Seroprevalence of human herpes viruses in France, 2018-2022: a multilevel regression and poststratification approach.
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Article de revue
Este ítem está publicado en
Infectious diseases (London, England). 2024-11-01, vol. 56, n° 11, p. 931-945
Resumen en inglés
Information related to herpes simplex virus 1 and 2 (HSV-1 and 2), varicella-zoster virus (VZV), Epstein-Barr virus (EBV), and cytomegalovirus (CMV) seroprevalence in France is either lacking, incomplete, or outdated, ...Leer más >
Information related to herpes simplex virus 1 and 2 (HSV-1 and 2), varicella-zoster virus (VZV), Epstein-Barr virus (EBV), and cytomegalovirus (CMV) seroprevalence in France is either lacking, incomplete, or outdated, despite their public health burden. We used routinely collected serological data between 2018 and 2022 to estimate HSV-1, HSV-2, VZV, EBV, and CMV seroprevalence in France. To account for demographic differences between our analytic samples and the French population and get estimates for sparsely sampled districts and age classes, we used a multilevel regression and poststratification approach combined with Bayesian model averaging stacking weights. The observed seroprevalence (number of positive tests/number of tests) were 64.6% (93,294/144,424), 16.9% (24,316/144,159), 93.0% (141,419/152,084), 83.4% (63,199/75, 781), and 49.0% (23,276/47,525), respectively, for HSV-1, HSV-2, VZV, EBV, and CMV. Between 2018 and 2022, France had a model-based average (equal-tailed interval at 95%) expected seroprevalence equal to 61.1% (60.7,61.5), 14.5% (14.2,14.81), 89.5% (89.3,89.8), 85.6% (85.2,86.0), and 50.5% (49.3,51.7), respectively, for HSV-1, HSV-2, VZV, EBV, and CMV infections. We found an almost certain lower expected seroprevalence in Metropolitan France than in overseas territories for all viruses but VZV, for which it was almost certainly greater. The expected seroprevalences were likely greater among females for all viruses. Our results relied on the assumption that individuals were sampled at random conditionally to variables used to build the poststratification table. The analysis highlights spatial and demographic patterns in seroprevalence that should be considered for designing tailored public health policies.< Leer menos
Palabras clave en inglés
Humans
Seroepidemiologic Studies
France
Female
Middle Aged
Male
Adult
Young Adult
Aged
Adolescent
Child
Herpesviridae Infections
Child
Preschool
Infant
Bayes Theorem
Aged
80 and over
Antibodies
Viral
Herpesvirus 1
Human
Infant
Newborn
Herpesvirus 3
Human
Cytomegalovirus
Herpesviridae
Centros de investigación