Low Trust Research Articles

Pengaruh Affiliate Marketing, Live Streaming Dan Program Flash Sale Terhadap Keputusan Pembelian Produk Somethinc Secara Online Pada Mahasiswa Universitas Malikussaleh

This study aims to determine the influence of Affiliate Marketing, Live Streaming, and Flash Sale programs on the decision to purchase Somethinc products online among students at Malikussaleh University. A sample of 112 respondents was taken, calculated using the formula of Hair, (2010). Sampling in this study used a nonprobability sampling technique with a purposive sampling method, namely with the criteria of active students and having or currently purchasing Somethinc products. Data collection used primary data in the form of questionnaires distributed offline (directly) and also online (g-form) on social media. The data analysis method used was multiple linear regression analysis using the SPSS program. The distribution of questionnaires that has been conducted by the author obtained research results, namely, partially the Affiliate Marketing variable does not have a significant effect on the decision, possibly due to the low consumer trust in the affiliate partners of Somethinc products, the Live Streaming variable has a significant effect on purchasing decisions because it can reduce the sense of doubt from consumers because it can be seen directly and get clear information from the seller and the Flash Sale variable also has a significant effect partially because this method can increase the sense of urgency for consumers to immediately buy Somethinc products.

Trusting others in a divided country: The determinants of social trust in South Africa

AbstractThis study investigates three key determinants of social trust to explain South Africa's social trust deficit: income inequality, confidence in institutions, and racial diversity. Despite the country's racially heterogenous society and segregated history, racial diversity arguments overlook alternative theories on the determinants of low social trust. We instead argue that the decline in social trust in South Africa can be explained by worsening levels of income inequality and declines in institutional trust in recent decades. Using the 2019 South African Reconciliation Barometer citizen survey data, the empirical analysis confirms that South Africans' confidence in institutions and their subjective perceptions of income distribution (or income inequality) have the strongest influence on social trust levels while racial diversity has a negligible effect. This is encouraging for a country with South Africa's racial diversity and troubled history. Instead, efforts to address South Africa's social trust deficit should focus on increasing citizens' confidence in institutions and addressing the high levels of income inequality. However, given the dire state of institutional confidence and income inequality in the country, it remains unlikely that these conditions will improve in the short term.

Collaborating in future states—Contextual instability, paradigmatic remaking, and public policy

AbstractCollaboration is ubiquitous in public policy life, with its presence and profile determined by prevailing governance conditions. Commitments to globalisation and marketisation in the latter part of the 20th century marked the onset of an era defined by collaboration, between and across tiers and spheres of government, with non‐state actors, and through market and network instruments. Current contextual instability poses questions for dominant public policy paradigms and the existing collaborative settlement. This article explores the challenges presented in the current moment and how policymakers and scholars might navigate them. It focuses on how ideas about economics and security shape public policy, illustrating the paradigm‐shifting impact of economism and securitisation. It argues for the replacement of economism and securitisation by sustainability, sovereignty, and justice and demonstrates the latter's engagement with economics and security and their accounting for what have hitherto been ‘subaltern voices’ in public policy. It discusses the implications for collaboration in relation to future collective action problems, more diverse and disconnected ‘publics’, and a more congested and lower trust policy environment. It highlights the need for collaborative plasticity and pluralistic agency.Points for practitioners Public policymaking is shaped by dominant ideas about economics and security; ideas that become ‘taken for granted’ in policy practice. The prevailing ideas of economism and securitisation are being challenged by contextual changes, globally, regionally, and nationally. This creates space for new ideas to shape future public policy. Ideas of sustainability, sovereignty, and justice offer an alternative framework for public policymaking. These ideas can engage productively with economics and security, and they are also inclusive of a wider variety of ‘voices’ particularly those previously marginalised. Collaboration will remain integral to the success of public policy. However, it will need to adapt to new circumstances. This will include defining new purposes, reassessing its appropriateness, reshaping collaborative scope, scale, and form, and refining collaborative activities. A paradigmatic shift in public policy that highlights sustainability, sovereignty, and justice will require the active involvement of a plurality of actors enabled to contribute new knowledge and contest the status quo.

