High Level Of Trust Research Articles

The enabling and constraining connections between trust and digitalisation in incumbent value chains

Digitalisation is a disruptive socio-technical process that goes beyond digital technologies and their use within an organisation, and involves besides (in many cases radical) technological change, social, institutional and economic change. This creates uncertainties for value chain actors and the trust relationships between them. In this paper we aim to understand the connections between trust and digitalisation. We investigate how trust relations affect digitalisation, and how digitalisation affects trust relations among value chain actors, using the Dutch flower sector as a case study. Our findings show that the sector has a high level of interpersonal trust, but limited institutional trust, as the relationships between companies are highly competitive and transactional. In this context, limited trust hinders digitalisation in multiple and mutually reinforcing ways, inducing a vicious cycle whereby existing distrust or limited trust results in limited digitalisation, which in turn causes more distrust due to uncertainties around the digitalisation process, further increased by existing (technological) path dependencies. Hence there is a need for 1) awareness of mutually reinforcing (dis)trust dynamics and vicious (or virtuous) cycles in relation to digitalisation are needed; 2) higher levels of understanding of what digitalisation entails and 3) joint strategy building and foresighting in the value chain.

Identifying the emotions behind apologies for severe transgressions

Interpersonal transgressions, subsequent apologies, and offered (or withheld) forgiveness hold important consequences for both perpetrators and victims. Research has focused largely on the perceptions of victims and processes that promote forgiveness in relation to transgressions of low severity. In order to extend this domain of inquiry we examined the emotional substrates that facilitate and constrain apologies for severe transgressions (i.e., murder). We collected data on the final statements from incarcerated persons on death row and applied a sentiment analysis to obtain estimates of the emotions expressed in them (i.e., anger, anticipation, disgust, fear, joy, sadness, surprise, and trust). We manually coded each statement to indicate whether it exhibited some form of apology and compared the emotions expressed in apologetic statements versus non-apologetic statements. Results indicated that overall, final statements reflected high levels of joy and trust. Similar to studies of less severe transgressions, we found that 33.50% of statements contained some form of apology. Our comparative analyses revealed that apologetic statements reflected significantly greater sadness and less anger. In regression and subsequent dominance analyses we found that sadness and anger were the most important emotions to apologizing. We also found that anger moderated the association between sadness and the likelihood of apologizing such that as anger increased the effect of sadness decreased. Taken together these findings suggest that apologies for severe transgressions involve a delicate balance between sadness and anger rather than either emotion in isolation.

Social capital and willingness to participate in COVID-19 vaccine trials: an Italian case-control study

BackgroundWhat leads healthy people to enter in a volunteer register for clinical trials? This study aimed to investigate the relationship between the decision to volunteer in clinical trials for a COVID-19 vaccine and social capital, in a sample of healthy volunteers in Italy. Since social capital is characterized by trust, reciprocity, and social and political participation, we claim that it is key in leading individuals to actively take action to protect public health, and to take a risk for the (potential) benefit not only of themselves but for the entire community.MethodsThis study was conducted through the administration of a questionnaire to healthy volunteers registered for a phase 1 clinical trial for a COVID-19 vaccine in the Unit Research Centre of ASST-Monza, in September 2020. The primary purpose of a phase 1 study is to evaluate the safety of a new drug candidate before it proceeds to further clinical studies. To approximate a case–control study, we randomly matched the 318 respondents to healthy volunteers (cases) with 318 people randomly selected by Round 9 of the European Social Survey (controls), using three variables, which we considered to be associated with the decision to volunteer: gender, age, and education level. To execute this matching procedure, we used the “ccmatch” module in STATA.ResultsThe findings highlight the positive impact of social capital in the choice of healthy individuals to volunteer in COVID-19 vaccine clinical trials. Controlling for possible confounding factors, some exemplary results show that people with a high level of general trust have a greater likelihood of volunteering compared to people with low trust (OR = 2.75, CI = 1.58–4.77); we also found that it is more probable that volunteers are people who have actively taken action to improve things compared with people who have not (for individuals who did three or more actions: OR = 7.54, CI = 4.10–13.86). People who reported voting (OR = 3.91, CI = 1.70–8.99) and participating in social activities more than other people of their age (OR = 2.89, CI = 1.82–4.60) showed a higher probability to volunteer.ConclusionsTogether with the adoption of urgent health measures in response to COVID-19, government policymakers should also promote social capital initiatives to encourage individuals to actively engage in actions aimed at protecting collective health. Our findings make an empirical contribution to the research on vaccines and its intersection with social behaviour, and they provide useful insights for policymakers to manage current and future disease outbreaks and to enhance the enrolment in vaccine trials.

