An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study

BackgroundThe June 2022 US Supreme Court decision to ban abortion care in Dobbs v Jackson Women’s Health Organization sparked ominous debate about the privacy and safety of women and families of childbearing age with digital footprints who actively engage in family planning,...

Full description

Bibliographic Details
Main Authors: Rachele Hendricks-Sturrup, Christine Y Lu
Format: Article
Language:English
Published: JMIR Publications 2023-03-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2023/1/e41937
_version_ 1797734336124944384
author Rachele Hendricks-Sturrup
Christine Y Lu
author_facet Rachele Hendricks-Sturrup
Christine Y Lu
author_sort Rachele Hendricks-Sturrup
collection DOAJ
description BackgroundThe June 2022 US Supreme Court decision to ban abortion care in Dobbs v Jackson Women’s Health Organization sparked ominous debate about the privacy and safety of women and families of childbearing age with digital footprints who actively engage in family planning, including abortion and miscarriage care. ObjectiveTo assess the perspectives of a subpopulation of research participants of childbearing age regarding the health-relatedness of their digital data, their concerns about the use and sharing of personal data online, and their concerns about donating data from various sources to researchers today or in the future. MethodsAn 18-item electronic survey was developed using Qualtrics and administered to adults (aged ≥18 years) registered in the ResearchMatch database in April 2021. Individuals were invited to participate in the survey regardless of health status, race, gender, or any other mutable or immutable characteristics. Descriptive statistical analyses were conducted using Microsoft Excel and manual queries (single layer, bottom-up topic modeling) and used to categorize illuminating quotes from free-text survey responses. ResultsA total of 470 participants initiated the survey and 402 completed and submitted the survey (for an 86% completion rate). Nearly half the participants (189/402, 47%) self-reported to be persons of childbearing age (18 to 50 years). Most participants of childbearing age agreed or strongly agreed that social media data, email data, text message data, Google search history data, online purchase history data, electronic medical record data, fitness tracker and wearable data, credit card statement data, and genetic data are health-related. Most participants disagreed or strongly disagreed that music streaming data, Yelp review and rating data, ride-sharing history data, tax records and other income history data, voting history data, and geolocation data are health-related. Most (164/189, 87%) participants were concerned about fraud or abuse based on their personal information, online companies and websites sharing information with other parties without consent, and online companies and websites using information for purposes that are not explicitly stated in their privacy policies. Free-text survey responses showed that participants were concerned about data use beyond scope of consent; exclusion from health care and insurance; government and corporate mistrust; and data confidentiality, security, and discretion. ConclusionsOur findings in light of Dobbs and other related events indicate there are opportunities to educate research participants about the health-relatedness of their digital data. Developing strategies and best privacy practices for discretion regarding digital-footprint data related to family planning should be a priority for companies, researchers, families, and other stakeholders.
first_indexed 2024-03-12T12:42:47Z
format Article
id doaj.art-dbd5bd2d815642a3b26c7c9eab88db19
institution Directory Open Access Journal
issn 1438-8871
language English
last_indexed 2024-03-12T12:42:47Z
publishDate 2023-03-01
publisher JMIR Publications
record_format Article
series Journal of Medical Internet Research
spelling doaj.art-dbd5bd2d815642a3b26c7c9eab88db192023-08-28T23:44:59ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-03-0125e4193710.2196/41937An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey StudyRachele Hendricks-Sturruphttps://orcid.org/0000-0002-3390-2583Christine Y Luhttps://orcid.org/0000-0002-7550-6837 BackgroundThe June 2022 US Supreme Court decision to ban abortion care in Dobbs v Jackson Women’s Health Organization sparked ominous debate about the privacy and safety of women and families of childbearing age with digital footprints who actively engage in family planning, including abortion and miscarriage care. ObjectiveTo assess the perspectives of a subpopulation of research participants of childbearing age regarding the health-relatedness of their digital data, their concerns about the use and sharing of personal data online, and their concerns about donating data from various sources to researchers today or in the future. MethodsAn 18-item electronic survey was developed using Qualtrics and administered to adults (aged ≥18 years) registered in the ResearchMatch database in April 2021. Individuals were invited to participate in the survey regardless of health status, race, gender, or any other mutable or immutable characteristics. Descriptive statistical analyses were conducted using Microsoft Excel and manual queries (single layer, bottom-up topic modeling) and used to categorize illuminating quotes from free-text survey responses. ResultsA total of 470 participants initiated the survey and 402 completed and submitted the survey (for an 86% completion rate). Nearly half the participants (189/402, 47%) self-reported to be persons of childbearing age (18 to 50 years). Most participants of childbearing age agreed or strongly agreed that social media data, email data, text message data, Google search history data, online purchase history data, electronic medical record data, fitness tracker and wearable data, credit card statement data, and genetic data are health-related. Most participants disagreed or strongly disagreed that music streaming data, Yelp review and rating data, ride-sharing history data, tax records and other income history data, voting history data, and geolocation data are health-related. Most (164/189, 87%) participants were concerned about fraud or abuse based on their personal information, online companies and websites sharing information with other parties without consent, and online companies and websites using information for purposes that are not explicitly stated in their privacy policies. Free-text survey responses showed that participants were concerned about data use beyond scope of consent; exclusion from health care and insurance; government and corporate mistrust; and data confidentiality, security, and discretion. ConclusionsOur findings in light of Dobbs and other related events indicate there are opportunities to educate research participants about the health-relatedness of their digital data. Developing strategies and best privacy practices for discretion regarding digital-footprint data related to family planning should be a priority for companies, researchers, families, and other stakeholders.https://www.jmir.org/2023/1/e41937
spellingShingle Rachele Hendricks-Sturrup
Christine Y Lu
An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study
Journal of Medical Internet Research
title An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study
title_full An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study
title_fullStr An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study
title_full_unstemmed An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study
title_short An Assessment of Perspectives and Concerns Among Research Participants of Childbearing Age Regarding the Health-Relatedness of Data, Online Data Privacy, and Donating Data to Researchers: Survey Study
title_sort assessment of perspectives and concerns among research participants of childbearing age regarding the health relatedness of data online data privacy and donating data to researchers survey study
url https://www.jmir.org/2023/1/e41937
work_keys_str_mv AT rachelehendrickssturrup anassessmentofperspectivesandconcernsamongresearchparticipantsofchildbearingageregardingthehealthrelatednessofdataonlinedataprivacyanddonatingdatatoresearcherssurveystudy
AT christineylu anassessmentofperspectivesandconcernsamongresearchparticipantsofchildbearingageregardingthehealthrelatednessofdataonlinedataprivacyanddonatingdatatoresearcherssurveystudy
AT rachelehendrickssturrup assessmentofperspectivesandconcernsamongresearchparticipantsofchildbearingageregardingthehealthrelatednessofdataonlinedataprivacyanddonatingdatatoresearcherssurveystudy
AT christineylu assessmentofperspectivesandconcernsamongresearchparticipantsofchildbearingageregardingthehealthrelatednessofdataonlinedataprivacyanddonatingdatatoresearcherssurveystudy