High Trust Research Articles

Political trust and climate policy choice: evidence from a conjoint experiment

AbstractWhy do citizens support or reject climate change mitigation policies? This is not an easy choice: citizens need to support the government in making these decisions, accept potentially radical behavior change, and have altruism across borders and for future generations. A substantial literature argues that political trust facilitates citizen support for these complex policy decisions by mitigating the cost and uncertainty that policies impose on individuals and buttressing support for government intervention. We test whether this is the case with a pre-registered conjoint experiment fielded in Germany in which we vary fundamental aspects of policy design that are related to the cost, uncertainty, and implementation of climate change policies. Contrary to strong theoretical expectations and previous work, we find no difference between those with low and high trust on their support for different policy attributes, assuaging the concern that low and declining trust inhibits climate policymaking.

DYNAMICS OF ADVOCATES' IMMUNITY RIGHTS IN PROVIDING LEGAL AID IN THE INDONESIAN STATE SYSTEM

<p class="TableParagraph"><em>In the era of globalization and rapid legal development, the role of lawyers in the Indonesian justice system and the administration of justice becomes increasingly crucial. However, their immunity rights often become the subject of debate within dynamics that affect the legal process. The research aims to examine the dynamics of the relationship between lawyers' immunity rights and moral obligations in the context of providing legal assistance in Indonesia and to evaluate the impact of violations of lawyers' immunity rights on the quality of legal assistance services and public trust in the legal profession in Indonesia. This research will employ a normative legal method with a focus on analyzing legal texts governing lawyers' immunity rights within the Indonesian constitutional framework. Research materials will include legal documents such as laws and regulations, with data analysis techniques involving a deep understanding of the content of legal texts. The research findings indicate that in the practice of law in Indonesia, the relationship between lawyers' immunity rights and moral obligations is highly significant. Lawyers have immunity rights that protect them in providing legal advice without external pressure, but they also have a moral obligation to uphold honesty, integrity, and client confidentiality. The influence of the legal and social environment can also affect how lawyers fulfill their moral obligations. Violations of lawyers' immunity rights in Indonesia have serious implications for the quality of legal assistance provided by lawyers and also damage public trust in the profession. Therefore, it is important for the government, professional organizations, and society to work together to ensure the protection of lawyers' immunity rights so that lawyers can carry out their duties with integrity and high trust, and the public can have faith in a fair and effective legal system. Research recommendations include efforts to enhance lawyers' understanding of the relationship between immunity rights and moral obligations, educating the public about the role of lawyers, and enforcing the law rigorously against violations of lawyers' immunity rights.</em></p>

"My Blood, You Know, My Biology Being out There…": Consent and Participant Control of Biological Samples.

The widespread and persistent underrepresentation of groups experiencing health disparities in research involving biospecimens is a barrier to scientific knowledge and advances in health equity. To ensure that all groups have the opportunity to participate in research and feel welcome and safe doing so, we must understand how research studies may be shaped to promote inclusion. In this study, we explored the decision to participate in hypothetical research scenarios among African American adults (n = 169) that varied on the basis of four attributes (form of consent, reason for research, institutional affiliation and race of the researcher). Findings indicate that participants were largely willing to contribute to biobanks but significantly preferred opportunities where they had control over the use of their biological samples through tiered or study-specific forms of consent. Broad consent procedures, although common and perhaps preferred by participants with high trust in researchers, may amount to an exclusionary practice.

Information seeking about vaccines: institutional trust, perceived benefits, and individual vs. collective frames

ABSTRACT Despite robust scientific and medical consensus on vaccine effectiveness, many people remain hesitant to get vaccinated against life-threatening diseases. Considering the importance of information seeking in a misinformation-filled landscape to make critical decisions such as vaccination behavior, we set out to understand information seeking intention about vaccines. Using COVID-19 vaccines as the context, we conducted an experiment to examine the impact of individual vs. collective messages on information seeking intention. Our findings show significant main effects of the messages, and we discover a complex picture of the moderating roles of institutional trust and perceived benefits with messages on information seeking intention. Specifically, our findings show that among people with lower perceived benefits of vaccination, and with a higher trust in authoritative organizations, exposure to individually framed messaging results in greater information-seeking intention. But when people have low perceived benefits and also low trust in authoritative organizations, collectively framed messages show a persuasive advantage.

