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Published on: August 22, 2012
Protective and risk factors for toxocariasis in children from two different social classes of Brazil
Vamilton Alvares Santarém1, Flávia Noris Chagas Leli, Guita Rubinsky-Elefant
1Mestrado em Ciência Animal, Universidade do Oeste Paulista-Unoeste, Presidente Prudente, SP, Brasil. vamilton@unoeste.br
Insights
Toxocara infection in children is linked to socioeconomic status. Higher income protects against toxocariasis, while owning a cat increases risk, highlighting the need for targeted prevention strategies.
Area of Science:
- * Parasitology and Public Health
- * Epidemiology of Neglected Tropical Diseases
Background:
- * Toxocariasis, caused by *Toxocara* species, is a zoonotic infection with global prevalence.
- * Socioeconomic factors are known to influence the transmission and prevalence of parasitic infections.
Purpose of the Study:
- * To determine the prevalence of *Toxocara* spp. antibodies in children from different socioeconomic classes.
- * To identify protective and risk factors associated with toxocariasis in these populations.
Main Methods:
- * Cross-sectional study involving 252 children (126 middle-class, 126 disadvantaged) in Presidente Prudente, Brazil.
- * Serological testing using anti-*Toxocara* ELISA to assess prevalence.
- * Surveys administered to parents/guardians to collect data on risk and protective factors.
Main Results:
- * Overall *Toxocara* seroprevalence was 11.1%, with 9.5% in middle-class and 12.7% in disadvantaged children.
- * Higher family income was a significant protective factor against toxocariasis.
- * Being female, owning a cat (overall and for both groups), and owning a dog (middle-class only) were identified as significant factors.
Conclusions:
- * Socioeconomic status significantly impacts *Toxocara* infection risk.
- * Protective and risk factors for toxocariasis can vary between different socioeconomic strata.
- * Tailored public health interventions are crucial for effective prevention of *Toxocara* infections.
Abstract:
The aim of this study was to analyze the prevalence of Toxocara spp. antibodies in children from two different socioeconomic classes in the Presidente Prudente municipality, São Paulo State, Brazil, and the protective and risk factors associated with toxocariasis. One hundred and twenty-six middle-class (MC) and 126 disadvantaged children (DC) were included in this study. Anti-Toxocara ELISA test was performed in order to evaluate seroprevalence. A survey was applied to the children's guardians/parents in order to analyze the protective and risk factors. The overall prevalence was 11.1%, and of 9.5% (12/126) and 12.7% (16/126) for MC and DC subgroups, respectively. Toxocara seropositivity was inversely proportional to the family income. A high household income was considered a protective factor for toxocariasis in the total population and in both MC and DC subgroups. Being a girl was considered a protective factor for the total population and for both subgroups. Whilst being an owner of cat was a risk factor for children belonging to the total and for both MC and DC subgroups, having dog was considered as a risk factor for only the MC. Epidemiologic protective/factor risks can be distinct depending on the strata of the same population. Thus, it is relevant to evaluate these factors independently for different socioeconomic classes in order to design future investigations and programs for preventing the infection of human beings by Toxocara spp. and other geohelminths.
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