Antibody status and cumulative incidence of SARS-CoV-2 infection among adults in three regions of France following the first lockdown and associated risk factors: a multicohort study

BACKGROUND: We aimed to estimate the seropositivity to anti-SARS-CoV-2 antibodies in May-June 2020 after the first lockdown period in adults living in three regions in France and to identify the associated risk factors. METHODS: Between 4 May 2020 and 23 June 2020, 16 000 participants in a survey on COVID-19 from an existing consortium of three general adult population cohorts living in the Ile-de-France (IDF) or Grand Est (GE) (two regions with high rate of COVID-19) or in the Nouvelle-Aquitaine (NA) (with a low rate) were randomly selected to take a dried-blood spot for anti-SARS-CoV-2 antibodies assessment with three different serological methods (ClinicalTrial Identifier #NCT04392388). The primary outcome was a positive anti-SARS-CoV-2 ELISA IgG result against the spike protein of the virus (ELISA-S). Estimates were adjusted using sampling weights and post-stratification methods. Multiple imputation was used to infer the cumulative incidence of SARS-CoV-2 infection with adjustments for imperfect tests accuracies. RESULTS: The analysis included 14 628 participants, 983 with a positive ELISA-S. The weighted estimates of seropositivity and cumulative incidence were 10.0% [95% confidence interval (CI): 9.1%, 10.9%] and 11.4% (95% CI: 10.1%, 12.8%) in IDF, 9.0% (95% CI: 7.7%, 10.2%) and 9.8% (95% CI: 8.1%, 11.8%) in GE and 3.1% (95% CI: 2.4%, 3.7%) and 2.9% (95% CI: 2.1%, 3.8%) in NA, respectively. Seropositivity was higher in younger participants [odds ratio (OR)?=?1.84 (95% CI: 1.79, 6.09) in

Author(s): Carrat Fabrice, de Lamballerie Xavier, Rahib Delphine, Blanché Hélène, Lapidus Nathanael, Artaud Fanny, Kab Sofiane, Renuy Adeline, de Edelenyi Fabien Szabo, Meyer Laurence, Lydié Nathalie, Charles Marie-Aline, Ancel Pierre-Yves, Jusot Florence, Rouquette Alexandra, Priet Stéphane, Villarroel Paola Mariela Saba, Fourié Toscane, Lusivika-Nzinga Clovis, Nicol Jérôme, Legot Stephane, Druesne-Pecollo Nathalie, Esseddik Younes, Lai Cindy, Gagliolo Jean-Marie, Deleuze Jean-François, Bajos Nathalie, Severi Gianluca, Touvier Mathilde, Zins Marie

Publishing year: 2021

Pages: 1458-1472

In relation to

Our latest news

news

Call for Applications for the Renewal of the Editorial Board of the Weekly...

news

Launch of the “Heating, Health, Buildings, and Urban Planning” Network:...

news

2026 “Sexual Behavior” Survey (ERAS) for men who have sex with men