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Research Article |

COVID-19 Perception Regarding Preventive Behaviour Among Undergraduate Students at Chreso University in Lusaka, Zambia

This study sought to explore risk perception, health seeking behaviours and adherence to preventive behaviours towards COVID-19 infection among undergraduate students at CHRESO University in Lusaka, Zambia. A total of 181 students aged between 18 and 45 years from all faculties at Chreso University whose COVID-19 status was not known were selected via simple random sampling technique to participate in this study. Data was collected from the respondents using a structured interview questionnaire with closed ended questions. Data was analyzed using Statistical Package for Social Sciences (SPSS version 20) and was presented by Tables. The correlations between predictors and end results variables were categorized by multivariate logistic regression analysis. The study uncovered that, most of the respondents (76%) had an adequate level of knowledge on COVID-19 as most of them knew that the causative organism of COVID-19 was not bacteria. Sex and age were found to have a statistically substantial relationship with the level of knowledge about COVID-19 infection preventive measures among students (p<0.05). The study also shows that the vast majority of the participants (32%) had moderate risk perception of COVID-19 infection while 37% of study participants had low risk perception due to lack of vaccination. Marriage was found to have a strong statistical association with the level of risk perception of COVID-19 infection among students (P < 0.05). The majority of the participants also had poor adherence to COVID-19 preventive measures because many of them were able to put on their masks (45%) and use hand sanitizer (37%) only when advised to do so. The results also show that the participants had poor health seeking behaviors in that 59% of the respondents had never accessed COVID-19 screening facilities while 52% did not even know if at all there was a cost associated with testing. Religion and marital status were found to have a significant statistical relationship with the level of adherence to COVID-19 preventive measures among students (P < 0.05). Nevertheless, it is strongly recommended that university Students should be sensitized on COVID-19 infection prevention and control measures and encouraged to regularly engage in health-seeking behaviours. The university authority through the Ministry of Health should develop risk communication policies aimed at helping students understand the gravity of COVID-19 infection and the potential repercussions of not adhering to preventive measures.

COVID-19, Perception, Health Seeking Behaviour, Zambia

APA Style

Mulenga, Q., Obi Daniel, E., Dawria Ibrahim, A., Saul Simbeye, T., Chisanga, A., et al. (2023). COVID-19 Perception Regarding Preventive Behaviour Among Undergraduate Students at Chreso University in Lusaka, Zambia. World Journal of Public Health, 8(4), 280-290.

ACS Style

Mulenga, Q.; Obi Daniel, E.; Dawria Ibrahim, A.; Saul Simbeye, T.; Chisanga, A., et al. COVID-19 Perception Regarding Preventive Behaviour Among Undergraduate Students at Chreso University in Lusaka, Zambia. World J. Public Health 2023, 8(4), 280-290. doi: 10.11648/j.wjph.20230804.15

AMA Style

Mulenga Q, Obi Daniel E, Dawria Ibrahim A, Saul Simbeye T, Chisanga A, et al. COVID-19 Perception Regarding Preventive Behaviour Among Undergraduate Students at Chreso University in Lusaka, Zambia. World J Public Health. 2023;8(4):280-290. doi: 10.11648/j.wjph.20230804.15