Knowledge of Genome Sequencing and Trust in Medical Researchers Among Patients of Different Racial and Ethnic Groups With Idiopathic Dilated Cardiomyopathy

Cardiovascular disease contributes outsized mortality in patients from underrepresented racial and ethnic groups. Understanding levels of trust in medical researchers and knowledge of genome sequencing may help identify barriers to research participation and develop strategies to educate patients about the role of genetics in cardiovascular disease. To assess racial and ethnic differences in trust in medical researchers and genome-sequencing knowledge among patients with idiopathic dilated cardiomyopathy and determine the association between trust in medical researchers and genome-sequencing knowledge. This cross-sectional study conducted by a consortium of 25 US heart failure programs included patients with idiopathic dilated cardiomyopathy defined as left ventricular systolic dysfunction and left ventricular enlargement after excluding usual clinical causes. Enrollment occurred from June 7, 2016, to March 15, 2020. Percent distributions, means, and associations of genome-sequencing knowledge scores and research trust scores for Hispanic, non-Hispanic Black (hereafter referred to as Black), and non-Hispanic White participants (hereafter referred to as White). Among 1121 participants, mean (SD) age was 51.6 (13.6) years with 41.4% Black, 8.5% Hispanic, and 43.4% female. After accounting for site effects, the level of genome-sequencing knowledge was lower in Hispanic and Black participants compared with White participants (mean score difference, -2.6; 95% CI, -3.9 to -1.2 and mean score difference, -2.9; 95% CI, -3.6 to -2.2, respectively). The level of trust in researchers was lowest in Black participants (mean score, 27.7), followed by Hispanic participants (mean score, 29.4) and White participants (mean score, 33.9). Racial and ethnic differences remained after adjusting for education, age at enrollment, duration of dilated cardiomyopathy, and health status. A higher level of trust was associated with a higher level of genome-sequencing knowledge within different racial and ethnic groups. In this cross-sectional study, large racial and ethnic differences in levels of genome-sequencing knowledge and trust in medical researchers were observed among patients with dilated cardiomyopathy. Findings from this study can inform future studies that aim to enhance the uptake of genomic knowledge and level of trust in medical researchers.

Konsep Akad Mudharabah dalam Perbankan Syariah

Islamic banking has a significant difference with conventional banks. This difference can be seen from the application of the contract from the two banks. One of the contracts applied to Islamic banking is mudharabah. Mudharabah contract is a basic principle in running a business by the parties. These parties are Islamic banks and customers. Therefore, this study was conducted with the aim of examining the mudharabah contract starting from the pillars, terms, distribution, benefits, and their application to Islamic banking. This research is library research with a qualitative approach. The data selected is secondary data in the form of primary legal materials and secondary legal materials. The method used in analyzing the data is a qualitative and descriptive analysis method. The result of the research is that the mudharabah contract applied by Islamic banking is based on the principle of justice. Mudharabah is carried out with a profit-sharing system that is approved by the parties in the contract. In the principle of the mudharabah contract, not only profits are shared equally, but if you experience other risks such as losses, the loss will be borne jointly by the parties making the contract. Therefore, the parties to the contract, both Islamic banks and customers, must both have a high level of trust. This is because high trust is a characteristic of mudharabah financing. In addition, it is feared that Islamic banks will face problems of moral hazard and information asymmetry, as is often the case with banks.

Communicating landslide risks during the COVID-19 pandemic: A baseline study for PHIVOLCS-Dynaslope stakeholders

