Intelligent Pandemic Surveillance via Privacy-Preserving Crowdsensing

Measuring the willingness to share personal health information: a systematic review

Background

In the age of digitalization and big data, personal health information is a key resource for health care and clinical research. This study aimed to analyze the determinants and describe the measurement of the willingness to disclose personal health information.

Methods

The study conducted a systematic review of articles assessing willingness to share personal health information as a primary or secondary outcome. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis protocol. English and Italian peer-reviewed research articles were included with no restrictions for publication years. Findings were narratively synthesized.

Results

The search strategy found 1,087 papers, 89 of which passed the screening for title and abstract and the full-text assessment.

Conclusion

No validated measurement tool has been developed for willingness to share personal health information. The reviewed papers measured it through surveys, interviews, and questionnaires, which were mutually incomparable. The secondary use of data was the most important determinant of willingness to share, whereas clinical and socioeconomic variables had a slight effect. The main concern discouraging data sharing was privacy, although good data anonymization and the high perceived benefits of sharing may overcome this issue.

A Study of Users' Privacy Preferences for Data Sharing on Symptoms-Tracking/Health App

Symptoms-tracking applications allow crowdsensing of health and location related data from individuals to track the spread and outbreaks of infectious diseases. During the COVID-19 pandemic, for the first time in history, these apps were widely adopted across the world to combat the pandemic. However, due to the sensitive nature of the data collected by these apps, serious privacy concerns were raised and apps were critiqued for their insufficient privacy safeguards. The Covid Nearby project was launched to develop a privacy-focused symptoms-tracking app and to understand the privacy preferences of users in health emergencies. In this work, we draw on the insights from the Covid Nearby users' data, and present an analysis of the significantly varying trends in users' privacy preferences with respect to demographics, attitude towards information sharing, and health concerns, e.g. after being possibly exposed to COVID-19. These results and insights can inform health informatics researchers and policy designers in developing more socially acceptable health apps in the future.