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Through the past two and a half years, COVID-19 has swept through the world and new technologies for mitigating spread, such as exposure notification applications and contact tracing, have been implemented in many countries. However, the uptake has differed from country to country and it has not been clear if culture, death rates or information dissemination have been a factor in their adoption rate. However, these apps introduce issues of trust and privacy protection, which can create challenges in terms of adoptions and daily use. In this paper we present the results from a cross-country survey study of potential barriers to adoption of in particular COVID-19 contact tracing apps. We found that people's existing privacy concerns are an have a reverse correlation with adoption behavior but that the geographical location, as well as other demographics, such as age and gender, do not have significant effect on either adoption of the app or privacy concerns. Instead, a better understanding of what data is collected through the apps lead to a higher level of adoption. We provide suggestions for how to approach the development and deployment of contact tracing apps and more broadly health tracking apps.

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Digital health data is important to keep secure, and patients' perception around the privacy of it is essential to the development of digital health records. In this paper we present people's perceptions of the communication of data protection, in relation to their personal health data and the access to it; we focused particularly on people with chronic or long-term illness. Based on their use of personally accessible health records, we inquired into their explicit perception of security and sense of data privacy in relation to their health data. Our goal was to provide insights and guidelines to designers and developers on the communication of data protection in health records in an accessible way for the users. We analyzed their approach to and experience with their own health care records and describe the details of their challenges. A conceptual framework called "Privacy Awareness' was developed from the findings and reflects the perspectives of the users. The conceptual framework forms the basis of a proposal for design guidelines for Digital Health Record systems, which aim to address, facilitate and improve the users' awareness of the protection of their online health data.