Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.

Estimates of SARS-CoV-2 transmission rates have significant public health policy implications since they shed light on the severity of illness in various groups and aid in strategic deployment of diagnostics, treatment and vaccination. Population-based investigations have not been conducted in Ghana...

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Main Authors: Irene Owusu Donkor, Sedzro Kojo Mensah, Duah Dwomoh, Jewelna Akorli, Benjamin Abuaku, Yvonne Ashong, Millicent Opoku, Nana Efua Andoh, Jeffrey Gabriel Sumboh, Sally-Ann Ohene, Ama Akyampomaa Owusu-Asare, Joseph Quartey, Edward Dumashie, Elvis Suatey Lomotey, Daniel Adjei Odumang, Grace Opoku Gyamfi, Christopher Dorcoo, Millicent Selassie Afatodzie, Dickson Osabutey, Rahmat Bint Yussif Ismail, Isaac Quaye, Samuel Bosomprah, Vincent Munster, Kwadwo Ansah Koram
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0001851
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author Irene Owusu Donkor
Sedzro Kojo Mensah
Duah Dwomoh
Jewelna Akorli
Benjamin Abuaku
Yvonne Ashong
Millicent Opoku
Nana Efua Andoh
Jeffrey Gabriel Sumboh
Sally-Ann Ohene
Ama Akyampomaa Owusu-Asare
Joseph Quartey
Edward Dumashie
Elvis Suatey Lomotey
Daniel Adjei Odumang
Grace Opoku Gyamfi
Christopher Dorcoo
Millicent Selassie Afatodzie
Dickson Osabutey
Rahmat Bint Yussif Ismail
Isaac Quaye
Samuel Bosomprah
Vincent Munster
Kwadwo Ansah Koram
author_facet Irene Owusu Donkor
Sedzro Kojo Mensah
Duah Dwomoh
Jewelna Akorli
Benjamin Abuaku
Yvonne Ashong
Millicent Opoku
Nana Efua Andoh
Jeffrey Gabriel Sumboh
Sally-Ann Ohene
Ama Akyampomaa Owusu-Asare
Joseph Quartey
Edward Dumashie
Elvis Suatey Lomotey
Daniel Adjei Odumang
Grace Opoku Gyamfi
Christopher Dorcoo
Millicent Selassie Afatodzie
Dickson Osabutey
Rahmat Bint Yussif Ismail
Isaac Quaye
Samuel Bosomprah
Vincent Munster
Kwadwo Ansah Koram
author_sort Irene Owusu Donkor
collection DOAJ
description Estimates of SARS-CoV-2 transmission rates have significant public health policy implications since they shed light on the severity of illness in various groups and aid in strategic deployment of diagnostics, treatment and vaccination. Population-based investigations have not been conducted in Ghana to identify the seroprevalence of SARS-CoV-2. We conducted an age stratified nationally representative household study to determine the seroprevalence of SARS-CoV-2 and identify risk factors between February and December 2021. Study participants, 5 years and older regardless of prior or current infection COVID-19 infection from across Ghana were included in the study. Data on sociodemographic characteristics, contact with an individual with COVID-19-related symptoms, history of COVID-19-related illness, and adherence to infection prevention measures were collected. Serum obtained was tested for total antibodies with the WANTAI ELISA kit. The presence of antibodies against SAR-COV-2 was detected in 3,476 of 5,348 participants, indicating a seroprevalence of 67.10% (95% CI: 63.71-66.26). Males had lower seroprevalence (65.8% [95% CI: 63.5-68.04]) than females (68.4% [95% CI: 66.10-69.92]). Seroprevalence was lowest in >20 years (64.8% [95% CI: 62.36-67.19]) and highest among young adults; 20-39 years (71.1% [95% CI 68.83,73.39]). Seropositivity was associated with education, employment status and geographic location. Vaccination status in the study population was 10%. Exposure is more likely in urban than rural areas thus infection prevention protocols must be encouraged and maintained. Also, promoting vaccination in target groups and in rural areas is necessary to curb transmission of the virus.
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spelling doaj-art-b79bb5314462416eb4b84a1195b7ffa32025-08-20T03:47:07ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0135e000185110.1371/journal.pgph.0001851Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.Irene Owusu DonkorSedzro Kojo MensahDuah DwomohJewelna AkorliBenjamin AbuakuYvonne AshongMillicent OpokuNana Efua AndohJeffrey Gabriel SumbohSally-Ann OheneAma Akyampomaa Owusu-AsareJoseph QuarteyEdward DumashieElvis Suatey LomoteyDaniel Adjei OdumangGrace Opoku GyamfiChristopher DorcooMillicent Selassie AfatodzieDickson OsabuteyRahmat Bint Yussif IsmailIsaac QuayeSamuel BosomprahVincent MunsterKwadwo Ansah KoramEstimates of SARS-CoV-2 transmission rates have significant public health policy implications since they shed light on the severity of illness in various groups and aid in strategic deployment of diagnostics, treatment and vaccination. Population-based investigations have not been conducted in Ghana to identify the seroprevalence of SARS-CoV-2. We conducted an age stratified nationally representative household study to determine the seroprevalence of SARS-CoV-2 and identify risk factors between February and December 2021. Study participants, 5 years and older regardless of prior or current infection COVID-19 infection from across Ghana were included in the study. Data on sociodemographic characteristics, contact with an individual with COVID-19-related symptoms, history of COVID-19-related illness, and adherence to infection prevention measures were collected. Serum obtained was tested for total antibodies with the WANTAI ELISA kit. The presence of antibodies against SAR-COV-2 was detected in 3,476 of 5,348 participants, indicating a seroprevalence of 67.10% (95% CI: 63.71-66.26). Males had lower seroprevalence (65.8% [95% CI: 63.5-68.04]) than females (68.4% [95% CI: 66.10-69.92]). Seroprevalence was lowest in >20 years (64.8% [95% CI: 62.36-67.19]) and highest among young adults; 20-39 years (71.1% [95% CI 68.83,73.39]). Seropositivity was associated with education, employment status and geographic location. Vaccination status in the study population was 10%. Exposure is more likely in urban than rural areas thus infection prevention protocols must be encouraged and maintained. Also, promoting vaccination in target groups and in rural areas is necessary to curb transmission of the virus.https://doi.org/10.1371/journal.pgph.0001851
spellingShingle Irene Owusu Donkor
Sedzro Kojo Mensah
Duah Dwomoh
Jewelna Akorli
Benjamin Abuaku
Yvonne Ashong
Millicent Opoku
Nana Efua Andoh
Jeffrey Gabriel Sumboh
Sally-Ann Ohene
Ama Akyampomaa Owusu-Asare
Joseph Quartey
Edward Dumashie
Elvis Suatey Lomotey
Daniel Adjei Odumang
Grace Opoku Gyamfi
Christopher Dorcoo
Millicent Selassie Afatodzie
Dickson Osabutey
Rahmat Bint Yussif Ismail
Isaac Quaye
Samuel Bosomprah
Vincent Munster
Kwadwo Ansah Koram
Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.
PLOS Global Public Health
title Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.
title_full Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.
title_fullStr Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.
title_full_unstemmed Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.
title_short Modeling SARS-CoV-2 antibody seroprevalence and its determinants in Ghana: A nationally representative cross-sectional survey.
title_sort modeling sars cov 2 antibody seroprevalence and its determinants in ghana a nationally representative cross sectional survey
url https://doi.org/10.1371/journal.pgph.0001851
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