Dynaslope Project, a government-funded program implemented by the Philippine Institute of Volcanology and Seismology (PHIVOLCS), develops and deploys an early warning system (EWS) for deep-seated landslides. It uses landslide sensor technology and community involvement in its EWS implementation in 50 sites all over the country. As the pandemic altered people’s modes of communication, it is important to understand how these changes relate to communicating landslide early warning information (LEWI). This research answered: How can the Dynaslope Project effectively communicate landslide risk during the COVID-19 pandemic? Specifically, it a) identified their preferred communication channels and tools during the pandemic, b) enumerated the stakeholders’ perceived participation and communication barriers, and c) measured the degree of trust of the stakeholders in the Project, the LEWI it released, and other key messages. This research was guided by the Actor-Network Theory and the concept of co-orientation which posited that, instead of a single entity defining a network or a system, it was the interactions between people, objects, and institutions that created a collective network and continuously negotiated a coherent understanding. The study employed a descriptive quantitative methodology. It used stratified random sampling to select the participants. Among the major findings include the stakeholders’ preference for offline communication like SMS and calls, the presence of communication and participation barriers including weak or no phone reception and limited access to up-to-date communication devices and the internet, and a high level of trust in the Dynaslope Project because it was implemented by a science-based national agency PHIVOLCS.

From the New Editorial Team of “Third Space”

From the New Editorial Team of “Third Space”

Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare

BackgroundFrom 2014 to 2019, the Centre for Research Excellence in Integrated Quality Improvement (CRE-IQI) was evaluated as an innovation platform focusing on continuous quality improvement in Indigenous Australian primary healthcare. Although social network analysis (SNA) is a recognized method for evaluating the functioning, collaboration and effectiveness of innovation platforms, applied research is limited. This study applies SNA to evaluate the CRE-IQI’s functioning as an innovation platform.MethodsTwo surveys (2017, 2019) were conducted using social survey and network methods. Survey items covered respondent characteristics, their perceptions of the CRE-IQI’s performance, and its impact and sociometric relationships. Members’ relationship information was captured for the CRE-IQI at three time points, namely start (retrospectively), midpoint and final year, on three network types (knew, shared information, collaborated). SNA software was used to compute standard network metrics including diameter, density and centrality, and to develop visualizations. Survey and network results were addressed in a workshop held by members to develop improvement strategies.ResultsThe response rate was 80% in 2017 and 65% in 2019 (n = 49 and 47, respectively). Between 2017 and 2019, respondents’ mean ratings of the CRE-IQI’s functioning and achievements in meeting its goals were sustained. They perceived the CRE-IQI as multidisciplinary, having effective management and governance, and incorporating Indigenous research leadership, representation and ways of working. Respondents recognized high levels of trust amongst members, rated “good communication and coordination with participants” highly, and “facilitating collaboration” as the CRE’s most strongly recognized achievement. In collaboration and information-sharing networks, average path length remained low in 2017 and 2019, indicating good small-world network properties for relaying information. On average, respondents shared information and collaborated with more CRE members in 2017 than 2019. However, in both 2017 and 2019 there were new collaborations and information-sharing outside of direct collaborations. CRE-IQI outcomes included: evidence generation; knowledge transfer and skills development in quality improvement; research capacity-building, career development; mentoring; grant support; development of new projects; health service support; and policy impact.ConclusionsThis study shows the utility of network analysis in evaluating the functioning, and collaboration, at the individual, organizational and health system levels, of an innovation platform, and adds to our understanding of factors enabling successful innovation platforms.

The Effect of Uncertainty of Risks on Farmers’ Contractual Choice Behavior for Agricultural Productive Services: An Empirical Analysis from the Black Soil in Northeast China

Regulating farmers’ choice of agricultural production service (APS) contracts can help maintain the stability of transactions, enhance agricultural production efficiency, protect farmers’ rights and welfare, stimulate the healthy and sustainable development of service organizations, and promote the economic benefits of agriculture. Under the uncertainty of risk (RU), farmers’ willingness to sign a regulated service contract after purchasing APS is a key factor in reaching an efficient and high-quality partnership. Based on the survey data of the black soil area in northeastern China, this study uses the Heckman two-stage model and analyzes it under the logical framework of APS purchases and contractual choice behavior (CCB) under the role of RU. The main findings are as follows. First, the RU has a significant “inducing” effect on farmers’ CCB, and the higher the RU, the more farmers tend to make formal written contracts; among them, each unit increase in business risk increases farmers’ choice of written contracts by 0.797 units, which is an important factor affecting CCB. Second, farmers’ personal trust level played a positive moderating role in influencing CCB. Compared to the low trust level group, farmers in the high trust level group had a diminished degree of influence on CCB, but the intensity was relatively weak. Third, farmers’ personal, family, and social characteristics all influence their behavioral decision-making processes. In order to reduce the risk level of cooperation between farmers and service providers, which can promote the standardization of cooperation contracts, this study suggests that the government should use the publication of manuals and other forms to carry out legal literacy, promote labor market information transparency, reduce service risks, and enhance the effectiveness of the linkage between farmers and service providers.

