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We assessed the prevalence and determinants of seropositivity of <jats:italic>Toxoplasma gondii<\/jats:italic> among adult participants of a nationwide representative cross-sectional survey in Germany. Sera collected from a representative cohort of adults (age 18\u201379; n\u2009=\u20096,663) in Germany were tested for anti-<jats:italic>T. gondii<\/jats:italic> IgG antibodies. Interview-derived data were used to evaluate associated factors. Multivariable logistic regression was applied using sampling weights and accounting for survey design cluster effects. Seroprevalence increased from 20% (95%-CI:17\u201323%) in the 18\u201329 age group to 77% (95%-CI:73\u201381%) in the 70\u201379 age group. Male gender, keeping cats and BMI\u2009\u226530 were independent risk factors for seropositivity, while being vegetarian and high socio-economic status were negatively associated. Based on these data, we estimate 1.1% of adults and 1.3% of women aged 18\u201349 to seroconvert each year. This implies 6,393 seroconversions annually during pregnancies. We conclude that <jats:italic>T. gondii<\/jats:italic> infection in Germany is highly prevalent and that eating habits (consuming raw meat) appear to be of high epidemiological relevance. High numbers of seroconversions during pregnancies pose substantial risks for unborn children. Efforts to raise awareness of toxoplasmosis in public health programs targeting to <jats:italic>T. gondii<\/jats:italic> transmission control are therefore strongly advocated.<\/jats:p>","DOI":"10.1038\/srep22551","type":"journal-article","created":{"date-parts":[[2016,3,3]],"date-time":"2016-03-03T10:12:52Z","timestamp":1456999972000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":178,"title":["Prevalence, incidence estimations and risk factors of Toxoplasma gondii infection in Germany: a representative, cross-sectional, serological study"],"prefix":"10.1038","volume":"6","author":[{"given":"Hendrik","family":"Wilking","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Thamm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Stark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni","family":"Aebischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Seeber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2016,3,3]]},"reference":[{"key":"BFsrep22551_CR1","doi-asserted-by":"publisher","first-page":"1385","DOI":"10.1016\/j.ijpara.2009.04.003","volume":"39","author":"G Pappas","year":"2009","unstructured":"Pappas, G., Roussos, N. & Falagas, M. 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