Evidence map›Paper›PMID 39186722›Full record

ArticlePloS one2024

Seroprevalence trends of anti-SARS-CoV-2 antibodies in the adult population of the São Paulo Municipality, Brazil: Results from seven serosurveys from June 2020 to April 2022. The SoroEpi MSP Study.

Beatriz Helena Tess, Celina Maria Turchi Martelli, Maria Cecília Goi Porto Alves, Fanny Cortes, Regina Tomie Ivata Bernal, Wayner Vieira de Souza, Expedito José de Albuquerque Luna, Laura da Cunha Rodrigues, Marcia Cavallari Nunes, Fernando de Castro Reinach and 3 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

13 authors.

Beatriz Helena TessDepartamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.ORCID 0000-0002-9921-9234
Celina Maria Turchi MartelliInstituto Aggeu Magalhães, Fiocruz, Recife, PE, Brasil.
Maria Cecília Goi Porto AlvesInstituto de Saúde, Secretaria de Saúde do Estado de São Paulo, São Paulo, SP, Brasil.
Fanny CortesPrograma de Pós-Graduação em Ciências da Saúde, Universidade de Pernambuco, Recife, PE, Brasil.
Regina Tomie Ivata BernalPrograma de Pós-Graduação, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.ORCID 0000-0002-7917-3857
Wayner Vieira de SouzaInstituto Aggeu Magalhães, Fiocruz, Recife, PE, Brasil.
Expedito José de Albuquerque LunaDepartamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
Laura da Cunha RodriguesDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Marcia Cavallari NunesInteligência em Pesquisa e Consultoria (IPEC), São Paulo, SP, Brasil.
Fernando de Castro ReinachDepartamento de Bioquímica, Instituto de Química, Universidade de São Paulo, São Paulo, SP, Brasil.
Celso Francisco Hernandes GranatoDivisão de Pesquisa e Desenvolvimento, Grupo Fleury, São Paulo, SP, Brasil.
Edgar Gil RizzattiDivisão de Pesquisa e Desenvolvimento, Grupo Fleury, São Paulo, SP, Brasil.
Maria Carolina Tostes PintãoDivisão de Pesquisa e Desenvolvimento, Grupo Fleury, São Paulo, SP, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSequential population-based household serosurveys of SARS-CoV-2 covering the COVID-19 pre- and post-vaccination periods are scarce in Brazil. This study investigated seropositivity trends in the municipality of São Paulo.

methodsWe conducted seven cross-sectional surveys of adult population-representative samples between June 2020 and April 2022. The study design included probabilistic sampling, test for SARS-CoV-2 antibodies using the Roche Elecsys anti-nucleocapsid assay, and statistical adjustments for population demographics and non-response. The weighted seroprevalences with 95% confidence intervals (CI) were estimated by sex, age group, race, schooling, and mean income study strata. Time trends in seropositivity were assessed using the Joinpoint model. We compared infection-induced seroprevalences with COVID-19 reported cases in the pre-vaccination period.

resultsThe study sample comprised 8,134 adults. The overall SARS-CoV-2 seroprevalence increased from 11.4% (95%CI: 9.2-13.6) in June 2020 to 24.9% (95%CI: 21.0-28.7) in January 2021; from 38.1% (95%CI: 34.3-41.9) in April 2021 to 77.7% (95%CI: 74.4-81.0) in April 2022. The prevalence over time was higher in the subgroup 18-39 years old than in the older groups from Survey 3 onwards. The self-declared Black or mixed (Pardo) group showed a higher prevalence in all surveys compared to the White group. Monthly prevalence rose steeply from January 2021 onwards, particularly among those aged 60 years or older. The infection-to-case ratios ranged from 8.9 in June 2020 to 4.3 in January 2021.

conclusionsThe overall seroprevalence rose significantly over time and with age and race subgroup variations. Increases in the 60 years or older age and the White groups were faster than in younger ages and Black or mixed (Pardo) race groups in the post-vaccination period. Our data may add to the understanding of the complex and changing population dynamics of the SARS-CoV-2 infection, including the impact of vaccination strategies and the modelling of future epidemiological scenarios.

Indexed as

Antibodies, ViralCOVID-19SARS-CoV-2AdolescentAdultAgedBrazilCross-Sectional StudiesFemaleHumansMaleMiddle AgedSeroepidemiologic StudiesYoung AdultAntibodies, Viral

Identifiers

PMID39186722
PMCPMC11346932

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.