The moral costs of markets: Testing the deterioration hypothesis

The expansion of markets has generated significant material benefits. Yet some worry that this increase in wealth has come at a significant moral cost. Markets may crowd out or even corrupt existing moral values, causing moral deterioration. We test this hypothesis using both fixed effects and matching methods to estimate the impact of market institutions on a society's moral values. Contrary to the deterioration hypothesis, we find that market-oriented societies have a greater aversion to unethical behavior, higher levels of trust, and are not significantly associated with lower levels of morality under any model specification. Furthermore, we find that becoming more market oriented does not cause a significant reduction in a society's moral values. Together, our results suggest that being or becoming more market oriented does not cause moral deterioration.

COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama.

Using COVID-19-related survey data collected from residents in the city of Montgomery, Alabama, this study assessed the prevalence of COVID-19 vaccine acceptance, hesitance, and resistance, and identified factors associated with COVID-19 vaccine hesitance and resistance. To analyze the survey data (n = 1000), a consolidation approach (machine learning modeling and multinomial logistic regression modeling) was used to identify predictors of COVID-19 vaccine hesitancy and resistance. The prevalence of vaccine acceptance, hesitancy, and resistance was 62%, 23%, and 15%, respectively. Female gender and a higher level of trust that friends and family will provide accurate information about the COVID-19 vaccine were positively associated with vaccine hesitancy. Female gender and higher trust that social media will provide accurate information about COVID-19 were positively associated with vaccine resistance. Factors positively associated with COVID-19 vaccine hesitance and resistance in the study's geographical area are worrisome, especially given the high burden of chronic diseases and health disparities that exist in both Montgomery and the Deep South. More research is needed to elucidate COVID-19 vaccination attitudes and reasons for non-acceptance of the COVID-19 vaccine. Efforts to improve acceptance should remain a priority in this respective geographical area and across the general population.

Levels of trust in risk-only negative health messages issued by public agencies: a quantitative research-based mindsponge framework

Trust in messengers is essential for a public agency to ensure effective benefit-risk communication. However, there is insufficient research on the difference in trust between risk-only or benefit-and-risk messages that deal with negative topics. To clarify these differences, this study used three radiation topics to determine the best benefit-risk communication design. We conducted a randomized comparative study in November 2020 on 1100 Japanese individuals (550 men and 550 women), who were allocated either to the risk message group (risk-only) or the benefit-and-risk message group (benefit-and-risk). The questionnaire focused on the trust level in a public agency for each message. We conducted an independent sample t-test using the trust mean at the time of registration. There were significant differences in the trust level in the public agency for all three topics (p < 0.001). The trust level was ranked as risk-only, followed by benefit-and-risk; however, the trust level was still high enough when the trust level at baseline was high from the outset. In risk-only communication on negative topics, perceptions were consistent with the types of risk message due to confirmation bias. Hence, trust in risk-only negative health messages promoted a preferential higher information absorptivity under the mindsponge mechanism. However, effective benefit-risk communication is assured by high trust levels between a public agency and the public, so it is important to consistently build trust with all stakeholders on a regular basis.

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Abstract. Introduction. Information Technology has revolutionized various aspects of our lives; in particular, it provided an easy way to make digital payments. Common people have started shifting from traditional payment system to digital payment systems that provide safety, security and convenience. Thanks to the giant technological advances in smartphones and easy access to the Internet, the Ukrainian market began to accept digital payments. Changes in consumer preferences and technological innovation have fueled competition in the private sector and the diversity of payments. Global digitalization processes have contributed to the transition of the world's transition to digital payments. Payment systems have proven to be reliable and durable, and continue to enjoy a high level of trust from the public. However, the global crisis that began in 2020 led to a decrease in the total volume of transactions. All actors in the digital payments ecosystem need to evolve and adapt quickly in this direction to facilitate the recovery and shape the emergence of a new normal in payments. Purpose. Defining the current state of digital payments in the world. Consideration of the latest means of electronic payment. Results. �onsidered payment systems in Ukraine and the growth of the digital payments market in the world. The Law of Ukraine about Payment Services was considered. �dentified the leading countries in the digital payments market. Give the graph of the number of mobile payment users by country of the world. Defined the region that will dominate the digital payments market in the coming decade has been. Considered the growth of instant payments in the world. Conclusions. Highlighted the main modern means of payment, which are already used in the global market of digital payments. Specified four main trends that contributed to the development of payment systems are.

