Predicting Covid-19 Vaccination Intention: The Role of Health Belief Model of Muslim Societies in Yogyakarta

  • Muhammad Aufar Saputra Pratama Erawan Bagian Hukum, Universitas Muhammadiyah Yogyakarta
  • Zaid Zaid Bagian Hukum, Universitas Muhammadiyah Yogyakarta, Yogyakarta
  • Katon Pratondo Bagian Manajemen, Universitas Pembangunan Nasional Veteran Yogyakarta, Yogyakarta
  • Ahdiana Yuni Lestari Bagian Hukum, Universitas Muhammadiyah Yogyakarta, Yogyakarta


After implementing various policies to deal with covid-19, which were still considered ineffective, the Government of Indonesia is now trying to implement a mandatory vaccination policy for all of its citizens. However, the program's success depended on the perceptions and beliefs that developed in the community regarding the covid-19 vaccine itself. This study aimed to examine the Health Belief Model (HBM) effect using the variables of perceived susceptibility, severity, benefits, and barriers on covid-19 vaccination intention. By using a quantitative method that was cross-sectional and involving 452 respondents who were taken using the purposive sampling method. After being analyzed using Partial Least Square Structural Equation Modeling (PLS-SEM), the results of this study showed that perceived susceptibility, severity, and benefits had a positive influence on covid-19 vaccination intention. At the same time, the perceived barrier showed a negative effect. In the end, this study provided a theoretical model of HBM in predicting behavioral intention, which in turn, predicted behavior. On the other hand, this research also provided a starting point for research into the interest in vaccination against covid-19 in Indonesia


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Alhalaseh, L., Fayoumi, H., & Khalil, B. (2020). The Health Belief Model in Predicting Healthcare Workers’ Intention for Influenza Vaccine Uptake in Jordan. Vaccine, 38(46), 7372–7378.

Alobaidi, S. (2021). Predictors of Intent to Receive the COVID-19 Vaccination Among the Population in the Kingdom of Saudi Arabia: A Survey Study. Journal of Multidisciplinary Healthcare, Volume 14, 1119–1128.

Araban, M., Baharzadeh, K., & Karimy, M. (2017). Nutrition Modification Aimed at Enhancing Dietary Iron and Folic Acid Intake: An Application of Health Belief Model in Practice. European Journal of Public Health, 27(2), 287–292.

Auslander, B. A., Meers, J. M., Short, M. B., Zimet, G. D., & Rosenthal, S. L. (2019). A Qualitative Analysis of The Vaccine Intention–Behaviour Relationship: Parents’ Descriptions of Their Intentions, Decision-Making Behaviour and Planning Processes Towards HPV Vaccination. Psychology and Health, 34(3), 271–288.

Avkiran, N. K. (2018). Rise of the partial least squares structural equation modeling: An application in banking. In International Series in Operations Research and Management Science (Vol. 267, pp. 1–29). Springer New York LLC.

Bennet, B. M., Wolf, J., Laureano, R., & Sellers, R. S. (2020). Review of Current Vaccine Development Strategies to Prevent Coronavirus Disease 2019 (covid-19). Toxicologic Pathology, 48(7), 800–809.

Cahyadi, H. S., & Newsome, D. (2021). The Post COVID-19 Tourism Dilemma for Geoparks in Indonesia. International Journal of Geoheritage and Parks.

Cavazos-Arroyo, J., & de Celis-Herrero, C. P. (2020). Severity, susceptibility and social norms perceived as antecedents of the intention to be vaccinated against covid-19. Revista de Salud Publica, 22(2), 1–7.

Centers for Disease Control and Prevention. (2021, May). Covid-19 Vaccines for Children and Teens | CDC.

Chen, M. F., Wang, R. H., Schneider, J. K., Tsai, C. T., Dah-Shyong Jiang, D., Hung, M. N., & Lin, L. J. (2011). Using the health belief model to understand caregiver factors influencing childhood influenza vaccinations. Journal of Community Health Nursing, 28(1), 29–40.

Cheney, M. K., & John, R. (2013). Underutilization of influenza vaccine: A test of the Health Belief Model. SAGE Open, 3(2), 1–12.

Chin, J. H., & Mansori, S. (2019). Theory of Planned Behaviour and Health Belief Model: Females’ Intention on Breast Cancer Screening. Cogent Psychology, 6(1), 1647927.

Committee on Infectious Diseases. (2021). COVID-19 Vaccines in Children and Adolescents. Pediatrics: Official Journal of American Academy of Pediatrics, 1–7.