Social Capital and Household Vulnerability of Fishermen's Household in Lae-Lae Island, Makassar City

The results of research conducted in 2022 in the Lae-Lae Island fishing community found that the forms of household livelihood vulnerability can be categorized into: pressure from external community factors that are long-term and broad-scale (trends), shocks that come in a short time that disrupt sources of livelihood, and disturbances or pressures that are seasonal. The study also found that small-scale fishing communities carry out three livelihood strategies namely: (1) double income pattern; (2) optimizing the role of the family; and (3) utilizing social networks. The factors of the existence of physical and financial capital as an essential element of resilience show that these two capitals still need to be improved in the community’s possession. This research is a continuation of previous research, aiming to determine the strength of social capital possessed by fishing communities in dealing with household livelihood vulnerabilities on Lae-lae Island, Makassar City. This type of research is descriptive qualitative with informants and was carried out through purposive sampling. Researchers used observation data collection techniques, interviews, and documentation. The analysis technique used is qualitative data analysis and is descriptive. The study found that social norms in the fishing community on Lae-lae Island contributed to other elements of social capital. Social solid norms maintain the habit of mutual assistance, high trust among them, and cooperation built in a network of social and institutional relations, which is a condition rooted in the socio-cultural values of the fishing community of the Bugis-Makassar tribe.
 Keywords: social capital, resilient, livelihood strategy

Service Quality-Based Public Trust at City Resort Police in Indonesia

Public trust based on service quality in organizations assumes that high public trust influences people to follow government policies, respect the law, and strengthen democracy and social stability. Conversely, low public trust can influence people to reject government policies, doubt the integrity of government institutions, and weaken democracy and social stability. The results of this research article explain public trust based on the quality of service in the police institution. Data, information, and knowledge regarding the locus of the Makassar City Resort Police (Polrestabes) were obtained through observation, interviews, and focus group discussions. The data were analyzed descriptively-qualitatively. The results of the study found that the quality of digital-based public services implemented in the institutions studied was able to change the image of the people served. A positive image of the community is built from the provision of physical evidence (tangibles) that meets expectations, empathy that underlies the desire to serve (responsiveness), and attention and ethics of moral behavior (assurance) in providing services to build trust (reliability) and positive appreciation as a form of external responsibility (accountability) from institutions to service recipients. The dimensions of the quality of public services are actualized in several main aspects as the basis of public trust in the Indonesian City Police Resort (Kapolrestabes) with high levels of achievement, namely in the dimensions of responsiveness, professionalism, transparency, community involvement, as well as security and justice. The performance of these institutions has an impact on increasing public trust in the Indonesian National Police (Polri), both individually and institutionally.
 Keywords: public trust, service quality, digitalization, institutional, individual

Conflict among experts in health recommendations and corresponding public trust in health experts.

Public trust in health experts has been decreasing leading to decreased adherence to expert recommendations. To evaluate public perceptions of conflict and uncertainty among experts in healthcare recommendations and association with decreased trust in health entities for accurate health information. Analysis of the US nationally representative Health Information National Trends Survey (HINTS 6-2022). Adults aged 18 and older were respondents to the survey (unweighted n = 5,842, representing 241 million adults). The main outcome was trust in doctors, scientists and government health agencies for health information. Analyses examined trust in experts with public perceptions of conflict about recommendations and changing recommendations. There was high trust in doctors for health information (95%) versus 84% in scientists and 70% in government health agencies. Only 18% have high trust in the health information on social media. Respondents who felt expert recommendations change often were less likely to have high trust (65%) in government agencies compared to those who felt that the recommendations did not often change (82%) (p < 0.01). In logistic regressions controlling for age, sex, race, education, income and trust in social media for health information perceptions of low conflict among expert health recommendations is associated with likelihood of high trust in government health agencies (OR 2.86; 95% CI 1.96-4.15). The public has low trust in government health agencies and perceptions of conflict among experts over recommendations is likely playing a role in the erosion of trust in health experts.

Stigmatization of patients with mental disorders: a comparative study of nurses in forensic psychiatry and inpatient settings.

