Social Mistrust Research Articles

Психологическое здоровье и духовно-нравственные ценности молодых людей призывного возраста в контексте деструктивного информационно-психологического воздействия

<p>The work is aimed at studying the psychological health and spiritual and moral values of young people of conscription age in the context of the destructive information and psychological influence. The results of an empirical study conducted in 2024 on the territory of 4 regions of the Russian Federation are presented: Arkhangelsk, Kaliningrad, Leningrad and Murmansk regions. The total number of respondents was 1,050 young people of draft age aged 16 to 20 years. The following were used in the study: the author's questionnaire “Information and psychological impact”; the questionnaire “Motivational structure of information activity”; the questionnaire “Spiritual personality”; the methodology “Individual model of psychological health”. The obtained results allow us to say that, on average, young people of conscription age often encounter content in the Internet space that has a destructive informational and psychological impact, while they have a fairly high degree of trust in this content. It is noted that young people exposed to destructive information may experience social isolation, mistrust and aggression, which prevents them from forming healthy social connections, leads to a decrease in psychological health and has a destructive effect on internal values and spiritual and moral guidelines. In such conditions, a more pessimistic perception of the world is formed, which undermines the basic principles of spirituality and morality, in particular, such as sincerity, politeness and the pursuit of truth.</p>

The effect of forensic accounting drivers on social distrust trauma to the accounting profession

Purpose This study aims to contribute to the accounting knowledge literature by presenting the framework of forensic accounting drivers and evaluation of its identified factors on social distrust trauma contexts in the Tehran Stock Exchange (TSE). Design/methodology/approach This study adopted mixed, both inductive and deductive approach to develop an integrated framework, validate its practicability and verify its effectiveness in selected firms listed on the TSE, respectively. In developing the framework and implementation procedure, the study used an exploratory data collection (qualitative) approach to review the phenomenon of the shadow accounting functions. Then, in the second phase, this study tested the research hypothesis through a partial least squares process. The population of the study is made up of all financial managers and heads of the accounting department of capital market companies in Iran. Presently, there are 185 companies (TSE). From this, a sample of 100 companies was selected which are all in the TSE. As suggested by Niles (2006), a minimum sample size of 10% of the population is generally acceptable. A questionnaire survey was adopted in obtaining primary data for this study. Therefore, based on Cochran sampling techniques, 405 questionnaires were returned and became the basis of analysis. Findings Based on the mixed method of this study, the result in the qualitative part provides the forensic accounting framework of the existence of three categories; there are six components and 39 themes during 13 interviews. In the quantitative section, the results of the study showed that forensic accounting has a negative and significant effect on the trauma of social mistrust in the accounting profession. Originality/value This paper has created a framework that provides empirical evidence for an approach for future research to examine further issues of forensic accounting work. Moreover, this paper, through the provided framework, developed propositions showing relationships between the professionalism level, the legislation infrastructure and the quality of services, particularly in relation to forensic accounting, which helps to develop the protection of shareholders in the future.

CONTROL AND PREVENTION OF CORRUPTION CRIMES IN UKRAINE AND LITHUANIA DURING THE STATE OF EMERGENCY AND MARTIAL LAW

Background: Martial law in Ukraine and the state of emergency in Lithuania have changed the daily lifestyles of many residents of these countries. The circumstances necessitating the introduction of these special regimes have also increased the risk of illegal activities, including corruption, in these territories. Methods: This study applied a comprehensive approach that included a thorough analysis of Ukrainian and Lithuanian anti-corruption legislation, reports on the implementation of anticorruption measures during the state of emergency in Lithuania and martial law in Ukraine, and content analysis of news media. The researcher surveyed 13 anti-corruption experts in Ukraine and, based on their answers and previous research materials, identified the factors that contribute to the spread of corruption in Ukraine during martial law and in Lithuania during its state of emergency. Survey results were also used to determine measures to control and prevent corruption during periods of exception in these countries. Results and Conclusion: The study of corruption in these contexts provides insight into the factors contributing to the spread of corruption. The anti-corruption experts in Ukraine selected the following factors as the greatest contributors to corruption: inadequate control and supervision (53.8%), increased need for funding (23.1%), lack of transparency and openness (53.8%), vulnerability and citizens’ moral hazards (38.5%), and aggravation of social problems and mistrust in authorities (61.5%). The analysis of these factors made it possible to provide recommendations to enhance the control and prevention of corruption offences in Ukraine and Lithuania. These measures include strengthening the independence of anticorruption bodies, increasing the transparency of government activities, disseminating anticorruption education, promoting international cooperation in combating corruption, and strengthening public control.

