Heterogeneous mixing
Homogeneous mixing assumes that individuals interact without systematic differences. Heterogeneous mixing allows contact and transmission opportunities to vary between individuals or groups.
Sources of heterogeneity
Mixing can vary by age, household, workplace, school, geography, behaviour, occupation or network position.
Why it changes epidemic dynamics
Individuals with many contacts may both acquire and transmit infection more frequently. Concentrating transmission in highly connected groups can alter invasion thresholds, epidemic size and intervention effectiveness.
Mathematical representation
Heterogeneity may be represented using multiple compartments, contact matrices, spatial structure or explicit contact networks.
Key idea. Heterogeneous mixing recognises that transmission opportunities are distributed unevenly across a population.