Forensic psychiatric patients require specialized care due to the unique challenges in forensic settings. Negative attitudes and beliefs towards mentally disordered offenders can lead to discrimination against patients and are related to worse outcomes. Forensic psychiatric nurses play a crucial role in the treatment of these patients. This study aimed to investigate the perceptions, attitudes, and beliefs of forensic psychiatric nurses and general medicine nurses towards psychiatric patients and to compare them between nurse groups. The study was conducted with 46 nurses working in the High-Security Forensic Psychiatry Clinic (Mean age: 35.46, SD= 7.16) and 58 nurses working in other inpatient settings (Mean age:36.28, SD=8.78) aged between 18-65 between December 2020 and April 2021 in Turkey. Nurses in the forensic psychiatry clinic were required to have at least 6 months of experience in the clinic. Forensic psychiatric nurses exhibited more positive attitudes towards patients (p<.0001), showing lower tendency to be socially distant (p=.009), higher trust (p<.0001), higher willingness to treat (p<.0001), lower tendency to perceive patients as threatening (p=.004), and more general positive attitudes. Significant relationships were found between some of the stigma-related scales we used and certain factors. For forensic nurses, being male (p=0.043) and single (p=,025), working long hours (p=.047), and having fewer children (p=.005) were related to more negative perceptions about delinquents. Insufficient knowledge about forensic psychiatry was linked to negative beliefs about mental disorders (p=0.017) and specifically the curability of mental disorders (p=0.008). Having more siblings was related to higher embarrassment about mental disorders (p=.043). For general nurses, having first-degree relatives who receive psychiatric treatment was related to perceiving patients as threatening (p=.021)) and negative perceptions about delinquents (p=.007). Being older was related to more positive beliefs about mental patients' dangerousness (p=.026). Having more siblings was associated with higher trust toward patients (p=0.002). These findings emphasize the importance of addressing stigmatization among healthcare professionals, particularly forensic psychiatry nurses and general nurses. Providing comprehensive training about mental disorders and forensic psychiatry and promoting empathy and understanding can enhance the quality of care for patients with mental illnesses and contribute to better mental health outcomes for society.

Artificial empathy in healthcare chatbots: Does it feel authentic?

Implementing empathy to healthcare chatbots is considered promising to create a sense of human warmth. However, existing research frequently overlooks the multidimensionality of empathy, leading to an insufficient understanding if artificial empathy is perceived similarly to interpersonal empathy. This paper argues that implementing experiential expressions of empathy may have unintended negative consequences as they might feel inauthentic. Instead, providing instrumental support could be more suitable for modeling artificial empathy as it aligns better with computer-like schemas towards chatbots. Two experimental studies using healthcare chatbots examine the effect of empathetic (feeling with), sympathetic (feeling for), and behavioral-empathetic (empathetic helping) vs. non-empathetic responses on perceived warmth, perceived authenticity, and their consequences on trust and using intentions. Results reveal that any kind of empathy (vs. no empathy) enhances perceived warmth resulting in higher trust and using intentions. As hypothesized, empathetic, and sympathetic responses reduce the chatbot's perceived authenticity suppressing this positive effect in both studies. A third study does not replicate this backfiring effect in human-human interactions. This research thus highlights that empathy does not equally apply to human-bot interactions. It further introduces the concept of ‘perceived authenticity’ and demonstrates that distinctively human attributes might backfire by feeling inauthentic in interactions with chatbots.

Podcasts as a tool for promoting health-related behaviours: A scoping review.

Podcasts are a popular medium for delivering health-related content, potentially influencing physical and mental health behaviours and outcomes. This scoping review evaluates the impact of health podcasts on such outcomes, engagement levels, and public perceptions. This scoping review followed the Arksey and O'Malley framework and PRISMA-ScR guidelines. Qualitative or quantitative articles published from 2004 onward were included. Eligibility criteria were developed using the Population, Exposure and Outcome framework. Included articles examined the use, engagement with, or perspectives towards health-related podcasts. Data were synthesised narratively. Fifty articles encompassing 38 studies were analysed. Significant improvements (p < 0.05) were observed in health monitoring, knowledge, behaviours, attitudes, chronic disease management, maternal health and behavioural improvements. Results were mixed for physical activity (n = 2 significantly improved, n = 2 no change), fruit and vegetable consumption (n = 1 significantly improved, n = 1 no change), and weight outcomes (n = 2 significantly improved, n = 2 no change). No significant changes were observed in depression and anxiety. Podcast engagement studies (n = 7) reported participation rates between 62% and 83% and an average weekly listening duration of 103-124 minutes. There was high satisfaction, trust and appreciation for podcasts that effectively blended personal anecdotes with reliable medical information. Sample sizes ranged from 7 to 722, with sample age ranging from under 18 to 73.2 ± 6.2 years. Studies included both male (n = 1), female (n = 6) and mixed samples (n = 24). Podcasts were used individually (n = 19), alongside other supportive technology such as apps and online material (n = 11) and retrospective podcast use was analysed in cross-sectional (n = 3) and a single (n = 1) audit. Duration of podcasts ranged from 30 seconds to 24 minutes. Podcasts show promise as effective tools for health promotion, achieving strong engagement and effects on knowledge and behaviours. Future research should explore content innovation and integration into health interventions, and long-term effectiveness.

