Abstract
We found an average difference between observed and true vaccine effectiveness of -11.9%. Observed vaccine effectiveness underestimated the true effectiveness in 88% of model iterations. Diagnostic test specificity exhibited the strongest association with observed vaccine effectiveness, followed by the likelihood of receiving a diagnostic test based on vaccination status and the likelihood that a child hospitalized with acute respiratory infection had influenza. Our findings suggest that the potential biases in case-control studies that we examined tend to result in underestimates of true influenza vaccine effects.
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Publication Info
- Year
- 2011
- Type
- article
- Volume
- 54
- Issue
- 1
- Pages
- 25-32
- Citations
- 36
- Access
- Closed
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Identifiers
- DOI
- 10.1093/cid/cir750