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Research Question
How does cat ownership influence human exposure to Toxoplasma gondii across different household and environmental contexts?
AI Novelty Assessment
Moderate Novelty
This question builds on existing work but introduces a fresh angle or combination of ideas.
Detailed Analysis
The core relationship between cat ownership/cat contact and human Toxoplasma gondii exposure is well represented in prior epidemiologic studies, meta-analysis, household-effect analyses, and reviews. What remains less well covered is a truly integrated assessment across household and environmental contexts that separates direct cat contact, indoor contamination, outdoor exposure, socioeconomic setting, and companion-animal management. So the question is moderately novel in its broader framing, but the underlying association itself is not new.
Related Academic Papers
12 papers found relevant to this research question. Each paper is scored by how closely it relates to the question.
Hai-Xia Wei, Cheng He, Pei-Liang Yang, David S. Lindsay, Hong-Juan Peng (2016)
Why this paper is relevant
Directly examines the relationship between cat contact and human Toxoplasma infection; highly relevant baseline evidence for the ownership-exposure link.
Haydee A. Dabritz, P. Conrad (2010)
Why this paper is relevant
Review synthesizing cats, environmental contamination, and public health implications; relevant conceptual background but not a focused human-context study.
A. Egorov, Reagan R. Converse, Shannon M. Griffin, Jennifer N. Styles, Elizabeth Klein, E. Sams, E. Hudgens, T. Wade (2018)
Abstract
BackgroundToxoplasma gondii infection can be acquired through ingestion of infectious tissue cysts in undercooked meat or environmental oocysts excreted by cats. This cross-sectional study assessed environmental risk factors for T. gondii infections and an association between latent infections and a measure of physiologic dysregulation known as allostatic load.MethodsSerum samples from 206 adults in the Durham-Chapel Hill, North Carolina area were tested for immunoglobulin (IgG) responses to T. gondii using commercial ELISA kits. Allostatic load was estimated as a sum of 15 serum biomarkers of metabolic, neuroendocrine and immune functions dichotomized at distribution-based cutoffs. Vegetated land cover within 500 m of residences was estimated using 1 m resolution data from US EPA’s EnviroAtlas.ResultsHandling soil with bare hands at least weekly and currently owning a cat were associated with 5.3 (95% confidence limits 1.4; 20.7) and 10.0 (2.0; 50.6) adjusted odds ratios (aOR) of T. gondii seropositivity, respectively. There was also a significant positive interaction effect of handling soil and owning cats on seropositivity. An interquartile range increase in weighted mean vegetated land cover within 500 m of residence was associated with 3.7 (1.5; 9.1) aOR of T. gondii seropositivity. Greater age and consumption of undercooked pork were other significant predictors of seropositivity. In turn, T. gondii seropositivity was associated with 61% (13%; 130%) greater adjusted mean allostatic load compared to seronegative individuals. In contrast, greater vegetated land cover around residence was associated with significantly reduced allostatic load in both seronegative (p < 0.0001) and seropositive (p = 0.004) individuals.ConclusionsResidents of greener areas may be at a higher risk of acquiring T. gondii infections through inadvertent ingestion of soil contaminated with cat feces. T. gondii infections may partially offset health benefits of exposure to the natural living environment.
Why this paper is relevant
Assesses environmental risk factors and current cat ownership in humans, closely aligned with household and environmental context.
E. Fromont, B. Riche, M. Rabilloud (2009)
Abstract
BackgroundToxoplasma gondii, the agent of toxoplasmosis, has a complex life cycle. In humans, the parasite may be acquired either through ingestion of contaminated meat or through oocysts present in the environment. The importance of each source of contamination varies locally according to the environment characteristics and to differences concerning human eating habits and the presence of cats; thus, the risk factors may be determined through fine-scale studies. Here, we searched for factors associated with seropositivity in the population of two adjacent villages in Lorraine region, France.MethodsAll voluntary inhabitants filled out a questionnaire and gave a blood sample. The seroprevalence was estimated globally and according to the inhabitants' ages using a cubic spline regression. A mixed logistic regression model was used to quantify the effect of individual and household factors on the probability of seropositivity.ResultsBased on serological results from 273 persons, we estimated seroprevalence to be 47% (95% confidence interval: 41 to 53%). That seroprevalence increased with age: the slope was the steepest up to the age of 40 years (OR = 2.48 per 10-year increment, 95% credibility interval: [1.29 to 5.09]), but that increase was not significant afterwards. The probability of seropositivity tended to be higher in men than in women (OR = 2.01, 95% credibility interval: [0.92 to 4.72]) and in subjects eating raw vegetables at least once a week than in the others (OR = 8.4, 95% credibility interval: [0.93 to 72.1]). These effects were close to statistical significance. The multivariable analysis highlighted a significant seroprevalence heterogeneity among households. That seroprevalence varied between 6 and 91% (5th and 95th percentile of the household seropositivity distribution).ConclusionThe major finding is the household effect, with a strong heterogeneity of seroprevalence among households. This effect may be explained by common exposures of household members to local risk factors. Future work will quantify the link between the presence of oocysts in the soil and the seroprevalence of exposed households using a spatial analysis.
