Institut National de la Santé et de la Recherche Médicale, UMR-S 707, Paris, France.
PLoS One. 2013 Apr 16;8(4):e60127. doi: 10.1371/journal.pone.0060127. Print 2013.
The CoPanFlu-France cohort of households was set up in 2009 to study the risk factors for infection by the pandemic influenza virus (H1N1pdm) in the French general population. The authors developed an integrative data-driven approach to identify individual, collective and environmental factors associated with the post-seasonal serological H1N1pdm geometric mean titer, and derived a nested case-control analysis to identify risk factors for infection during the first season. This analysis included 1377 subjects (601 households). The GMT for the general population was 47.1 (95% confidence interval (CI): 45.1, 49.2). According to a multivariable analysis, pandemic vaccination, seasonal vaccination in 2009, recent history of influenza-like illness, asthma, chronic obstructive pulmonary disease, social contacts at school and use of public transports by the local population were associated with a higher GMT, whereas history of smoking was associated with a lower GMT. Additionally, young age at inclusion and risk perception of exposure to the virus at work were identified as possible risk factors, whereas presence of an air humidifier in the living room was a possible protective factor. These findings will be interpreted in light of the longitudinal analyses of this ongoing cohort.
2009 年,法国建立了 CoPanFlu-France 家庭队列,旨在研究大流行流感病毒(H1N1pdm)在法国普通人群中的感染风险因素。作者开发了一种综合的数据驱动方法来识别与季节性后血清 H1N1pdm 几何平均滴度相关的个体、集体和环境因素,并得出了一个嵌套病例对照分析来识别第一个季节感染的风险因素。该分析包括 1377 名受试者(601 户家庭)。普通人群的 GMT 为 47.1(95%置信区间(CI):45.1,49.2)。根据多变量分析,大流行性疫苗接种、2009 年季节性疫苗接种、近期流感样疾病史、哮喘、慢性阻塞性肺疾病、学校的社会接触以及当地居民使用公共交通工具与较高的 GMT 相关,而吸烟史与较低的 GMT 相关。此外,纳入时的年龄较小以及工作中接触病毒的风险感知被认为是可能的风险因素,而客厅中存在空气加湿器则是可能的保护因素。这些发现将根据该正在进行的队列的纵向分析进行解释。