Application of the Health Belief Model on the Reproductive Health Services Uptake in Adolescents: A Meta-Analysis


  • Dyah Ayu Kusumawardani Universitas Muhammadiyah Surakarta Universitas Respati Yogyakarta
  • Elsa Jumasni Ayu Universitas Respati Yogyakarta


Background: Adolescence is a period of transition from childhood to adulthood and is characte­rized by changes in physical, psychological, and social behavior that can affect their lives at high risk. Various problems that occur in adolescents are influenced by various dimensions of life within them, both biological, cognitive, moral and psychological dimensions as well as the influence of the surrounding environment. This study aimed to estimate the effect of the Health Belief Model, especially its construction of perceived vulnerability, perceived seriousness, and perceived benefits in the use of reproductive health services with a meta-analysis.

Subjects and Method: This study is a review of meta-analytical studies. This research article was obtained from the electronic databases of PubMed, Springer Link, Elsevier and Google Scholar. The articles used in this study are articles published from 2011-2021. The search for articles was carried out by considering the eligibility criteria defined using the PICO model. P: adolescents. I: perceived vulnerability, perceived seriousness, perceived benefit. C: Low perceived vulnerability, perceived seriousness, perceived benefit. O: use of reproductive health services. The articles included in this study are full text articles with a Srocsectional study design. This article was analyzed using the Review Manager 5.3 application.

Results: There are 9 articles in total. The results showed that there was high heterogeneity (I2= 82%; p <0.0001), so that the data analysis on the florest plot used a random effect model. The perception of vulnerability that is felt to be strong increases the likelihood of using reproductive health services by 2.42 times compared to the perception of vulnerability that is felt to be weak, and it is not statistically significant (aOR= 2.42; 95% CI= 1.60-3.67; p= 0.001).

Conclusion: The use of reproductive health services is not statistically significant in predicting reproductive health in adolescents.

Keywords: health belief model, belief, reproductive health service, reproductive health care


Dyah Ayu Kusumawardani. Universitas Muhammadiyah Surakarta, Central Java, Indonesia. Email: Mobile: +6281466847498.

Journal of Health Promotion and Behavior (2021), 06(04): 318-326



African Youth Alliance. 2012. Reproductive Health White Paper World. Youth Alliance pp. ://

Anulus A, Murti B, Prasetya H (2019). Risk Factors of HIV among Male Military Personnels:A Meta Analysis. J Health Promot Behav, 4(3): 178–188. 10.26-911/thejhpb.2019.04.03.03.

Arsani NLKA (2019). Peranan program PKPR (pelayanan kesehatan peduli remaja) terhadap kesehatan reproduksi remaja di kecamatan Buleleng (The role of the PKPR (youth care health service) program on adolescent reproductive health in Buleleng sub-district). Jurnal Ilmu Sosial Dan Humaniora 2(1): 129-137. ISSN: 23-03-2898.

Violita F, Hadi EN (2019). Determinans of adolescent reproductive health service utilization by senior high school students in Makassar, Inonesia. BMC Public Health 19:286. DOI: 10.1186/-s12889-019-6587-6

Hailay G, Mebrahtu T, and Abebe M. 2019. Determinants of reproductive health services utilization among rural female adolescents in Asgede-Tsimbla district Northern Ethiopia: a community based cross-sectional study. J Rep-roductive Health; 16(4): 1-10. DOI: 10.1186/s12978-019-0664-2

Howard TL, Marcell AV, Plowden K, Watson C (2010). Exploring Women‘s Perceptions about Their Role in Supporting Partners‘ and Sons‘ Reproductive Health Care. Americans Journal of Menss Health; 4(4) : 297-304. DOI: 10.1177/1557988309335822

Leslee Anne G. Cortez, RMT, LPT, dan Carmelita C. Canila, MD, MPA. 2020. Prevalence and Determinants of the Utilitazion of Sexual and Reproductive Health Services in the Teen Health Kiosk of a Public Secondary School in the City of Dasmariñas. 1-11. DOI: 10.47895/amp.vi0.1696

Mustafa GA, Challi JB, Fikru TJ (2017). Reproductive health services utilization and associated factors among adolescents Anchar District, East Ethiopia. J of Family and Rep. Health, 11(2): 110-118.

Negash, Teshome. 2016. Factors Affecting Utilization of Reproductive Health Services by Adolescent Females Using the Health Belief Model in Maraka District, Dawuro Zone, Southern Ethiopia. Journal of Culture, Society and Development. 21: 1-16. ISSN 2422-8400

Niguss C, Gurmesa T, dan Aderajew N.T. 2015. Reproductive health needs and services utilization among youths in West Badewacho Woreda, Hadiya Zone, South Ethiopia. J Epidemiol Community Health. 7(4) : 145-153. DOI : 10.5897/JPHE2014.0700.

Nugrahani RR, Budihastuti UR, Pamung-kasari EP (2017). Health Belief Model on the Factors Associated With the Use of Hpv Vaccine for the Prevention of Cervical Cancer Among Women in Kediri, East Java. J Epidemiol Public Health 2(1): 70–81. DOI: 10.26911/-theicph.2017.009.

Rupa S , Yogendra B.G, Ram Chandra P, Sandesh N, Ram Krishna T, Sailendra D dan Ram Sharan P. 2021. Factors afecting utilization of sexual and reproductive health services among women with disabilities- a mixed-method cross-sectional study from Ilam district, Nepal. BMC Health Services Research. 21:1361: 1-19. DOI: 10.1186/s12913-021-07382-4

Senafikish AM, Digsu NK, Amsalu FD, Zelalem BM (2013). Reproductive health service utilization and associated factors among adolescents (15–19 years old) in Gondar town, North-west Ethiopia. BMC Health Services Research 13:294. DOI : 1472-6963/13/294

Wakgari, Asmamaw A, Adane K, Gizachew A, Kasahun E, Tinsae B, Tarekegn AY. (2018). Sexual and Reproductive Health Services Utilization and Asso-ciated Factors Among University Stu-dents, Northwest Ethiopia: Cross Sectional Study. J Gynecol Women’s Health. 2019: 15(2): 1-9. DOI: 10.19080/JGWH.2019.15.555915

Wilson CM, Wright PF, Safrit JT, Rudy B. 2010. Epidemiologi Infeksi HIV dan Risiko pada Remaja dan Remaja. J Acquir Immune Defic Syndr. 54 (1):5. DOI: 10.1097/QAI.0b013e3181e243a1




How to Cite

Kusumawardani, D. A., & Ayu, E. J. (2021). Application of the Health Belief Model on the Reproductive Health Services Uptake in Adolescents: A Meta-Analysis. Journal of Health Promotion and Behavior, 6(4), 318–326. Retrieved from