XML Print


1- Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran
2- Infectious Diseases Research Center, Jorjani Clinical Sciences Research Institute, Golestan University of Medical Sciences, Gorgan, Iran , tohidi66@yahoo.ca
Abstract:   (334 Views)
Background: Toxoplasmosis poses a significant risk to pregnant women because of its potential for vertical transmission to the fetus. This study aimed to evaluate the knowledge and preventive practices of pregnant women regarding toxoplasmosis.
Methods: This cross-sectional study was conducted among 506 pregnant women attending urban comprehensive health centers in Gorgan, northern Iran, between January 2023 and September 2024. Participants were selected using a stratified multistage cluster sampling method. Data were collected using a questionnaire with established validity and reliability. Statistical analyses were performed using SPSS version 25. Data were analyzed using analysis of variance (ANOVA), the independent-samples t-test, and Pearson's correlation coefficient. A p-value < 0.05 was considered statistically significant.
Results: A total of 506 pregnant women participated in the study. The mean maternal age was 26.79 ± 6.89 years, the mean gestational age was 25.88 ± 9.05 weeks, and the mean monthly household income was 8.85 ± 6.44 million Iranian rials. Overall, 41.7% of participants demonstrated poor knowledge regarding toxoplasmosis, and knowledge levels were predominantly poor to moderate, whereas 77% of participants correctly answered the questions assessing preventive practices. Statistical analysis revealed a significant positive correlation between maternal age and knowledge scores (r = 0.123, p = 0.006), as well as between household income and practice scores (r = 0.10, p = 0.02). In other words, higher household income was associated with better preventive practice scores. Multivariable regression analysis identified maternal age (B = 0.09, p = 0.005) and household income (B = 0.11, p = 0.002) as independent predictors of knowledge scores, while household income independently predicted practice scores (B = 0.06, p = 0.01).
Conclusion: The findings of this study indicate that knowledge regarding toxoplasmosis among pregnant women remains at a moderate to low level, whereas preventive practices are generally satisfactory. Integrating targeted education on toxoplasmosis into routine antenatal care services may represent an effective strategy for improving maternal and fetal health outcomes in endemic regions such as northern Iran.
     

