Risk factors for Toxoplasma gondii seropositivity in the Old Order Amish
| Autor: | André O. Markon, Patrick Donnelly, Maureen Groer, T. I. Pollin, Braxton D. Mitchell, Aline Dagdag, Cecile Punzalan, Teodor T. Postolache, M. L. Daue, K. Gensheimer, Abhishek Wadhawan, Kathleen A. Ryan, Mary Pavlovich, X. Peng, J. L. Jones |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Food Safety Meat Epidemiology Population Toxoplasma gondii Odds Young Adult Risk Factors Seroepidemiologic Studies Environmental health Surveys and Questionnaires medicine Animals Humans Raw meat education Aged education.field_of_study Original Paper biology business.industry Odds ratio Middle Aged Pennsylvania biology.organism_classification medicine.disease Food safety Toxoplasmosis Infectious Diseases Milk Old Order Amish Cats Female business Amish Toxoplasma Hand Disinfection |
| Zdroj: | Epidemiology and Infection |
| ISSN: | 1469-4409 0950-2688 |
| Popis: | Toxoplasma gondii (T. gondii) is an important human disease-causing parasite. In the USA, T. gondii infects >10% of the population, accrues economic losses of US$3.6 billion/year, and ranks as the second leading culprit of foodborne illness-related fatalities. We assessed toxoplasmosis risk among the Old Order Amish, a mostly homogenous population with a high prevalence of T. gondii seropositivity, using a questionnaire focusing on food consumption/preparation behaviours and environmental risk factors. Analyses were conducted using multiple logistic regression. Consuming raw meat, rare meat, or unpasteurised cow or goat milk products was associated with increased odds of seropositivity (unadjusted Odds Ratios: 2.192, 1.613, and 1.718 , respectively). In separate models by sex, consuming raw meat, or consuming unpasteurised cow or goat milk products, was associated with increased odds of seropositivity among women; washing hands after touching meat with decreased odds of seropositivity among women (adjusted OR (AOR): 0.462); and cleaning cat litterbox with increased odds of seropositivity among men (AOR: 5.241). This is the first study to assess associations between behavioural and environmental risk factors and T. gondii seropositivity in a US population with high seroprevalence for T. gondii. Our study emphasises the importance of proper food safety behaviours to avoid the risk of infection. |
| Databáze: | OpenAIRE |
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