Cited by 2,900Influenza Virus Research StudiesMathematical and Theoretical Epidemiology and Ecology ModelsCOVID-19 epidemiological studies

Social Contacts and Mixing Patterns Relevant to the Spread of Infectious Diseases

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Mossong, Joël, Hens, Niel, Jit, Mark, Beutels, Philippe, Auranen, Kari, Mikolajczyk, Rafael, Massari, Marco, Salmaso, Stefania +6 more·2008·PLoS Medicine

Abstract

BACKGROUND: Mathematical modelling of infectious diseases transmitted by the respiratory or close-contact route (e.g., pandemic influenza) is increasingly being used to determine the impact of possible interventions. Although mixing patterns are known to be crucial determinants for model outcome, researchers often rely on a priori contact assumptions with little or no empirical basis. We conducted a population-based prospective survey of mixing patterns in eight European countries using a common paper-diary methodology. METHODS AND FINDINGS: 7,290 participants recorded characteristics of 97,904 contacts with different individuals during one day, including age, sex, location, duration, frequency, and occurrence of physical contact. We found that mixing patterns and contact characteristics were remarkably similar across different European countries. Contact patterns were highly assortative with age: schoolchildren and young adults in particular tended to mix with people of the same age. Contacts lasting at least one hour or occurring on a daily basis mostly involved physical contact, while short duration and infrequent contacts tended to be nonphysical. Contacts at home, school, or leisure were more likely to be physical than contacts at the workplace or while travelling. Preliminary modelling indicates that 5- to 19-year-olds are expected to suffer the highest incidence during the initial epidemic phase of an emerging infection transmitted through social contacts measured here when the population is completely susceptible. CONCLUSIONS: To our knowledge, our study provides the first large-scale quantitative approach to contact patterns relevant for infections transmitted by the respiratory or close-contact route, and the results should lead to improved parameterisation of mathematical models used to design control strategies.

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Authors
Mossong, J., Hens, N., Jit, M., Beutels, P., Auranen, K., Mikolajczyk, R., Massari, M., Salmaso, S., Tomba, G. S., Wallinga, J., Heijne, J., Sadkowska-Todys, M., Rosinska, M., & Edmunds, W. J.
Affiliations
  • Laboratoire National de Santé (LU)
  • Hasselt University (BE)
  • Health Protection Agency (GB)
  • University of Antwerp (BE)
  • Bielefeld University (DE)
  • Istituto Superiore di Sanità (IT)
  • University of Rome Tor Vergata (IT)
  • National Institute for Public Health and the Environment (NL)
Corresponding author
Mossong, Joël
Venue
PLoS Medicine
Published
2008-03-25
Volume
5
Issue
3
Pages
e74
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
OpenAlex
W2159301256
Cited by
2,900
References
38
Citations by year
2026: 143 · 2025: 141 · 2024: 176 · 2023: 167 · 2022: 300 · 2021: 508 · 2020: 350 · 2019: 107 · 2018: 126 · 2017: 96 · 2016: 108 · 2015: 102 · 2014: 119 · 2013: 99 · 2012: 98
FWCI
64.29
Type
journal article
Language
en
Open access
Locations
  • PLoS Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Figshare (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Document Server@UHasselt (UHasselt) (submittedVersion, other-oa)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
  • Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
Funders
European Commission (SSP22-CT-2004-502084, 502084)
Topics
  • Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mathematical and Theoretical Epidemiology and Ecology Models
  • Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
Keywords
social mixing, contact patterns, infectious disease transmission, respiratory transmission, close contact transmission, physical contact, pandemic influenza, elementary school students, young adults
MeSH terms
Adolescent, Adult, Aged, Child, Child, Preschool, Cross-Sectional Studies, Europe, Female, Humans, Infant, Male, Middle Aged, Models, Theoretical, Respiratory Tract Infections, Social Support

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