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Public awareness of microplastic pollution among residents of a western Turkish province and how it is reflected in demographics and behavioural practices Cover

Public awareness of microplastic pollution among residents of a western Turkish province and how it is reflected in demographics and behavioural practices

Open Access
|Mar 2026

Figures & Tables

Figure 1

ROC curve illustrating the predictive value of the scale

Figure 2

How many participants find that microplastics is present in living organisms, air, soil, and water (%)

Figure 3

How many participants find that microplastics is present in food and drinking water

Figure 4

How many participants find that microplastics is present in household products

The size ranges, types, and sources of microplastics

SourcesPrimary: plastic products, accidental losses, surface run-off, and industrial abrasives. Microbeads, pellets, microfibers, and tire dust. Secondary: degraded plastics (from bottles, bags, packaging, paint coating, and abrasive materials) released from waste depots, landfills, and recycling facilities.
Usage areasIndividual consumers: cosmetics and personal care products, plastic bags, containers, bottles, caps, cups, plates, spoons, and straws. Industry consumers: raw materials, construction, packaging, agriculture greenhouse-sheets, pots, pipes, nutrient prills, textile products, and terrestrial transportation (tires and tire dust). Producers/converters: plastic producers and recyclers. Entry points into the ocean: water and wastewater, rivers, coastline, and atmosphere.
ShapesFibres, fragments, beads, foams, films, pellets, granular plastics.
CompositionPolyethylene (packaging), polystyrene (foam products), polypropylene (containers and ropes), polyester (textiles), polyamide (fabrics), and polyethylene terephthalate (PET, bottles and packaging).
Size (diameter)25 mm–5 mm (mesoplastics); ≤5 mm–1 mm (microplastics), <1 mm–1 µm (mini-microplastics); <1 µm (nanoplastics).

Multiple logistic regression analysis of self-reported microplastic knowledge* and attitudes and behaviour related to microplastics (Model 2)

Attitudes and behaviour OR95 % CI for ORp

LowerUpper
Disposing of garbage in a recyclable manner and knowing the recycling symbolNo1
Yes2.2941.3923.7810.001

Thinking that microplastics can accumulate in the human bodyNo1
Yes2.5741.2495.3030.010

Thinking that residues from detergents and cosmetics are removed with waterYes1
No1.9071.1033.2970.021

Heating food in plastic storage containers in the microwaveYes1
No2.8261.5035.3130.001

Thinking that microplastics can pass into breast milkNo1
Yes2.0261.2003.4220.008

Comparison of the Microplastic Pollution Awareness Scale (MPAS) scores by sociodemographic characteristics

Number (Percentage)MPAS scoreStatistical analysis (Z/H; p)

Average ± SDMedian (Min–Max)
Gender

Women237 (58.3)23.78±4.5125 (11–28)−2.656;
Men169 (41.7)22.45±4.9824 (11–28)0.008*

Age

Under 40239 (58.9)23.70±4.6425 (12–28)−2.795;
40 and above167 (41.1)22.43±4.8923 (11–28)0.005*

Marital status

Married249 (61.4)22.59±5.0024 (11–28)−3.001;
Unmarried157 (38.6)24.10±4.2926 (12–28)0.003*

Education

Primary school and below86 (21.2)20.60±5.0421 (11–28)70.428;
Secondary school107 (26.4)21.64±4.8322 (11–28)<0.001*
University and above **213 (52.5)25.00±3.8127 (12–28)

Income (N=397)

Low91 (22.9)22.85±4.8624 (11–28)11.620;
Moderate212 (53.4)22.69±4.9625 (11–28)0.003*
High **94 (23.7)24.72±3.7726 (13–28)

Working status

Employed206 (50.7)23.13±4.8324 (11–28)−0.284;
Unemployed200 (49.3)23.24±4.7425 (11–28)0.777

Residence

Rural39 (9.6)21.95±5.2024 (11–28)−1.645;
Urban367 (90.4)23.36±4.6725(11–28)0.100

Socioeconomic level of the place of residence

Developed63 (15.5)24.94±4.0626 (11–28)
Developing175 (43.1)23.50±4.6025 (11–28)17.221;
Underdeveloped**168 (41.4)22.19±4.9923 (11–28)<0.001*

Multiple logistic regression analysis of self-reported microplastic knowledge* and some sociodemographic variables (Model 1)

Sociodemographic variablesOR95 % CI for ORp

LowerUpper
GenderMan1
Women1.5760.9872.5160.057

Educational statusPrimary school and below1
Secondary school1.4980.8272.7120.183
University and above5.0672.8449.028<0.001