Social media use and mistrust in authority: an examination of Kohlberg’s moral development model

PurposeThe study explores how social media impacts institutional trust through the lens of Kohlberg’s stages of moral development. Specifically, this study aims to understand how moral relativism and moral intuitionism can moderate the relationship between social media use and perception of social authorities.Design/methodology/approachThe study analyzes a large data set from the World Values Survey, covering responses from approximately 52,000 individuals across 45 countries between 2017 and 2022. Multiple regression analyses were conducted to test for interactions between social media use and stages of moral development on trust in social institutions.FindingsThe study finds that different stages of moral development significantly moderate the relationship between social media use and institutional trust. Specifically, higher moral development buffers the negative effect of social media use on trust in three main social institutions: law enforcement, parliament and the legal system. In contrast, individuals with higher levels of moral relativism and moral intuitionism are more susceptible to the negative influence of social media on institutional trust.Research limitations/implicationsThe study relies on self-reported data from the World Values Survey, which may introduce response biases. In addition, while the large-scale data set offers insights into correlations, it does not allow for conclusive causal inferences.Originality/valueThis research contributes to understanding technology’s impact on modern societies by highlighting the role of individual moral development in shaping perceptions of key social institutions. The study uniquely integrates Kohlberg’s moral development theory with the influence of social media, offering a novel perspective on how personal moral systems can moderate the effect of digital media use.

The developmental course of adolescent paranoia: a longitudinal analysis of the interacting role of mistrust and general psychopathology.

Paranoia is the erroneous idea that people are targeting you for harm, and the cognitive model suggests that symptoms increase with emotional and relational distress. A factor potentially associated with paranoia is mistrust, a milder form of suspiciousness. This study investigated the longitudinal course of non-clinical paranoia in a sample of 739 students (age range 10-12 at baseline assessment, 12-14 at second assessment) using data from the Social Mistrust Scale (SMS) and the paranoia subscale of the Specific Psychotic Experiences Questionnaire (SPEQ). Prevalence of mistrustful and high paranoia children was 14.6 and 15% respectively. Independently, baseline internalizing symptoms (b = 0.241, p < 0.001) and mistrust (b = 0.240, p < 0.001) longitudinally predict paranoia after controlling for confounders. The interaction of mistrust and internalizing symptoms at T1 increases the possibility of the onset of paranoia at T2. Therefore, the effect of mistrust on paranoia is more marked when internalizing symptoms are higher. Our results confirm the role of mistrust as a factor involved in the developmental trajectory of paranoia in adolescence, enhanced by the presence of internalizing symptoms. The implications of these results are both theoretical and clinical, as they add developmental information to the cognitive model of paranoia and suggests the assessment and clinical management of mistrust and internalizing symptoms in youth may be useful with the aim of reducing the risk of psychotic experiences.

Is Mistrust in Early Adolescence Referent-specific? Looking at the Validity of Different Mistrust Referents in Sixth Graders

This study examined whether social mistrust in early adolescence was general or referent-specific. We used a multi-trait multi-method approach to examine the validity of mistrust measures across social referents (mistrust toward people in general, toward peers, and toward teachers), using questionnaires and an online task. Sixth graders ( N = 1243, ca. 11–13 years) in southern China reported about mistrust (i.e., general, teacher and peer), their social anxiety and aggression. Part of the students ( N = 262) played an online trust game against a virtual, unfamiliar peer. Confirmatory factor analyses showed that mistrust was distinguishable across referents. All referents of mistrust were significantly associated with social anxiety and aggression, whereas only peer mistrust was associated with peer-trust behavior in the online game. As such, our findings may underscore the referent-specificity of mistrust in early adolescence. Insights for promoting healthy school adjustment were discussed.

