"I walk around like my hands are covered in mud": food safety and hand hygiene behaviours of Canadians during the COVID-19 pandemic

Objectives: To investigate how and why Canadians engaged in different food handling and hand hygiene behaviours during the COVID-19 pandemic. Methods: Seven online, text-based focus groups were conducted with a total of 42 participants. Eligible participants included adults living in Canada that prepared meals at home at least once per week. Focus groups took place from May-June 2020 and followed a semi-structured question guide. Participants were asked about their practices relating to food preparation habits at home; food purchasing, handling, and storage; hand hygiene and sanitation; and information sources about food safety concerning the COVID-19 pandemic. A thematic analysis was conducted using the Theoretical Domains Framework as a coding guide. Results: The most notable changes in behaviour since the onset of the pandemic were seen in participants' hand washing, sanitation, and grocery shopping practices. Participants tended to perceive grocery store employees, shoppers, and food service staff as having inadequate sanitation precautions and, therefore, as a source of COVID-19 transmission risk. They heavily relied on public health, medical, and government officials as sources of information. Feelings of stress and anxiety appeared to be linked to certain sanitation behaviours. Many participants displayed a general apathy toward routine food safety practices such as safe food storage at home. Conclusion: This work supports the need for clear and concise messaging for hand hygiene and food safety behaviours during the COVID-19 pandemic and in future times of crisis. It also highlights a need for ongoing food safety messaging.