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Ding, Y., Du, X., Li, Q., Zhang, M., Zhang, Q., Tan, X., & Liu, Q. (2019). Risk perception of coronavirus disease 2019 (COVID-19) and its related factors among college students in China during quarantine. PLoS One. 15: e0237626. doi: 10.1371/journal.pone.0237626.
2. Kai-Wang, T. K., Tak-Yin, T. O., Chik-Yan. Y. C., Chan, K. H., Wu, T. C., Man-Chun. C. J., & Yuen, K. Y. (2020). Consistent detection of 2019 novel coronavirus in saliva. Clinical Infectious Diseases. 149 (1).
3. Kamran, A., Isazadehfar, K., Heydari, H., Nasimi Doost Azgomi, R., & Naeim, M. (2021). Risk perception and adherence to preventive behaviours related to the COVID-19 pandemic: A community-based study applying the health belief model. BJPsych Open, 7 (4), E133. doi: 10.1192/bjo.2021.954.
4. Venema, T. A., & Pfattheicher, S. (2021). Perceived susceptibility to COVID-19 infection and narcissistic traits. Personal Individ Differ. doi: 10.1016/j.paid.2021.110696.
5. Tinkler Saul Simbeye, Pamela Mwansa, Queen Mulenga, Evason Mandona, Esther Masebe, Arthur Chisanga, Remmy Mulenga, Inonge Milupi Muyunda, Mary Mtonga Chimwala. Kennedy Mwila, Dorothy Banda. Knowledge, Attitude and Practice Towards COVID-19 Infection Prevention and Control Measures in Mwandi District of Zambia – A Three-Year Retrospective Study. International Journal of Infectious Diseases and Therapy. Vol. 8, No. 1, 2023, pp. 31-38. doi: 10.11648/j.ijidt.20230801.14.
6. Esmaeil, Z. S., Ashrafi-Rizi, H., Shahrzadi, L., Mostafavi, F. (2018). A survey on adolescent health information seeking behavior related to high-risk behaviors in a selected educational district in Isfahan. PLoS One. doi: 10.1371/journal.pone.0206647.
7. Soltan, E. M., El-Zoghby, S. M,. & Salama, H. M. (2020). Knowledge, Risk Perception, and Preventive Behaviors Related to COVID-19 Pandemic Among Undergraduate Medical Students in Egypt. SN Compr. Clin. Med, p.2568–2575
8. Qutob, N., & Awartan, F. (2021). Knowledge, attitudes and practices towards COVID-19 among Palestinian during the COVID-19 outbreak: A cross sectional Survey. PLoS ONE, 16 (1), 1-11. pone.0244925
9. Bekele, F., Sheleme, T., Fekadu, G., & Bekele, K. (2020). Patterns and associated factors of COVID-19 knowledge, attitude and practice among general population and health care workers: A systematic review. Sage Open Medicine, 8 (1), 1-10.
10. AlHajri, L., & Mohamed, H. M. (2022). Measuring the Level of Knowledge and Awareness About COVID-19 Among the Community of a College in Dubai: A Comparative Study Between Participants of Health Sciences and Non-Health Sciences Backgrounds. SAGE Open, 12 (2).
11. Duygulu, S., Kuruca-Ozdemir, E., Erdat, Y., & Kocoglu-Tanyer, D. (2023). University Students’ Risk Perception, Protective Measures, and General Health During the COVID-19 Pandemic in Turkey. Disaster Medicine and Public Health Preparedness, Cambridge University Press, 17 (1), E267. doi: 10.1017/dmp.2022.216.
12. Vromans, R. D, Linn, A. J., Maru, N., Pabian, S., Krahmer, E. J, Guidry, J. P. D. (2023). Predicting and comparing COVID-19 risk perceptions across the Netherlands and Belgium: A cross-sectional survey among university students. PLoS ONE, 18 (2), e0277417.
13. Albaqawi, H. M., Alquwez, N., Balay-odao, E., Bajet, J. B., Alabdulaziz, H., Alsolami, F., Tumala, R. B., Alsharari, A. F., Tork, H. M. M., Felemban, E. M., and Cruz, J. P. (2020). Nursing Students’ Perceptions, Knowledge, and Preventive Behaviors Toward COVID-19: A Multi-University Study. Front. Public Health 8: 573390. doi: 10.3389/fpubh.2020.573390.
14. Bish, A., & Michie, S. (2010). Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol. 15: 797–824. doi: 10.1348/135910710X485826.
15. Chandrashekharayya, S., & Kavitha, M., Prakash., & Hand, P. K, S. D. (2014). To study the level of awareness about complications of chronic suppurative otitis media (CSOM) in CSOM patients. J Clin Diagn Res. 2014; 8: 59.
16. Kebede, B. F., Genie, Y. D., Tesf, T. B., Hiwot, A. Y., Abagelan, A. M., & Zerihun, M. S. (2022). Adherence to COVID-19 preventive measures among high school students in Jimma town, South-West Ethiopia: Institutional-based cross-sectional study. PLoS One, 17 (12), e0279081. doi: 10.1371/journal.pone.0279081.
17. Ahmed. (2022). Adherence to COVID-19 preventive measures among male medical students, Egypt. Journal of the Egyptian Public Health Association, 97 (8), p.1-8.
18. Mose, A., Haile, K., & Timerga, A. (2022). COVID-19 vaccine hesitancy among medical and health science students attending Wolkite University in Ethiopia. PLOS ONE, 17 (1). e0263081.
19. Lambert, S. D., & Loiselle, C. G. (2007). The role of health information-seeking in health promotion: A critical review. Health Education & Behavior, 34 (3), 305-322.
20. Tsegaw, M, Mulat, B, Shitu, K. (2022). Risk perception and preventive behaviours of COVID-19 among university students, Gondar, Ethiopia: a cross-sectional study. BMJ Open 2022; 12: e057404. doi: 10.1136/bmjopen-2021-057404.
21. Bak, C. K., Krammer, J. Ø., Dadaczynski, K., Orkan, O., von Seelen, J., Prinds, C., Søbjerg, L. M., et al. (2022). Digital Health Literacy and Information-Seeking Behavior among University College Students during the COVID-19 Pandemic: A Cross-Sectional Study from Denmark. International Journal of Environmental Research and Public Health, 19 (6), 3676. MDPI AG. Retrieved from
22. Zhang, D., Zhan, W., & Zheng, C. et al. (2021) Online health information-seeking behaviors and skills of Chinese college students. BMC Public Health 21 (736. Retrieved from
23. Shieh, W. J., Lee, J. F., Chen, C. C., & Lin, C. C. (2010). Health information seeking and health promotion behaviors among college students in Taiwan. Journal of the American College Health, 58 (6), 455-462.
24. Shahnazi, H., Ahmadi-Livani, M., Pahlavanzadeh, B,, Rajabi, A., Hamrah, MS., & Charkazi, A. (2020). Assessing preventive health behaviors from COVID-19 based on the health belief model (HBM) among people in Golestan province: a cross-sectional study in Northern Iran. Infect Dis Poverty 9: 157–165.