Considerations for trustworthy cross-border interoperability of digital identity systems in developing countries

AbstractIn developing nations, the implementation of Foundational Identity Systems (FIDS) has optimised service delivery and inclusive economic growth. Cross-border e-government will gain traction as developing countries increasingly look to identity federation and trustworthy interoperability through FIDS for the identification and authentication of identity holders. Despite this potential, the interoperability of FIDS in the African identity ecosystem has not been well-studied. Among the difficulties in this situation are the intricate internal political dynamics that have led to weak institutions, suggesting that FIDS could be used for political purposes; additionally, citizens’ or identity holders’ habitual low trust in the government raises concerns about data security and privacy protection. Similarly, vendor lock-in, cross-system compatibility, and ambiguous legislative rules for data exchange are other concerns. Interoperability is fundamentally necessary as a precondition for e-government services and serves as the foundation for the best possible service delivery in the areas of social security, education, and finance, as well as gender equality as demonstrated by the European Union (EU). Moreover, the integration of cross-border FIDS and an ecosystem of effective data governance will be created by unified data sharing via an interoperable identity system. Thus, in this study, we point to the challenges, opportunities, and requirements for cross-border interoperability in an African setting. Furthermore, we investigated current interoperability solutions such as the EU’s eIDAS and Estonian X-Road and proposed an approach for scoping requirements to achieve a fully functional interoperable identity ecosystem in the African setting. Our findings show that interoperability in the African identity ecosystem is essential for expanding the scope of e-government throughout the continent and for bolstering the smooth authentication and verification of identity holders for inclusive economic growth.

The transition of patient care: Exploring the outcomes of prehospital to hospital patient handover practices and healthcare provider education

IntroductionInadequate patient handover is linked to numerous medical errors and lapses in communication between hospital healthcare providers and prehospital healthcare providers. Undergraduate healthcare curricula may limit programme-specific education on patient handover and shift learning to informal learning opportunities. This study aimed to investigate the outcomes of qualified healthcare provider (HCPs) educational programmes to determine the adequacy of handover practices, the source of their training, and their interprofessional acceptance of these practices. MethodsA multi-method study design was used – a document analysis of HCP programme outcomes and a two-section questionnaire. The questionnaire was sent to HCPs to determine the impact of patient handover practices on current healthcare systems and their opinion on whether the training on handovers is sufficient. ResultsHCPs indicated little educational interaction regarding patient handover. Most participants felt handover education relied predominantly on informal training. With their existing knowledge, many HCPs revealed that they were comfortable in handing over a patient. Little interprofessional confidence regarding patient handover information indicates minimal interprofessional collaboration toward standardised approaches for patient handover. ConclusionThis study indicates a lack of standardised handover procedures, which leads to HCP self-interpretations. There is low trust between HCPs regarding information received. The study highlights the need for standardised handover training in healthcare curricula to improve patient safety and interprofessional collaboration.

COVID-19 Vaccine Hesitancy and Misinformation Endorsement among a Sample of Native Spanish-Speakers in the US: A Cross-Sectional Study.

Research on COVID-19 vaccine hesitancy and misinformation endorsement among Spanish-speaking Americans is limited. This cross-sectional study used a Spanish-language survey from May-August 2021 among 483 Spanish speakers living in the US and Puerto Rico. We applied multivariable Poisson regression with robust error variances to assess the association between independent variables and binary outcomes for vaccine acceptance versus hesitance, as well as misinformation endorsement. Vaccine acceptance was associated with COVID-19 risk perception score (PR = 1.7 high vs. low perceived risk), opinion of government transparency (PR = 2.2 very transparent vs. not transparent), and trust in vaccine information (PR = 1.8 high vs. low). There was also an interaction between time spent on social media and social media as a main source of COVID-19 information (p = 0.0484). Misinformation endorsement was associated with opinion about government transparency (PR = 0.5 moderately vs. not transparent), trust in vaccine information (PR = 0.5 high vs. low trust), social media impact on vaccine confidence (PR = 2.1 decreased vs. increased confidence), distrust vaccines (PR = 1.9 distrust vs. trust), using vaccine information from Facebook (PR = 1.4 yes vs. no), and time spent on social media by those using social media as main source of COVID-19 vaccine information (p = 0.0120). Vaccine acceptance in respondents with high misinformation endorsement scores was 0.7 times those with low scores. These findings highlight the importance of effective information dissemination, the positive role of social media, and government transparency in boosting vaccine uptake among Spanish speakers in the US.

