How can states with a history of recent armed conflict trust one another? Political psychology offers two competing approaches to increase trust between the publics of different countries: appealing ...to an overarching, common identity above the national level vs. affirming a sense of national identity. This study aims to examine the scope conditions of group-affirmation effects on trust in active conflicts by testing which group-affirmation approach increases trust towards Russia among the Ukrainian public. Distrust between Ukraine and Russia aggravates security fears and limits hope for a meaningful resolution of the bloodiest armed conflict in Europe since 1994. Hostility levels have risen dramatically between the populations of Ukraine and Russia after the events of 2013-2015. The study employs a survey experiment (between-subjects design) to evaluate these competing approaches. The survey was fielded in late May-June 2020 by a reputable public opinion research firm, the Kyiv International Institute of Sociology (KIIS), based in Ukraine. The results suggest that in areas where conflict is salient, national identity affirmation can increase trust in subsamples that hold preexisting baseline levels of affinity toward the outgroup. When combined with the more anti-Russian Ukrainians however, this positive effect was cancelled out. In contrast, emphasis on an overarching, common ingroup identity did not raise trust in any subgroups. Examining the disparate effects of national identity affirmation in anti-Russian and pro-Russian regional subsamples helps specify the scope conditions of which group-affirmation can be most effective.
Purpose
The degree to which breast cancer survivors know about their tumors and understand treatment rationales is not well understood. We sought to identify information gaps within a diverse sample ...and explore whether knowledge about breast cancer and treatment may impact care.
Methods
We conducted a one-time, interviewer-administered survey of women who were diagnosed with breast cancer during 2013–2017 and received care at one of three centers in Boston, MA, and New York, NY. We examined knowledge of breast cancer and treatment rationales, information preferences, and treatment receipt.
Results
During 2018–2020, we interviewed 313 women (American Association for Public Opinion Research Cooperation Rates 58.4–76.5% across centers) who were 56.9% White, 23.6% Black, 14.1% Hispanic, and 5.4% other. Among the 296 included in analyses, we observed high variability in knowledge of breast cancer and treatment rationales, with a substantial number demonstrating limited knowledge despite feeling highly informed; > 25% actively avoided information. Black and Hispanic (vs. White) women consistently knew less about their cancers. Lack of understanding of treatment rationales for chemotherapy, radiation, and hormonal therapy was common but not consistently different by race and ethnicity. Understanding treatment rationale (but not cancer knowledge) was associated with treatment initiation, but small sample sizes limited in-depth examination.
Conclusions
Our study highlights the need for enhanced informational support for breast cancer survivors, who are challenged with complex information during the decision-making process and beyond. More research is needed to understand how to further educate and empower diverse populations of patients with breast cancer.
•A central problem for transition studies is how to accelerate or decelerate them with policy guidance.•Incumbent-led transitions with government support can generate substantial public support for ...deceleration.•Civil society organizations (CSOs) lead and formulate public opinion in this type of industrial transition.•Analysis of CSO strategy can contribute to a better understanding of transition acceleration and deceleration.•Four main elements of political strategy are identified for how CSOs attempt to affect an industrial transition.
The transition to connected and autonomous (or automated) vehicles (CAVs) in the United States is used to explore the role of civil society in the acceleration and deceleration of sociotechnical transitions. This is an “incumbent-led transition,” which occurs when large industrial corporations in one or more industries lead a systemic technological change. This type of transition may generate public concerns about risk and uncertainty, which can be expressed and mobilized by civil society organizations (CSOs). In turn, CSOs may also attempt to decelerate the transition process in order to develop better regulation and to change technology design. Based on an analysis of CSO statements in the public sphere and media reports on CAVs in the U.S., the political strategy of CSOs is examined to improve understanding of the role of civil society in incumbent-led transitions. The analysis indicates that the strategy includes four main aspects: articulating an alternative political goal (slower introduction of advanced autonomous vehicles and more rapid introduction of existing driver-assisted technology), engaging multiple targets or venues of action (different government units and the private sector), forming and expanding a broad coalition, and selecting effective tactics of influence (lobbying, media outreach, and research involving public opinion polls).
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