The Role of Institutional Trust in Industry, Government, and Regulators in Shaping Perceptions of Risk Associated with Hydraulic Fracturing in the United Kingdom

This study draws upon concepts of institutional trust and expendability to examine perceptions of risk associated with hydraulic fracturing or “fracking.” To study trust and risk, we collected data from a nationally representative sample of U.K. residents and analyzed it using multivariate regression. Perceptions of trust are measured for the oil and gas industry, central government, local government, and regulators while perceived risks are measured for seismicity, water quality, and hydraulic fracturing in general. Participants with high levels of trust in the oil and gas industry tend to perceive lower levels of risk associated with hydraulic fracturing. Levels of government and regulator trust are, however, largely unrelated to perceived risks. Importantly, trust in the oil and gas industry appears to mediate the relationship between political affiliation and perceptions of risk. Implications for theories of recreancy and environmental justice are explored.

Does local income and wealth inequality affect mortality? A register-based fixed effects study of 58 million person-years.

Aim: The Income Inequality Hypothesis asserts that income inequality causes negative health burdens within wealthy nations. We aimed to test the hypothesis in Norway, examining the relationship between both income and wealth inequality, net of individual economic resources, and individual all-cause mortality. To this day, little is known about the association between wealth inequality and mortality. In Norway, wealth is far more unequally distributed than income and can be a more prevalent indicator of long-term financial security. Methods: We estimated discrete-time event history models from Norwegian register data, covering all Norwegian-born men and women aged 25-84 years during the period 1993-2013. We include fixed effects at the municipal level, adjusting for time-invariant characteristics in the local area. Our data contain approximately 58.5 million person-year observations after sample restrictions. Results: Overall, increased income and wealth inequality (measured using Gini coefficients of individuals' pensionable income and net worth) is not associated with higher mortality risk in Norway. With a one percentage point increase in income inequality, odds ratio (OR) for mortality was estimated at 0.998 (95% confidence interval (CI) 0.996-1.001) for men and 1.002 (95% CI 0.999-1.006) for women. Corresponding OR from increased wealth inequality was 0.998 (95% CI 0.997-1.000) for men and 0.999 (95% CI 0.998-1.001) for women. Conclusions: Our results raise further doubts about the existence of a contextual effect of economic inequality on health, at least in a Nordic setting. Extensive health policies, relatively generous benefits and high levels of trust could potentially function as a buffer against negative health consequences of increased economic inequality in Norway.

The Empowering Example of High Vaccine Uptake among the Arab Minority in Israel

Abstract Introduction Over 1.9 million Arabs live in Israel and constitute 21% of the total population. Despite being a disadvantaged minority population with wide gaps in health indicators, Arabs have higher Human Papillomavirus (HPV) and Measles, Mumps, and Rubella (MMR) vaccination rates compared with the general Jewish population. Methods In-depth interviews with 20 health care providers and 30-40 Arab mothers and teens will be conducted to collect information about health system enablers to HPV and MMR vaccination. All interviews are conducted in Arabic by an Arab researcher, audio-recorded, transcribed, and analysed using thematic analysis of the transcripts. Themes will be mapped on the theoretical Social-Ecological Model. Results and discussion Preliminary results indicate several health system enablers, such as accessible vaccination services through the school system and mother child clinics, vaccination provided at no cost, and high levels of trust towards healthcare professionals, who are Arab and understand the social and cultural norms of the community. Despite high vaccine uptakes, parents and teens had limited knowledge regarding vaccination, particularly HPV. Conclusions This research provides important insights into health system enablers regarding HPV and MMR vaccination among the Arab minority in Israel. Such evidence can serve as a basis for interventions and guidance to improve vaccine uptake among other underserved minority communities in Europe.

'Corona is coming': COVID-19 vaccination perspectives and experiences amongst Culturally and Linguistically Diverse West Australians.

