Alam M.A.Saha S.Panthumas S.Mahidol University2023-06-222023-06-222022-01-01Journal of Population and Social Studies Vol.30 (2022) , 866-876https://repository.li.mahidol.ac.th/handle/20.500.14594/87599Coronavirus disease 2019 (COVID-19) became a global pandemic within a few months. Even though Bangladesh has been badly affected by COVID-19, the pandemic is still a concern across the country. This study was conducted to explore regional variations in preventive health practices of rural adults during the COVID-19 pandemic, and to determine the predictors regarding COVID-19 prevention. A cross-sectional survey was conducted in rural Bangladesh in 2020 among 810 respondents selected by multi-stage random sampling. Data collection was done by face-to-face interviews using a questionnaire. The results showed that almost half of the rural adults (48.1%) had poor health practices regarding COVID-19 prevention. Rural adults of the Mymensingh district showed relatively better health practices during the pandemic (U = 58,747.5, p < 0.001). Not only the background issues but also information, attitude, motivation, and intention in COVID-19 prevention were significant in predicting the health practices of rural adults in COVID-19 prevention. The significant regional effect was determined in COVID-19 prevention behavior of rural adults (p < 0.001) in hierarchical regression, explained through a modified reasoned action approach. Health programs should be strengthened more, not only to improve preventive health practices of rural adults but also to establish regional equity in COVID-19 prevention, ensuring region-specific initiatives on behavioral changes.Social SciencesArticleSCOPUS10.25133/JPSSv302022.0482-s2.0-8513441897024654418