The Impact of Referencing Academics Who Have Defended and Exercised Pederasty

The scientific literature has shown an increasing demand by citizens and society at large to stop using people who have committed sexual violence against children as a reference in academia. However, research has not explored the fact that in some sectors of society, the rejection of individuals who have exercised sexual abuse against children is entirely deliberate. This study analyzes, for the first time, the incoherence of many academics when it comes to their positioning regarding different renowned authors who commit sexual abuse against children, and the consequences of such incoherence according to several citizens. To that end, social media analytics and interviews with 16 individuals aged 27 to 70 years from different professions, including university professors, construction workers and retired lawyers, were conducted. The results show three main consequences of the incoherence of academics who use as a reference authors who have defended and exercised pederasty: promoting social mistrust toward those academics, as there is no coherence between what they say and do; normalizing and promoting pederasty and impunity toward abusers, creating a sense that “anything goes”; and silencing and revictimizing victims, which creates a context of great vulnerability to develop a healthy sexuality.

Historical shocks and community-based enterprises: the slave trades, family dynamics, and social entrepreneurship in Africa

ABSTRACT This study investigates how exposure to traumatic historical shocks shapes the emergence of community-based enterprises across geographic regions in Africa. Leveraging a family embeddedness theoretical lens in the context of the traumatic background of the historic African slave trades, we theorize that the extent of slave exports is adversely related to cohesion and trust in family institutions in the affected regions, thereby reducing the likelihood of community-based enterprises in the modern era. Nevertheless, we also conjecture that this legacy of social structure disintegration and mistrust created by historical trauma from the slave trades can be relieved through contemporary family embeddedness in entrepreneurial activity. Empirically, we test these hypotheses by merging slave export data from 500 years of the African slave trades with data on 4,685 modern social enterprises across 49 African countries. The results corroborate the main hypothesis and show that the effect of slave exports on the likelihood of community-based enterprises is contingent on family funding and female involvement in social enterprises. These findings highlight the central role of familial dynamics in the link between historical trauma and modern entrepreneurial strategy.

TikTok and Islamic State of Iraq and Syiria (ISIS) Propaganda

ISIS emphasizes the importance of winning the hearts and minds of individuals in their operational strategy. Their objective is to draw sympathizers, propagate their objectives and ideology, and allocate substantial resources. They have utilized TikTok as a platform to garner attention and disseminate propaganda, with the aim of promoting their organization and recruiting new terrorists.This study employed qualitative research methods, with data gathered through interviews and documentation. The findings indicate that ISIS’s propaganda on TikTok poses a significant threat to Indonesia’s national security. It has the potential to sway the younger generation towards supporting extremist and terrorist ideologies. ISIS employs a variety of techniques to propagate their message. These include the use of the keyword “dawlah”, displaying the ISIS flag with stickers, using nasheed or song lyrics, creating sarcastic memes, and advocating for jihad, death, and suicide. They also leverage TikTok’s features, such as filters and hearts, to promote their organization. ISIS produces video content that glorifies its militants, accompanied by ISIS songs that are rhythmic, lyrical, and delivered in a catchy manner. They also display videos showing corpses being paraded on the streets, ISIS militants armed with weapons, and videos themed “Jihad Lover” targeting young women. The aim of these contents is to incite hatred, division, and social mistrust towards the state, government, and legitimate leaders. This is an academic English paraphrase of the original text.

