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In this study, we systematically retrieved relevant articles from PubMed, Google Scholar, Scopus, Ovid\u2013Medline, and Web of Science to analyze the prevalence of <jats:italic>Trichomonas vaginalis<\/jats:italic> and its association with various infection risk factors. Among 5,437 publications released between 1992 and 2023, 425 articles focusing on the epidemiology of <jats:italic>T. vaginalis<\/jats:italic> were identified. The results revealed a global prevalence rate of <jats:italic>T. vaginalis<\/jats:italic> of 8% (95% CI: 7%\u201310%), with country-specific rates ranging from 1% to 35%. The prevalence of <jats:italic>T. vaginalis<\/jats:italic> was significantly higher in the behavioral subgroups, including smoking, drug use, and not using condoms, compared to the non-infection group, with a pooled odds ratio (OR) of 1.67 (95% CI: 1.39\u20132.0). Furthermore, the prevalence of <jats:italic>T. vaginalis<\/jats:italic> was significantly higher in the group with other sexually transmitted infections (STIs), including HIV, HSV, and <jats:italic>Chlamydia<\/jats:italic> infection compared to the non-infection group, with a pooled OR of 2.01 (95% CI: 1.48\u20132.72). Finally, socioeconomic factors such as being unmarried, having a low income, and unstable employment were associated with an increased risk of <jats:italic>T. vaginalis<\/jats:italic> infection, with a pooled OR of 1.36 (95% CI: 1.10\u20131.66). This study has significant public health relevance for the prevention and control of trichomoniasis.<\/jats:p>","DOI":"10.1051\/parasite\/2025051","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:55:33Z","timestamp":1756281333000},"page":"56","source":"Crossref","is-referenced-by-count":7,"title":["Systematic review and meta-analysis of the global prevalence and infection risk factors of <i>Trichomonas 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