The Impact of Information Relevancy and Interactivity on Intensivists' Trust in a Machine Learning-Based Bacteremia Prediction System: Simulation Study.

The exponential growth in computing power and the increasing digitization of information have substantially advanced the machine learning (ML) research field. However, ML algorithms are often considered "black boxes," and this fosters distrust. In medical domains, in which mistakes can result in fatal outcomes, practitioners may be especially reluctant to trust ML algorithms. The aim of this study is to explore the effect of user-interface design features on intensivists' trust in an ML-based clinical decision support system. A total of 47 physicians from critical care specialties were presented with 3 patient cases of bacteremia in the setting of an ML-based simulation system. Three conditions of the simulation were tested according to combinations of information relevancy and interactivity. Participants' trust in the system was assessed by their agreement with the system's prediction and a postexperiment questionnaire. Linear regression models were applied to measure the effects. Participants' agreement with the system's prediction did not differ according to the experimental conditions. However, in the postexperiment questionnaire, higher information relevancy ratings and interactivity ratings were associated with higher perceived trust in the system (P<.001 for both). The explicit visual presentation of the features of the ML algorithm on the user interface resulted in lower trust among the participants (P=.05). Information relevancy and interactivity features should be considered in the design of the user interface of ML-based clinical decision support systems to enhance intensivists' trust. This study sheds light on the connection between information relevancy, interactivity, and trust in human-ML interaction, specifically in the intensive care unit environment.

Trust in Black and White Breast Cancer Patients: Opportunities to Enhance Trustworthiness in Cancer Care

IntroductionThis study evaluated the relationships between patient and cancer delivery factors with trust in oncology providers in a racial/ethnically diverse group of cancer patients. MethodsData were analyzed from a prospective cohort study of women with hormone receptor positive (HR+) breast cancer. A standardized survey collected validated measures of trust in providers, psychosocial factors, and cancer care delivery factors. Multivariable logistic regression models and race-stratified models were employed to calculate odds ratios and 95% confidence intervals associated with trust. ResultsOf the 567 participants, 28% identified as Black and the rest were White. Compared to White women Black women reported lower trust in providers. Four domains of cancer care delivery were significantly associated with patients’ higher trust in their providers: general satisfaction with care (P < .0001), technical quality of the provider (P < .001), interpersonal manner of the provider (P = .0008) and provider communication (P = .0010). Race-stratified models revealed 2 significant cancer care delivery domains for both groups (ie, general satisfaction and interpersonal) and 2 care domains (technical quality and communication) that were only significant among White women. ConclusionEfforts are needed to nurture trusting relationships between Black women and their oncology providers. Factors related to the organization and delivery of cancer care are modifiable targets for interventions as these were robust predictors of patient trust regardless of a woman's self-reported race. Investments in strategies that strengthen the structure and organization of care towards a structures of trust worthiness may better support providers and patients and ultimately reduce cancer care disparities.

Trust in Physicians and Hospitals During the COVID-19 Pandemic in a 50-State Survey of US Adults

