%0 Journal Article %T The COVID-19 Pandemic: Present or Gone, Where Do Adolescents Stand? %A Ifueko Enadeghe %A Ayebo Sadoh %A Emmanuel U. Eyo-Ita %A Phillip O. Abiodun %J Advances in Infectious Diseases %P 374-386 %@ 2164-2656 %D 2024 %I Scientific Research Publishing %R 10.4236/aid.2024.142027 %X <b>Introduction: </b>The initial global response to the SARS-CoV-2 pandemic focused on adults as adolescents mainly had subclinical infections. Adolescents, however, could transmit the virus and hence be a risk to the elderly, young children and immunocompromised. Adolescents are also at risk of long-term complications. This study sought to determine the prevalence of antibodies to SARS-CoV-2 among adolescents in Southern Nigeria, and to determine the association between SARS-CoV-2 seropositivity and age, gender, socioeconomic class, school type and nutritional status. <b>Methods: </b>This descriptive cross-sectional study was carried out in Edo state of southern Nigeria. We recruited 270 in-school adolescents aged 10 - 19 years. A WHO-adapted, pre-tested questionnaire was used to obtain data on participant history and risk factors. The questionnaire was interviewer-administered. Adolescents whose parents gave consent were recruited through a multi-stage randomized sampling method. Capillary blood for the assay was collected and analysed using a lateral-flow immunoassay device. The primary outcome was serostatus of the study. The positive predictors of serostatus were finally determined using a multiple logistics regression model. Statistical significance was set at <i>p</i> < 0.05. <b>Results: </b>The seroprevalence of SARS-CoV-2 was 45.9%. IgM antibodies were found in 5.6% of participants. Older adolescents had higher seropositivity rates than younger adolescents (<i><b>&#967;</b></i><b><sup>2</sup></b> = 8.101, <i>p</i><i> </i>= 0.017). There was no association between gender and seropositivity. Adolescents in public schools were more likely to be seropositive than those in private schools (<i><b>&#967;</b></i><b><sup>2</sup></b><b> </b><b>= </b>25.242, <i>p</i><i> </i>= 0.001). A higher seroprevalence was noticed among study participants in the lower socioeconomic class (<i>x</i><i><sup>2</sup></i> = 6.928, p = 0.031), and those in overcrowded classes. (<i><b>&#967;</b></i><b><sup>2</sup></b> = 79.303, <i>p</i> = 0.001). <b>Conclusion: </b>This study showed a high seroprevalence of SARS-CoV-2 among in-school adolescents. Behavioural change communication on SARS-CoV-2, vaccination of adolescents, and standardization %K Pandemic %K Adolescents %K Seroprevalence %K COVID-19 %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=133175