted better knowledge (adjusted OR=3.03; CI: 1.33-6.89) and better practices to avoid BPA (adjusted OR=2.53; CI: 1.08-5.97). Additionally, a higher family income was a predictor of higher knowledge and better practice, with an adjusted OR of 2.82 (CI: 1.12-7.08), and 2.9 (CI: 0.99-8.56), respectively. Father education was also a predictor of safer practices with an adjusted OR of 2.58 (CI: 1.01-6.56). Furthermore, female gender was the only predictor of higher attitudes towards BPA and its potential health effect (adjusted OR=2.19; CI: 1.08-4.46). Conclusion : Familiarity with BPA among university students in Lebanon is low. Future research is needed to determine the level of familiarity, knowledge, attitude, and practice among the general Lebanese population. Awareness campaigns and policy change are needed to ensure lower exposure to BPA.

Background

Methodology

Results

Discussion

Conclusion

Declarations

References

Tables

Additional File Details

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