Abstract
COVID-19 has posed significant global health threats, with responses varying across populations due to differences in risk perception, behaviour, and biological vulnerability. In Indonesia, most research has focused on urban settings, with limited attention paid to rural or remote communities. This study assesses COVID-19- risks related—specifically behavioural and immunity-related-factors—in the remote area of both Bontoramba Subdistrict, Jeneponto Regency. A cross-sectional study was conducted using cluster random sampling across eight villages, with 183 participants selected from a total of 12,242 households. Data were collected between November to December 2020 using a validated structured questionnaire, administered both online and face-to-face interviews. The instrument assessed sociodemographic characteristics, in-home and out-of-home risk behaviours, and indicators of body resistance. Statistical analysis was performed using Chi-square tests to examine associations between demographic factors and risk-related behaviours. The majority of respondents were aged 30–39 years (62.3%) and employed in the private sector (62.8%). Key findings revealed high levels of moderate risk behaviour, particularly related to outdoor activity (80.9%) and public transport use (92.9%). Significant associations were found between gender, age, education, and occupation with various risk behaviours and body resistance indicators (p<0.05). Females generally practiced better in-home preventive behaviours, while males were more likely to engage in out-of-home risk behaviours. Younger individuals exhibited higher mobility and lower body resistance, while older respondents showed greater compliance with protective behaviours. Education and occupation also influenced risk patterns negatively. This study highlights the importance of considering sociodemographic contexts when designing public health interventions. Remote populations such as those in Bontoramba, face unique vulnerabilities due to behavioural exposure and limited physiological resilience. These findings underscore the need for targeted, context-specific health promotion strategies in similar rural settings.
References
Bacon, A. M., & Corr, P. J. (2020). Behavioral immune system responses to Coronavirus: A reinforcement sensitivity theory explanation of conformity, warmth toward others and attitudes toward lockdown. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.566237
British Society for Immunology. (2020). Long-term Immunological Health Consequences of COVID-19. https://www.immunology.org/coronavirus/immunology-and-covid-19/report-long-term-immunological-health-consequences-covid-19
Brug, J., Aro, A. R., Oenema, A., De Zwart, O., Richardus, J. H., & Bishop, G. D. (2004). SARS risk perception, knowledge, precautions, and information sources, the Netherlands. http://www.eur.nl/fgg/mgz/
Callender, L. A., Curran, M., Bates, S. M., Mairesse, M., Weigandt, J., & Betts, C. J. (2020). The impact of pre-existing comorbidities and therapeutic interventions on COVID-19. Frontiers in Immunology, 11. https://doi.org/10.3389/fimmu.2020.01991
Cannell, J. J., Vieth, R., Umhau, J. C., Holick, M. F., Grant, W. B., Madronich, S., Garland, C. F., & Giovannucci, E. (2006). Epidemic influenza and vitamin D. Epidemiology and Infection, 134(6), 1129–1140. https://doi.org/10.1017/S0950268806007175
Carr, A. C., & Maggini, S. (2017). Vitamin C and immune function. Nutrients, 9(11). https://doi.org/10.3390/nu9111211
Cori, L., Bianchi, F., Cadum, E., & Anthonj, C. (2020). Risk perception and COVID-19. International Journal of Environmental Research and Public Health, 17(9). https://doi.org/10.3390/ijerph17093114
Desai, A. N., & Patel, P. (2020). Stopping the spread of COVID-19. JAMA, 323(15), 1516. https://doi.org/10.1001/jama.2020.4269
Dey, S., & Bishayi, B. (2018). Killing of S. aureus in murine peritoneal Macrophages by Ascorbic Acid along with antibiotics chloramphenicol or ofloxacin: correlation with inflammation. Microbial Pathogenesis, 115, 239–250. https://doi.org/10.1016/J.MICPATH.2017.12.048
