Factors related to food safety culture among school food handlers in Tokyo,Japan: a qualitative study

The purpose of this research was to qualitatively explore factors influencing the food safety culture in school meal services from the perspective of school food handlers (i.e., cooks, dietitians). Six in-depth, semi-structured focus group interviews were conducted with of school food handlers (n = 32). Thematic analysis was used to extract meaning from the data. Findings demonstrated that the following multi-level factors influenced the food safety culture of school meal services: (1) individual; (2) organization; (3) environment; (4) management; and (5) management style. These factors may be useful for effectively and strategically improving the food safety culture for food handlers in school meal services.