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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

Table 1

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).
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

Table 2

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*

* significant difference (p<0.05).

** significant difference from this group (p<0.05).

H – Kruskal-Wallis test; Z – Mann-Whitney U test

Table 3

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*

* significant difference (p<0.05).

** significant difference from this group (p<0.05).

H – Kruskal-Wallis test; Z: – Mann-Whitney U test

Table 4

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

* Categorical variable: MPAS score 22 or above on the scale was considered sufficient and scoring below 22 insufficient awareness. CI – confidence interval; OR – odds ratio

Table 5

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

Attitudes and behaviourOR95 % 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

* Categorical variable: MPAS score 22 or above on the scale was considered sufficient and scoring below 22 insufficient awareness. CI – confidence interval; OR – odds ratio

DOI: https://doi.org/10.2478/aiht-2026-77-4030 | Journal eISSN: 1848-6312 (formerly 0004-1254) | Journal ISSN: 0004-1254
Language: English, Croatian
Page range: 57 - 64
Submitted on: Jul 1, 2025
Accepted on: Mar 1, 2026
Published on: Mar 30, 2026
Published by: Institute for Medical Research and Occupational Health
In partnership with: Paradigm Publishing Services

© 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.