Evidence map›Paper›PMID 33382835›Full record

ArticlePloS one2020

Do people have an ethical obligation to share their health information? Comparing narratives of altruism and health information sharing in a nationally representative sample.

Minakshi Raj, Raymond De Vries, Paige Nong, Sharon L R Kardia, Jodyn E Platt

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Minakshi RajDepartment of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Champaign, IL, United States of America.ORCID 0000-0002-1457-7850
Raymond De VriesCenter for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, United States of America.
Paige NongDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.ORCID 0000-0002-2849-9005
Sharon L R KardiaDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.
Jodyn E PlattDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, United States of America.

Funding

The Lifecycle of Health Data: Polices and PracticesR01CA214829 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KARDIA, SHARON L, PLATT, JODYN ELIZABETH · 2018 to 2021
$2.4M
NCI NIH HHS R01 CA214829
6 · The paper itself

Abstract

backgroundWith the emergence of new health information technologies, health information can be shared across networks, with or without patients' awareness and/or their consent. It is often argued that there can be an ethical obligation to participate in biomedical research, motivated by altruism, particularly when risks are low. In this study, we explore whether altruism contributes to the belief that there is an ethical obligation to share information about one's health as well as how other health care experiences, perceptions, and concerns might be related to belief in such an obligation.

methodsWe conducted an online survey using the National Opinion Research Center's (NORC) probability-based, nationally representative sample of U.S. adults. Our final analytic sample included complete responses from 2069 participants. We used multivariable logistic regression to examine how altruism, together with other knowledge, attitudes, and experiences contribute to the belief in an ethical obligation to allow health information to be used for research.

resultsWe find in multivariable regression that general altruism is associated with a higher likelihood of belief in an ethical obligation to allow one's health information to be used for research (OR = 1.22, SE = 0.14, p = 0.078). Trust in the health system and in care providers are both associated with a significantly higher likelihood of believing there is an ethical obligation to allow health information to be used (OR = 1.48, SE = 0.76, p<0.001; OR = 1.58, SE = 0.26, p<0.01, respectively).

conclusionsBelief that there is an ethical obligation to allow one's health information to be used for research is shaped by altruism and by one's experience with, and perceptions of, health care and by general concerns about the use of personal information. Altruism cannot be assumed and researchers must recognize the ways encounters with the health care system influence (un)willingness to share one's health information.

Indexed as

AltruismAttitudeMoral ObligationsAdultAgedFemaleHumansInformation DisseminationMaleMiddle AgedMotivationSurveys and QuestionnairesTruth Disclosure

Identifiers

PMID33382835
PMCPMC7774955

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.