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Due to the sensitivity of health information, there is an ethical need to equip mobile health systems with adequate privacy measures. However, these systems should also be useable by the intended users. Even though many researchers are working on solutions, the issues still persist. External factors such as cultural differences have also contributed to the issues, yet they have been under researched. In this article, we conduct a systematic literature review of 22 articles, categorize and present privacy and usability issues and possible solutions. We then discuss the relevance and implications of external factors to the findings on privacy and usability. We end with recommendations to address these external factors.<\/jats:p>","DOI":"10.1177\/1460458217733121","type":"journal-article","created":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T02:09:47Z","timestamp":1507601387000},"page":"935-950","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["A review of privacy and usability issues in mobile health systems: Role of external factors"],"prefix":"10.1177","volume":"25","author":[{"given":"Jane","family":"Katusiime","sequence":"first","affiliation":[{"name":"Humboldt-Universit\u00e4t zu Berlin, Germany; Mbarara University of Science and Technology, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niels","family":"Pinkwart","sequence":"additional","affiliation":[{"name":"Humboldt-Universit\u00e4t zu Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"bibr1-1460458217733121","volume-title":"From innovation to implementation\u2014eHealth in the WHO European region","author":"World Health Organization"},{"key":"bibr2-1460458217733121","first-page":"356","volume":"39","author":"Ventola CL","year":"2014","journal-title":"PT"},{"key":"bibr3-1460458217733121","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001953"},{"key":"bibr4-1460458217733121","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/2349-4220.159111","volume":"2","author":"Mohapatra DP","year":"2015","journal-title":"Int J Adv Med Heal Res"},{"key":"bibr5-1460458217733121","first-page":"275","volume-title":"2010 international conference on availability, reliability and security","author":"Kainda R"},{"key":"bibr6-1460458217733121","unstructured":"Treese GW, Stewart LC. 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