"To our health!” Perceived benefits offset privacy concerns in using national contact-tracing apps

PurposeCommunity health is placed under the limelight during the COVID-19 crisis, providing a unique context for investigating citizens' health-privacy tradeoff in accepting social surveillance technology. To elucidate this tradeoff dilemma, an extended privacy calculus framework integrated with the Health Belief Model, legislative protection, and individual collectivism was examined using the case of national contact-tracing apps.Design/methodology/approachThe hypotheses were tested through PLS-SEM analysis with data collected from a survey on Bluezone – a national app in Vietnam.FindingsThe results indicated the negative impact of privacy concerns, which was offset by the positive effect of perceived benefits in using contact-tracing apps. The effect size of perceived benefits on usage frequency was twice as large as that of privacy concerns. Individual collectivism was revealed as a mitigator of the tradeoff dilemma, as it was positively associated with perceived benefits, whereas legislative protection had no such role. Citizens may perceive legislation protection as invalid when the technologies are developed, implemented, and monitored by the authorities.Originality/valueThe theoretical contributions lie in the extension of the privacy calculus model as well as its application in the context of mobile health apps and surveillance technology. The study empirically corroborated that the privacy calculus theory holds when technologies move along the pervasiveness spectrum. This study also provided actionable insights for policymakers and developers who advocate the mass acceptance of national contact-tracing apps.

Quality of Life and Factors Affecting It: A Study Among People Living Near a Solid Waste Management Facility.

Background: The amount of waste generated has been increasing over the years. Meanwhile, the capacity of solid waste management facilities (SWMFs) for waste disposal does not meet the needs, resulting in adverse consequences on the natural environment and health of residents living near these plants, which can significantly degrade their quality of life (QoL). This study aims to evaluate the QoL of residents living near an SWMF and the potential impacts it has on the residents. Methods: A cross-sectional descriptive study was conducted involving 801 subjects, aged 18 and above, who live near the SWMF of Hue City, Vietnam. The QoL of the subjects was quantitatively assessed using the WHO QoL assessment scale (WHOQOL-BREF). The general, health, and environmental factors influencing QoL were identified using bivariate and multivariate logistic regression analyses. Results: About 22.6% of the subjects had a good QoL. In particular, the proportions for good psychological health (6.9%) and environment (13.6%) were low, indicating an influence of the SWMF. Significant factors that degraded the QoL of residents were less education defined by not graduating from high school (odds ratio, OR = 2.78; 95% CI = 1.09-7.06), poor health status (OR = 2.50; 95% CI: 1.56-4.01), dissatisfaction with water quality (OR = 2.41; 95% CI: 1.10-5.25), and unacceptance of the SWMF presence (OR = 1.70; 95% CI: 1.11-2.60). Moreover, subjects living within 2 km of the plant had dermatological diseases and digestive disorders more frequently than those who lived away from the plant. They also reported more complaints regarding water, air, and soil quality, which were likely due to the operation of the SWMF. Conclusions: Burying and disposing of solid waste at the SWMF might lead to the degradation of the surrounding water and soil environments, and its collection and transportation are considered to cause odor and dust. The efforts of responsible authorities to strictly supervise and inspect these activities at the SWMF are essential, not only to protect the surrounding environment but also to improve the QoL of those who live nearby these plants.

Health vs. privacy? The risk-risk tradeoff in using COVID-19 contact-tracing apps.

In the midst of the COVID-19 pandemic, contact-tracing apps have emerged as reliable tools for public health communication and the promotion of preventative health. However, to function properly, contact-tracing apps require users to provide sensitive information, which has raised concerns about data disclosure, misuse and social surveillance. Little is known about how different types of risk perception simultaneously hinder and motivate individuals' engagement in mobile health apps, particularly in the context of a pandemic. Based on the privacy calculus theory and the risk-risk tradeoff concept, this study examined the risk-risk tradeoff model to enhance the understanding of COVID-19 contact-tracing app users' decision from the perspective of risk minimization. Findings from PLS-SEM and fsQCA revealed that users engage in health risk-privacy risk tradeoff when evaluating and deciding to use the apps. The focal study therefore contributes to the research on privacy calculus theory and calls for a balanced managerial solution to mitigate this tradeoff dilemma.