Incorporating Uncertainty in Study Participants’ Age in Serocatalytic Models

A bstract Serological surveys measure the presence of antibodies in a population to infer past exposure to an infectious pathogen. If study participants’ ages are known, serocatalytic models can be used to retrace the historical transmission strength of a pathogen within that population, quantified by the force of infection (FOI). These models rely on age information as a key variable since infection risks are interpreted in relation to how long individuals have been at risk. However, due to data constraints, participants’ ages may be provided only within “age bins”. A common approach is then to assign individuals’ ages to be midpoints of their respective age bins, ignoring uncertainty in this quantity. In this study, we quantify the bias introduced by this midpoint approach and develop a Bayesian framework that explicitly accounts for uncertainty in age. By comparing inference under constant, age-dependent, and time-dependent FOI scenarios, we show that incorporating uncertainty in age in serocatalytic models yields more reliable FOI estimates without sacrificing computational complexity. These improvements support the interpretation of serological data and inform public health decisions, such as estimating disease burden and identifying targeted vaccination groups.