Cultural Diversity and Mental Health Care: A Case Study

IntroductionIn today’s world of global migration and cultural diversity, mental health care grapples with persistent challenges. Despite efforts to promote cultural competency and person-centred approaches, it’s vital to delve into the issues surrounding cultural differences and linguistic diversity in mental health care. This exploration highlights the complexities where culture, language, and healthcare intersect (Brisset et al., 2014; Desai et al., 2021).ObjectivesOur aim is to analyse cultural and linguistic barriers in mental health care for migrants and assess their impact on access and quality of care.MethodsLiterature review, drawing from sources such as PubMed, ResearchGate, and Google Scholar. This review will be framed around the case of a 34-year-old man from Bangladesh, who has been residing in Lisbon for a year. His clinical presentation includes depressive symptoms, disorganized behaviour, and psychotic manifestations, such as persecutory delusions. He does not speak Portuguese or English, thereby limiting his access to essential mental health treatment services. Through this review, we intend to elucidate the intricate dynamics surrounding cultural and linguistic barriers in mental health care.ResultsMigrants from diverse backgrounds face many challenges, including the loss of homes, livelihoods, and family, often leading to mental health issues like depression, anxiety, and post-traumatic stress disorder. Two primary challenges include adapting to a new life and experiencing discrimination and marginalization (Amri et al., 2013; Satinsky et al., 2019). Social stigma and mistrust hinder access to mental health services. Limited culturally competent services widen the gap between mental health needs and help-seeking attitudes. Language barriers significantly contribute to disparities in access to services (Amri et al., 2013). Additionally, mental health care providers’ organizational culture often prioritizes ‘ideal’ patients who are native speakers, favouring individual-oriented treatment over community-focused care (Desai et al., 2021).To address these barriers effectively, it is crucial to employ specific strategies. The Multi-Phase Model of Psychotherapy, Social Justice, and Human Rights (MPM) equips mental health counsellors to better serve immigrant communities while addressing social stigma. This comprehensive framework comprises five phases of intervention: psychoeducation, culturally responsive service delivery, cultural orientation, collaboration with local healers, and connecting patients to essential resources (Amri et al., 2013). Additionally, practitioners should receive training in effective collaboration with interpreters to provide multilingual healthcare (Brisset et al., 2014).ConclusionsAddressing cultural and linguistic barriers in mental health care is vital. The Multi-Phase Model of Psychotherapy offers a promising approach, while collaboration with interpreters remains essential.Disclosure of InterestNone Declared

City Managers as Digital Transformation Leaders: Exploratory and Explanatory Notes

This article examines the internal sources for digital transformation at the local level. It attempts to comprehend a public manager’s individual role in the introduction of digital tools to lower levels of governance, traces the institutional and personal motivators that encourage city managers in framing digital transformation efforts, and identifies barriers that temper their efforts in practice. The empirical study based on forty-seven interviews with Russian city managers explores the peculiarities of digital transformation comprehension, the key barriers hampering digital transformation, and the detours that city managers use to implement digital tools. The study explores why and how, in a situation of limited resources, unclear political attitudes, and restricted opportunities, city managers act in the direction of implementing digital tools and digital government transformation. The flexible thematic analysis shows that digital transformation at the local management level has the potential for leadership, as city managers recognize and articulate the importance of digital tools in transforming the urban environment. Digital transformation is integral to the image of the city managers’ profession and their mission to serve the local community. However, the leadership potential of digital transformation is significantly hindered by institutional factors, predominantly regulatory deficiencies, lack of resources, and social mistrust.

Kinder-Conspiracy Theories: Disney's Gravity Falls and the Conspiracy Genre in Children's Television

This essay suggests that there is a variant of what Stephanie Kelley-Romano calls the “conspiracy genre on American television,” a subgenre targeting children that we call kinder-conspiracy theories. Treating Disney's Gravity Falls as an exemplar of the subgenre, we argue that kinder-conspiracy theories differ from the larger genre in three ways. First, while inspiring social mistrust like most conspiracy entertainment, the programs portray some conspiracy theorists as hucksters, encouraging viewers to build their defenses against possible deception. Second, by serving as an introduction to reading conspiracy culture, the genre also serves as a kind of conspiracy literacy training and an inoculation against a milieu of rampant suspicion and polarization. Finally, due to their prosocial messaging for younger audiences, the genre also emphasizes a kind of collectivistic agency that privileges community over the traditional individualism and fantasies of the lone wolf conspiracy theorist.