Trust in physicians and hospitals has been associated with achieving public health goals, but the increasing politicization of public health policies during the COVID-19 pandemic may have adversely affected such trust. To characterize changes in US adults' trust in physicians and hospitals over the course of the COVID-19 pandemic and the association between this trust and health-related behaviors. This survey study uses data from 24 waves of a nonprobability internet survey conducted between April 1, 2020, and January 31, 2024, among 443 455 unique respondents aged 18 years or older residing in the US, with state-level representative quotas for race and ethnicity, age, and gender. Self-report of trust in physicians and hospitals; self-report of SARS-CoV-2 and influenza vaccination and booster status. Survey-weighted regression models were applied to examine associations between sociodemographic features and trust and between trust and health behaviors. The combined data included 582 634 responses across 24 survey waves, reflecting 443 455 unique respondents. The unweighted mean (SD) age was 43.3 (16.6) years; 288 186 respondents (65.0%) reported female gender; 21 957 (5.0%) identified as Asian American, 49 428 (11.1%) as Black, 38 423 (8.7%) as Hispanic, 3138 (0.7%) as Native American, 5598 (1.3%) as Pacific Islander, 315 278 (71.1%) as White, and 9633 (2.2%) as other race and ethnicity (those who selected "Other" from a checklist). Overall, the proportion of adults reporting a lot of trust for physicians and hospitals decreased from 71.5% (95% CI, 70.7%-72.2%) in April 2020 to 40.1% (95% CI, 39.4%-40.7%) in January 2024. In regression models, features associated with lower trust as of spring and summer 2023 included being 25 to 64 years of age, female gender, lower educational level, lower income, Black race, and living in a rural setting. These associations persisted even after controlling for partisanship. In turn, greater trust was associated with greater likelihood of vaccination for SARS-CoV-2 (adjusted odds ratio [OR], 4.94; 95 CI, 4.21-5.80) or influenza (adjusted OR, 5.09; 95 CI, 3.93-6.59) and receiving a SARS-CoV-2 booster (adjusted OR, 3.62; 95 CI, 2.99-4.38). This survey study of US adults suggests that trust in physicians and hospitals decreased during the COVID-19 pandemic. As lower levels of trust were associated with lesser likelihood of pursuing vaccination, restoring trust may represent a public health imperative.

It makes me happy: anthropomorphism increases consumer preference for healthy food

PurposePeople frequently experience a conflict between immediate pleasure and long-term health when consuming healthy food. This study investigates how anthropomorphizing healthy food influences consumers’ sense of pleasure and their subsequent food preferences.Design/methodology/approachUsing different samples and food items, the authors conducted five online or laboratory studies to provide empirical support for the research hypothesis, rule out potential alternative explanations, and demonstrate boundary conditions.FindingsBy conducting five empirical studies involving self-reported and actual eating preferences, this study found that anthropomorphism increases consumer preference for and actual intake of healthy food. Such an anthropomorphism effect is driven by the increased positive affect evoked by anthropomorphism. However, this positive effect is suppressed for consumers who experience low trust in their affective feelings. Additionally, the effect is weakened when consumers readily attribute their affective feelings to a target-irrelevant source.Originality/valueThis study contributes to the literature on healthy consumption, anthropomorphism, and mood, revealing whether and how food anthropomorphism affects consumers. For marketers in the field of healthy food and relevant policymakers, anthropomorphic means can be employed, such as giving products human names, to enhance consumer preference for them. Moreover, anthropomorphizing can help alleviate consumers’ concerns about the relative lack of pleasurable taste in healthy foods and compensate for the lack of hedonic value that consumers may feel, thereby enhancing consumer welfare.HighlightsAnthropomorphism increases consumer preference for healthy food and actual intake of it.The anthropomorphism effect is driven by the increased positive affect evoked by anthropomorphism, through which affective feelings offer evaluative and decisional informativeness for judgments and decision-making.The positive effect of anthropomorphism is suppressed for consumers who experience low trust in their affective feelings.The anthropomorphism effect is weakened when consumers readily attribute their affective feelings to a target-irrelevant source.

How are news portals integrated into daily news habits? A study on news trust, news repertoires and political participation in South Korea

PurposeThe modern high-choice news environment has changed the way people consume news. We examined the structure of news repertories, the role of news trust (and cynicism) in shaping news repertoires, and the effects of different news repertoires on political participation in the South Korean news environment, where news portals function as major news sources.Design/methodology/approachWe conducted a two-wave national survey of adults in January and February 2022 with a three-week time interval. Latent profile analyses and latent profile regression were employed.FindingsFour major news repertoires were identified: news portal-concentrated, portal and TV combination, all except print and SNS, and platform omnivores. Trust in mainstream news media was found to be high in the following order: platform omnivores, all except print and SNS, portal and TV combination, and portal-concentrated repertoires. Cynicism about mainstream media was found to be higher among the users of portal-concentrated repertoire than those using the other three repertoires. Those who rely mainly on news portals for news (i.e. portal-concentrated) were less likely to participate in politics.Originality/valueThis study provides comprehensive insights into how audience perceptions of trust and cynicism toward mainstream news media shape news consumption patterns in today’s high-choice media environment. In particular, the findings of this study illuminate the function of news portals as a substitute platform for those who exhibit lower trust and higher cynicism toward mainstream news media.

