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Article ; Online: Bayesian estimation of SARS-CoV-2 prevalence in Indiana by random testing.

Yiannoutsos, Constantin T / Halverson, Paul K / Menachemi, Nir

Proceedings of the National Academy of Sciences of the United States of America

2021  Volume 118, Issue 5

Abstract: From 25 to 29 April 2020, the state of Indiana undertook testing of 3,658 randomly chosen state ... residents for the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, the agent ... to reduce bias in the estimates of the overall disease prevalence in Indiana. These adjustments were ...

Abstract From 25 to 29 April 2020, the state of Indiana undertook testing of 3,658 randomly chosen state residents for the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, the agent causing COVID-19 disease. This was the first statewide randomized study of COVID-19 testing in the United States. Both PCR and serological tests were administered to all study participants. This paper describes statistical methods used to address nonresponse among various demographic groups and to adjust for testing errors to reduce bias in the estimates of the overall disease prevalence in Indiana. These adjustments were implemented through Bayesian methods, which incorporated all available information on disease prevalence and test performance, along with external data obtained from census of the Indiana statewide population. Both adjustments appeared to have significant impact on the unadjusted estimates, mainly due to upweighting data in study participants of non-White races and Hispanic ethnicity and anticipated false-positive and false-negative test results among both the PCR and antibody tests utilized in the study.
MeSH term(s) Bayes Theorem ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/ethnology ; COVID-19/virology ; COVID-19 Testing/statistics & numerical data ; Hispanic or Latino/statistics & numerical data ; Humans ; Indiana/epidemiology ; Indiana/ethnology ; Polymerase Chain Reaction ; Prevalence ; SARS-CoV-2/genetics ; SARS-CoV-2/isolation & purification ; White People/statistics & numerical data
Language English
Publishing date 2021-01-13
Publishing country United States
Document type Journal Article
ZDB-ID 209104-5
ISSN 1091-6490 ; 0027-8424
ISSN (online) 1091-6490
ISSN 0027-8424
DOI 10.1073/pnas.2013906118
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