Culturally and Linguistically Diverse (CALD) groups within high-income countries are at risk of being left behind by the COVID-19 vaccination rollout. They face both access and attitudinal barriers, including low trust in government and health authorities. To explore perceptions and attitudes towards COVID-19 vaccination, as well as facilitators, barriersand strategies to promote uptake among CALD residents of Western Australia (WA), where there were almost no COVID-19 cases for 2 years. Perth, WA's capital, was chosen as the state's study site because most of the state's CALD population lives there. Eleven semistructured in-depth interviews and three focus groups (with 37 participants) were conducted with CALD residents between August and October 2021. Thematic analysis was conducted, informed by the 'Capability', 'Opportunity', 'Motivation', 'Behaviour' model. CALD participants faced barriers including a lack of knowledge about COVID-19 and the vaccines, low self-rated English proficiency and education levels, misinformation, passive government communication strategiesand limited access to vaccine clinics/providers. They were, however, motivated to vaccinate by the imminent opening of state and international borders, trust in government and healthcare authorities, travel intentionsand the desire to protect themselves and others. Despite high levels of trust and significant desire for vaccines among CALD communities in Perth, current strategies were not meeting their needs and the community remains at risk from COVID-19. Tailored intervention strategies are required to provide knowledge, address misinformationand facilitate access to ensure uptake of COVID-19 vaccines-including for additional doses-amongst CALD communities. Governments should work with trusted CALD community members to disseminate tailored COVID-19 vaccine information and adequately translated resources. The Wesfarmers Centre of Vaccines and Infectious Diseases Community Reference Group at Telethon Kids Institute consulted on this project in September 2020; Ishar Multicultural Women's Health Services consulted on and facilitated the focus groups.

Intellectual Capital Toward Market Performance: Profitability as a Mediating and Maqashid Sharia as a Moderating Variable

Research aims: This study aims to determine the effect of intellectual capital on market performance with profitability as a mediating variable and the Maqashid Sharia Index (MSI) as a moderating variable in an empirical study of Indonesian Islamic banks.Design/Methodology/Approach: This research utilized descriptive quantitative and explanatory methods to explain the relationship between variables. The research population covered all Islamic commercial banks registered with Bank Indonesia (BI), totaling 14. Purposive sampling was applied to determine the research sample. This study employed both primary and secondary data sourced from the government’s published documents, comprising the annual reports and the financial statements of Islamic commercial banks from 2017 to 2019. Path analysis and Moderated Regression Analysis (MRA) were run to analyze the data.Research findings: In conclusion, all variables had a positive and significant relationship. The mediating variable significantly impacted the dependent variable, and the moderating variable also influenced the relationship between intellectual capital and market performance.Theoretical contribution/Originality: Well-managed intellectual capital could produce work efficiency, affecting the quality of individual performance and directly impacting company performance. Good profitability in the company could foster a high level of trust in investors, affecting the provision of capital and improving company performance. Maqashid sharia is crucial in making decisions, especially for Islamic banks; efficient decisions could improve company performance.

Preparing for Pandemics and Other Health Threats

This Viewpoint discusses 3 areas in need of progress regarding societal approaches to pandemics and other health threats: a renaissance in public health; robustness of primary health care; and resilience of individuals and communities, with higher levels of trust in government and society.

Survey of young women's state of knowledge and perceptions about oral contraceptives in Germany

In Germany, we see a decline in the use of the oral contraceptive pill. Although there have been studies showing a lack of knowledge about the mode of action of the pill and alternative methods, the number of German women who feel well informed about the pill increased over recent years. At the same time, a trend to increasingly cover negative aspects of oral contraception has emerged in German journalism and social media. This study aimed to consider the relationship between the source of information about the pill, subjective and objective knowledge, and how their interaction influences perceptions of the pill. An online survey was conducted of 18- to 29-year-old women to test their objective and subjective knowledge, their perception of oral contraceptives, and their trust in gynecologists. The recruitment took place online and in gynecologic practices. The survey opened in September 2020 and closed in April 2021. A total of 2470 women completed the survey. The most common sources of information were the internet (80%), the gynecologist (47%), and friends and family (47%). Women reporting the internet as a source of information were more likely to have lower perception and trust rates, and less likely to overestimate their own knowledge. The findings suggest that school or university as a source of information has a positive effect on decision-making and general attitude toward information received by gynecologists about oral contraceptives. Those with higher confidence in their knowledge are likely to have a more positive attitude and higher levels of trust. A feeling of uncertainty, instead of fixed assumptions gathered from unsophisticated sources, affects perception regarding oral contraceptives and trust toward gynecologists negatively. Gynecologists and educators should hence increase efforts to meet potential needs for discussing uncertainties to prevent further loss of confidence.