Why this paper is relevant
Shows a household effect for Toxoplasma seroprevalence, supporting the importance of shared household/environmental context beyond cat ownership alone.
D. Iddawela, S. Vithana, C. Ratnayake (2017)
Abstract
BackgroundToxoplasma gondii is an intracellular protozoan infecting humans and animals. Infection in adults usually causes mild disease but greater importance lies in preventing transplacental transmission which can cause major foetal anomalies and is vital to identify infection in pregnancy. Research on this regard in Sri Lanka is scarce and would be beneficial in developing antenatal care strategies for improved foetal outcome.MethodsA random sample of 536 pregnant women attending antenatal care in Teaching Hospital Peradeniya from 2010 to 2013 was recruited for this study.Blood samples were tested for Toxoplasma gondii IgG and IgM antibodies from the participants by using a commercial ELISA kit with a cut-off OD value of >1 and a structured questionnaire was used to identify the exposure to risk.Bivariate analysis using the Chi Square test was used to calculate associations between documented risk factors and seropositivity and a p value of <0.05 was taken as significant.ResultsAmong the participants 160 (29.9%) were positive for T. gondii IgG antibodies and 2 (0.37%) were IgM positive. The seroprevalence in the first, second and third trimesters were 30.4%, 30.6% and 26.1% respectively. Of the risk factors studied, preparation and selling raw meat (p = 0.05) and household gardening (p = 0.01) were significant whereas the presence of domesticated cats and dogs, eating locally produced meat or dairy products did not show significant associations.ConclusionsSeroprevalence of T. gondii present among pregnant women attending antenatal care in Peradeniya was 29.9% indicating high level of transmission among the study population. However 70.1% of the study population were seronegative and were susceptible to primary acute infection during pregnancy and possible foetal anomalies. Therefore implementing health education especially on the aforementioned risk factors is recommended.
Why this paper is relevant
Pregnancy-focused risk factor study including cat ownership/contact and environmental/food exposures; relevant subgroup evidence.
A. Brennan, J. Hawley, N. Dhand, L. Boland, J. Beatty, M. Lappin, V. Barrs (2019)
Abstract
Ongoing surveillance of Toxoplasma gondii seroprevalence and exposure risks in owned cats is important to identify effective mechanisms to decrease the prevalence of this global zoonotic parasite. We aimed to determine the seroprevalence of T. gondii and risk factors for seropositivity in owned domestic cats in Australia. Sera, signalment data, postcode, and completed owner-questionnaires surveying diet composition and lifestyle factors were collected for cats presenting to 18 veterinary clinics across Australia. T. gondii-specific IgG was measured by enzyme-linked immunosorbent assay. Data were analyzed using univariable and multivariable logistic regression to evaluate risk factors associated with positive T. gondii IgG serology. Among 417 cats, T. gondii seroprevalence was 39%. More than two-thirds of cats tested (69%) had outdoor access and 59% were fed a diet containing raw meat. Univariable analyses identified, age (>1 year, p < 0.001), a diet containing any raw meat (p = 0.001), raw kangaroo (p = 0.008), raw chicken (p = 0.012), or raw beef (p = 0.017), and hunting (p = 0.049) as risk factors for T. gondii infection. Age (>1 year, odds ratio [OR]: 7.15) and feeding of raw meat (OR: 2.23) remained significant risk factors (p < 0.001) in multivariable analyses. T. gondii seroprevalence did not differ between cats domiciled in urban and semiurban or rural areas. Pet cats in Australia are commonly infected with T. gondii. Feeding raw meat to cats, a common practice in Australia, is associated with T. gondii infection, highlighting the need for education about the health implications for cats from feeding a diet containing raw meat.
Why this paper is relevant
Studies owned domestic cats and exposure risks; relevant to the animal side of the household transmission context.
