Presidential Vote Share and COVID-19 Vaccination Rate in Indonesia: A District-level Cross-Sectional Ecological Study

Gede Benny Setia Wirawan; Ni Luh Zallila Gustina; Ivy Cerelia Valerie; I Gusti Ayu Indah Pradnyani RS; Muchamad Zaenal Arifin; Pande Putu Januraga

doi:10.21109/kesmas.v18i1.6438

Presidential Vote Share and COVID-19 Vaccination Rate in Indonesia: A District-level Cross-Sectional Ecological Study

Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Ivy Cerelia Valerie, I Gusti Ayu Indah Pradnyani RS, Muchamad Zaenal Arifin, Pande Putu Januraga

Abstract

Political affiliation has been reported as a determinant of COVID-19 vaccine acceptance in some countries, although few studies have examined the Asian context. This study aims to fill this gap by employing an ecological study design using Indonesian regions as data points. Political affiliation was represented by incumbent President Jokowi’s vote share in the 2019 presidential election. Potential confounders included population density, human development index, availability of hospitals and primary health care, 2019–2020 economic growth, COVID-19 mortality rate, and proportion of Muslims in the population. The final analysis included 201 out of 501 districts and cities in Indonesia. Controlling for confounders, multivariate regression found that Jokowi’s vote share was an independent predictor of vaccination rate, with standardized β and R2 values of 0.350 and 0.734 for the first dose vaccination rates and 0.251 and 0.782 for the second dose, respectively. This association may be underpinned by differences in religiosity, public trust, and vulnerability to misinformation between Jokowi’s supporters and the opposition. Improving public trust in a politically polarizing society is crucial to improving future coverage of COVID-19 and other vaccines.

Keywords

COVID-19; Indonesia; politics; vaccine hesitancy; vaccine inequality

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References

1. World Health Organization. WHO Coronavirus (COVID-19) Dashboard With Vaccination Data. Geneva: World Health Organization; 2022.

2. Yamin D. Vaccine inequality benefits no one. Nature Human Behaviour. 2022; 6: 177-8.

3. Kementerian Kesehatan Republik Indonesia. Vaksinasi COVID-19 Nasional. Jakarta: Kementerian Kesehatan Republik Indonesia; 2022.

4. Saad-Roy CM, Levin SA, Metcalf CJE, Grenfell BT. Trajectory of individual immunity and vaccination required for SARS-CoV-2 community immunity: A conceptual investigation. J R Soc Interface. 2021; 18 (175).

5. Harapan H, Wagner AL, Yufika A, Winardi W, Anwar S, Gan AK, etal. Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia. Front Public Heal. 2020; 8.

6. Wirawan GBS, Mahardani PNTY, Cahyani MRK, Putri NLPS, Laksmi, Januraga PP. Conspiracy beliefs and trust as determinants of COVID-19 vaccine acceptance in Bali, Indonesia: Cross-sectional study. PersIndivid Dif. 2021; 180 (110995).

7. Sidarta C, Kurniawan A, Lugito NPH, Siregar JI, Sungono V,Heriyanto RS, et al. The Determinants of COVID-19 Vaccine Acceptance in Sumatra. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) 2022; 17 (1): 32–9.

8. Faturohman T, Kengsiswoyo GAN, Harapan H, Zailani S, Rahadi RA, Arief NN. Factors influencing COVID-19 vaccine acceptance in Indonesia: An adoption of Technology Acceptance Model. F1000Research. 2021; 10: 1–23.

9. Wirawan GBS, Harjana NPA, Nugrahani NW, Januraga PP. Health Beliefs and Socioeconomic Determinants of COVID-19 Booster Vaccine Acceptance: An Indonesian Cross-Sectional Study. Vaccines. 2022; 10 (5): 1–14.

10. Kaplan RM, Milstein A. Influence of a COVID-19 vaccine’s effectiveness and safety profile on vaccination acceptance. Proc Natl Acad SciU S A. 2021; 118 (10).

11. Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M,Webb FJ. COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment. J Community Health. 2021; 46 (2): 270–7.

12. Dolman AJ, Fraser T, Panagopoulos C, Aldrich DP, Kim D. Opposing views: associations of political polarization, political party affiliation, and social trust with COVID-19 vaccination intent and receipt. J Public Health. 2022; fdab401.

13. Ye X. Exploring the relationship between political partisanship and COVID-19 vaccination rate. J Public Health. 2021; fdab364.

14. Salahudin, Nurmandi A, Jubba H, Qodir Z, Jainuri, Paryanto. Islamic Political Polarisation on Social Media During the 2019 Presidential Election in Indonesia. Asian Aff. 2020; 51 (3): 656–71.

15. Ali DJ, Eriyanto. Political polarization and selective exposure of social media users in Indonesia. J Ilmu Sos dan Ilmu Polit. 2021; 24 (3): 268–83.

16. Toha RJ, Gueorguiev DD, Sinpeng A. The normalization of intolerance: The 2019 presidential election in Indonesia. Elect Stud. 2021; 74: 102391.