References
1. Bieńkowski C, Aniszewska M, Kowalczyk M, Popielska J, Zawadka K, Ołdakowska A, Pokorska-Śpiewak M. Analysis of Preventable Risk Factors for Toxoplasma gondii Infection in Pregnant Women: Case-Control Study. J Clin Med. 2022; 11(4):1105. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Laboudi M, Taghy Z, Duieb O, Peyron F, Sadak A . Toxoplasma gondii seroprevalence among pregnant women in Rabat, Morocco. Trop Med Health. 2021;49(1):21. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Liponda M, Ng'weshemi S, Munisi D. Factors Associated With Toxoplasma gondii Infection Among Pregnant Women Admitted for Delivery in Selected Hospitalsin Dar es Salaam,Tanzania. Biomed Res Int. 2026:2026:8584162. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Aguirre AA, Longcore T, Barbieri M, Dabritz H, Hill D, Klein PN, et al. The One Health Approach to Toxoplasmosis: Epidemiology, Control, and Prevention Strategies. Ecohealth. 2019;16(2):378-90. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Lounis M, Aissaoui S, Ghouissem F, Souttou K. Evaluation of Awareness, Knowledge, Attitude and Practices Related to Toxoplasmosis Among Females in Algeria. Vet Sci. 2024;12(1):10. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Djurković-Djaković O, Dupouy-Camet J, Van der Giessen J, Dubey JP. Toxoplasmosis: overview from a one health perspective.Food Waterborne Parasitol. 2019:15:e00054. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Molan A, Nosaka K, Hunter M, Wang W. Global status of Toxoplasma gondii infection: systematic review and prevalence snapshots. Trop Biomed. 2019;36(4):898-925. [View at Publisher] [PMID] [Google Scholar]
8. Dubey JP. Outbreaks of clinical toxoplasmosis in humans: five decades of personal experience, perspectives and lessons learned. Parasit Vectors. 2021;14(1):263. [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Asghari A, Ghasemi E, Yousefi A, Majidiani H.R. Toxoplasmosis and Its Current Status in Iran: A Narrative Review. J Rafsanjan Univ Med Sci. 2022;20(11):1253-78 [Persian]. [View at Publisher] [DOI]
10. Eskandari S, Mohammadi M. Prevalence of toxoplasma gondii in Iranian pregnant women: systematic review and meta-analysis. Iran J Obstet Gynecol Infertil. 2025;27(11):74-87. [View at Publisher] [DOI] [Google Scholar]
11. Salehi M, Solati A, Gholizad SH, Khajavian N, Hajavi J. Seroprevalence and Risk Factors for Toxoplasma gondii Infection among Women of Reproductive Age in Northeast Iran. Iran J Parasitol. 2025;20(4):524-33. [View at Publisher] [DOI] [Google Scholar]
12. Foroutan-Rad M, Khademvatan Sh, Majidiani H, Aryamand S, Rahim F, Malehi AS. Seroprevalence of Toxoplasma gondii in the Iranian pregnant women: a systematic review and meta-analysis. Acta tropica. 2016;158:160-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Foroutan M, Dalvand S, Daryani A, Ahmadpour E, Majidiani H, Khademvatan S, et al. Rolling up the pieces of a puzzle : a systematic review and meta - analysis of the prevalence of toxoplasmosis in Iran. Alexandria J Med. 2018;54(3):96 -189. [View at Publisher] [DOI] [Google Scholar]
14. Plaza J, Dámek F, Villena I, Innes EA, Katzer F, Hamilton CM. Detection of Toxoplasma gondii in retail meat samples in Scotland. Food Waterborne Parasitol. 2020:20:e00086. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Nayebzade H, Tarah Mj, Khodadadiyan V, Shakeri Z,Samei F, Ranjbar M. A study on the degree of awareness of pregnant women about Toxoplasmosis. J Zoonoses Res. 2014;2(1):9. [View at Publisher]
16. Mostafavian Z, Bazzazan S, Mokhtari H. Evaluation of knowledge and practice of pregnant women about Toxoplasmosis in Mashhad. Med J Mashhad Univ Med Sci. 2020;63(4):2537-49. [View at Publisher] [DOI] [Google Scholar]
17. Jones JL, Ogunmodede F, Scheftel J, Kirkland E, Lopez A, Schulkin J, et al. Toxoplasmosis-related knowledge and practices among pregnant women in the United States. Infect Dis Obstet Gynecol. 2003;11(3):139-45. [View at Publisher] [DOI] [PMID] [Google Scholar]
18. Eroglu S, Asgin N. Awareness, knowledge and risk factors of Toxoplasma gondii infection among pregnant women in the Western Black Sea region of Turkey. J Obstet Gynaecol. 2021;41(5):714-20. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Andiappan H, Nissapatorn V, Sawangjaroen N, Khaing S-L, Salibay CC, Cheung MM, et al. Knowledge and practice on Toxoplasma infection in pregnant women from Malaysia, Philippines, and Thailand. Front Microbiol. 2014;5:291. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Smereka, J, Lukasz Szarpak L, Ruetzler K, Schacham Y, Smereka A, Dabrowski M, and et al. A multicenter survey on toxoplasmosis knowledge among pregnant women in Poland (the TOWER study). BMC Pregnancy Childbirth. 2018;18(1):389. [View at Publisher] [DOI] [PMID] [Google Scholar]
21. Araujo Coelho DR, Oliveira da Luz R, Soares Melegario C, Vieira WF, Bahia-Oliveira LMG. Knowledge Gaps and Educational Opportunities in Congenital Toxoplasmosis: A Narrative Review of Brazilian and Global Perspectives. Trop Med Infect Dis. 2024;9(6):137. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Atif I, Touliun O, Darbona Z, Boussaa S. Knowledge and risk factors for toxoplasmosis among health professionals in Morocco. Scientific African. 2026;31(e03261). [View at Publisher] [DOI] [Google Scholar]
23. Millar PR, Moura FL, Bastos OM, Mattos DP, Fonseca AB, Sudré AP, et al. Toxoplasmosis-related knowledge among pregnant and postpartum women attended in public health units in Niterói, Rio de Janeiro, Brazil. Rev Inst Med Trop Sao Paulo. 2014;56(5):433-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
24. Khan W, Rahman HU, Fadladdin YAJ, Rafiq N, Naz R, De Los Rios-Escalante PR, et al. Toxoplasmosis-Awareness and Knowledge of Pregnant Women in Rural Areas of Malakand Region,Pakistan. J Parasitol Res. 2023;2023:4603066. [View at Publisher] [DOI] [PMID] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2026 CC BY-NC 4.0 | Journal of Research Development in Nursing and Midwifery

Designed & Developed by : Yektaweb