Sophie Zhu, E. VanWormer, K. Shapiro (2023)
Abstract
Toxoplasma gondii is a ubiquitous zoonotic parasite that can infect warm-blooded vertebrates, including humans. Felids, the definitive hosts, drive T. gondii infections by shedding the environmentally resistant stage of the parasite (oocysts) in their feces. Few studies characterize the role of climate and anthropogenic factors in oocyst shedding among free-ranging felids, which are responsible for the majority of environmental contamination. We determined how climate and anthropogenic factors influence oocyst shedding in free-ranging domestic cats and wild felids using generalized linear mixed models. T. gondii oocyst shedding data from 47 studies were systematically reviewed and compiled for domestic cats and six wild felid species, encompassing 256 positives out of 9,635 total fecal samples. Shedding prevalence in domestic cats and wild felids was positively associated with human population density at the sampling location. Larger mean diurnal temperature range was associated with more shedding among domestic cats and warmer temperature in the driest quarter was associated with lower oocyst shedding in wild felids. Increasing human population density and temperature fluctuation can exacerbate environmental contamination with the protozoan parasite T. gondii. Management of free-ranging domestic cats could lower the burden of environmental oocysts due to their large population sizes and affinity with human settlements.
Why this paper is relevant
Explores oocyst shedding in free-ranging domestic cats and environmental predictors, informing household/environmental contamination pathways.
Leonela Bazan, H. Argibay, Waléria Borges-Silva, Luís Fernando Pita Gondim, Thaís Auxiliadora Dos Santos Mattos, J. O. Santana, E. M. da Silva, Michael Begon, Hussein Khalil, Federico Costa, Ianei de Oliveira Carneiro (2025)
Abstract
Toxoplasma gondii is a globally neglected zoonotic parasite, particularly prevalent in socioeconomically vulnerable areas. Various animal species serve as reservoirs for T. gondii across different regions, including domestic cats, livestock, and a variety of wild and synanthropic animals. In urban areas, especially informal settlements, the close coexistence of humans, domestic animals, and wildlife may influence local transmission dynamics. This study evaluated the seroprevalence and associated risk factors for T. gondii infection in domestic and synanthropic animals from two low-income neighborhoods in Salvador, Brazil. A cross-sectional study was conducted in the neighborhoods of Marechal Rondon and Pau da Lima from October 2021 to February 2023. Blood samples were collected from domestic animals (288 dogs, 112 cats, 27 chickens, and six horses) and synanthropic species (54 brown rats and 75 big-eared opossums). Serological tests were performed using an indirect immunofluorescence antibody test. Questionnaires were used to collect environmental, demographic, and socioeconomic data from households where sampling took place. Generalized linear mixed models were applied to identify predictors of exposure. Seroprevalence was highest in chickens (66.7%), followed by dogs (37.2%), rats (24.1%), cats (22.3%), opossums (20%), and horses (16.7%). No significant factors were found to be associated with T. gondii seroprevalence in chickens, horses, rats, or opossums. Nevertheless, in dogs and cats, homemade diets increased the odds of infection by nearly six times compared to commercial feeding. Dogs from Pau da Lima were twice as likely to be infected as those from Marechal Rondon. These findings underscore the importance of promoting safe pet management, improving sanitation, and monitoring sentinel species to mitigate zoonotic risks in urban informal settlements.
Why this paper is relevant
Urban informal settlements study on animal seroprevalence and risk factors; contributes to environmental and socioeconomic context of exposure.
J. A. Mendoza Roldan, D. Otranto (2023)
Abstract
One of the most common behaviors of cats that have an indoor/outdoor lifestyle is to bring hunted “gifts” to their owners, represented by small mammals, reptiles and birds. Access to the outdoors by dogs and cats may represent a problematic issue, since they may be at risk of diseases, traffic accidents and ingestion of toxins. Yet, the impact of this population of roaming dogs and cats predating wildlife is another concerning issue that receives less attention. Despite these risks, most owners still prefer to give outdoor access to their pets to allow them to express their “natural instincts,” such as hunting. Therefore, with a growing population of > 470 million dogs and 373 million cats worldwide, predation not only represents a threat to wildlife, but also a door of transmission for parasitic diseases, some of them of zoonotic concern. In this review, the role played by dogs, and especially cats, in the perpetuation of the biological life cycle of zoonotic parasites through the predation of rodents, reptiles and birds is discussed. Feral and domestics dogs and cats have contributed to the population collapse or extinction of > 63 species of reptiles, mammals and birds. Although the ecological impact of predation on wild populations is well documented, the zoonotic risk of transmission of parasitic diseases has not received significant attention. The parasitic diseases associated to predation vary from protozoan agents, such as toxoplasmosis, to cestodes like sparganosis and even nematodes such as toxocariasis. Raising awareness about predation as a risk of zoonotic parasitic infections in dogs and cats will aid to create responsible ownership and proper actions for controlling feral and free-roaming cat and dog populations worldwide. Graphical Abstract
Why this paper is relevant
Reviews predation-related zoonotic parasite transmission from cats; relevant to indirect environmental exposure routes.