17. Aswar H, Putri G. State repression on the Islamic political opposition in Indonesia in the period of 2017-2021. Commun Humanit Soc Sci. 2022; 2 (2): 41–7.

18. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2021. Jakarta: Kementerian Kesehatan Republik Indonesia; 2022.

19. Fossati D, Aspinall E, Muhtadi B, Warburton E. Ideological representation in clientelistic democracies: The Indonesian case. Elect Stud. 2020; 63.

20. Mujani S, Kuipers N. Who believed misinformation during the 2019 Indonesian Election? Asian Surv. 2020; 60 (6): 1029–43.

21. Afrimadona. Revisiting Political Polarisation in Indonesia: A Case Study of Jakarta’s Electorate. J Curr Southeast Asian Aff. 2021; 40 (2): 315–39.

22. Harapan H, Shields N, Kachoria AG, Shotwell A, Wagner AL. Religion and Measles Vaccination in Indonesia, 1991–2017. Am J Prev Med. 2021; 60 (1): S44–52.

23. Padmawati RS, Heywood A, Sitaresmi MN, Atthobari J, MacIntyre CR, Soenarto Y, et al. Religious and community leaders’ acceptance of rotavirus vaccine introduction in Yogyakarta, Indonesia: A qualitative study. BMC Public Health. 2019; 19: 368.

24. Setijadi C. The Pandemic as Political Opportunity: Jokowi’s Indonesia in the Time of Covid-19. Bull Indones Econ Stud. 2021; 57 (3): 297–320.

25. Syahputra I, Ritonga R, Purwani DA, Masduki, Rahmaniah SE, WahidU. Pandemic politics and communication crisis: How social media buzzes impaired the lockdown aspiration in Indonesia. SEARCH JMedia Commun Res. 2021; 13 (1): 31–46.

26. Mietzner M. Populist Anti-Scientism, Religious Polarisation, and Institutionalised Corruption: How Indonesia’s Democratic Decline Shaped Its COVID-19 Response. J Curr Southeast Asian Aff. 2020; 39 (2): 227–49.

27. Satuan Tugas Penanganan COVID-19 Indonesia. Peta Sebaran. Jakarta: Satuan Tugas Penanganan COVID-19 Indonesia; 2022.

28. Wirawan GBS, Januraga PP. Correlation of Demographic, Health Care Availability, And COVID-19 Outcome: Indonesian Ecological Study. Front Public Heal. 2021; 9 (605290).

29. MacDonald NE, Eskola J, Liang X, Chaudhuri M, Dube E, Gellin B, et al. Vaccine hesitancy: Definition, scope and determinants. Vaccine.2015; 33 (34): 4161–4.

30. Tolbert J, Orgera K, Garfield R, Kates J, Artiga S. Vaccination isLocal: COVID-19 Vaccination Rates Vary by County and Key Characteristics. San Fransisco, CA: Kaiser Family Foundation; 2021.

31. Basya MH, Hamka. Political Distrust and Islamic Populism: Study on Tarbiyah Community in Pemilu 2019. J Islam Soc Stud. 2021; 7 (1).

32. Satriawan BH, Purwaningsih T. Political Marketing Prabowo Subianto and Sandiaga Salahuddin Uno in the 2019 Presidential Election. J Ilmu Sos dan Ilmu Polit. 2022; 25 (2): 127.

33. Rahvy A, Ridlo IA. A Timeline Response: How Does Islamic Organizations Respond to COVID-19 in Indonesia? Public Heal Prev Med Arch. 2020; 9 (1): 11–6.

34. Budi A, Pamungkas WA. Partisanship in Crisis: Public Response to Covid-19 Pandemic in Indonesia. J Ilmu Sos dan Ilmu Polit. 2020; 24 (1): 15–30.

35. Muzykant VL, Muqsith MA, Pratomo RR, Barabash V. Fake News on COVID-19 in Indonesia. In: Pandemic Communication and Resilience. Springer International Publishing; 2021. p. 363–78.

36. Halimatusa’diyah I, Durriyah TL. Political Partisanship, Trust, and Attitudes toward COVID-19 Vaccines in Indonesia. J Health Polit Policy Law. 2023; 48 (1): 35-61.

37. Pramiyanti A, Mayangsari ID, Nuraeni R, Firdaus YD. Public perception on transparency and trust in government information released during the COVID-19 pandemic. Asian J Public Opin Res. 2020; 8 (3): 351–76.

38. Januraga PP, Harjana NPA. Improving Public Access to COVID-19 Pandemic Data in Indonesia for Better Public Health Response. Front Public Heal. 2020; 8: 8–11.

39. Sarnoto AZ, Hayatina L. Polarization of the muslim community towards government policies in overcoming the COVID-19 pandemic in Indonesia. Linguist Cult Rev. 2021; 5: 642–52.

40. Hartanto D, Agussani A, Dalle J. Antecedents of public trust in government during the COVID-19 pandemic in Indonesia: Mediation of perceived religious values. J Ethn Cult Stud. 2021; 8 (4): 321–41.

DOI: http://dx.doi.org/10.21109/kesmas.v18i1.6438