Engdawork, KiburAmdework, EzanaAssefa, Samuel2024-07-162024-07-162024-06-28doi:10.1163/15691330-bja10108https://africarxiv.ubuntunet.net/handle/1/1582https://doi.org/10.60763/africarxiv/1491Understanding factors influencing the adoption of preventive behaviors is crucial in pandemic prevention and control. This study employs the social-ecological model to examine the determinants of preventive actions against COVID-19 in Addis Ababa, Ethiopia. Data from a household survey were analyzed using a linear regression model. The findings indicate a moderate level of preventive behavior adoption among residents. Interpersonal behavior, community norms, and organizational-level factors are identified as significant predictors, while personal and demographic factors have little influence. These results highlight the need for context-specific health interventions, addressing social and structural aspects, to effectively combat COVID-19 in Addis Ababa and similar low- and middle-income settings.COVID-19Preventive actionsSocio-ecological modelHealth interventionEthiopiaMiddle-income setting