加拿大SARS-CoV-2血清流行率估计的可比性与社会人口代表性的统计调整
Yuan Yu1, Jiacheng Chen1, Matthew J Knight1
1School of Population and Global Health, McGill University, Montreal, QC, Canada.
Canadian journal of public health = Revue canadienne de sante publique
|November 10, 2025
概括
统计调整并没有持续改善不同监测来源之间的SARS-CoV-2血清流行率估计. 免疫测试方法和样本类型的差异显著影响了血清阳性结果.
科学领域:
- 流行病学 流行病学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- SARS-CoV-2 血清监测依赖于各种样本来源,如献血者和患者残留物.
- 这些来源中社会人口特征的变化可以在血清流行率估计中引入偏见.
- 为了纠正这些表示差异,通常需要进行统计调整.
研究的目的:
- 为了比较不同监测来源的SARS-CoV-2血清流行率估计.
- 评估多层次回归和后分层 (MRP) 在调整人口差异方面的有效性.
- 确定导致血清阳性发现差异的因素.
主要方法:
- 重新分析了来自六个地区的六个血清监测来源的数据.
- 对SARS-CoV-2抗核体抗体的未调整和MRP调整的血清流行率估计进行比较.
- 利用回归分析来评估免疫测试套件和样本类型对血清阳性的影响.
主要成果:
- 不调整的血清发病率在来源之间变化高达20%.
- 主要价格调整并没有持续提高监管来源之间的可比性.
- 献血者样本在2022年显示出更高的血清流行率;免疫检测试剂盒和样本类型显著影响了血清阳性分类.
结论:
- 调整社会人口代表性并没有系统地改善血清阳性估计的一致性.
- 来源之间的差异可能源于未经评估的表示特征.
- 方法因素,包括样本类型和免疫测试程序,显著解释了血清监测结果的观察差异.
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