I. F. Arruda, P. Millar, A. Barbosa, L. Abboud, I. C. Dos Reis, Alex Sander da Cruz Moreira, Mariana Pedrosa de Paula Guimarães, M. Amendoeira (2021)
Abstract
Toxoplasma gondii is a highly prevalent zoonotic parasite in Brazil capable of infecting mammals and birds. The increase in the urban populations of pets and the narrowing of the human–animal relationship can facilitate the transmission of important public health zoonoses, such as toxoplasmosis. This study aimed to evaluate the frequency and spatial distribution of T. gondii infection and its risk factors in domiciled dogs and cats attended at the Jorge Vaitsman Institute, Rio de Janeiro. Serum samples from 400 dogs and 272 cats were evaluated by an indirect fluorescent antibody test (IFAT) for IgG anti-T. gondii antibodies. Epidemiological questionnaires were used to interview the animals’ owners to identify risk factors for infection. Of the total, 34% (136/400) of dogs and 8.1% (22/272) of cats had anti-T. gondii antibodies. Breed (OR: 2.10–95%, CI 1.27–3.46) was a risk factor for dogs, while sex (OR: 3.40–95%, CI 1.10–10.52) and homemade food consumption (OR: 8.49–95%, CI 2.48–29.05) were risk factors for cats. Offal consumption was considered a risk factor for both species evaluated (OR: 2.74–95%, CI 1.38–5.43 for dogs; OR: 7.66–95%, CI 1.24–47.29 for cats). The spatial analysis showed that T. gondii seropositive animals were widely distributed in the metropolitan region of Rio de Janeiro state, with a concentration observed mainly in the west and north zones of Rio de Janeiro city. The results emphasize the importance of adopting prophylactic measures to control T. gondii transmission in domiciled dogs and cats in Rio de Janeiro, contributing positively to public health.
Why this paper is relevant
Urban domiciled cats with risk factors and spatial distribution; useful for contextual environmental exposure but not directly human infection.
S. Robertson (2008)
Why this paper is relevant
General feral cat control review; peripheral but useful for environmental cat population context.
E. Battisti, S. Zanet, S. Khalili, A. Trisciuoglio, Beatrice Hertel, E. Ferroglio (2020)
Abstract
In Europe, free-ranging wildlife has been linked to the emergence of several vector-borne diseases such as rodents for Borrelia burgdorferi s.l. In particular, wild carnivorans are one of the most important sources of emerging zoonotic pathogens worldwide, although little information is available regarding the epidemiology of vector-borne parasites in these animals. Thus, the aim of this paper was to investigate the prevalence of Babesia spp., Anaplasma spp., Ehrlichia spp., Hepatozoon spp. and Leishmania infantum in alpine wild canids and mustelids from Italy. For this study, spleen samples of 157 foxes (Vulpes vulpes), 45 badgers (Meles meles), and 33 wolves (Canis lupus) collected between 2009 and 2017 in Northwest Italy were examined by using conventional PCR. Logistic regression was used to identify possible risk factors for pathogen infections. DNA of any of the tested pathogens was found in more than 90% of the analyzed animals. In particular, Babesia spp. showed significantly higher prevalence in foxes (89.7%) and badgers (89.6%) than in wolves, while the latter were considerably more infected with Hepatozoon canis (75.8%) than foxes (5.1%). None of the badger tested positive for Hepatozoon spp., although they showed high prevalence of Leishmania infantum (53.3%). Sequencing results revealed the presence, among others, of Babesia vulpes, Babesia sp. isolate badger type A and B, and Anaplasma phagocytophilum. Moreover, previously unreported pathogen/host associations were observed, such as Babesia capreoli in wolves and badgers. The prevalence of vector-borne pathogens observed in the present study is one of the highest reported so far, suggesting the importance of free-ranging carnivorans in the epidemiology and maintenance of the sylvatic cycle of the pathogens. Moreover, several of these pathogens are of particular importance regarding human (A. phagocytophilum, L. infantum) and pet health (L. infantum, B. vulpes).
Why this paper is relevant
One Health perspective on human-companion animal relationships; broad contextual support rather than specific Toxoplasma evidence.
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