Dinleyici, E. C., Borrow, R., Safadi, M. A. P., van Damme, P., & Munoz, F. M. (2021). Vaccines and Routine Immunization Strategies During The covid-19 Pandemic. Human Vaccines & Immunotherapeutics, 17(2), 400–407.

European Medicines Agency. (2021, May). First covid-19 vaccine approved for children aged 12 to 15 in EU.

Fathian-Dastgerdi, Z., Khoshgoftar, M., Tavakoli, B., & Jaleh, M. (2021). Factors Associated With Preventive Behaviors of covid-19 Among Adolescents: Applying The Health Belief Model. Research in Social and Administrative Pharmacy, 1–5.

Fogel, J., & Kusz, M. (2016). Intentions to Receive a Potentially Available Lyme Disease Vaccine in an Urban Sample. Therapeutic Advances in Vaccines, 4(1–2), 3–14.

Gerend, M. A., & Shepherd, J. E. (2012). Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior. Annals of Behavioral Medicine, 44(2), 171–180.

Gu, Y., Li, L., Zhou, C., Yang, T., & Dong, H. (2014). Factors influencing voluntary premarital medical examination in Zhejiang province, China: A culturally-tailored health behavioral model analysis. BMC Public Health, 14(1), 659.

Guan, W., Ni, Z., Hu, Y., Liang, W., Ou, C., He, J., Liu, L., Shan, H., Lei, C., Hui, D. S. C., Du, B., Li, L., Zeng, G., Yuen, K.-Y., Chen, R., Tang, C., Wang, T., Chen, P., Xiang, J., … Zhong, N. (2020). Clinical Characteristics of Coronavirus Disease 2019 in China. New England Journal of Medicine, 382(18), 1708–1720.

Guidry, J. P. D., Laestadius, L. I., Vraga, E. K., Miller, C. A., Perrin, P. B., Burton, C. W., Ryan, M., Fuemmeler, B. F., & Carlyle, K. E. (2021). Willingness to get the covid-19 vaccine with and without emergency use authorization. American Journal of Infection Control, 49(2), 137–142.

Gurwith, M., Condit, R. C., Excler, J. L., Robertson, J. S., Kim, D., Fast, P. E., Drew, S., Wood, D., Klug, B., Whelan, M., Mallett Moore, T., Khuri-Bulos, N., Smith, E. R., Chen, R. T., & Kochhar, S. (2020). Brighton Collaboration Viral Vector Vaccines Safety Working Group (V3SWG) standardized template for collection of key information for benefit-risk assessment of live-attenuated viral vaccines. In Vaccine (Vol. 38, Issue 49, pp. 7702–7707). Elsevier Ltd.

Hair, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. In European Business Review (Vol. 26, Issue 2, pp. 106–121). Emerald Group Publishing Ltd.

Harismi, A. (2020). Klasifikasi Umur Menurut WHO dan Masalah Kesehatannya.

Higuchi, M., Narumoto, K., Goto, T., & Inoue, M. (2018). Correlation between family physician’s direct advice and pneumococcal vaccination intention and behavior among the elderly in Japan: a cross-sectional study. BMC Family Practice, 19(1), 153.

Hodgson, S. H., Mansatta, K., Mallett, G., Harris, V., Emary, K. R. W., & Pollard, A. J. (2021). What defines an efficacious covid-19 vaccine? A review of the challenges assessing the clinical efficacy of vaccines against SARS-CoV-2. The Lancet Infectious Diseases, 21(2), e26–e35.

Hossain, M. B., Alam, M. Z., Islam, M. S., Sultan, S., Faysal, M. M., Rima, S., Hossain, M. A., & Mamun, A. Al. (2021). Health Belief, Planned Behavior, or Psychological Antecedents: What predicts COVID-19 Vaccine Hesitancy better among the Bangladeshi Adults? MedRxiv, 2021.04.19.21255578.

Huynh, G., Nguyen, T. Van, Nguyen, D. D., Lam, Q. M., Pham, T. N., & Nguyen, H. T. N. (2021). Knowledge About COVID-19, Beliefs and Vaccination Acceptance Against covid-19 Among High-Risk People in Ho Chi Minh City, Vietnam. Infection and Drug Resistance, Volume 14, 1773–1780.

Kabir, R., Mahmud, I., Chowdhury, M. T. H., Vinnakota, D., Jahan, S. S., Siddika, N., Isha, S. N., Nath, S. K., & Apu, E. H. (2021). Covid-19 vaccination intent and willingness to pay in Bangladesh: A cross-sectional study. Vaccines, 9(5), 416.

