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Prevalence of SARS-CoV-2 Antibodies in New York City Adults, June–October 2020: A Population-Based Survey

Jannae C. Parrott, Ariana N. Maleki, Valerie E Vassor, Sukhminder Osahan, Yusyin Hsin, M.L. Sanderson, Steven Fernandez, Amber Levanon Seligson, Scott Hughes, Jing Wu, Andrea DeVito, Stephen LaVoie, Jennifer L. Rakeman, L. Hannah Gould, Karen A. Alroy

2021The Journal of Infectious Diseases30 citationsDOIOpen Access PDF

Abstract

BACKGROUND: Serosurveys help to ascertain burden of infection. Prior severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serosurveys in New York City (NYC) used nonrandom samples. During June-October 2020, the NYC Health Department conducted a population-based survey estimating SARS-CoV-2 antibody prevalence in NYC adults. METHODS: Participants were recruited from the NYC 2020 Community Health Survey. We estimated citywide and stratified antibody prevalence using a hybrid design: serum tested with the DiaSorin LIAISON SARS-CoV-2 S1/S2 IgG assay and self-reported antibody test results were used together. We estimated univariate frequencies and 95% confidence intervals (CI), accounting for complex survey design. Two-sided P values ≤ .05 were statistically significant. RESULTS: There were 1074 respondents; 497 provided blood and 577 provided only a self-reported antibody test result. Weighted prevalence was 24.3% overall (95% CI, 20.7%-28.3%). Latino (30.7%; 95% CI, 24.1%-38.2%; P < .01) and black (30.7%; 95% CI, 21.9%-41.2%; P = .02) respondents had a higher weighted prevalence compared with white respondents (17.4%; 95% CI, 12.5%-23.7%). CONCLUSIONS: By October 2020, nearly 1 in 3 black and 1 in 3 Latino NYC adults had SARS-CoV-2 antibodies, highlighting unequal impacts of the coronavirus disease 2019 (COVID-19) pandemic on black and Latino NYC adults.

Topics & Concepts

MedicineConfidence intervalPopulationPandemicCoronavirus disease 2019 (COVID-19)AntibodyDemographySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Internal medicineImmunologyEnvironmental healthDiseaseInfectious disease (medical specialty)SociologySARS-CoV-2 and COVID-19 ResearchSARS-CoV-2 detection and testingCOVID-19 Clinical Research Studies