Prevalence and Risk Factors of Toxoplasmosis among Pregnant Women in Fortaleza, Northeastern Brazil
Authors:
- Nina BartelheimerNBNina Bartelheimer
- Andreas WinterAWAndreas Winter
- Jörg HeukelbachJörg Heukelbach
- Liana ArizaLALiana Ariza
- Heliane RibeiroHRHeliane Ribeiro
- Fabíola Araujo OliveiraFOFabíola Araujo Oliveira
- Ajax Jose Nogueira QueirozAQAjax Jose Nogueira Queiroz
- Carlos AlencarCACarlos Alencar
- Oliver LiesenfeldOLOliver Liesenfeld
- 1 September 2010
- journal article
- Published by American Society of Tropical Medicine and Hygiene in The American Journal of Tropical Medicine and Hygiene
- Vol. 83 (3) , 528-533
Abstract
We determined the seroprevalence of Toxoplasma gondii and associated risk factors among 963 pregnant women attending an obstetric hospital in Fortaleza, Brazil. Seroprevalences of IgG and IgM against T. gondii were 68.6% (95% confidence interval [CI] = 65.6–71.6%) and 0.5% (95% CI = 0.06–1.0%), respectively. Seroprevalence of IgG was high in women less than 25 years of age (91.7%) and in low-income women (odds Ratio [OR] = 1.40, 95% CI = 1.02–1.90). Multivariate regression analysis showed that consumption of homemade water ice (adjusted OR = 1.49, 95% CI = 1.09–2.04), vegetables washed with untreated water (adjusted OR = 1.43, 95% CI = 1.05–1.94), consumption of chicken (adjusted OR = 1.49, 95% CI = 1.12–2.0), and dog ownership (adjusted OR= 1.46, 95% CI = 1.07–1.98) were factors associated with IgG seropositivity. Young women in northeastern Brazil living under poor socioeconomic conditions are at highest risk for acquiring infection with T. gondii. Oocyst contamination of water and soil must be addressed in future prevention strategies.Keywords
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