Engaging with artificial intelligence in mammography screening: Swedish breast radiologists' views on trust, information and expertise.

Lack of trust and transparency is stressed as a challenge for clinical implementation of artificial intelligence (AI). In breast cancer screening, AI-supported reading shows promising results but more research is needed on how medical experts, which are facing the integration of AI into their work, reason about trust and information needs. From a sociotechnical information practice perspective, we add to this knowledge by a Swedish case study. This study aims to: (1) clarify Swedish breast radiologists' views on trust, information and expertise pertaining to AI in mammography screening and (2) analytically address ideas about medical professionals' critical engagement with AI and motivations for trust in AI. An online survey was distributed to Swedish breast radiologists. Survey responses were analysed by descriptive statistical method, correlation analysis and qualitative content analysis. The results were used as foundation for analysing trust and information as parts of critical engagements with AI. Of the Swedish breast radiologists (n = 105), 47 answered the survey (response rate = 44.8%). 53.2% (n = 25) of the respondents would to a high/somewhat high degree trust AI assessments. To a great extent, additional information would support the respondents' trust evaluations. What type of critical engagement medical professionals are expected to perform on AI as decision support remains unclear. There is a demand for enhanced information, explainability and transparency of AI-supported mammography. Further discussion and agreement are needed considering what the desired goals for trust in AI should be and how it relates to medical professionals' critical evaluation of AI-made claims in medical decision support.

Perceptions of FDA-authorized e-cigarettes and use interest among young adults who do not use tobacco.

It is unclear how young adults who do not use tobacco perceive FDA-authorized e-cigarettes for market entry. This study explored the perceptions and use interests of FDA-authorized e-cigarettes among this population to inform policy decision-making. We conducted in-depth interviews with young adults in the US, aged 18-29 years, who do not use tobacco (n=25). Participants viewed images of FDA-authorized e-cigarettes and discussed their perceptions and interest in using these products. We used reflexive thematic analysis to analyze interview data. Many participants stated that they were not interested in using FDA-authorized e-cigarettes because they had little interest in using e-cigarettes in general. Additionally, almost all participants found the tobacco flavor and product design of these products unappealing, which further added to their disinterest. Most reported high trust in the FDA and its authorization process for e-cigarette market entry and considered FDA-authorized e-cigarettes safe to use. Most considered FDA-authorized products less harmful than other (unauthorized) e-cigarettes they saw in daily life but were not more interested in using the authorized products. When given the hypothetical scenario where FDA-authorized products come with a variety of fruit and candy flavors, most participants still expressed little interest in using them, mainly due to the high perceived harm from using any e-cigarette products. Although non-tobacco-using young adults in our study reported low interest in using FDA-authorized e-cigarettes for market entry and e-cigarettes in general, the FDA is recommended to continue to evaluate the impact of flavorings and packages on e-cigarette product appeal to reduce e-cigarette use among young people. The FDA should also examine strategies to effectively communicate the purpose of FDA authorization to the public and emphasize that it does not mean these products are 'approved' or safer than unauthorized products.

Enhancing postoperative anticoagulation therapy with remote patient monitoring: A pilot crossover trial study to evaluate portable coagulometers and chatbots in cardiac surgery follow-up.

Prior research has not assessed the value of remote patient monitoring (RPM) systems for patients undergoing anticoagulation therapy after cardiac surgery. This study aims to assess whether the clinical follow-up through RPM yields comparable outcomes with the standard protocol. A crossover trial assigned participants to SOC-RPM or RPM-SOC, starting with the standard of care (SOC) for the first 6 months after surgery and using RPM for the following 6 months, or vice-versa, respectively. During RPM, patients used the Coaguchek© to accurately measure International Normalized Ratio values and a mobile text-based chatbot to report PROs and adjust the therapeutic dosage. The study assessed patients' and clinicians' experience with RPM and compared direct costs. Twenty-seven patients participated. The median time in therapeutic range (TTR) levels during RPM were 72.2% and 50.6% for the SOC-RPM and RPM-SOC arms, respectively, and during SOC, they were 49.4% and 58.4% for SOC-RPM and RPM-SOC arms, respectively. Patients and the clinical team reported high trust and satisfaction with the proposed digital service. Statistically significant differences were only found in the cost of RPM in the RPM-SOC, which was higher than SOC in the SOC-RPM arm. Portable coagulometers and chatbots can enhance the remote management of patients undergoing anticoagulation therapy, improving patient experience. This presents a promising alternative to the current standard procedure. The results of this study seem to suggest that RPM may have a higher value when initiated after a SOC period rather than starting RPM immediately after surgery.Trial registration: ClinicalTrials.gov NCT06423521.

