Evidence map›Paper›PMID 32173094›Full record

ArticleVaccine2020

Risk factors for measles virus infection and susceptibility in persons aged 15 years and older in China: A multi-site case-control study, 2012-2013.

Chao Ma, Lixin Hao, Lance Rodewald, Qian An, Kathleen A Wannemuehler, Qiru Su, Zhijie An, Linda Quick, Yuanbao Liu, Rui Yan and 8 more

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 2 countries.

Chao MaNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Lixin HaoNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China. Electronic address: Haolx@chinacdc.cn.
Lance RodewaldExpanded Program on Immunization, World Health Organization Office in China, Beijing, China.
Qian AnGlobal Immunization Division, Centers for Disease Control and Prevention, United States.
Kathleen A WannemuehlerGlobal Immunization Division, Centers for Disease Control and Prevention, United States.
Qiru SuNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Zhijie AnNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Linda QuickGlobal Immunization Division, Centers for Disease Control and Prevention, United States.
Yuanbao LiuDivision of Expanded Program on Immunization, Jiangsu Provincial CDC, Nanjing, China.
Rui YanDivision of Expanded Program on Immunization, Zhejiang Provincial CDC, Hangzhou, China.
Xiaodong LiuDivision of Expanded Program on Immunization, Shandong Provincial CDC, Jinan, China.
Yanyang ZhangDivision of Expanded Program on Immunization, Henan Provincial CDC, Zhengzhou, China.
Wen YuDivision of Expanded Program on Immunization, Yunnan Provincial CDC, Kunming, China.
Xiaoshu ZhangDivision of Expanded Program on Immunization, Gansu Provincial CDC, Lanzhou, China.
Huaqing WangNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Lisa CairnsGlobal Immunization Division, Centers for Disease Control and Prevention, United States.
Huiming LuoNational Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Christopher J GregoryGlobal Immunization Division, Centers for Disease Control and Prevention, United States.
Chinese Center For Disease Control and Prevention · CNCenters for Disease Control and Prevention · USGansu Provincial Center for Disease Control and Prevention · CNHenan Provincial Center for Disease Control and Prevention · CNJiangsu Provincial Center for Disease Control and Prevention · CNNational Center for Immunization and Respiratory Diseases · USShandong Center for Disease Control and Prevention · CNZhejiang Center for Disease Control and Prevention · CN

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

introductionEndemic measles persists in China, despite >95% reported coverage of two measles-containing vaccine doses and nationwide campaign that vaccinated >100 million children in 2010. An increasing proportion of infections now occur among adults and there is concern that persistent susceptibility in adults is an obstacle to measles elimination in China. We performed a case-control study in six Chinese provinces between January 2012 to June 2013 to identify risk factors for measles virus infection and susceptibility among adults.

methodsPersons ≥15 years old with laboratory-confirmed measles were age and neighborhood matched with three controls. Controls had blood specimens collected to determine their measles IgG serostatus. We interviewed case-patients and controls about potential risk factors for measles virus infection and susceptibility. Unadjusted and adjusted matched odds ratios and 95% confidence intervals (CIs) were calculated via conditional logistic regression. We calculated attributable fractions for infection for risk factors that could be interpreted as causal.

results899 cases and 2498 controls were enrolled. Among controls, 165 (6.6%) were seronegative for measles IgG indicating persistent susceptibility to infection. In multivariable analysis, hospital visit and travel outside the prefecture in the prior 1-3 weeks were significant risk factors for measles virus infection. Occupation and reluctance to accept measles vaccination were significant risk factors for measles susceptibility. The calculated attributable fraction of measles cases from hospital visitation was 28.6% (95% CI: 20.6-38.8%).

conclusionsExposure to a healthcare facility was the largest risk factor for measles virus infection in adults in China. Improved adherence to hospital infection control practices could reduce risk of ongoing measles virus transmission and increase the likelihood of achieving and sustaining measles elimination in China. The use of control groups stratified by serological status identified distinct risk factors for measles virus infection and susceptibility among adults.

Indexed as

MeaslesMeasles virusAdolescentAdultCase-Control StudiesChildChinaDisease OutbreaksHumansInfantMeasles VaccineRisk FactorsVaccinationMeasles VaccineAdultsChinaMeasles eliminationNosocomial transmission

Identifiers

PMID32173094
PMCPMC10375840
OpenAlexW3012392230

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.