Older adults are rapidly increasing their use of online services such as banking, social media, and email - services that come with subtle and serious security and privacy risks. Older adults with mild cognitive impairment (MCI) are particularly vulnerable to these risks because MCI can reduce their ability to recognize scams such as email phishing, follow recommended password guidelines, and consider the implications of sharing personal information. Older adults with MCI often cope with their impairments with the help of caregivers, including partners, children, and professional health personnel, when using and managing online services. Yet, this too carries security and privacy risks: sharing personal information with caregivers can create issues of agency, autonomy, and even risk embarrassment and information leakage; caregivers also do not always act in their charges' best interest. Through a series of interviews conducted in the US, we identify a spectrum of safeguarding strategies used and consider them through the lens of 'upside and downside risk' where there are tradeoffs between reduced privacy and maintaining older adults' autonomy and access to online services.
more »
« less
Addressing Online Health Privacy Risks for Older Adults: A Perspective on Ethical Considerations and Recommendations
The rise in online health information seeking among older adults promises significant benefits but also presents potentially serious privacy risks. In light of these risks, we argue that ongoing research and advocacy aimed at promoting online health information seeking among older adults must be coupled with efforts to identify and address threats to their online privacy. We first detail how internet users reveal sensitive health information to third parties through seemingly innocuous web browsing. We then describe ethical concerns raised by the inadvertent disclosure of health information, which include the potential for dignitary harms, subjective injuries, online health scams, and discrimination. After reviewing ways in which existing privacy laws fail to meet the needs of older adults, we provide recommendations for individual and collective action to protect the online privacy of older adults.
more »
« less
- Award ID(s):
- 2125561
- NSF-PAR ID:
- 10331104
- Date Published:
- Journal Name:
- Gerontology and Geriatric Medicine
- Volume:
- 8
- ISSN:
- 2333-7214
- Page Range / eLocation ID:
- 233372142210957
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Older adults often rely on information provided during doctors’ visits or online to manage their health but can experience challenges accessing this information at home. Recently, conversational assistants are being explored to aid navigation of health information included in online portals, but we still know little about users’ perceptions of using these tools for managing personal health information. In this paper, we conducted a wizard-of-oz study to better understand older adults’ perceptions of a conversational assistant, MIHA, to help with navigating personal health information. Participants saw value in using a tool such as MIHA to help facilitate access to their personal health information and to help them become more engaged in their health. Participants believed MIHA’s features helped build confidence in the responses returned, but made suggestions for improving the interactions. We share insights of potential uses and design implications for conversational assistants that help older adults navigate personal health information.more » « less
-
Older adults face unique risks in trying to secure their online activities. They are not only the frequent targets of scams and fraud; they are the targets of a barrage of cybersafety communiqués whose impact is unclear. AARP, the United States advocacy group focusing on issues facing older adults over the age of 50, is among those educators whose strategies remain underexplored, yet their reach makes it imperative that we understand what they are saying, to whom, and to what effect. Drawing on an analysis of AARP publications about cybersafety and privacy, we sought to better understand their discourse on the topic. We report on findings that AARP's language may have the effect of portraying bad actors (fraudsters) as individuals, rather than enterprises, which at the target end, personalizes interactions, placing too much onus on individual users to assess and deflect threats. AARP's positioning of, and guidance about, threats may sometimes prompt a thought process that puts users at the center of the narrative and may encourage engagement. Instructing older Americans, or anyone, on the forensics of cyber-sleuthing is enormously difficult. We conclude with a discussion of different approaches to cybersafety, one that involves educating older adults about the rudiments of surveillance capitalism.more » « less
-
Activity tracking has the potential to promote active lifestyles among older adults. However, current activity tracking technologies may inadvertently perpetuate ageism by focusing on age-related health risks. Advocating for a personalized approach in activity tracking technology, we sought to understand what activities older adults find meaningful to track and the underlying values of those activities. We conducted a reflective interview study following a 7-day activity journaling with 13 participants. We identified various underlying values motivating participants to track activities they deemed meaningful. These values, whether competing or aligned, shape the desirability of activities. Older adults appreciate low-exertion activities, but they are difficult to track. We discuss how these activities can become central in designing activity tracking systems. Our research offers insights for creating value-driven, personalized activity trackers that resonate more fully with the meaningful activities of older adults.more » « less
-
Guided by influential theories of disaster research and gerontology, this study examines health resilience associated with tornadoes, particularly focusing on how individuals' tornado-associated stress, financial losses, and family members' well-being affected posttraumatic distress (PTD), posttraumatic growth (PTG), and self-reported changes in health among adults. To reach this goal, this study collected data from residents affected by two violent tornadoes in 2013, with the assistance of a professional survey lab which implemented a random-digit-dialling telephone survey. The working sample included 517 respondents with oversampled older adults. Multinomial logistic regression, Poisson regression, and Ordinary Least Square Regression were conducted separately for younger and older adults. The results indicated a significant effect of stress levels on PTG among older adults only. Nonetheless, the differences in effect sizes between the two groups were not significant. Meanwhile, respondents' financial losses and their family members' declined health were significant predictors of improved health among older adults. Similarly, family members' declined mental health was a significant predictor of PTD among older adults, but not younger adults. Compared to young adults, older adults were more vulnerable to their family members' declined mental health, but also more resilient to stressful situations, financial losses, and family members' declined physical health. Lastly, although risk and resilience factors could be constructed with the same set of items, they function differently among different groups of people. Hence, more studies on heterogeneity are needed to further refine resilience frameworks.more » « less