Emami, A., Javanmardi, F., Pirbonyeh, N., & Akbari, A. (2020). Prevalence of underlying diseases in hospitalized patients with COVID-19: A systematic review and meta-analysis. Archives of Academic Emergency Medicine, 8(1). http://journals.sbmu.ac.ir/aaem
Getachew, T., Girma, E., Shewangizaw, M., Churko, C., Glagn, M., & Getahun, F. (2022). Risk perception and behavioral response of teachers to COVID-19 in Southern Ethiopia, 2021. Psychology Research and Behavior Management, 15, 623–635. https://doi.org/10.2147/PRBM.S357122
González Maglio, D. H., Paz, M. L., & Leoni, J. (2016). Sunlight effects on immune system: Is there something else in addition to UV-induced immunosuppression? BioMed Research International, 2016, 1934518. https://doi.org/10.1155/2016/1934518
Guo, T., Fan, Y., Chen, M., Wu, X., Zhang, L., He, T., Wang, H., Wan, J., Wang, X., & Lu, Z. (2020). Cardiovascular implications of fatal outcomes of patients with Coronavirus Disease 2019 (COVID-19). JAMA Cardiology, 5(7), 811–818. https://doi.org/10.1001/jamacardio.2020.1017
Harper, C. A., Satchell, L. P., Fido, D., & Latzman, R. D. (2021). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction, 19(5), 1875–1888. https://doi.org/10.1007/s11469-020-00281-5
Hart, P. H., & Norval, M. (2020). Are there differences in immune responses following delivery of vaccines through acutely or chronically sun-exposed compared with sun-unexposed skin? Immunology, 159(2), 133–141. https://doi.org/10.1111/imm.13128
Hemilä, H. (2016). Vitamin E administration may decrease the incidence of pneumonia in elderly males. Clinical Interventions in Aging, 11, 1379–1385. https://doi.org/10.2147/CIA.S114515
Hemilä, H., & Kaprio, J. (2009). Modification of the effect of Vitamin E supplementation on the mortality of male smokers by age and dietary Vitamin C. American Journal of Epidemiology, 169(8), 946–953. https://doi.org/10.1093/aje/kwn413
HM Government. (2022). COVID-19 Response: Living with COVID-19. https://assets.publishing.service.gov.uk/media/621400ede90e0710b73fd459/COVID-19_Response_-_Living_with_COVID-19.pdf
Hughes, D. A., & Norton, R. (2009). Vitamin D and respiratory health. Clinical and Experimental Immunology, 158(1), 20–25. https://doi.org/10.1111/j.1365-2249.2009.04001.x
Jin, J. M., Bai, P., He, W., Wu, F., Liu, X. F., Han, D. M., Liu, S., & Yang, J. K. (2020). Gender differences in patients with COVID-19: Focus on severity and mortality. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00152
Jones, J. H., & Salathé, M. (2009). Early assessment of anxiety and behavioral response to novel swine-origin Influenza A(H1N1). PLOS ONE, 4(12). https://doi.org/10.1371/journal.pone.0008032
Karlsson, L. C., Soveri, A., Lewandowsky, S., Karlsson, L., Karlsson, H., Nolvi, S., Karukivi, M., Lindfelt, M., & Antfolk, J. (2022). The behavioral immune system and vaccination intentions during the Corona Virus pandemic. Personality and Individual Differences, 185. https://doi.org/10.1016/j.paid.2021.111295
Kenneth McIntosh, M. (2020). Coronavirus disease 2019 (COVID-19). UpToDate. https://www.plicnilekarstvi.cz/upload/1585257878.3705.pdf
Kumar, P., Kumar, M., Bedi, O., Gupta, M., Kumar, S., Jaiswal, G., Rahi, V., Yedke, N. G., Bijalwan, A., Sharma, S., & Jamwal, S. (2021). Role of vitamins and minerals as immunity boosters in COVID-19. Inflammopharmacology, 29(4), 1001–1016. https://doi.org/10.1007/s10787-021-00826-7
Lotfi, M., Hamblin, M. R., & Rezaei, N. (2020). Covid-19: transmission, prevention, and potential therapeutic opportunities. Clinica Chimica Acta, 508, 254–266. https://doi.org/10.1016/j.cca.2020.05.044
Luz, P. M., Brown, H. E., & Struchiner, C. J. (2019). Disgust as an emotional driver of vaccine attitudes and uptake? A mediation analysis. Epidemiology and Infection, 147, Article e102. https://doi.org/10.1017/S0950268819000517
