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斯洛伐克罗姆人和非罗姆人居民中弓形虫感染的暴露情况:一项横断面血清流行率研究。

Exposure to Toxoplasma gondii in the Roma and Non-Roma Inhabitants of Slovakia: A Cross-Sectional Seroprevalence Study.

机构信息

Department of Parasitic Diseases, Institute of Parasitology SAS, Hlinkova 3, 040 01 Košice, Slovakia.

Faculty of Medicine, P. J. Šafárik University in Košice, Trieda SNP 1, 040 11 Košice, Slovakia.

出版信息

Int J Environ Res Public Health. 2018 Feb 27;15(3):408. doi: 10.3390/ijerph15030408.

Abstract

The lifestyle, health and social status of the Roma are generally below the standards characteristic for the non-Roma population. This study aimed to find out the seropositivity to () in the population of Roma living in segregated settlements and to compare it with the prevalence of antibodies in the non-Roma population from the catchment area of eastern Slovakia. The seroprevalence of antibodies to was significantly higher in the Roma group (45.0%) than in non-Roma inhabitants (24.1%). A statistically significant difference was also recorded between the two non-Roma groups in the study, 30.4% of those from the catchment area and 19.7% from the non-catchment area were seropositive. Univariate logistic regression confirmed poverty and higher age to be significant risk factors influencing the seropositivity to . Of the clinical symptoms analyzed in the study, only muscle and back pain were associated with seropositivity to . The close contact of Roma with an environment contaminated by different infectious agents and the insufficient hygiene, lower level of education, poverty, lack of water and household equipment and high number of domestic animals increase the risk of infectious diseases in the Roma settlements and subsequently the spread of communicable diseases at the national or even international level.

摘要

罗姆人的生活方式、健康状况和社会地位普遍低于非罗姆人人口的标准。本研究旨在了解生活在隔离定居点的罗姆人群体中对 ()的血清阳性率,并将其与来自斯洛伐克东部集水区的非罗姆人群体的抗体流行率进行比较。对 的抗体血清阳性率在罗姆人群体(45.0%)中明显高于非罗姆居民(24.1%)。在研究中,两个非罗姆人群体之间也记录到了统计学上的显著差异,集水区的 30.4%和非集水区的 19.7%呈血清阳性。单变量逻辑回归证实贫困和较高年龄是影响对 的血清阳性率的重要危险因素。在本研究中分析的临床症状中,只有肌肉和背痛与对 的血清阳性率相关。罗姆人与受不同传染性病原体污染的环境密切接触,卫生条件差、教育水平低、贫困、缺乏水和家庭设备以及大量家畜,增加了罗姆人定居点感染性疾病的风险,继而在国家甚至国际层面传播传染病。

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