Racial Discrimination Research Articles

Is there a mental health wake following the COVID-19 pandemic on adolescents in a male juvenile prison?

Lingering effects of the COVID-19 pandemic loom large in the United States but are particularly of concern in prison settings. In the current study, we examine the ongoing mental health consequences of the pandemic among young people incarcerated in a male juvenile prison. Sequential mixed methods data were obtained-78 young people assigned male at birth completed surveys and 19 completed individual interviews. Seven staff were also interviewed about youth experiences during and following the pandemic. Youth survey results indicated racial and ethnic identity exploration, feeling less safe at night, and experiencing staff harassment were significantly associated with some negative mental health concerns, yet lingering COVID-19 policies were not. Triangulation with interviews underscored these findings by highlighting more specific concerns related to COVID-19, such as social isolation, loneliness, and concerns about the indirect effects the pandemic might have on court outcomes and educational goals. Overall, results of the current analysis provide evidence that incarceration continues to be traumatizing and harmful to youth mental health even following the pandemic. To a lesser extent, these results also imply that lingering effects of the pandemic and concurrent cultural and racial tensions have delayed impacts on the mental health of incarcerated youth during this tumultuous time. Taken together, study findings suggests juvenile prisons must implement readiness plans to mitigate these and other harmful effects of juvenile incarceration in the future.

An Analysis of South Africa's Constitutional and UNCRC-imposed Obligations to Achieve Children's Socio-economic Rights: A Critique

Children require specific protection due to their heightened vulnerability to human rights violations, which can be attributed to several factors such as economic adversity, racial tensions, and armed conflicts. The current situation in South Africa is characterised by a pressing and significant prevalence of severe poverty. The enduring effects of apartheid have contributed to a broad range of socioeconomic challenges inside our deeply divided country. Children are particularly impacted by these issues and experience immediate suffering as a result. In the Republic of South Africa, a significant proportion of the youth population experiences the distressing circumstance of living in poverty. It has been reported that a significant proportion, ranging from 60 to 75 percent, of the youth population in South Africa is experiencing impoverished living conditions. The prevalence of HIV infection and the consequential mortality rates due to AIDS among caretakers have a detrimental effect on the well-being of children. The United Nations Convention on the Rights of the Child (UNCRC) encompasses social, economic, and cultural rights under its provisions. Following the ratification of the UNCRC in June 1995, South Africa is legally obligated to implement the articles pertaining to the rights of children. The formulation and structuring of socio-economic rights and corresponding duties towards children under the South African Constitution were significantly influenced by the UNCRC. The interests of children in South Africa are effectively safeguarded through the provisions enshrined in the Constitution and the duties outlined in the UNCRC. This study assesses the extent to which South Africa has adhered to its constitutional and UNCRC-mandated responsibilities and commitments in order to achieve the socioeconomic rights of children.

REVISITING W.E.D. DU BOIS’S LEGACY IN THE HISTORIC STRUGGLE FOR RACIAL EMANCIPATION IN AMERICA OF THE 20TH CENTURY

This article explores William Edward Burghardt Du Bois’s legacy in the historical fight for African Americans’ emancipation in the United States of America. The study aims to delve into the contemporary relevance of Du Bois’s ideology in the quest for more racial equity and its impacts on Black people. His philosophy continues to shape discussions on race inequality and social justice since the perpetuation of racism and stereotypes against African Americans. His intellectual contributions, activism, and scholarship mark the hardest periods of racial segregation and discrimination. Actually, the struggle for the oppressed people’s intellectual prosperity is Du Bois’s most efficient alternatives for Blacks’ emancipation. In this process, he initiates the Niagara Movement in 1905 which merely fails. In 1909, the movement of N.A.A.C.P. is founded out of the inspiration from the previous one. In this regard, the current investigation utilizes the postcolonial theory to analyze and interpret his works and any documents related to Blacks’ activism. As main methodological framework, the qualitative approach allows to collect the textual data. As a result, the analysis has shown that Du Bois’s thoughts and convictions are timeless in the sense that his philosophy have positively impacted the interracial landscape in the American society

Ride-hailing technology mitigates effects of driver racial discrimination, but effects of residential segregation persist

We assess racial disparities in the service quality of app-based ride-hailing services, like Uber and Lyft, by simulating their operations in the city of Chicago using empirical data. To generate driver cancellation rate disparities consistent with controlled experiments (up to twice as large for Black riders as for White riders), we estimate that more than 3% of drivers discriminate by race. We find that the capabilities of ride-hailing technology to rapidly rematch after a cancellation and prioritize long-waiting customers heavily mitigates the effects of driver discrimination on rider wait times, reducing average discrimination-induced disparities to less than 1 min-an order of magnitude less than traditional taxis. However, our results suggest that even in the absence of direct driver discrimination, Black riders in Chicago wait about 50% longer, on average, than White riders because of historically informed geographic residential patterns. We estimate that if Black riders in the city had the same wait times as White riders, the collective travel time saved would be worth $4.2 million to $7.0 million per year.

