<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-07-17T20:31:51Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/27185" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/27185</identifier><datestamp>2026-01-28T01:20:27Z</datestamp><setSpec>com_20.500.12105_2052</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_19608</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Perez-Gomez, Beatriz</subfield>
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      <subfield code="a">Pastor-Barriuso, Roberto</subfield>
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      <subfield code="a">Fernandez de Larrea-Baz, Nerea</subfield>
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      <subfield code="a">Hernán, Miguel A</subfield>
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      <subfield code="a">Perez-Olmeda, Mayte</subfield>
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      <subfield code="a">Oteo-Iglesias, Jesus</subfield>
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      <subfield code="a">Fernandez-Navarro, Pablo L</subfield>
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      <subfield code="a">Fernandez-Garcia, Aurora</subfield>
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      <subfield code="a">Martín, Mariano</subfield>
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      <subfield code="a">Cruz, Israel</subfield>
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      <subfield code="a">Sanmartín, José L</subfield>
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      <subfield code="a">Paniagua-Caparros, Jose Leon</subfield>
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      <subfield code="a">Muñoz-Montalvo, Juan F</subfield>
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      <subfield code="a">Blanco, Faustino</subfield>
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      <subfield code="a">Yotti-Alvarez, Raquel</subfield>
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      <subfield code="a">Pollan-Santamaria, Marina</subfield>
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      <subfield code="c">2023-05</subfield>
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      <subfield code="a">Objectives. To describe participant characteristics associated with severe acute respiratory syndrome coronavirus 2 infection in Spain's first 2 COVID-19 waves per the Spanish National Seroepidemiological Survey of SARS-CoV-2 Infection (ENE-COVID). Methods. A representative cohort of the noninstitutionalized Spanish population, selected through stratified 2-stage sampling, answered a questionnaire and received point-of-care testing April to June 2020 (first wave: n = 68 287); previously seronegative participants repeated the questionnaire and test November 2020 (second wave: n = 44 451). We estimated seropositivity by wave and participant characteristics, accounting for sampling weights, nonresponse, and design effects. Results. We found that 6.0% (95% confidence interval [CI] = 5.7%, 6.4%) of Spain's population was infected by June and 3.8% (95% CI = 3.5%, 4.1%) more by November 2020. Both genders were equally affected. Seroprevalence decreased with age in adults 20 years and older in the second wave; socioeconomic differences increased. Health care workers were affected at 11.1% (95% CI = 9.0%, 13.6%) and 6.1% (95% CI = 4.4%, 8.5%) in the first and second waves, respectively. Living with an infected person increased infection risk to 22.1% (95% CI = 18.9%, 25.6%) in the first and 35.0% (95% CI = 30.8%, 39.4%) in the second wave. Conclusions. ENE-COVID characterized the first 2 pandemic waves, when information from surveillance systems was incomplete. (Am J Public Health. 2023;113(5):533-544. https://doi.org/10.2105/AJPH.2023.307233).</subfield>
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      <subfield code="a">Beatriz Pérez-Gómez, Roberto Pastor-Barriuso, Nerea Fernández-de-Larrea, Miguel A. Hernán, Mayte Pérez-Olmeda, Jesús Oteo-Iglesias, Pablo Fernández-Navarro, Aurora Fernández-García, Mariano Martín, Israel Cruz, José L. Sanmartín, José León-Paniagua, Juan F. Muñoz-Montalvo, Faustino Blanco, Raquel Yotti, and Marina Pollán: SARS-CoV-2 Infection During the First and Second Pandemic Waves in Spain: the ENE–COVID Study American Journal of Public Health 113, 533_544, https://doi.org/10.2105/AJPH.2023.307233.</subfield>
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      <subfield code="a">10.2105/AJPH.2023.307233</subfield>
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      <subfield code="a">American Journal of Public Health</subfield>
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      <subfield code="a">36893370</subfield>
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      <subfield code="a">https://hdl.handle.net/20.500.12105/27185</subfield>
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      <subfield code="a">SARS-CoV-2 Infection During the First and Second Pandemic Waves in Spain: the ENE-COVID Study.</subfield>
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