Meta-Analysis of Public Trust in the Implementation of the COVID-19 Vaccination Based on the Health Belief Model


  • Ade Amallia Study Program of Prosthetic Orthotic, Health Polytechnics, Ministry of Health Surakarta
  • Agus Syukron Ma’ruf Institute of Health and Science Technology, dr. Soepraoen Hospital, Health of Military Area V/Brawijaya, East Java
  • Isna Nur Rohmah Masters Program in Public Health, Universitas Sebelas Maret


Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The magnitude of the global spread of COVID-19, and the declaration by the WHO as a public health emergency pandemic, has created an urgent need for rapid diagnosis, vaccines and therapies for COVID-19. This study aims to determine the relationship between perceptions of COVID-19 and vaccination with the Health Belief Model theory approach, one of which is perceived benefit, with the acceptance of COVID-19 vaccination.

Subjects and Method: This study uses a systematic review and meta-analysis with PICO, population: people with an age range of 18-65 years. Intervention: health belief model. Comparison: not health belief model. Outcome: Receiving the COVID-19 Vaccine (Perceived Benefit). The articles used were obtained from several databases, namely Google Scholar, Pubmed, Science Direct, MDPI. The article search keywords were “Health Belief Model” AND “vaccination COVID-19” OR COVID-19 vaccine” AND “COVID-19” The inclusion criteria for research articles were full-text articles using a cross-sectional study design, community research subjects with a range of aged 18-65 years, with the result of the study being receiving the COVID-19 Vaccine (Perceived Benefit) after which a multivariate analysis was carried out with adjusted Odds Ratio (aOR). Data were analyzed using the Review Manager application (RevMan 5.4).

Results: A total of 9 cross-sectional studies involving 31,055 vaccine recipient communities spread across Bangladesh, China, South Asia, Hong Kong and Malaysia were selected for a systematic review and meta-analysis. The data collected showed that a person with a high level of confidence in the benefits of the vaccine had a major influence on the acceptance of the COVID-19 vaccine as much as 3.96 times compared to someone with no confidence in the benefits of the COVID-19 vaccine (aOR = 3.97; CI 95 % = 2.62 to 6.02; p < 0.001).

Conclusion: People with a high level of confidence in the benefits of the COVID-19 vaccine can increase the impact of receiving the COVID-19 vaccine.

Keywords: health belief model, COVID-19 vaccine, vaccine acceptance


Ade Amallia. Study Program of Prosthetic Orthotic, Health Polytechnics, Ministry of Health Surakarta. Jl. Letjen Sutoyo, Mojosongo, Jebres, Surakarta, Central Java 57127. Email: amallia­ Mobile: 081228466836.

Journal of Health Promotion and Behavior (2021), 06(04): 298-306



Banik R, Islam MS, Pranta MUR, Rahman QM, Rahman M, Pardhan S, Driscoll R, et al. (2021). Understanding the determinants of COVID-19 vaccination intention and willingness to pay: findings from a population-based sur-vey in Bangladesh. BMC Infect Dis.21(1):1–15. DOI: 10.1186/s12879-021-06406-y.

CASP (2018). Critical appraisal skills prog-ramme cohort study checklist. Retrieved from Checklist_2018. pdf.

Chen H, Li X, Gao J, Liu X, Mao Y, Wang R, Zheng P, et al. (2021). Health belief model perspective on the control of COVID-19 vaccine hesitancy and the promotion of vaccination in china: Web-based cross-sectional study. J Med Internet Res 23(9):e29329. DOI: 10.2196/29329.

Hardiansyah, Hakim L, Bangun HA (2021). Implementation of the health belief model on the execution of vaccinations in the context of dealing with the corona virus diseases-19 (COVID-19) pan¬d-emic at health workers in nagan raya district. SAGO: Gizi dan Kesehatan. 3. 19. DOI: 10.30867/gikes.v3i1.767.

Hawlader MDH, Rahman ML, Nazir A, Ara T, Haque MMA, Saha S, Barsha SY, et al. (2022). COVID-19 vaccine accep-tance in South Asia: a multicountry study. Int J Infect Dis. 114:1–10. DOI: 10.1016/j.ijid.2021.09.056.

Hossain MB, Alam MZ, Islam MS, Sultan S, Faysal MM, Rima S, Hossain MA, et al. (2021). COVID-19 vaccine hesitancy among the adult population in Bangladesh: A nationwide cross-sectional survey. PLoS One. 16(12 December): 1–19. doi: 10.1371/journal.pone.026-0821.

Jiang T, Zhou X, Wang H, Dong S, Wang M, Akezhuoli H, Zhu H (2021). COVID-19 vaccination intention and influencing factors among different occupational risk groups: a cross-sectional study. Hum Vaccines Immunother. 17(10): 3433–40. DOI: 10.1080/21645515.-2021.1930473.

Lai X, Zhu H, Wang J, Huang Y, Jing R, Lyu Y, Zhang H, et al. (2021). Public perceptions and acceptance of COVID-19 booster vaccination in china: A cross-sectional study. Vaccines. 9 (12): 1-17. DOI: 10.3390/vaccines9121461.

Wong MCS, Wong ELY, Huang J, Cheung AWL, Law K, Chong MKC, Rita WYN, et al. (2021). Acceptance of the COVID-19 vaccine based on the health belief model: A population based survey in Hong Kong. Vaccine [Internet]. 39(7):1148–56. DOI: 10.1016/j.vaccine.2020.12.083.

Qin C, Wang R, Tao L, Liu M, Liu J (2022). Acceptance of a Third Dose of COVID-19 Vaccine and Associated Factors in China Based on Health Belief Model: A National Cross-Sectional Study. Vaccines. 10(1):1–13. DOI: 10.3390/vaccines10010089.

Wong LP, Alias H, Wong PF, Lee HY, Bakar SA (2020). The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay. Hum Vaccines Immunother. 16(9): 2204–14. DOI: 10.1080/21645515.2020.1790279.

WHO (2021). WHO coronavirus (COVID-19) Dashboard. World Health Organization. Retrieved from




How to Cite

Amallia, A., Ma’ruf, A. S., & Rohmah, I. N. (2021). Meta-Analysis of Public Trust in the Implementation of the COVID-19 Vaccination Based on the Health Belief Model. Journal of Health Promotion and Behavior, 6(4), 298–306. Retrieved from




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