Factors influencing COVID-19 preventive behaviors among nursing students

Main Article Content

Varin Binhosen
Assistant professor Dr. Nam-oy Pakdevong
Assistant professor Dr. Kanitha Hanprasiykam
Lecturer Wanpen Chamnantham


Background: Promoting behaviors to prevent COVID-19 infection of individuals is an important measure to control the spread of COVID-19 infectious disease.

Objectives: The aim of this study was to investigate COVID-19 preventive behaviors and the predictive power of personal factors, perceptions of the Health Belief Model, cue to action to adhere to COVID-19 preventive behaviors at an appropriate level among nursing students.

Methods: This predictive study was conducted with a  total of 460 nursing students from a private university. Data were collected using questionnaires on personal data, health beliefs, action instructions, and preventive behaviors. Descriptive statistics and binary logistic regression were used for data analysis.

Results: Most of the samples had COVID-19 preventive behaviors at an appropriate level (59.78%). Factors that influenced COVID-19 preventive behaviors at an appropriate level included health belief factors, i.e., perceived self-efficacy (ORadj = 3.16, 95% CI= 1.99-5.01), and cue to-action factors, i.e., information received (ORadj = 2.37, 95% CI= 1.49-3.77). These factors explained 23.40% of the variance in COVID-19 preventive behaviors at an appropriate level.

Conclusions: Both perceived self-efficacy and information received at an appropriate level were the factors that influenced engagement in COVID-19 preventive behaviors at an appropriate level. Therefore, when designing the COVID-19 preventive behaviors program for nursing students, attention should be paid to increasing perceived self-efficacy and disseminating information about COVID-19 at an appropriate level through social media.


Download data is not yet available.

Article Details

How to Cite
Binhosen, V., Pakdevong, N.- oy ., Hanprasiykam, K., & Chamnantham, W. (2022). Factors influencing COVID-19 preventive behaviors among nursing students. JOURNAL OF HEALTH SCIENCE RESEARCH, 16(2), 86–98. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/255138
นิพนธ์ต้นฉบับ (Original Articles)


World Health Organization. Coronavirus disease (COVID-19). [Internet]. 2022. [cited 2022 Jun 30]; Available from: https://www. who.int/healthtopics/coronavirus#tab=tab_1.

Ministry of Public Health. Public Health Practice Guidelines for Managing the COVID-19 Pandemic In the requirements issued under Article 9 of the Emergency Decree on Public Administration B.E. 2005 (No. 1) [Internet]. 2020 [cited 2020 Jul 31]; Available from: https://ddc.moph.go.th/viralpneumonia/file/ g_other/g_other02.pdf. (in Thai).

World Health Organization Thailand. Coronavirus Disease 2019 Situation Report No. 219. P 6. [Internet]. 2022 [cited 2021 Dec 29]; Available from: https://cdn.who.int/ media/docs/default-source/searo/thailand/2022_ 01_19_tha-sitrep-219-covid-19_th_r02.pdf? sfvrsn=390cc017_5. (in Thai).

Department of Disease Control, Ministry of Public Health. Guideline for surveillance prevention and control of COVID-19 among physician and public health personal. [Internet]. 2021. [cited 2021 Jul 31]; Available from https:// ddc.moph.go.th/uploads/publish/115092021061003 3910.pdf. (in Thai).

Stretcher V, Rosenstock IM. The Health Belief Model. In Glanz K, Lewis FM, Rimer BK, (Eds.). Health behavior and health education: theory, research and practice. San Francisco: Jossey-Bass; 1997.

Firouzbakht M, Omidvar S, Firouzbakht S, Asadi-Amoli A. COVID-19 preventive behaviors and influencing factors in the Iranian population; a web-based survey, BMC Public Health. 2021;21(1):143. doi: 10.1186/s 12889-021-10201-4.

Sribunrueng W, Ninwattana T, Sumransuk S, Anirapai K, Rugthangam S, Spiller P. Factors affecting prevention behavior of COVID-19 infection in Bangkok. Udon Thani Rajabhat University. Journal of Humanities and Social Science. 2021;10(1):195-206. (in Thai).

Waedueramae R, Kaewsuksai R, Kongkun P, Suwankanjana A, Chaiprasit K. Relationships between knowledge, perception and "new normal behaviors" on COVID-19 prevention among nursing students, faculty of nursing, Princess of Naradhiwas University. The Southern College Network. Journal of Nursing and Public Health. 2021;8(2):80-92. (in Thai).

Geounuppakul M, Panawatanakul S, Nuntananate P. The relationship among knowledge, health beliefs and COVID-19 prevention and control behavior of staff and nursing students, Faculty of Nursing Rajamangala University of Technology Thanyaburi. Nursing Journal of the Ministry of Public Health. 2021;31(2):81-92. (in Thai).

Morasakul B, Punthasee P. Knowledge and prevention behaviors regarding COVID-19 among the first-year nursing students of Saint Theresa International College and Saint Louis College. Regional Health Promotion Center 9 Journal. 2021;15(37):179-95. (in Thai).

Yeunyow T, Promwong W, Kadsanit K. Knowledge attitude and prevention behavior of Coronavirus disease 2019 (COVID-19) infection among nursing students in Boromarajonani College of Nursing, The North Eastern Region Network. Udonthani Hospital Medical Journal. 2021;29(2):204-13. (in Thai).

Kurnia AD, Masruroh NL, Melizza N, Rofi’I AYAB. Factors associated with preventive behaviors of COVID-19 among Indonesian nursing students: application of health belief model. Russ. Open Med. J. 2021;10(2):1-6 doi: 10.15275/rusomj.2021.0201.

Poonaklom P, Rungram V, Abthaisong P, Piralam B. Factors associated with preventive behaviors towards Coronavirus Disease (COVID-19) among adults in Kalasin province, Thailand, 2020. Outbreak Surveillance, Investigation, & Response Journal. 2020;13(3):78-89.

Choi JS, Kim JS. Factors influencing preventive behavior against Middle East Respiratory Syndrome-Coronavirus among nursing students in South Korea. Nurse Educ Today. 2016;40:168-72. doi: 10.1016/j.nedt. 2016.03.006.

Bloom BS. Mastery learning. In J. H. Block (Ed.), Mastery learning, theory and practice. New York: Holt, Rinehart, and Winston; 1971.

Bunthan W, Thipsut T, Turungruang S, Rungruang J, Choosrithong R, Kramulroj N. et al. Factors affecting the health promotion behaviors to Coronavirus Disease 2019 (COVID-19) infecting prevention of the first-year students in Huachiew Chalermprakiet

University. HCU Journal of Health Science. 2021;25(2):168-79. (in Thai).

Kim S, Kim S. Analysis of the Impact of health beliefs and resource factors on preventive behaviors against the COVID-19 pandemic.

Int. J Environ Res Public Health. 2020;17(22):8666. doi: 10.3390/ijerph17228666.

Sakdapat N. Psychosocial factors related to the COVID-19 prevention behaviors of undergraduate students. Journal of Behavioral Science. 2021;27(2):39-62. (in Thai).

Inthacharoen A, Kanchanapoom K, Tansakul K, Pattapat S. Factors influencing preventive behavior towards Coronavirus Disease 2019 among people in Khohong Town Municipality Songkhla Province. Journal of Council of Community Public Health. 2021;3(2):19-30. (in Thai).

Li S, Feng B, Liao W, Pan W. Internet use, risk awareness, and demographic characteristics associated with engagement in preventive behaviors and testing: cross-sectional survey on COVID-19 in the United States. J Med Internet Res. 2020;22(6):19782 doi: 10.2196/19782.