Karafillakis, E., & Larson, H. J. (2017). The benefit of the doubt or doubts over benefits? A systematic literature review of perceived risks of vaccines in European populations. In Vaccine (Vol. 35, Issue 37, pp. 4840–4850). Elsevier Ltd.

Karlsson, L. C., Soveri, A., Lewandowsky, S., Karlsson, L., Karlsson, H., Nolvi, S., Karukivi, M., Lindfelt, M., & Antfolk, J. (2021). Fearing The Disease or The Vaccine: The Case of covid-19. Personality and Individual Differences, 172.

Kerr, J. R., Freeman, A. L. J., Marteau, T. M., & van der Linden, S. (2021). Effect of information about COVID-19 vaccine effectiveness and side effects on behavioural intentions: Two online experiments. Vaccines, 9(4), 379.

Kusumaningrum, S., Siagian, C., & Beazley, H. (2021). Children during the covid-19 pandemic: children and young people’s vulnerability and wellbeing in Indonesia. Children’s Geographies.

Lee, J.-W. (2021). Covid-19 Preventive action Intention Determinants-Focused on the Expanded Health Belief Model. In Annals of the Romanian Society for Cell Biology (Vol. 25).

Liao, Q., Lam, W. W. T., Cowling, B. J., & Fielding, R. (2016). Psychosocial Influences on Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012–2013. International Journal of Behavioral Medicine, 23(5), 621–634.

Lin, Y., Hu, Z., Zhao, Q., Alias, H., Danaee, M., & Wong, L. P. (2020). Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China. PLOS Neglected Tropical Diseases, 14(12), e0008961.

Liu, Z., & Yang, J. Z. (2020). In the Wake of Scandals: How Media Use and Social Trust Influence Risk Perception and Vaccination Intention among Chinese Parents. Health Communication, 1–12.

Lytras, T., & Tsiodras, S. (2021). Lockdowns and the COVID-19 pandemic: What is the endgame? Scandinavian Journal of Public Health, 49(1), 37–40.

Mehmetoglu, M. (2012). Partial least squares approach to structural equation modeling for tourism research. Advances in Hospitality and Leisure, 8, 43–61.

Mercadante, A. R., & Law, A. V. (2021). Will they, or Won’t they? Examining patients’ vaccine intention for flu and covid-19 using the Health Belief Model. Research in Social and Administrative Pharmacy.

Mo, P. K. H., Wong, C. H. W., & Lam, E. H. K. (2019). Can the Health Belief Model and moral responsibility explain influenza vaccination uptake among nurses? Journal of Advanced Nursing, 75(6), 1188–1206.

Moksony, F. (1990). Small is beautiful. The use and interpretation of R2 in social research. Szociológiai Szemle, 130–138.

Myers, L. B., & Goodwin, R. (2011). Determinants of adults’ intention to vaccinate against pandemic swine flu. BMC Public Health, 11(1), 15.

Nancy Chen, N. T. (2015). Predicting Vaccination Intention and Benefit and Risk Perceptions: The Incorporation of Affect, Trust, and Television Influence in a Dual-Mode Model. Risk Analysis, 35(7), 1268–1280.

Olagoke, A. A., Olagoke, O. O., & Hughes, A. M. (2021). Intention to Vaccinate Against the Novel 2019 Coronavirus Disease: The Role of Health Locus of Control and Religiosity. Journal of Religion and Health, 60(1), 65–80.

Paek, H. J., Shin, K. A., & Park, K. (2015). Determinants of caregivers’ vaccination intention with respect to child age group: A cross-sectional survey in South Korea. BMJ Open, 5(9), e008342.

Pascawati, N. A., & Satoto, T. B. T. (2020). Public knowledge, attitudes and practices towards COVID-19. International Journal of Public Health Science (IJPHS), 9(4), 292–302.

Paul, E., Steptoe, A., & Fancourt, D. (2021). Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications. The Lancet Regional Health - Europe, 1, 100012.

Pradana, M., Rubiyanti, N., S, W., Hasbi, I., & Utami, D. G. (2020). Indonesia’s Fight Against COVID-19: The Roles of Local Government Units and Community Organisations. Local Environment, 25(9), 741–743.

Purbaya, A. A. (2021, January 13). 5 Daerah di Jateng-DIY Prioritas Vaksinasi dengan Berbagai Pertimbangan.

Ratnapradipa, K. L., Norrenberns, R., Turner, J. A., & Kunerth, A. (2017). Freshman Flu Vaccination Behavior and Intention During a Nonpandemic Season. Health Promotion Practice, 18(5), 662–671.

