Summary of description and results of the sensitivity analyses with respect to variations in model structure
Sensitivity analysis | Description | Result |
1. Variation in the distribution of risk behaviour across risk groups.* | Explored the impact of variation in the distribution of risk behaviour across risk groups by varying (in univariate analysis) the parameter σ of the distribution of risk behaviour (online supplementary materials), but fixing α at its model-predicted baseline value. | The predicted age-specific Chlamydia trachomatis prevalence distribution was largely invariable despite the variation in the distribution of risk behaviour across risk groups (online supplementary figure S2A). |
2. Variation in the sexual mixing by age.* | Explored the impact of variation in sexual mixing by age (in univariate analysis) across the full spectrum starting from proportionate mixing-up to fully assortative mixing. This was done by varying ![]() | The predicted age-specific C. trachomatis prevalence distribution was largely invariable despite the variation in the sexual mixing by age (online supplementary figure S2B). |
3. Variation in the sexual mixing by risk.* | Explored the impact of variation in sexual mixing by risk (in univariate analysis) across the full spectrum starting from proportionate mixing-up to fully assortative mixing. This was done by varying ![]() | The predicted age-specific C. trachomatis prevalence distribution was largely invariable despite the variation in the sexual mixing by risk (online supplementary figure S2C). |
4. Temporal variation in risk behaviour. | Explored the impact of temporal variation in risk behaviour on our estimated partial immunity strength by assuming that 10% of individuals change their risk group every year. | α for the UK data was estimated at 93% (95% UI: 89%–95%) with an uncertainty analysis median of 93%—similar to the original estimate. |
5. Removal of latent period in C. trachomatis natural history. | Explored the impact of removing the latent period in C. trachomatis natural history. | α for the UK data was estimated at 93% (95% UI: 88%–97%) with an uncertainty analysis median of 93%— similar to the original estimate. |
6. Inclusion of partial immunity for the symptomatically infected individuals. | Explored the impact of inclusion of partial immunity for the symptomatically infected individuals. | α for the UK data was estimated at 93% (95% UI: 89%–96%) with an uncertainty analysis median of 93%— similar to the original estimate. |
7. Variation in the duration of the short-term temporary but full immunity. | Explored the impact of varying the duration of the short-term temporary but full immunity over a range of 0–100 days. | Variation in the short-term temporary immunity had limited impact on the estimated effect size of partial immunity (online supplementary figure S3). |
All sensitivity analyses were applied to the model fit of the UK data.
*Conducted in view of the fundamental ambiguity in defining ’sexual risk’,26 44–46 and done on the prediction for the age-specific C. trachomatis prevalence distribution, since this distribution is the most prototypical pattern in C. trachomatis epidemiology.
UI, uncertainty interval.