Seroprevalence of SARS-CoV-2 and risk factors for infection among children in Uganda: A serial cross-sectional study
2024

COVID-19 Infection Rates in Ugandan Children

Sample size: 1729 publication 10 minutes Evidence: high

Author Information

Author(s): Bagala Irene, Namuganga Jane Frances, Nayebare Patience, Cuu Gloria, Katairo Thomas, Nabende Isaiah, Gonahasa Samuel, Nassali Martha, Tukwasibwe Stephen, Dorsey Grant, Nankabirwa Joaniter I., Bakeera-Kitaka Sabrina, Kiguli Sarah, Greenhouse Bryan, Ssewanyana Isaac, Kamya Moses R., Briggs Jessica

Primary Institution: Makerere University College of Health Sciences, Kampala, Uganda

Hypothesis

What are the seroprevalence rates of SARS-CoV-2 and the associated risk factors among children in Uganda?

Conclusion

The study found that a significant majority of Ugandan children were infected with SARS-CoV-2 by early 2022, particularly during the Delta and Omicron waves.

Supporting Evidence

  • The overall seroprevalence in children was 71.6% at follow-up compared to 19.2% at baseline.
  • Older age was consistently associated with higher seroprevalence.
  • Children from poorer households had higher seroprevalence at baseline.

Takeaway

Most kids in Uganda got COVID-19 before they could get vaccinated, and older kids were more likely to get it.

Methodology

The study used cross-sectional surveys to collect blood samples and household data at two time points, analyzing seroprevalence and risk factors.

Potential Biases

Potential bias due to reliance on self-reported vaccination status and socioeconomic factors.

Limitations

The study may underestimate seroprevalence due to waning antibodies and limited representation of urban areas.

Participant Demographics

Children aged 0-17 years from various socioeconomic backgrounds in Uganda.

Statistical Information

P-Value

<0.001

Confidence Interval

CI 1.11–2.57

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0312554

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