Rohadi, M. R., Priyanto, B., Wardhana, D. P. W., Prihastomo, K. T., & Kamil, M. (2020). covid-19 and its Impact on Neurosurgery: Our Early Experience in Lombok Island Indonesia. In Interdisciplinary Neurosurgery: Advanced Techniques and Case Management (Vol. 22). Elsevier B.V.

Sarstedt, M., Ringle, C. M., & Hair, J. F. (2017). Partial Least Squares Structural Equation Modeling. In Handbook of Market Research (pp. 1–40). Springer International Publishing.

Sengupta, S., & Wang, H. M. D. (2014). Information sources and adoption of vaccine during pandemics. International Journal of Pharmaceutical and Healthcare Marketing, 8(4), 357–370.

Shahar, I., Mendelson, G., & Ben Natan, M. (2017). Intention to receive the seasonal influenza vaccine among nurses working in a long-term care facility. International Journal of Nursing Practice, 23(2), e12512.

Shahrabani, S., & Benzion, U. (2012). How Experience Shapes Health Beliefs: The Case of Influenza Vaccination. Health Education and Behavior, 39(5), 612–619.

Shmueli, L. (2021). Predicting intention to receive covid-19 vaccine among the general population using the health belief model and the theory of planned behavior model. BMC Public Health, 21(1), 1–13.

Sparrow, R., Dartanto, T., & Hartwig, R. (2020). Indonesia Under the New Normal: Challenges and the Way Ahead. Bulletin of Indonesian Economic Studies, 56(3), 269–299.

Sulat, J. S., Prabandari, Y. S., Sanusi, R., Hapsari, E. D., & Santoso, B. (2018). The Validity of Health Belief Model Variables in Predicting Behavioral Change: A Scoping Review. In Health Education (Vol. 118, Issue 6, pp. 499–512). Emerald Group Publishing Ltd.

Sumaedi, S., Bakti, I. G. M. Y., Rakhmawati, T., Widianti, T., Astrini, N. J., Damayanti, S., Massijaya, M. A., & Jati, R. K. (2020). Factors influencing intention to follow the “stay at home” policy during the covid-19 pandemic. International Journal of Health Governance, 26(1), 13–27.

Sundstrom, B., Brandt, H. M., Gray, L., & Young Pierce, J. (2018). It’s My Time: Applying The Health Belief Model to Prevent Cervical Cancer Among College-Age Women. Journal of Communication Management, 22(2), 161–178.

Sundstrom, B., Carr, L. A., DeMaria, A. L., Korte, J. E., Modesitt, S. C., & Pierce, J. Y. (2015). Protecting the Next Generation: Elaborating the Health Belief Model to Increase HPV Vaccination Among College-Age Women. Social Marketing Quarterly, 21(3), 173–188.

Suwantika, A. A., Boersma, C., & Postma, M. J. (2020). The Potential Impact of covid-19 Pandemic on The Immunization Performance in Indonesia. Expert Review of Vaccines, 19(8), 687–690.

Teitler-Regev, S., Shahrabani, S., & Benzion, U. (2011). Factors Affecting Intention among Students to Be Vaccinated against A/H1N1 Influenza: A Health Belief Model Approach. Advances in Preventive Medicine, 2011, 1–8.

Urias, E. (2017). The contribution of the pharmaceutical industry to the health status of the developing world. In International Business and Management (Vol. 33, pp. 41–67). Emerald Group Publishing Ltd.

Velavan, T. P., Pollard, A. J., & Kremsner, P. G. (2020). Herd immunity and vaccination of children for COVID-19. International Journal of Infectious Diseases, 98, 14–15.

Wong, L. P., Alias, H., Wong, P. F., Lee, H. Y., & AbuBakar, S. (2020). The use of the health belief model to assess predictors of intent to receive the covid-19 vaccine and willingness to pay. Human Vaccines and Immunotherapeutics, 16(9), 2204–2214.

Zampetakis, L. A., & Melas, C. (2021). The health belief model predicts vaccination intentions against covid-19: A survey experiment approach. Applied Psychology: Health and Well-Being, 13(2), 469–484.

Zhang, Y., & Fisk, R. J. (2021). Barriers to vaccination for coronavirus disease 2019 (covid-19) control: experience from the United States. Global Health Journal, 5(1), 51–55.

How to Cite
Erawan, M. A. S. P., Zaid, Z., Pratondo, K., & Lestari, A. Y. (2021). Predicting Covid-19 Vaccination Intention: The Role of Health Belief Model of Muslim Societies in Yogyakarta. Al-Sihah: The Public Health Science Journal, 13(1), 36-50.
Volume 13, Nomor 1, January-June 2021
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