Mahmood Fahad, H., Hussein Mushrif, M., & Taha Hatif, S. (2021). Body immunity and resistance to (COVID-19) Corona Virus. Clinical Medicine And Health Research Journal, 1(3), 69–73. https://doi.org/10.18535/cmhrj.v1i3.24
Murray, D. R., & Schaller, M. (2016). The behavioral immune system: Implications for social cognition, social interaction, and social influence. Advances in Experimental Social Psychology, 53, 75–129. https://doi.org/10.1016/bs.aesp.2015.09.002
Michienzi, S. M., & Badowski, M. E. (2020). Can vitamins and/or supplements provide hope against coronavirus? Drugs in Context, 9, 2020-5-7. https://doi.org/10.7573/DIC.2020-5-7
Petherick, A., Goldszmidt, R., Andrade, E. B., Furst, R., Hale, T., Pott, A., & Wood, A. (2021). A worldwide assessment of changes in adherence to COVID-19 protective behaviours and hypothesized pandemic fatigue. Nature Human Behaviour, 5(9), 1145–1160. https://doi.org/10.1038/s41562-021-01181-x
Rahil, B., Anum, R., Ahsun, J., Sherwali, K., & Saleema, A. (2021). Effect of perceived risk of COVID-19 on protective behavioral changes among adult population in Pakistan: A web-based cross-sectional Study. Archives of Community Medicine and Public Health, 055–059. https://doi.org/10.17352/2455-5479.000135
Ridjal, A. T. M., Kasma, A. Y., Aminullah, & Basri. (2022). Study of rhodamine B dyes content in snacks of Karuwisi traditional market Makassar, South Sulawesi, Indonesia. IOP Conference Series: Earth and Environmental Science, 1027(1), 012012. https://doi.org/10.1088/1755-1315/1027/1/012012
Rogers, R. W., & Prentice-Dunn, S. (1997). Handbook of health behavior research 1: Personal and social determinants (Gochman, D. S.). Plenum Press. https://link.springer.com/book/9780306454431
Rosenstock, I. M. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403
Schaller, M., Murray, D. R., & Bangerter, A. (2015). Implications of the behavioural immune system for social behaviour and human health in the modern world. Philosophical Transactions of the Royal Society B: Biological Sciences, 370(1669). https://doi.org/10.1098/rstb.2014.0105
Schneider, C. R., Dryhurst, S., Kerr, J., Freeman, A. L. J., Recchia, G., Spiegelhalter, D., & van der Linden, S. (2021). COVID-19 risk perception: a longitudinal analysis of its predictors and associations with health protective behaviours in the United Kingdom. Journal of Risk Research, 24(3–4), 294–313. https://doi.org/10.1080/13669877.2021.1890637
Shakoor, H., Feehan, J., Mikkelsen, K., Al Dhaheri, A. S., Ali, H. I., Platat, C., Ismail, L. C., Stojanovska, L., & Apostolopoulos, V. (2021). Be well: A potential role for Vitamin B in COVID-19. Maturitas, 144, 108. https://doi.org/10.1016/j.maturitas.2020.08.007
Shiina, A., Niitsu, T., Kobori, O., Idemoto, K., Hashimoto, T., Sasaki, T., Igarashi, Y., Shimizu, E., Nakazato, M., Hashimoto, K., & Iyo, M. (2021). Perception of and anxiety about COVID-19 infection and risk behaviors for spreading infection: An international comparison. Annals of General Psychiatry, 20(1). https://doi.org/10.1186/s12991-021-00334-6
Shook, N. J., Sevi, B., Lee, J., Oosterhoff, B., & Fitzgerald, H. N. (2020). Disease avoidance in the time of COVID-19: The behavioral immune system is associated with concern and preventative health behaviors. PLOS ONE, 15(8 August). https://doi.org/10.1371/journal.pone.0238015
Wang, X., Pan, Z., & Cheng, Z. (2020). Association between 2019-nCoV transmission and N95 respirator use. medRxiv. https://doi.org/10.1101/2020.02.18.20021881
World Health Organization. (2020). Coronavirus disease (COVID-19) pandemic. https://www.covid19.who.int
Recommended Citation
Basri, Basri; Ridjal, Andi Tilka Muftiah; Setiawan, Lukman; and M, Renaldi
(2025).
ASSESSMENT OF COVID-19 RISKS RELATED TO BEHAVIOUR AND BODY RESISTANCE IN THE REMOTE AREA: CASE STUDY IN JENEPONTO.
Journal of Environmental Science and Sustainable Development, 8(1), 84-100.
Available at: https://doi.org/10.7454/jessd.v8i1.1193
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