Risk perception of behavioural adaptation recommendations towards COVID-19 and its related factors in Indonesia

Tri Siswati, Stella Benita, Iswari Paramita, Joko Susilo, Lukman Waris, Bunga A. Paramashanti


Background: The number of coronavirus disease 2019 (COVID-19) cases in Indonesia keeps increasing even though the Indonesian government continuously communicates mitigation strategies. This study aimed to- estimate the proportion of risk perception towards COVID-19 behavioural adaptation recommendations and examine its sociodemographic determinants in Indonesia.

Methods: An online-based cross-sectional study was conducted among 1,007 individuals aged 15-60 years old. Our primary outcome was risk perception towards COVID-19 behavioural adaptations. Independent variables included sociodemographic factors such as sex, age, educational level, type of occupation, family size, economic status, and regions. Descriptive statistics, univariate logistic regression, and multiple logistic regression were performed to analyse the data.

Results: Around 78% of participants had a high level of risk perception related to COVID-19 behavioural adaptation recommendations. Among the participants, being females (AOR= 2.40; 95% CI: 1.76-3.27) and health professionals (AOR= 1.42; 95% CI: 0.64-1.44) were significantly associated with higher risk perceptions. In contrast, residing in Kalimantan and Sulawesi (AOR= 0.43; 95% CI: 0.23-0.79) and Eastern Indonesia (AOR= 0.43; 95% CI: 0.21-0.88) were significantly associated with lower risk perceptions.

Conclusions: Despite the high levels of risk perceptions among the Indonesian population, sociodemographic variations drove the risk perception of behavioural adaptation recommendations concerning COVID-19.


Behavioural adaptation, COVID-19, Indonesia, Risk perception, Preventive measure

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World Health Organization (WHO). WHO coronavirus disease (covid-19) dashboard, 2021. Available at: Accessed on 10 January 2021.

Task Force for the Acceleration of COVID-19 Control. Peta sebaran, 2021. Available at: Accessed on 10 January 2021.

Ministry of Health. Pedoman pencegahan dan pengendalian covid-19 (revisi ke-5), 2020. Available at: Accessed on 10 January 2021.

Task Force for the Acceleration of COVID-19 Control. Educational material 2020. Available at: Accessed on 11 January 2021.

Ministry of Health. Peraturan menteri kesehatan no. 9 tahun 2020 tentang pedoman pembatasan sosial berskala besar dalam rangka percepatan penanganan corona virus disease 2019, 2020. Available at: s%20No.%209%20Tahun%202020,Disease%202019%20%5BJDIH%20BPK%20RI%5D. Accessed on 10 January 2021.

Ministry of Research and Technology/National Agency for Research and Innovation. Urgensi pengembangan vaksin COVID-19 demi kecepatan, efektivitas, dan kemandirian indonesia untuk penanganan COVID-19, 2020. Available at: Accessed on 27 August 2020.

Nasir NM, Baequni B, Nurmansyah MI. Misinformation related to COVID-19 in Indonesia. Indonesian J Health Admin. 2020;8(1):51-59.

Darmini AMM. Indonesian religious leaders must be more active in communicating messages about the pandemic, 2020. Available at: Accessed on 11 January 2021.

Seale H, Heywood AE, Leask J, Sheel M, Thomas S, Durrheim DN, et al. COVID-19 is rapidly changing: Examining public perceptions and behaviors in response to this evolving pandemic. PLoS One. 2020;15(6):e0235112.

Dryhurst S, Schneider CR, Kerr J, Freeman ALJ, Recchia G, van der Bles AM, et al. Risk perceptions of COVID-19 around the world. J Risk Res. 2020;1-13.

Cori L, Bianchi F, Cadum E, Anthonj C. Risk perception and COVID-19. Int J Environ Res Public Health. 2020;17:3114.

Honarvar B, Lankarani KB, Kharmandar A, Shaygani F, Zahedroozgar M, Rahmanian Haghighi MR, et al. Knowledge, attitudes, risk perceptions, and practices of adults toward COVID-19: A population and field-based study from Iran. Int J Public Health. 2020;65(6):731-9.

Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in malaysia. PLoS One. 2020;15(5):e0233668.

He S, Chen S, Kong L, Liu W. Analysis of risk perceptions and related factors concerning COVID-19 epidemic in chongqing, china. J Community Health. 2020.

Directorate of Health Promotion and Community Empowerment. Adaptation to new behavior, 2020. Available at: /download/eqik/files79362ADAPTASI%20KEBIASAAN%20BARU_FINAL.pdf. Accessed on 11 January 2021.

McFadden SM, Malik AA, Aguolu OG, Willebrand KS, Omer SB. Perceptions of the adult US population regarding the novel coronavirus outbreak. PLoS One. 2020;15(4):e0231808.

Ding Y, Du X, Li Q, Zhang M, Zhang Q, Tan X, et al. Risk perception of coronavirus disease 2019 (COVID-19) and its related factors among college students in China during quarantine. PLoS One. 2020;15(8):e0237626.

Marinthe G, Brown G, Delouvée S, Jolley D. Looking out for myself: Exploring the relationship between conspiracy mentality, perceived personal risk, and COVID-19 prevention measures. Br J Health Psychol. 2020;1-24.

Malecki KMC, Keating JA, Safdar N. Crisis communication and public perception of COVID-19 risk in the era of social media. Clin Infect Dis. 2020;72(4):697-702.

Tandi TE, Kim K, Cho Y, Choi JW. Public health concerns, risk perception and information sources in cameroon. Cogent Med. 2018;5(1):1453005.

Reniers RLEP, Murphy L, Lin A, Bartolomé SP, Wood SJ. Risk perception and risk-taking behaviour during adolescence: The influence of personality and gender. PLoS One. 2016;11(4):e0153842.

Peres D, Monteiro J, Almeida MA, Ladeira R. Risk perception of COVID-19 among portuguese healthcare professionals and the general population. J Hosp Infect. 2020;105(3):434-7.

Chen P, Lei J, Chen F, Zhou B. Experiences and perceptions risk of health-care workers from coronavirus: A protocol for systematic review. Medicine. 2020;99(20):e20308.

El-Jardali F, Bou-Karroum L, Fadlallah R. Amplifying the role of knowledge translation platforms in the COVID-19 pandemic response. Health Res Policy Syst. 2020;18(1):58-58.

BPS-Statistics Indonesia. Statistical yearbook of Indonesia 2020, 2020. Available at: Accessed on 11 January 2020.