The practice and pragmatics of Scandinavian research in rhetoric. Audience studies in Scandinavian rhetorical scholarship

This paper demonstrates the connections between certain cultural traits of Scandinavia, a scholarly interest in rhetorical practice and the workings of rhetoric, and a recent interest in audience-oriented research methods. Scandinavia is characterised by a tradition of practical rhetoric, egalitarianism, high trust, and low scores on power distance and masculinity in Hofstede’s culture comparison tool. This, I suggest, is reflected in an interest in the everyday pragmatic functions and workings of rhetoric, paving the way for the use of audience research.

Pendampingan Pemanfaatan Stiker Viral untuk Membuat Komik Guna Meningkatkan Literasi Produktif Siswa Sekolah Dasar

Sidorejo 1 Elementary School was the only elementary school in Surakan Hamlet, Sidorejo Village, Tegalrejo District, Magelang Regency. This school had become one of the community's mainstay schools because of its strategic location and easy accessibility. Despite having garnered high trust from the community, this school faced several obstacles. One of the main problems was related to facilities and infrastructure. Based on data obtained from the website Sekolah.data.kemdikbud.go.id, many of the facilities and infrastructure at SD Negeri Sidorejo 1 were in poor condition. Of the six classrooms, 3 classrooms were slightly damaged, 2 classrooms were moderately damaged, and 1 classroom was heavily damaged. Other facilities also experienced similar issues. The library suffered moderate damage, the science laboratory suffered heavy damage, and the sanitation facilities for teachers and students suffered light and severe damage. The aim of the service was to overcome student literacy problems at SD Negeri Sidorejo 1 Tegalrejo, Magelang district. The focus of literacy that was targeted for improvement was productive literacy. The method used was Participatory Rural Appraisal involving teachers and students at the school. The results showed that teachers had been socialized regarding productive literacy. Meanwhile, students had successfully completed a comic creation project using viral stickers. It was hoped that in the future, students could further develop the use of viral stickers to produce other productive literacies. Tujuan pengabdian ini adalah untuk mengatasi problem literasi siswa di SD Negeri Sidorejo 1 Tegalrejo kabupaten Magelang. Fokus literasi yang ingin ditingkatkan yaitu literasi produktif. Metode yang digunakan adalah Participatory Rural Appraisal dengan melibatkan guru dan siswa di sekolah tersebut. Hasilnya menunjukkan bahwa guru telah tersosialisasi terkait literasi produktif. Sedangkan siswa sudah sudah berhasil menyelesaikan proyek penyusunan komik dengan memanfaatkan stiker viral. Harapan kedepan siswa dapat lebih mengembangkan pemanfaan stiker viral untuk menghasilkan literasi-literasi produktif lainnya.

HUBUNGAN KEADILAN PROSEDURAL TERHADAP KEPERCAYAAN ORGANISASI

The research method employed a literature study (library research), involving the collection of data from various literature related to the research topic. The research findings indicate that procedural justice by management positively contributes to employee trust. Employees who believe in procedural justice tend to have high organizational trust. The conclusion of this research provides a valuable contribution to the field of management, particularly in leadership, organizational behavior, and human resource management. The research findings also offer insights for organizational management in designing strategies to prevent behaviors that could undermine organizational trust. The results of this research highlight the crucial role of leadership in shaping positive attitudes and behaviors among employees in the organizational context.

PERAN KEPERCAYAAN DAN TEKNOLOGI INFORMASI TERHADAP KINERJA RANTAI PASOK

This research aims to analyze trust and information technology's influence on Tempe Micro, Small, and Medium Enterprises (MSMEs) supply chain performance in Banten Province. This research uses a quantitative approach. The population in this research is all Tempe MSMEs in Banten. The sample in this study was 64 tempe MSMEs located in 8 (eight) districts/cities. Sampling was taken using stratified random sampling, namely 8 (eight) respondents in each district/city. The data is primarily obtained through a questionnaire and then processed using the SmartPLS 4 tool. The research results show that trust and information technology has proven to influence the supply chain performance of tempeh MSMEs in Banten. High trust between business partners in the supply chain provides benefits in the form of better collaboration, effective communication, and more excellent reliability in meeting customer needs and demands. The use of sophisticated information technology allows MSMEs to speed up business processes, increase data accuracy, optimize coordination with business partners, and increase responsiveness to changes in market demand.