Understanding the Factors Driving Consumers' Willingness to Pay for Gene-Edited Foods in China.

Gene editing contributes to enhancing food security through the creation of novel foods. However, public perception of gene-edited (GE) foods is crucial to their acceptance and adoption. This study expanded the knowledge-attitude-practice model and constructed an integrated framework comprising four dimensions: demographic factors, scientific literacy and beliefs, social trust, and perceptions of gene technology, aimed at explaining the public's attitudes toward GE foods. A questionnaire survey was conducted (N = 649), revealing a positive attitude toward GE foods, with over 80% expressing a certain willingness to pay (WTP) for them. Factors such as income level, subjective knowledge, scientific beliefs, trust in scientists, trust in government, and trust in national technological capabilities and perceived benefits positively correlated with WTP. Conversely, objective knowledge, perceived risks, and perceived ethical concerns were negatively correlated with WTP. The impact of objective knowledge on attitudes toward GE foods demonstrated a significant, nonlinear relationship. Additionally, it is noteworthy that the Chinese public currently exhibits relatively low trust in national technological capabilities, necessitating vigilance against the emergence of conspiracy theories akin to those surrounding genetically modified foods. This research contributes theoretical insights into the public communication of GE foods.

Uncovering the Reasons Behind Abstain Voters' Stances in the 2024 Indonesian Presidential Election: Social Media X Study Cases

The Indonesian Government expects the participation of all Indonesian people in holding General Elections. However, according to the 2019 Political Statistics by BPS, there were 34.75 million people who did not exercise their right to vote or were abstain voters (golput) in the 2019 Election. This research aims to analyze individual attitudes towards abstaining voters using stance analysis and topic modelling. From 9,045 collected tweets, subsequent manual annotation revealed 2,566 pro stances, 5,264 neutral stances, and 1,215 contra stances. The classification models utilized are Random Forest, Decision Tree, Logistic Regression, Support Vector Machine, K-Nearest Neighbor, and Gradient Boosting. The classification outcomes will be analyzed by comparing the accuracy, precision, recall, and F1-score results based on their algorithms and n-grams. The results obtained from the stance analysis show that Random Forest achieved the highest accuracy and precision scores, with values of 84% and 83%, respectively. The discussion topic among those supporting golput due to low trust in the presidential and vice-presidential candidates. Other topics mentioned public feels dissatisfied with the pairs of candidates.

Explainable AI decision support improves accuracy during telehealth strep throat screening

BackgroundArtificial intelligence-based (AI) clinical decision support systems (CDSS) using unconventional data, like smartphone-acquired images, promise transformational opportunities for telehealth; including remote diagnosis. Although such solutions’ potential remains largely untapped, providers’ trust and understanding are vital for effective adoption. This study examines how different human–AI interaction paradigms affect clinicians’ responses to an emerging AI CDSS for streptococcal pharyngitis (strep throat) detection from smartphone throat images.MethodsIn a randomized experiment, we tested explainable AI strategies using three AI-based CDSS prototypes for strep throat prediction. Participants received clinical vignettes via an online survey to predict the disease state and offer clinical recommendations. The first set included a validated CDSS prediction (Modified Centor Score) and the second introduced an explainable AI prototype randomly. We used linear models to assess explainable AI’s effect on clinicians’ accuracy, confirmatory testing rates, and perceived trust and understanding of the CDSS.ResultsThe study, involving 121 telehealth providers, shows that compared to using the Centor Score, AI-based CDSS can improve clinicians’ predictions. Despite higher agreement with AI, participants report lower trust in its advice than in the Centor Score, leading to more requests for in-person confirmatory testing.ConclusionsEffectively integrating AI is crucial in the telehealth-based diagnosis of infectious diseases, given the implications of antibiotic over-prescriptions. We demonstrate that AI-based CDSS can improve the accuracy of remote strep throat screening yet underscores the necessity to enhance human–machine collaboration, particularly in trust and intelligibility. This ensures providers and patients can capitalize on AI interventions and smartphones for virtual healthcare.