Impact of social determinants and medical mistrust on parent-child HPV vaccination in economically disadvantaged communities: implications for cancer prevention.

Human papillomavirus (HPV) vaccination and intentions, their correlates, and barriers among age-eligible parents and their children living in very economically disadvantaged communities were assessed. Parents (N=198; 45% Black, 42% Latine, 57% educated <=high school [HS], 74% income <$60k annually) with children ages 10-17 from Washington, DC and Hackensack, NJ were intercepted at community events and surveyed. Among age-eligible parents, 20% were vaccinated against HPV. Comparing vaccinated to unvaccinated parents, those who were non-white (OR=5.5, 95% CI=3.5, 9.4, p<0.001) and with unvaccinated children (OR=8.9, 95% CI=3.7, 23.3, p<0.001) were less likely to be vaccinated themselves. Among children, 37% were vaccinated. Unvaccinated children were more likely to have parents who were non-white (OR=2.7, 95% CI=2.6, 2.8, p<.01), with a <=HS education (OR=3.0, 95% CI=1.52, 6.25, p<.01), and were unvaccinated themselves (OR=10.2, 95% CI=4.01, 28.61, p<.001). Nearly two-thirds (63%) of parents with unvaccinated children expressed an intention to vaccinate within the next year: 48% confirmed receiving advice from a healthcare provider to do so. Common HPV vaccine barriers included lack of information (35%), safety concerns (16%), and perceptions of sexual inactivity (13%). An adjusted model revealed an interaction between parent education and medical mistrust (B=.35, SE=.13, 95% CI=0.09, 0.61, p<.01). For parents with <=HS education, when levels of provider trust were strong, they were more open to vaccinating their children. HPV vaccine prevalence was low among parents and children living in disadvantaged communities. Comprehensive education and intervention to build trust are warranted to prevent the spread of HPV-linked cancers and reduce cancer disparities.

Exploring the Nexus between Conspiracy Beliefs and Creativity, Attitudes toward People, and Psychological Wellbeing: Insights from the 10th European Social Survey

Conspiracy beliefs can have a significant destructive impact on sustainable development. When individuals embrace conspiracy theories, it can result in social mistrust, polarization, and even harmful behaviors. Previous studies linked creativity to intelligence and fairly evidenced links between conspiracy beliefs and paranoid thinking and diminished psychological wellbeing. Therefore, the purpose of this study was to explore the associations between conspiracy beliefs and creativity, negative attitudes toward people, and psychological wellbeing. Based on the data derived from the ESS10, several relationships using mediation and SEM analyses were disclosed. The study confirmed that positive attitudes toward people significantly negatively predict conspiracy beliefs and significantly positively predict psychological wellbeing and self-reported creativity, while psychological wellbeing significantly negatively predicts conspiracy beliefs and is a mediator in the links between attitudes toward people and conspiracy beliefs. The SEM model demonstrated an acceptable fit, χ2 = 987.210; Df = 16; CFI = 0.989; TLI = 0.975; NFI = 0.989; RMSEA = 0.040 [0.038–0.042], SRMR = 0.039. The study supported the insights of A. Hon that “conspiracy theories thrive in the absence of trust”. However, there are several avenues for future research to address potential limitations, including using more comprehensive scales, employing diverse research methods, controlling for confounding variables, or exploring potential moderating variables, such as personality traits or cultural factors.