Secured tracing for group signatures from attribute‐based encryption

SummaryThis article presents a tracing mechanism for group signatures answering the security threats of malicious authorities and users' forgeries. The proposal weakens the high trust placed on the centralized tracing party in previous group signatures by decentralizing tracing power using a multiple tracer setting and limiting the tracers' access using attribute‐based encryption and the requirement of the group manager's agreement. We allow the group manager to control tracers identifying his group users. Instead of a centralized tracer, our setting has multiple tracers possessing attribute sets. Thus, after getting the group manager's permission, a tracer should satisfy the access policy in a given signature to identify the signer. On the other hand, our group signature scheme decentralizes the tracing key generation and removes the group manager's tracing ability. Thus, it ensures that only the attribute‐satisfying and permitted tracers can identify the signer. Moreover, this article delivers security against malicious users. It presents a verification process of access policy of the signatures to prevent users from utilizing invalid attributes for signing. In addition, the article delivers a collaborative tracing mechanism to satisfy attribute sets that a tracer fails to fulfill alone for identifying a signer. Thus, our tracing mechanism ensures security against malicious authorities and group users in group signatures. The article gives the general construction of the scheme and discusses the security.

Trust in Mass Media as Sources of Cancer Information: Findings from a Nationally Representative Cross-Sectional Survey in Japan

Trust is a major factor in effective public dissemination and use of relevant health information to guide important health decisions. To examine mass media as a communication channel for delivering cancer information among Japanese adults, we identified the level of trust in various types of mass media as sources of cancer information, and examined factors associated with trust, including exposure to mass media, sociodemographic factors, and cancer history. Data were analyzed for 3,109 Japanese adults who responded to a nationally representative cross-sectional mail survey. Data included trust in cancer information sources, sociodemographic variables, cancer history, and exposure to mass media. Logistic regression analysis was used. The prevalence of high trust in cancer information sources was highest for physicians (94.7%). Among mass media, Internet (47.2%) was the most trusted source of cancer-related information, followed by television (44.3%), newspapers/magazines (42.7%), and radio (32.7%). The high-exposure group for newspapers (AOR = 1.28, 95%CI = 1.07–1.54) was more likely to trust newspapers. Similarly, high-exposure groups for radio (1.22, 1.02–1.45), Internet (1.21, 1.01–1.45), and television (1.30, 1.10–1.53) were positively associated with trust in each media type. Although trust in mass media was lower than trust in physicians, the study found that a large group of respondents had high levels of trust in mass media sources. Trust in cancer information from each mass media type was mainly related to the level of exposure to each mass media type. Developing health communication strategies using mass media may be effective for disseminating relevant cancer information in Japan.

CORRELATES OF PHYSICIAN TRUST: DEMOGRAPHIC FACTORS AND EXPERIENCES OF MEDICAL CARE DISCRIMINATION

Abstract Lack of trust between older adults and their physicians may decrease adherence to medication or limit disclosure of information to healthcare providers. Trust may be shaped in part by demographic factors as well as previous experiences of discrimination in healthcare. We hypothesized that more experiences of discrimination in a medical care setting would be negatively associated with general physician trust. We used cross-sectional data from a follow-up visit (2013-2016) of the national REasons for Geographic and Racial Differences in Stroke (REGARDS) longitudinal cohort study. Our sample included participants who completed an 11-item general physician trust measure (score range=11-55) and a four-point item about discrimination in medical care settings (n=8,235, age 52-98, 31% Black, 45% men). We examined two sequential linear regression models with trust as the outcome, with the first model including demographic factors and the second adding discrimination in a medical setting. Female gender (β=-0.09, p&amp;lt;.05), Black race (β=-0.03, p&amp;lt;.05), and higher level of education (β=-0.8, p&amp;lt;.05) were each related to lower trust. Higher income (β=0.04, p&amp;lt;.05) and older age (β=0.12, p&amp;lt;.05) were associated with higher trust. Perceived discrimination had a negative association with physician trust (β=-0.14, p&amp;lt;.05) and the relationship between Black race and trust reversed direction and was no longer statistically significant (β=0.20, p=.298) with discrimination in the model. The potential impact of previous discrimination experiences in a medical care setting on physician trust should be considered when providing healthcare services to diverse populations of older adults.