RT Journal Article SR Electronic T1 Risk factors and predictors that influence SARS-Cov-2 IgG positivity JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 853 OP 861 DO 10.15537/smj.2021.42.8.20210238 VO 42 IS 8 A1 Alosaimi, Mohammed F. A1 Alhetheel, Abdulkarim A1 Aleisa, Khalid A. A1 Altwerki, Abdullah A. A1 Alenezy, Njoud M. A1 Almutairi, Ebtisam M. A1 Alothaim, Leen O. A1 Khalid, Abdul Manan A. A1 Alayed, Khalid M. A1 Almazyad, Mohammed A. A1 BinMoammar, Turki A. A1 Alshobaili, Fahdah A. A1 Al-Shahrani, Fatimah S. A1 Alsubaie, Sarah A1 Hasanato, Rana M. YR 2021 UL http://smj.org.sa/content/42/8/853.abstract AB Objectives: To study the prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after pandemic’s peak and before the vaccine enrollment in Riyadh, Saudi Arabia and further explore predictors for SARS-CoV-2 positivity.Methods: A cross-sectional study of 515 blood donors from November 22 to December 17, 2020 was conducted at King Saud University Medical City, Riyadh, Saudi Arabia to look at SARS-CoV-2 immunoglobulin G (IgG) positivity. The participants were asked questions about their demographic characteristics, past SARS-CoV-2 infection, SARS-CoV-2-related symptoms and exposures.Results: The seroprevalence in our study was 12.2% (n=63/515). Being a non-citizen was associated with significantly higher seroprevalence (OR 2.10, p=0.02). Participants with history of SARS-CoV-2 exposure or symptoms regardless of SARS-CoV-2 diagnosis had higher SARS-CoV-2 IgG positivity compared to unexposed or asymptomatic participants (OR 2.47, p=0.0008 or 11.19, p=0.0001, respectively). Blood donors who had symptomatic SARS-CoV-2 IgG infection had a higher SARS-CoV-2 IgG positivity rate (OR 5.04, p=0.008) and index value (p=0.003) than the asymptomatic. Of all the reported symptoms, cough (p=0.004) and anosmia (p=0.002) were significant predictors of SARS-CoV-2 IgG.Conclusion: The seroprevalence of SARS-CoV-2 among the blood donors in Riyadh, Saudi Arabia is considerably lower than the percentages necessary for herd immunity. Developing SARS-CoV-2-symptoms is the critical factor for higher seropositivity after SARS-CoV-2 exposure.