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The last two decades have seen considerable progress in foundational aspects of statistical network analysis, but the path from theory to application is not straightforward. Two large, heterogeneous samples of small networks of within-household contacts in Belgium were collected using two different but complementary sampling designs: one smaller but with all contacts in each household observed, the other larger and more representative but recording contacts of only one person per household. We wish to combine their strengths to learn the social forces that shape household contact formation and facilitate simulation for prediction of disease spread, while generalising to the population of households in the region. To accomplish this, we describe a flexible framework for specifying multi-network models in the exponential family class and identify the requirements for inference and prediction under this framework to be consistent, identifiable, and generalisable, even when data are incomplete; explore how these requirements may be violated in practice; and develop a suite of quantitative and graphical diagnostics for detecting violations and suggesting improvements to candidate models. We report on the effects of network size, geography, and household roles on household contact patterns (activity, heterogeneity in activity, and triadic closure). for this article are available online. [ABSTRACT FROM AUTHOR]

Airborne infectious diseases such as influenza are primarily transmitted from human to human by means of social contacts, and thus easily spread within households. Epidemic models, used to gain insight into infectious disease spread and control, typically rely on the assumption of random mixing within households. Until now, there has been no direct empirical evidence to support this assumption. Here, we present the first social contact survey specifically designed to study contact networks within households. The survey was conducted in Belgium (Flanders and Brussels) from 2010 to 2011. We analysed data from 318 households totalling 1266 individuals with household sizes ranging from two to seven members. Exponential-family random graph models (ERGMs) were fitted to the within-household contact networks to reveal the processes driving contact between household members, both on weekdays and weekends. The ERGMs showed a high degree of clustering and, specifically on weekdays, decreasing connectedness with increasing household size. Furthermore, we found that the odds of a contact between older siblings and between father and child are smaller than for any other pair. The epidemic simulation results suggest that within-household contact density is the main driver of differences in epidemic spread between complete and empirical-based household contact networks. The homogeneous mixing assumption may therefore be an adequate characterization of the within-household contact structure for the purpose of epidemic simulations. However, ignoring the contact density when inferring based on an epidemic model will result in biased estimates of within-household transmission rates. Further research regarding the implementation of within-household contact networks in epidemic models is necessary.