PSIX-24 Social Trust in a Small Dairy Farmer Organization in Southeast Brazil

Abstract The objective of this study was to analyze the social trust in a group of dairy farmers in the State of São Paulo, Brazil. The related Association of Dairy Producers (ADP) is like most small rural organizations present in Brazil that emerged to meet the public policies. Current assessment had three stages: a) identifying producers; b) applying the surveys; and c) data analyses. The producer association was unable to provide some basic information about its members (such as phone number), which signals a lack of trust. To identify the ADP members, it was necessary to visit the milking parlor expansion tanks to find such contact. Another situation reinforced the first impression regarding the lack of social trust: an ADP member did not authorize the access to to the research conduct the surveys for the members that used the expansion tank installed on his land. The surveys were then conducted at four out of five locations where expansion tanks were installed. Among the ADP members surveyed, 68.75% answered the survey. Approximately 82% of respondents indicated caution when dealing people in general (inside or outside the ADP). Although there was an indication of lack of social trust, 54.4% of producers trusted entirely the ADP; 22.7% partially trusted; 13.6% were indifferent; 4.5% had low trust, and 4.5% did not trust. When voluntary participation in decision in the association activities was questioned, 68.2% of the surveyed members answered “actively participate”, 31.8% “participate without actions,” and none of the surveyed members admitted no participation. Approximately 82% of the surveyed members had a positive perception of the association, while 18% believed it was not properly managed and inferred no longer assist with it in the future. A greater participation in the association activities may have not being observed due to the fact that current association was transitioning into a cooperative business model at the time of current data collection. For 18.25% of the members, the two main causes of the distrust in the recently created agricultural cooperative was related to: a) the requirement to obligatory become a member; and b) the delay in the construction completion of the dairy processing plant. The results suggest that producers show signs of general social distrust, indicated by concerns regarding the advantages, disadvantages, or even the risks associated with becoming members of the agricultural cooperative. Nonetheless, the vast majority of producer members trusted in the association. Further assessment is warranted to investigate if the source of general social mistrust observed erupted from internal (local community) or external (city, state, and federal public policies) venues of the society.

Socioeconomic inequalities in the uptake of COVID-19 vaccination in Hungary; context and public health implications

Abstract Background Eastern Europe witnessed substantial life expectancy losses in 2021. COVID-19 vaccination coverage was lower, and mortality was higher than in Western Europe. Research suggests an important factor behind lower vaccination coverage is vaccine hesitancy. Our studies aimed to explore spatial inequalities in COVID-19 morbidity, mortality, and vaccination coverage in Hungary and the reasons behind vaccine hesitancy during the 3rd and 4th pandemic waves. Methods We characterized COVID-19 morbidity, mortality, and vaccination coverage by indirectly standardized ratios at the municipality level and investigated the association with deprivation. Attitudes towards vaccination were measured by a nationally representative monthly questionnaire survey. Results In Hungary, people in the most deprived municipalities had 17-58% higher relative COVID-19 mortality than the national average, although morbidity was significantly lower. COVID-19 vaccination coverage among the least deprived was 9.2% (95% CI 9-9.5%) higher, while in the most deprived areas, it was 38.2% (95% CI 38.0-38.4%) below the national average at the end of the 3rd pandemic wave. In the 10 districts with the highest proportion of the Roma population, vaccination coverage was 56.0% of the national average (95% CI 55.0-64.0%). Inequalities persisted by the end of the 4th pandemic wave. Younger age, lower education, and lower income were major determinants of vaccine refusal. Reasons for refusal mostly resulted from barriers to accessing reliable information and mistrust. Although Hungary has traditionally had high social acceptance of vaccination, the campaign failed to close the gap in COVID-19 mortality. Hungary demonstrates how social inequalities, misinformation, and mistrust can undermine a vaccination program's success. Consistent, credible communication can dispel misconceptions and build trust, which is key to the acceptance of public health measures.

