Research Article

Toxoplasmosis Behind Bars: One Health Approach on Serosurvey Dynamics and Associated Risk Factors for Women Inmates, Correctional Officers, and In-Prison Feral Cats

Table 3

Associated risk factors for anti-Toxoplasma gondii antibodies in incarcerated women (N = 506) in a penitentiary of Paraná State, southern Brazil.

Serological results (%)Univariate analysisMultivariate analysis
PositiveNegativeOR (95% CI)pOR (95% CI)p

230 (45.5)276 (54.5)
Age (years old)0.301
 18–2655 (24.0)68 (24.6)1 (Reference)
 27–3158 (25.3)65 (23.6)1.10 (0.67–1.83)
 32–3845 (19.7)72 (26.1)0.77 (0.46–1.30)
 >3871 (31.0)71 (25.7)1.23 (0.76–2.01)
Ethnicity0.036
 Non-white119 (52.0)116 (42.2)1 (Reference)
 White110 (48.0)159 (57.8)0.68 (0.47–0.96)0.68 (0.45–1.00)0.052
Educational level0.001
 Elementary172 (74.8)165 (60.0)1 (Reference)
 High school44 (19.1)93 (33.8)0.46 (0.30–0.69)0.47 (0.29–0.75)0.001
 Graduate14 (6.09)17 (6.18)0.79 (0.37–1.67)0.76 (0.32–1.71)0.500
Hours in cell0.007
 All day168 (75.7)170 (63.9)1 (Reference)
 18 hr54 (24.3)96 (36.1)0.57 (0.38–0.85)0.95 (0.57–1.58)0.841
Cat owner before detention0.354
 No142 (66.0)188 (70.4)1 (Reference)
 Yes73 (34.0)79 (29.6)1.22 (0.83–1.80)
Contact with cats during detention0.982
 No156 (72.9)186 (72.4)1 (Reference)
 Yes58 (27.1)71 (27.6)0.97 (0.65–1.46)
Frequency in solarium (per week)0.067
 No access37 (17.6)47 (18.7)1 (Reference)
 Once64 (30.5)100 (39.7)0.81 (0.48–1.39)0.89 (0.49–1.59)0.687
 Twice or more109 (51.9)105 (41.7)1.32 (0.79–2.20)1.40 (0.80–2.45)0.235
Washing hands before meals0.363
 No7 (3.08)4 (1.48)1 (Reference)
 Yes220 (96.9)267 (98.5)0.48 (0.12–1.65)
History of raw meat ingestion0.021
 No127 (58.8)183 (69.3)1 (Reference)
 Yes89 (41.2)81 (30.7)1.58 (1.09–2.31)1.53 (1.02–2.29)0.040
Pregnant1
 No216 (99.5)268 (99.6)1 (Reference)
 Yes1 (0.46)1 (0.37)1.24 (0.03–48.6)
Mother0.364
 No34 (15.0)50 (18.5)1 (Reference)
 Yes192 (85.0)220 (81.5)1.28 (0.80–2.08)
History of miscarriage0.545
 No144 (69.2)168 (66.1)1 (Reference)
 Yes64 (30.8)86 (33.9)0.87 (0.58–1.29)
Contact with soil during detention0.791
 No207 (93.7)252 (92.6)1 (Reference)
 Yes14 (6.33)20 (7.35)0.86 (0.41–1.73)
Biting nails0.485
 No151 (68.9)173 (65.5)1 (Reference)
 Yes68 (31.1)91 (34.5)0.86 (0.58–1.26)