Separated After a Disaster: Trust and Privacy Issues in Sharing Children's Personal Information

Disaster Med Public Health Prep. 2019 Dec;13(5-6):974-981. doi: 10.1017/dmp.2019.32.

Abstract

Background: After disasters, unaccompanied children may present to an emergency department requiring reunification. An effective reunification system depends on the willingness of guardians to utilize it.

Objective: Assess guardian willingness to share children's personal information for reunification purposes after a disaster, perceived concerns and beliefs, and trust in reunification agencies.

Methods: Guardians of children presenting to 2 pediatric emergency departments were approached to participate in a survey-based study. Willingness to share their children's personal information was scored on a scale of 1 to 19 (1 point per item). Perceived concerns about and importance of sharing information, level of trust in reunification agencies, and guardian demographics were collected. Chi-square was used to compare trust and attitudes/beliefs. Multivariate linear regression was used to determine factors associated with willingness to share information.

Results: A total of 363 surveys were completed (response rate, 80%). Most guardians (95.6%) were willing to share at least some information (mean, 16 items; range, 1-19). Half were concerned about protection (55.4%) or abuse (52.3%) of their child's information. Hospitals were trusted more than other reunification agencies (P < .001). Perception of reunification importance was associated with willingness to share (P < .001).

Conclusions: Guardians are willing to share their children's information to facilitate reunification after disasters, but have privacy concerns.

Keywords: disaster management; hospital planning; reunification; unaccompanied minors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Boston
  • Confidentiality / standards*
  • Disaster Planning / methods
  • Female
  • Humans
  • Information Dissemination / methods*
  • Male
  • Middle Aged
  • Pediatrics / methods
  • Pediatrics / standards*
  • Pediatrics / statistics & numerical data
  • Surveys and Questionnaires