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Diagnostic specificity is the probability that a test is negative in someone without the target condition. For an antibody test, relevant negative controls can include samples with antibodies to related pathogens to assess cross-reactivity. With true positive fraction $p$, observed positivity is $Sep+(1-Sp)(1-p)$.

Assume a constant annual force of infection $\lambda >0$ across ages and calendar years. For independent sampled people with ages $a_i>0$ and binary results $y_i$, fitApplying the complementary log-log link givesTherefore fit a binomial regression with the complementary log-log link, an intercept, and $\ln a_i$ as an offset with coefficient fixed at one. Age is measured in years. An ordinary freely fitted coefficient of age, or even a freely fitted coefficient of $\ln a_i$, would describe a different exposure model. The annual force of infection estimate isAn infection-naive person's one-year infection probability is $1-e^{-\hat{\lambda }}$, which is approximately $\hat{\lambda }$ only when that rate is small.

The log-likelihood being maximized is, apart from constants,A confidence interval for ${\beta }_0$ can be exponentiated to give a positive interval for $\lambda$. For groups of $n_j$ people at a common age $a_j$, use $Y_j\sim \mathrm{Binomial}(n_j,1-e^{-\lambda a_j})$ with the same offset. If an age band is broad, use individual ages or average $1-e^{-\lambda a}$ over the band's age distribution instead of treating its midpoint as exact. No numerical estimate is possible without the survey observations.

The biological interpretation assumes that immunoglobulin G positivity records previous infection, persists over the relevant ages, and is not substantially produced by maternal antibodies or vaccination. These are conditions to check, rather than conclusions from the fitted curve. Use known-positive and known-negative serum controls to assess the assay threshold, and validate specificity against relevant other infections. Cross-reactive antibodies to other flaviviruses can produce positive dengue virus serology, so a positive result need not be a marker specific to dengue virus exposure.^[ref]

If independently established assay diagnostic sensitivity and diagnostic specificity are $Se$ and $Sp$, the observed positive probability isUse that observation model in the binomial likelihood; it is generally no longer the simple intercept-plus-offset complementary log-log link fit. With only the stated survey, one cannot freely estimate $Se$, $Sp$, antibody loss and an arbitrary infection history simultaneously. A single binary result also does not identify how many subsequent infections a person has experienced.

Seroprevalence is the proportion of a specified population with a positive result for a specified antibody assay. Its biological interpretation depends on assay diagnostic sensitivity, diagnostic specificity and the persistence and origin of the measured antibodies. It is not itself the incidence rate of new infection.