COVID-19 Vaccine Hesitancy in Cameroon: The Role of Medical Mistrust and Social Media Use

Most African countries report low COVID-19 vaccination rates (Msellati et al., 2022; WHO Africa; 2020). This study focuses on factors associated with vaccine hesitancy specifically in the country of Cameroon. Social media use and medical mistrust have been suggested as key variables that may increase vaccine hesitancy. Adopting the information-related perspective guided by the risk information seeking and processing model, the current research explored how social media use and medical mistrust are related to vaccine hesitancy among Cameroonians. Survey results from a sample of 1,000 Cameroonians fielded in early 2022 showed that social media use and medical mistrust were positively associated with belief in misinformation related to the COVID-19 vaccine. Belief in misinformation about the COVID-19 vaccine was negatively associated with perceived information insufficiency. A positive relationship between perceived information insufficiency and information seeking, as well as a negative relationship between information seeking and vaccine hesitancy were also found. Theoretical and practical implications are discussed.

The Roles of Social Media Use and Medical Mistrust in Black Americans’ COVID-19 Vaccine Hesitancy: The RISP Model Perspective

ABSTRACT The COVID-19 pandemic has brought unprecedented challenges to healthcare and public health messaging in the United States. One area of focus has been vaccination uptake among Black Americans, who have experienced COVID-19 deaths disproportionate to their share of the United States population, raising questions about the processes involved in vaccination perceptions and behaviors. Guided by the Risk Information Seeking and Processing model, this study explored the roles of medical mistrust and social media as a source of risk information in Black Americans’ vaccine hesitancy. Survey results from a YouGov panel sample of Black Americans (n = 1,136; 53.5% female) showed that social media use and medical mistrust were positively associated with belief in misinformation related to the COVID-19 vaccine, which, in turn, was positively related to vaccine hesitancy through perceived information insufficiency and information seeking intentions. Furthermore, we found that belief in misinformation and subjective norms toward anti-vaccination also serially mediated the association between social media use and medical mistrust with vaccine hesitancy. Theoretical and practical implications are discussed.

Redressing displacement in Northern Ireland: Identity, land and dealing with the past

Redressing displacement in Northern Ireland: Identity, land and dealing with the past

Characterizing medical mistrust (MM) in a socio-demographically diverse sample of patients with cancer.

10551 Background: Genetic and genomic testing are increasingly recognized as essential to high quality cancer care. Despite expanded eligibility for testing in recent years, barriers to genomic medicine persist. Notably, growing political and social mistrust risks negatively impacting views of medical institutions, medical professionals and complex technologies, and could undermine acceptance of genetic/genomic testing to guide treatment and identify risk in families. Prior studies have documented disparities and increased MM of genetic counseling and testing among underserved minorities which have been associated with delays or avoidance to care. We sought to identify individual characteristics associated with MM among cancer patients. Methods: A cross-sectional survey of cancer pts from the Fox Chase Cancer Center (FCCC) Burholme Campus (n=105, mixed urban/suburban, primarily insured) and Broad street campus (n=95, primarily urban underserved population) was conducted from 6/22-12/22, using a maximum variation (purposeful) sampling approach. Surveys queried MM using the LaVeist MM Index (MMI, range 0-10, measures healthcare/institution MM) and the Thompson Group Based MM Scale (GBMMS, range 1-5, measures race/ethnic specific MM; suspicion, discrimination, and lack of support subscales). Demographic and disease factors, as well as psychosocial measures (general/genetic health literacy, social support, self-advocacy, conspiratorial thinking, relationship with doctor, and trust in information sources) were also assessed. Medical decision making preference and health literacy were assessed with single validated items. The study was approved by the FCCC IRB #22-8003. Results: Participants had a median age of 62 yrs (range 25-91); 62% were female, 47% African American (AA), 15% Hispanic, 42% married, 47% high school graduate or less, 52% had household income &lt;$50K/yr. Breast (28%), colorectal (16%), and GYN/GU (12%) cancers were the most commonly reported, and 23% reported &gt;1 previous cancer diagnosis. Mean GBMMS was 2.11 (SD 0.80) and mean MMI was 4.63 (SD 1.54). See the table for significant associations. Conclusions: High levels of healthcare institution and race-based MM are associated with socio-demographic vulnerabilities, putting the most vulnerable cancer patients at high risk of making poor health decisions. [Table: see text]