{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T08:13:40Z","timestamp":1768724020340,"version":"3.49.0"},"reference-count":34,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T00:00:00Z","timestamp":1519689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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 Toxoplasma gondii (T. gondii) 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 T. gondii 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 T. gondii. Of the clinical symptoms analyzed in the study, only muscle and back pain were associated with seropositivity to T. gondii. 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.<\/jats:p>","DOI":"10.3390\/ijerph15030408","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T14:18:08Z","timestamp":1519741088000},"page":"408","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Exposure to Toxoplasma gondii in the Roma and Non-Roma Inhabitants of Slovakia: A Cross-Sectional Seroprevalence Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9358-2163","authenticated-orcid":false,"given":"Daniela","family":"Antolov\u00e1","sequence":"first","affiliation":[{"name":"Department of Parasitic Diseases, Institute of Parasitology SAS, Hlinkova 3, 040 01 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3329-3968","authenticated-orcid":false,"given":"Martin","family":"Jani\u010dko","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9011-2238","authenticated-orcid":false,"given":"Monika","family":"Hal\u00e1nov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Jar\u010du\u0161ka","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2993-3798","authenticated-orcid":false,"given":"Andrea","family":"Geckov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Babinsk\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zuzana","family":"Kalinov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Pella","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1ria","family":"Marekov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduard","family":"Veseliny","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, P. J. \u0160af\u00e1rik University in Ko\u0161ice, Trieda SNP 1, 040 11 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"HepaMeta Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,2,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/S0020-7519(00)00124-7","article-title":"Toxoplasma gondii: From animals to humans","volume":"30","author":"Tenter","year":"2000","journal-title":"Int. J. Parasitol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1645\/0022-3395(2002)088[1234:HPOVTG]2.0.CO;2","article-title":"High prevalence of viable Toxoplasma gondii infection in market weight pigs from a farm in Massachusetts","volume":"88","author":"Dubey","year":"2002","journal-title":"J. Parasitol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.ajog.2004.07.031","article-title":"Risk factors for Toxoplasma gondii infection in mothers of infants with congenital toxoplasmosis: Implications for prenatal management and screening","volume":"192","author":"Boyer","year":"2005","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_4","unstructured":"Rim\u00e1rov\u00e1, K. (2010). The Health of Roma People in Central and Eastern Europe, Pavol Jozef \u0160af\u00e1rik University. [1st ed.]."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/s00038-015-0771-y","article-title":"Does poorer self-rated health mediate the effect of Roma ethnicity on mortality in patients with coronary artery disease after coronaro-angiography","volume":"61","author":"Rosenberger","year":"2016","journal-title":"Int. J. Public Health"},{"key":"ref_6","unstructured":"VEDA (2012). Statistical Yearbook of the Slovak Republic 2011, VEDA. Available online: http:\/\/portal.statistics.sk\/showdoc.do?docid=72951."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1007\/s00038-013-0518-6","article-title":"Revisiting the evidence on health and health care disparities among the Roma: A systematic review 2003\u20132012","volume":"58","author":"Cook","year":"2013","journal-title":"Int. J. Public Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s00038-015-0736-1","article-title":"Comparison of weight and length at birth of non-Roma and Roma newborn in Serbia","volume":"61","author":"Novak","year":"2016","journal-title":"Int. J. Public Health"},{"key":"ref_9","unstructured":"Liegois, J.P., and Gheorghe, N. (1995). Roma\/Gypsies: A European Minority. An MRG International Report 95\/4, London Minority Right Groups. London Minority Right Groups Report."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s00038-013-0451-8","article-title":"Are barriers in accessing health services in the Roma population associated with worse health status among Roma?","volume":"58","author":"Uhrin","year":"2013","journal-title":"Int. J. Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"63","DOI":"10.2478\/s11687-012-0013-2","article-title":"Prevalence of intestinal parasites in children from minority group with low hygienic standards in Slovakia","volume":"49","author":"Valko","year":"2012","journal-title":"Helminthologia"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s00038-011-0312-2","article-title":"Research on Roma health and access to healthcare: State of the art and future challenges","volume":"57","author":"Covaci","year":"2012","journal-title":"Int. J. Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.kontakt.2014.01.001","article-title":"Social determinants of health in the Romani population","volume":"16","author":"Urban","year":"2014","journal-title":"Kontakt"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.21101\/cejph.a3972","article-title":"HepaMeta\u2014Prevalence of hepatitis B\/C and metabolic syndrome in population living in separated and segregated Roma settlements: A methodology for a cross-sectional population-based study using community based approach","volume":"22","author":"Pella","year":"2014","journal-title":"Cent. Eur. J. Public Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/j.ijpara.2009.04.003","article-title":"Toxoplasmosis snapshots: Global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis","volume":"39","author":"Pappas","year":"2009","journal-title":"Int. J. Parasitol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1128\/CMR.05013-11","article-title":"Epidemiology and diagnostic strategies for toxoplasmosis","volume":"25","year":"2012","journal-title":"Clin. Microbiol. Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4269\/ajtmh.2007.77.405","article-title":"Toxoplasma gondii infection in the United States: Decline from the prior decade","volume":"77","author":"Jones","year":"2007","journal-title":"Am. J. Trop. Med. Hyg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2018","DOI":"10.1017\/S0950268815003337","article-title":"Seroprevalence and associated risk factors of Toxoplasma gondii infection in the Korean, Manchu, Mongol and Han ethnic groups in eastern and northeastern China","volume":"144","author":"Zhang","year":"2016","journal-title":"Epidemiol. Infect."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.respe.2009.03.006","article-title":"Toxoplasmosis among pregnant women in France: Risk factors and change of prevalence between 1995 and 2003","volume":"57","author":"Berger","year":"2009","journal-title":"Rev. Epidemiol. Sante Publique"},{"key":"ref_20","unstructured":"Va\u0161e\u010dka, M., and D\u017eambazovi\u010d, R. (2000). The socio-economic situation of the Roma in Slovakia as potential migrants and asylum applicants in EU countries. The Socio-Economic Situation of Potential Asylum Applicants from the Slovak Republic, International Organization for Migration. (In Slovak)."},{"key":"ref_21","first-page":"479","article-title":"Health status of Romanies (Gypsies) in the Slovak Republic and in the neighbouring countries","volume":"102","author":"Ginter","year":"2001","journal-title":"Bratisl. Lek. Listy"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1515\/helm-2017-0026","article-title":"Segregated settlements present an increased risk for the parasite infections spread in Northeastern Slovakia","volume":"54","year":"2017","journal-title":"Helminthologia"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Hal\u00e1nov\u00e1, M., Jar\u010du\u0161ka, P., Kalinov\u00e1, Z., C\u00e1rikov\u00e1, K., Oravcov\u00e1, J., Jar\u010du\u0161ka, P., Pella, D., Marekov\u00e1, M., Madarasov\u00e1 Geckov\u00e1, A., and \u010cisl\u00e1kov\u00e1, L. (2014). The prevalence of Chlamydia trachomatis in the population living in Roma settlements: A comparison with the majority population. Cent. Eur. J. Public Health, S32\u2013S36.","DOI":"10.21101\/cejph.a3899"},{"key":"ref_24","first-page":"8","article-title":"Seroprevalence of Toxoplasma gondii among pregnant women in Slovakia","volume":"57","author":"Ondriska","year":"2008","journal-title":"Epidemiol. Mikrobiol. Imunol."},{"key":"ref_25","first-page":"51","article-title":"Laborat\u00f3rna diagnostika toxoplazm\u00f3zy","volume":"58","author":"Klement","year":"2009","journal-title":"Epidemiol. Mikrobiol. Imunol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1093\/aje\/154.4.357","article-title":"Toxoplasma gondii infection in the United States: Seroprevalence and risk factors","volume":"154","author":"Jones","year":"2001","journal-title":"Am. J. Epidemiol."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Elfadaly, H.A., Hassainain, N.A., Hassanain, M.A., Barakat, A.M., and Shaapan, R.M. (2017). Evaluation of primitive ground water supplies as a risk factor for thedevelopment of major waterborne zoonosis in Egyptian children living in rural areas. J. Infect. Public Health.","DOI":"10.1016\/j.jiph.2017.07.025"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"6603","DOI":"10.1016\/j.watres.2011.10.013","article-title":"Waterborne transmission of protozoan parasites: Review of worldwide outbreaks\u2014An update 2004\u20132010","volume":"45","author":"Baldursson","year":"2011","journal-title":"Water Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1791","DOI":"10.1017\/S0031182017001172","article-title":"The first detection of Toxoplasma gondii DNA in environmental air samples using gelatin filtres, real tima PCR and loop-mediated isothermal (LAMP) assays: Qualitative and quantitative analysis","volume":"144","author":"Lass","year":"2017","journal-title":"Parasitology"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1016\/j.ijpara.2008.03.007","article-title":"Toxoplasma gondii infection in humans and animals in the United States","volume":"38","author":"Dubey","year":"2008","journal-title":"Int. J. Parasitol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/S0168-6445(03)00071-8","article-title":"How to detect Toxoplasma gondii oocysts in environmental samples?","volume":"27","author":"Darde","year":"2003","journal-title":"FEMS Microbiol. Rev."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Retmanasari, A., Widartono, B.S., Wijaynti, M.A., and Artama, T. (2016). Prevalence and risk factors of toxoplasmosis in Middle Java, Indonesia. EcoHealth.","DOI":"10.1007\/s10393-016-1198-5"},{"key":"ref_33","first-page":"466","article-title":"Toxoplasma gondii in backyard pigs: Seroepidemiology and mouse bioassay","volume":"62","author":"Mota","year":"2017","journal-title":"Acta Parasitol."},{"key":"ref_34","first-page":"361","article-title":"Occurrence and genetic characterization of Toxoplasma gondii in naturally infected pigs","volume":"58","year":"2013","journal-title":"Acta Parasitol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/15\/3\/408\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T14:56:39Z","timestamp":1760194599000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/15\/3\/408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,27]]},"references-count":34,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,3]]}},"alternative-id":["ijerph15030408"],"URL":"https:\/\/doi.org\/10.3390\/ijerph15030408","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,27]]}}}