Social and physical environment effects on toileting disability among older adults in India

BackgroundTo examine the prevalence of toileting disability among older adults in India and its association with broad aspects of the physical and social environment.MethodsWe use data from the inaugural wave of the Longitudinal Ageing Study in India and focus on adults aged 65 and older (N = 20,789). We draw on the disablement process model and existing frameworks to identify environmental factors and other risk factors that may be associated with toileting disability. Hierarchical logistic regressions are implemented to analyze the health impacts from physical and social environment characteristics.ResultsOne in five older Indian adults had difficulties with toileting, and the prevalence rate of this functional disability varied across sub-national regions. We find that low neighborhood trust was associated with an increased likelihood of toileting disability, as was the use of assistive mobility devices. The negative effects of these social and external environment characteristics hold when we stratified the sample by rural and urban residency. Also, older adults in urban areas without access to toilets and using shared latrines had higher odds of being disabled in terms of toileting. Other factors important in explaining toileting disability among older adults included poor self-rated health, arthritis, currently working, living in the East or West region, and having functional limitations.ConclusionsPoor person-environment fit can compromise older adults’ ability to perform self-care tasks. Policymakers need to look beyond the physical environment (e.g., dedicating resources to construct toilet facilities) to adopt a more holistic, multi-faceted approach in their sanitation policies. Improving the safety of neighborhood surroundings in which shared latrines are located and the availability of accessible toilets that cater to those with mobility impairments can help improve independence in toileting among older adults.

The multifaceted nature of trust in the uptake of advice: policy advice utilization in ministerial cabinets

ABSTRACT What makes policy advice circulate more easily towards the apex of governments and shape the opinions of its users along the way? This article investigates the utilization of policy advice in ministerial cabinets, by focusing on the individuals appointed to work as closest aides of ministers: ministerial advisers. While we know quite a lot about the operation of policy advisory systems at the macro and meso levels, the micro-dispositions affecting the circulation and utilization of policy advice are under-researched topics. Building on recent research waves on policy advice and policy advisory systems, we expect that trust between ministerial advisers and their advice-suppliers is a pivotal driver of policy advice utilization. Based on an original survey conducted in the ministerial cabinets of French-speaking Belgium, this article provides evidence that ministerial advisers’ overall propensity to trust advice-suppliers tends to boost policy advice utilization. Yet, we show that the characteristics of advice suppliers also come into play in advisory relationships and that ministerial advisers have various needs in that regard, depending on them being high or low trust individuals. Our findings speak to the importance of paying attention to relational dynamics and informality in policy advising.

The Role of Moral Concerns and Institutional Trust in Conspiratorial Thinking

ABSTRACT Conspiracy theories often feature moral concerns and thrive when societal institutions are perceived as untrustworthy. However, limited research exists exploring whether moral concerns are associated with conspiracy thinking and if this link is strengthened when institutional trust is low. Two studies employing correlational (N = 423) and experimental (N = 381) designs found that liberty moral concerns, and to a lesser extent binding concerns, are associated with increased conspiratorial thinking, particularly when institutional trust is low. Moral concerns about liberty may contribute to increased conspiratorial thinking and low institutional trust may play a key role in exacerbating this link.

Variations in Unmet Health Care Needs by Perceptions of Social Media Health Mis- and Disinformation, Frequency of Social Media Use, Medical Trust, and Medical Care Discrimination: Cross-Sectional Study.

