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Article: Geographic variation in dengue seroprevalence and force of infection in the urban paediatric population of Indonesia
Title | Geographic variation in dengue seroprevalence and force of infection in the urban paediatric population of Indonesia |
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Authors | |
Issue Date | 2018 |
Citation | PLoS Neglected Tropical Diseases, 2018, v. 12, n. 11, article no. e0006932 How to Cite? |
Abstract | Understanding the heterogeneous nature of dengue transmission is important for prioritizing and guiding the implementation of prevention strategies. However, passive surveillance data in endemic countries are rarely adequately informative. We analyzed data from a cluster-sample, cross-sectional seroprevalence study in 1–18 year-olds to investigate geographic differences in dengue seroprevalence and force of infection in Indonesia. We used catalytic models to estimate the force of infection in each of the 30 randomly selected sub-districts. Based on these estimates, we determined the proportion of sub-districts expected to reach seroprevalence levels of 50%, 70% and 90% by year of age. We used population averaged generalized estimating equation models to investigate individual- and cluster-level determinants of dengue seropositivity. Dengue force of infection varied substantially across Indonesia, ranging from 4.3% to 30.0% between sub-districts. By age nine, 60% of sub-districts are expected to have a seroprevalence ≥70%, rising to 83% by age 11. Higher odds of seropositivity were associated with higher population density (OR = 1.54 per 10-fold rise in population density, 95% CI: 1.03–2.32) and with City (relative to Regency) administrative status (OR = 1.92, 95% CI: 1.32–2.79). Our findings highlight the substantial variation in dengue endemicity within Indonesia and the importance of understanding spatial heterogeneity in dengue transmission intensity for optimal dengue prevention strategies including future implementation of dengue vaccination programmes. |
Persistent Identifier | http://hdl.handle.net/10722/311455 |
ISSN | 2011 Impact Factor: 4.716 2023 SCImago Journal Rankings: 1.258 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Tam, Clarence C. | - |
dc.contributor.author | O’Driscoll, Megan | - |
dc.contributor.author | Taurel, Anne Frieda | - |
dc.contributor.author | Nealon, Joshua | - |
dc.contributor.author | Hadinegoro, Sri Rezeki | - |
dc.date.accessioned | 2022-03-22T11:53:59Z | - |
dc.date.available | 2022-03-22T11:53:59Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | PLoS Neglected Tropical Diseases, 2018, v. 12, n. 11, article no. e0006932 | - |
dc.identifier.issn | 1935-2727 | - |
dc.identifier.uri | http://hdl.handle.net/10722/311455 | - |
dc.description.abstract | Understanding the heterogeneous nature of dengue transmission is important for prioritizing and guiding the implementation of prevention strategies. However, passive surveillance data in endemic countries are rarely adequately informative. We analyzed data from a cluster-sample, cross-sectional seroprevalence study in 1–18 year-olds to investigate geographic differences in dengue seroprevalence and force of infection in Indonesia. We used catalytic models to estimate the force of infection in each of the 30 randomly selected sub-districts. Based on these estimates, we determined the proportion of sub-districts expected to reach seroprevalence levels of 50%, 70% and 90% by year of age. We used population averaged generalized estimating equation models to investigate individual- and cluster-level determinants of dengue seropositivity. Dengue force of infection varied substantially across Indonesia, ranging from 4.3% to 30.0% between sub-districts. By age nine, 60% of sub-districts are expected to have a seroprevalence ≥70%, rising to 83% by age 11. Higher odds of seropositivity were associated with higher population density (OR = 1.54 per 10-fold rise in population density, 95% CI: 1.03–2.32) and with City (relative to Regency) administrative status (OR = 1.92, 95% CI: 1.32–2.79). Our findings highlight the substantial variation in dengue endemicity within Indonesia and the importance of understanding spatial heterogeneity in dengue transmission intensity for optimal dengue prevention strategies including future implementation of dengue vaccination programmes. | - |
dc.language | eng | - |
dc.relation.ispartof | PLoS Neglected Tropical Diseases | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Geographic variation in dengue seroprevalence and force of infection in the urban paediatric population of Indonesia | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1371/journal.pntd.0006932 | - |
dc.identifier.pmid | 30388105 | - |
dc.identifier.pmcid | PMC6241133 | - |
dc.identifier.scopus | eid_2-s2.0-85056657168 | - |
dc.identifier.volume | 12 | - |
dc.identifier.issue | 11 | - |
dc.identifier.spage | article no. e0006932 | - |
dc.identifier.epage | article no. e0006932 | - |
dc.identifier.eissn | 1935-2735 | - |
dc.identifier.isi | WOS:000452162500047 | - |