University of Fortaleza, Av. Washington Soares, 1321, Bairro Edson Queiroz, CEP 60.811-905 Fortaleza, Ceará, Brasil.
BMC Public Health. 2012 Jan 24;12:73. doi: 10.1186/1471-2458-12-73.
When toxoplasmosis is acquired during pregnancy, it can be transmitted to the fetus causing severe lesions in the first two gestational trimesters. This study analyzed the main factors associated with the preventive behavior for toxoplasmosis among pregnant adolescents in the city of Fortaleza in northeast Brazil.
It is a cross-sectional study conducted from March 2009 to November 2010, with a sample of 320 pregnant adolescents, ages ranging from 12 to 19 years old, receiving prenatal care in the Public Health Care System. Bivariate and multivariate logistic regression model analyses were used to identify the association between preventive behavior for toxoplasmosis, and the independent variables and 95% confidence interval.
We observed that 16.3% of the pregnant adolescents showed preventive behavior for toxoplasmosis. The factors positively associated to the preventive behavior for toxoplasmosis were: age group between 12 and 14 years old (OR = 2.75; 95%CI 1.23-6.12) and more than two prenatal consultations (OR = 2.19; 95%CI 1.17-4.09).
Noteworthy is the importance of a serologic follow-up for pregnant adolescents with clearer and more precise information about risk factors and the importance of adopting preventive behaviors. Thus, it is necessary to establish educational measures for handling food and raising kittens during prenatal care.
当孕妇在怀孕期间感染弓形虫时，可能会传染给胎儿，导致前两个妊娠期出现严重损伤。本研究分析了与巴西东北部福塔莱萨市孕妇青少年预防弓形虫病行为相关的主要因素。
这是一项 2009 年 3 月至 2010 年 11 月进行的横断面研究，样本为 320 名年龄在 12 至 19 岁之间、在公共医疗保健系统中接受产前护理的孕妇青少年。采用双变量和多变量逻辑回归模型分析来确定预防弓形虫病行为与独立变量之间的关联，以及 95%置信区间。
我们发现，16.3%的孕妇青少年表现出预防弓形虫病的行为。与预防弓形虫病行为呈正相关的因素包括：12-14 岁年龄组（OR=2.75；95%CI 1.23-6.12）和两次以上产前咨询（OR=2.19；95%CI 1.17-4.09）。
值得注意的是，对青少年孕妇进行血清学随访非常重要，需要提供更清晰、更准确的有关风险因素的信息，并强调采取预防行为的重要性。因此，有必要在产前保健中建立有关处理食物和饲养小猫的教育措施。