Unmet need for health care is defined as choosing to postpone or completely avoid necessary medical treatment despite having a need for it, which can worsen current conditions or contribute to new health problems. The emerging infodemic can be a barrier that prevents people from accessing quality health information, contributing to lower levels of seeking medical care when needed. We evaluated the association between perceptions of health mis- and disinformation on social media and unmet need for health care. In addition, we evaluated mechanisms for this relationship, including frequency of social media use, medical trust, and medical care discrimination. Data from 3964 active adult social media users responding to the 2022 Health Information National Trends Survey 6 (HINTS 6), a nationally representative survey, were analyzed. The outcome was unmet need for medical care, defined as delaying or not getting the necessary medical care. The predictor variables were perception of social media health mis- and disinformation, frequency of social media use, level of trust in the health care system, and perceived racial and ethnic discrimination when receiving health care. Multivariable logistic regression models indicated that perception of substantial social media health mis- and disinformation (odds ratio [OR] 1.40, 95% CI 1.07-1.82), daily use of social media (OR 1.34, 95% CI 1.01-1.79), low medical trust (OR 1.46, 95% CI 1.06-2.01), and perceived discrimination (OR 2.24, 95% CI 1.44-3.50) were significantly associated with a higher likelihood of unmet need for medical care. Unmet need among adults who did not use social media daily and who did not perceive substantial mis- and disinformation (24%; 95% CI 19%-30%) was lower compared to daily social media users who perceived substantial mis- and disinformation (38%; 95% CI 32%-43%). Adults who perceived substantial mis- and disinformation and had low trust in health care had the highest probability of reporting unmet need (43%; 95% CI 38%-49%) compared to the other three groups. Adults who perceived substantial mis- and disinformation and experienced medical care discrimination had a statistically significant higher probability of reporting unmet need (51%; 95% CI 40%-62%) compared to adults who did not experience medical care discrimination and did not perceive substantial mis- and disinformation (29%; 95% CI 26%-32%). Unmet need for medical care was higher among individuals who perceived a substantial degree of social media mis- and disinformation, especially among those who used social media daily, did not trust the health care system, and experienced racial or ethnic discrimination when receiving health care. To counter the negative effects of social media mis- and disinformation on unmet need for health care, public health messaging must focus on daily social media users as well as improving trust and reducing structural racism in the health care system.

User Perceptions of News Recommender Systems and Trust in Media Outlets: A Five-Country Study

ABSTRACT The study investigates user perceptions of news media’s employment of news recommender systems (NRS) and their relation to trust in media outlets. A cross-sectional survey (n = 5079) in the United Kingdom, United States, Poland, the Netherlands, and Switzerland shows that higher algorithmic knowledge, users’ perceived skills, and news aggregator use correspond to increased perceptions that news media use NRS. Moreover, higher perceived NRS use of specific news outlets is associated with lower trust in those outlets but perceived benefits and concerns related to NRS moderate this relationship. Our findings highlight the need for media organizations to ensure a responsible and transparent use of such systems, highlight benefits for users, and address concerns to avoid misperceptions of their NRS use and maintain user trust.

Nudging (dis)trust in science: Exploring the interplay of social norms and scientific trust during public health crises

AbstractIn times of public health crisis, such as the COVID‐19 pandemic, there is a critical need for interventions that emphasize group unification. Such interventions may motivate individuals to adhere personally and collectively to health advice, enhance national solidarity, and reduce conspiratorial beliefs among members—particularly among those who may express skepticism or distrust towards science. Across three experimental studies (Ntotal = 1604) conducted online (Experiments 1 &amp; 3) and in a real‐world setting (Experiment 2) in Ireland and Kosovo, we assessed participants' trust in science (i.e., the extent to which they trust in science and scientists) and exposed them to one of three conditions regarding COVID‐19 health advice: compliance (i.e., the majority of ingroup members comply with the health advice), non‐compliance (i.e., the majority of ingroup members do not comply with the health advice), or no advice (i.e., control condition with no health advice information). Overall, the results showed that participants with low (vs. high) trust in science intended to adhere to health advice, expected ingroup members to do the same, experienced greater national solidarity, and reduced their conspiracy beliefs in the compliance condition compared to noncompliance or control conditions. Participants' feelings of national solidarity explained the observed effects. In sum, this set of experimental studies shows that compliance with health advice during a health crisis not only enhances national solidarity but also promotes adherence to health behaviors and reduces conspiracy beliefs, especially among those initially skeptical of science.