ArticleHealthcare (Basel, Switzerland)2026
Privacy Concerns and Configurational Patterns of Health Information Sharing Intention Among Patients with Chronic Diseases in Online Health Communities: An SEM and fsQCA Analysis.
Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesPrivacy concerns are negatively associated with health information sharing intention, but their role within combinations of facilitating conditions remains unclear. This study examined variable-level associations and configurational patterns among patients with chronic diseases.
methodsThis single-center, cross-sectional study used a convenience sample of 428 patients who had used online health communities. The outcome was self-reported sharing intention rather than observed disclosure. Covariance-based structural equation modeling (SEM) assessed adjusted associations, and fuzzy-set qualitative comparative analysis (fsQCA) identified configurations sufficient for high or low intention under the selected calibration and thresholds.
resultsThe six-construct model was selected after data-dependent modification of an eight-construct candidate model and should therefore be interpreted as exploratory. Attitude toward sharing (β = 0.204), social rewards (β = 0.220), past positive experience (β = 0.220), and trust (β = 0.228) were positively associated with sharing intention (all
conclusionsIn this convenience sample, privacy concerns showed an overall negative association with self-reported sharing intention, while their role in minimized configurations varied with the analytical specification. The findings require independent, multicenter validation and do not establish intervention or platform-design effects.
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