The Relationship between Health Belief Model Applications with Smoking Quitting Behavior: A Meta-Analysis


  • Gadis Nur Anggreani Study Program of Public Health, Universitas Tadulako, Centrall Sulawesi
  • Faridah Nurhayati Study Program of Public Health, Universitas Tadulako, Centrall Sulawesi
  • Herawati Prianggi Universitas Kusuma Husada Surakarta, Central Java


Background: Smoking is a habit of smoking cigarettes that is carried out in daily life, cigarettes are also a necessity that cannot be avoided for people who have a tendency to cigarettes. HBM is a model of individual health beliefs in determining the actions to be taken and is explained as a concept formulated with the aim of understanding why individuals do or do not perform various healthy behaviors. Therefore, this study aimed to determine the level of effectiveness of the Health Believe Model (HBM) application in the decision to quit smoking.

Subjects and Method: This article was compiled with a systematic review and meta-analysis study. This study uses the PICO Model. The meta-analysis study was conducted by searching for articles from databases in electronic form including PubMed, Springer Link, Elsevier and Google Scholar. "Health Belief Model Application", or "Quit Smoking Behavior" or "Perceived Suscepti­bility" and "Perceived Severity". The inclusion criteria for this study were full articles using a cross-sectional study, with the publication year 2014-2021. Analysis of articles in this study using RevMan 5.3 . software.

Results: A total of 12 cross-sectional studies from Asia, and Africa were selected for systematic review and meta-analysis.  The data collected showed that high perceived vulnerability increase 2.11 times to smoking quitting behavior compared with low perceived vulnerability, but its statistically not significant (OR= 2.09; 95% CI= 0.81 to 5.37; p= 0.130), and high perceived severity increase 1.43 times to smoking quitting behavior compared with low perceived severity (OR= 1.43; 95% CI= 0.57 to 3.58; p= 0.450), increase 2.11 times to smoking quitting behavior compared with low perceived vulnerability, but iw was statistically not significant.

Conclusion: Perceived vulnerability, and perceived severity was not statistically significant in smoking quitting behavior.

Keywords: health belief model, smoking qutting behavior, perceived vulnerability, perceived severity.


Gadis Nur Anggreani. Study Program of Public Health, Universitas Tadulako, Palu, Central Sulawesi. Email:  Mobile: +6281335205131.

Journal of Health Promotion and Behavior (2022), 07(03): 170-181


Aryal, R, Petzold M, Bondjers G, Krettek, A. (2014). Correlates of smoking susceptibility among adolescents in a peri-urban area of Nepal: A population-based cross-sectional study in the Jhaukhel-Duwakot Health Demographic Surveillan. Glob Health Action,7:24488.

Atmodjo T, Soemanto R, Murti B. (2017). Determinants of Successful Smoking Cessation in Surakarta. Journal of Health Promotion and Behavior, 02(04), 332–344.

Chen C, Das B, Mead L, Borzekowski L. (2017). Flavored E-cigarette Use and Cigarette Smoking Susceptibility among Youth. HHS Public Access, 3(1), 68–80.

Djannah N. (2020). Persepsi Perokok Terhadap Implementasi Kawasan Tanpa Rokok (Tinjauan Sistematis) Smokers Perception of the Implementation of No-Smoking Areas (Systematic Review). 5(40), 16–25.

Iffah N, Faradina S. (2018). Hubungan Health Locus of Control Dengan Perilaku Merokok Pada Remaja (The Relationship between Health Locus of Control and Smoking Behavior in Adolescents). Journal Psikogenesis, 6(1), 46–53.

Kaufman R, Dwyer A, Land R,Klein P, Park R. (2018). Smoking-Related Health Beliefs and Smoking Behavior in the National Lung Screening Trial. HHS Public Access, 84, 27–32.

Kim S, Chae W, Park W, Park M, Park E, Jang S (2019). The impact of smoking cessation attempts on stress levels. BMC Public Health, 19(267), 1–9.

Kowitt D, Ross C, Jarman L, Kistler E, Lazard J, Ranney M, Sheeran P, Thrasher F, Goldstein, A. O. (2020). Tobacco Quit Intentions and Behaviors among Cigar Smokers in the United States in Response to COVID-19. 1–14.

Listyoko S, Djajalaksana S, Astuti T. (2020). Hubungan Merokok Dengan Derajat Keparahan Dan Mortalitas Pasien COVID-19 Rawat Inap di RS Saiful Anwar Malang (Relationship between smoking and severity and mortality of hospitalized COVID-19 patients at Saiful Anwar Hospital, Malang). Medica Hospitalia: Journal of Clinical Medicine, 7(1A), 137–143.

Nyman L, Spears A, Churchill V, Do, V. , Henderson C, Massey B, Reynolds M, Huang J. (2021). Associations between COVID-19 risk perceptions and smoking and quitting behavior among U.S. adults. Addictive Behaviors Reports, 14(August), 100394.

Owotomo O, Stritzel H, Mccabe E, Boyd J. (2020). Smoking Intention and Progression From E-Cigarette Use to Cigarette Smoking. PEDIATRICS, 146(6).

Ozoh B, Akanbi O, Amadi E, Vollmer M, Bruce G. (2017). The prevalence of and factors associated with tobacco smoking behavior among long-distance drivers in Lagos , Nigeria . African Health Sciences, 17(4), 1110–1119.

Poggiolini C. (2019). High self-efficacy regarding smoking cessation may weaken theintention to quit smoking High self-efficacy regarding smoking cessation may weaken the intention to quit smoking. Cogent Psychology, 6(1).

Purnaningrum D, Joebagio H, Murti B. (2017). Association Between Cigarette Advertisement , Peer Group , Parental Education , Family Income , and Pocket Money with Smoking Behavior among Adolescents in Karanganyar District , Central Java. Journal of

Health Promotion and Behavior, 2(2), 150–160.

Rigotti A, Chang Y, Regan S, Lee S, Kelley, K, Davis E, Levy E. et., all (2021). Cigarette Smoking and Risk Perceptions During the COVID-19 Pandemic Reported by Recently Hospitalized Participants in a Smoking Cessation Trial. JGIM, 3786–3793.

Rusma A, Nuddin A, Rusma P. (2020). Analisis Motif Pengambilan Keputusan Merokok Melalui Teori Health Belief Model ( HBM ) Pada Mahasiswa di Kota Parepare. Jurnal Ilmiah Manusia Dan Kesehatan, 3(3), 354–362.

Upadhyay S, Lord J,Gakh M. (2019). Health-Information Seeking and Intention to Quit Smoking: Do Health Beliefs Have a Mediating Role? Tobacco Use Insights, 12, 1179173X1987131.

Weinberger H, Franco A, Hoff A, Pilver C, Steinberg A, Rugle L, Wampler J, et al., (2015). Cigarette smoking, problem-gambling severity, and health behaviors in high-school students. Addictive Behaviors Reports, 1, 40–48.




How to Cite

Anggreani, G. N., Nurhayati, F., & Prianggi, H. (2022). The Relationship between Health Belief Model Applications with Smoking Quitting Behavior: A Meta-Analysis. Journal of Health Promotion and Behavior, 7(3), 170–181. Retrieved from