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In safe hands

Child health data storage, linkage and consent for use

Bibliographic Data

ID22945239
AuthorsCervantée E K Wild (0000-0001-5377-6222, University of Auckland), Ngauru T Rawiri (University of Auckland), Ken Taiapa (0000-0001-9026-2781, Ngāti Porou, Rongowhakaata, Tangata3 , New Zealand), Yvonne C Anderson (0000-0003-2054-338X, University of Auckland)
Year2023
Volume38
Issue6
Publication date2023-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daad159
PMID38055920
OpenAlexW4389453176
LanguageEN
Citations received3
References cited23

While there is potential for societal benefit from linkage and integration of large datasets, there are gaps in our understanding of the implications for children and young people, and limited inclusion of their views within this discourse. We aimed to understand the views and expectations of children, young people and their parents/caregivers in Aotearoa New Zealand regarding child health data storage, linkage and consent for use. This qualitative study included 24 Māori and non-Māori children, young people and their families across five focus groups, recruited from a community-based health service. A mixed Māori and non-Māori research team facilitated participant recruitment and data collection. Child, adolescent and parent/caregiver groups were held separately. Sessions were audio-recorded and the verbatim transcripts were analysed thematically. We identified three themes: (i) I am more than a number: seeing patients as people; (ii) In safe hands: data as power; and (iii) What are your intentions with my data? Consent as an active relationship. A key challenge was the reductive and stigmatizing potential of data integration for minoritised groups. Hypothetical discussions of data sharing and linkage were contingent on trust between the participant and the health professional, with negotiated data ownership. Consent was conceived as an active relationship needing renewal and renegotiation as children reached adulthood. Current consent processes for ongoing use of child data require further deliberation. Without a strong ethical and child rights-based approach to issues of child health data management, consent and linkage, we risk exacerbating health inequities and experiences of breach of trust.

Data collection · Deliberation · Focus group · Informed consent · Parental consent · Political science · Qualitative property · Qualitative research · Sociology · Child and Adolescent Health · Ethics and Legal Issues in Pediatric Healthcare · Ethics in Clinical Research · Law · Medicine · Psychology

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Unique citing works3
Citations per year1,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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