Development level of the place of residenceLow1
Medium1.3880.8572.2480.182
High2.3451.0425.2770.040

Comparison of the Microplastic Pollution Awareness Scale (MPAS) score by self-reported knowledge and behavioural characteristics about the environment and microplastics

Number (%)MPAS scoreStatistical analysis (Z/H; p)

Average ± SDMedian (Min–Max)
Environmental awareness

Yes377 (92.9)23.45±4.6625 (11–28)−3.131;
No29 (7.1)20.20±5.0820 (11–28)0.002*

The state of reacting to those who are insensitive to the environment
Never **37 (9.1)21.51±5.0822 (12–28)7.597; 0.059
Sometimes233 (57.4)23.10±4.7924 (11–28)
Often **82 (20.2)24.10±4.4725.5 (11–28)
Always54 (13.3)23.55±4.5325 (13–28)

Disposing of garbage in a recyclable manner and knowing the recycling symbol

Yes289 (71.2)23.67±4.7425 (11–28)−3.667;
No117 (28.8)21.97±4.6722 (11–28)<0.001*

Participants’ level of knowledge about MPs according to their own statements

Low level105 (25.9)23.05±5.0125 (11–28)
Moderate level164 (40.4)24.69±3.8026 (11–28)68.297;
Good level34 (8.4)25.56±3.8127 (13–28)<0.001*
Do not know **103 (25.4)20.13±4.7320 (11–28)

Thinking that microplastics can accumulate in the human body

Yes359 (88.4)23.77±4.4725 (11–28)−5.923;
No47 (11.6)19.11±4.8619 (11–28)<0.001*

Thinking that residues from detergents and cosmetics are removed with water

Yes93 (22.9)21.10±5.0022 (11–28)−5.045;
No313 (77.1)23.82±4.5225 (12–28)<0.001*

Using plastic kitchenware

Yes382 (94.1)23.13±4.8224 (11–28)−0.436;
No24 (5.9)24.00±3.9925 (14–28)0.663

Heating food in plastic storage containers in the microwave

Yes59 (14.5)21.74±4.4221 (14–28)−2.829;
No347 (85.5)23.45±4.7925 (11–28)0.005*

Frequency of consuming seafood

Rarely106 (26.1)22.91±5.1125 (11–28)
Occasionally229 (56.4)23.22±4.5524 (11–28)0.674;
Frequently71 (17.5)23.46±5.0125 (12–28)0.714

Frequency of consuming processed and/or packaged foods

Rarely120 (29.5)22.97±4.6424 (11–28)1.253;
Occasionally170 (42.0)23.27±4.7624 (11–28)0.535
Frequently116 (28.5)23.36±4.8625 (12–28)

Reading the ingredients of purchased products

Yes226 (55.7)23.28±4.7825 (11–28)−0.114;
No180 (44.3)23.17±4.6824 (11–28)0.909

To refrain from purchasing a product based on the contents specified in the ingredients

Yes246 (60.6)23.68±4.6125 (12–28)−2.510;
No160 (39.4)22.48±4.8823 (11–28)0.012*

Use of plastic bottles or demijohns as drinking water

Yes316 (77.8)23.32±4.7325 (11–28)−0.975;
No90 (22.2)22.83±4.8124 (11–28)0.330

Leaving drinking water in plastic bottles under the sun for a long time

Yes48 (11.8)22.04±5.5624 (11–28)−1.192;
No358 (88.2)23.35±4.6525 (11–28)0.233

Use of paper/cardboard cups

Yes280 (69.0)23.20±4.8324 (11–28)−0.416;
No126 (31.0)23.13±4.6825 (11–28)0.677

Tea bag consumption

Yes203 (50.0)23.38±4.8125 (11–28)−1.098;
No203 (50.0)23.04±4.6824 (11–28)0.272

Use of plastic feeding bottles/plastic water bottles for your child (N=379)

Yes152 (40.1)22.68±4.6823.5 (11–28)−1.569;
No227 (59.9)23.36±4.8325 (11–28)0.117

Thinking that microplastics can pass into breast milk (N=396)

Yes290 (73.2)23.97±4.4826 (11–28)−5.155;
No106 (26.8)21.33±4.8422 (11–28)<0.001*
DOI: https://doi.org/10.2478/aiht-2026-77-4030 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 57 - 64
Submitted on: Jul 1, 2025
Accepted on: Mar 1, 2026
Published on: Mar 30, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Ömer Faruk Tekin, İnci Arıkan, Muhammet Ali Bölükbaş, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution 4.0 License.