Resisting racialized organizational practices: A case study of Black community-centered engagement

ABSTRACT Black community members often express frustrations with engagement within school board meetings through continuous advocacy for systemic change. While scholarship has identified the racial tensions between Black community members and school board members, few studies have explored how school board meeting spaces and their practices influence Black community members’ participation and the possibilities for authentic engagement. Drawing from work on authentic participation and theory of racialized organizations, I examine how organizational practices associated with engagement in school board meetings are racialized and therefore impact where authentic engagement is possible. I identify that it is through both Black community members’ resistance to racialized organizational practices within decision-making spaces, and the community-centered approaches they take despite the racialized practices encountered, that authentic engagement exists. The study offers implications for how education leaders can acknowledge and support community-centered approaches to engagement.

Identity Crises and the Impact of 9/11: A Post-Colonial Study of the Reluctant Fundamentalist and Khuda Kay Lye

The current study explores the devastating aftershocks and identity crises caused by 9/11. It furthermore, presents the upheavals through two different forms of literature: The Reluctant Fundamentalist by Mohsin Hamid and the cinematic film Khuda Kay Liye by Shoaib Mansoor. The study employs a post-colonial lens, utilizing the concept of marginality to examine identity crises and the traumatic aftermath of 9/11. In addition, the study highlights the main characters of both the literary forms: novel and film, demonstrating how they face marginalization at various levels—cultural, religious, and international. The background of the study encompasses the Afghan-Russian war in 1979 and the 9/11 attacks, which profoundly affected Afghanistan and northern Pakistan, fueling terrorism and raising questions about identity. Religious figures, as the research uncovers through the character of Changez in The Reluctant Fundamentalist, were often labeled as terrorists. On the other hand, Mansoor, Maryam, and Sarmad are marginalized in Khuda Kay Liye. Mansoor faces racial prejudice in the USA, while Sarmad and Maryam encounter religious extremism in Pakistan. While weaving together the theme of identity crises, the study adopts the framework of marginality, a significant aspect of post-colonial literature. With a clear understanding of the issues, the study utilizes post-colonial theory, using Edward Said's seminal work, Orientalism. Additionally, the researcher recognizes the significance of marginality, which is central to both the genre fiction and the films The Reluctant Fundamentalist and Khuda Kay Liye.

Unfair Racial Treatment in Healthcare, Healthcare Utilization, and Health Status Among Black, Indigenous, Women of Color

Black, Indigenous, Women of Color (BIWOC) face well-documented health disparities in the United States. However, the extent to which recent experiences of unfair racial treatment in medical settings contribute to health disparities is not well understood. The objective of this study was to examine associations of experiencing unfair racial treatment by a provider during the most recent medical encounter with healthcare utilization and health status in BIWOC. We utilized multivariate logistic regression models to examine data from the Association of American Medical Colleges’ biannual Survey of Healthcare Access collected between 2012 and 2019. Data were extracted for 5,549 participants who identified both as a woman and a Black, Indigenous, Person of Color to generate our BIWOC sample of interest. Among BIWOC, experiencing unfair racial treatment during their most recent healthcare visit in the past year was associated with higher odds of delaying healthcare ( OR = 3.50, p < .001) and using the emergency department as their usual source of care ( OR = 1.54, p < .001). Experiencing unfair racial treatment was also associated with having chronic physical conditions ( OR = 1.31, p = .002), chronic depression ( OR = 1.56, p < .001), and activity limitations due to both emotional ( OR = 2.98, p < .001) and physical ( OR = 2.47, p < .001) impairment. Recent experience of racial discrimination by a healthcare provider was associated with lower healthcare utilization and poorer health status in a national sample of BIWOC. Reducing unfair treatment in healthcare settings is critical for improving BIWOC health.

Parents' anti-Black messages, empathic reactions toward racism, fear of Black individuals, and perceived ability to engage in anti-racism advocacy among Asian American emerging adults.

Asian Americans, historically oppressed and influenced by White supremacist norms, may internalize anti-Blackness (beliefs of behaviors that minimize, marginalize, or devalue Black individuals) as they navigate White-dominated environments to survive and seek acceptance. However, there is limited research addressing the intergenerational socialization of anti-Blackness within Asian American communities and its impact as a barrier to cross-racial solidarity and involvement in anti-racism efforts. Thus, we tested whether parents' anti-Black messages were associated with fear of Black individuals and lack of empathic reactions to anti-Black racism, and in turn, related to hindrance in the perceived ability to engage in anti-racism advocacy among Asian American emerging adults. With data from 205 participants (Mage = 19.92, SD = 2.64, online convenience sample), we conducted a path analysis of parents' anti-Black messages indirectly associated with perceived ability in advocacy against anti-Black racism through fear of Black individuals and empathic reactions to anti-Black racism. Parents' anti-Black messages were associated with greater fear of Black individuals, which was associated with lower empathic reactions to racism, and in turn, ultimately associated with a lower perceived ability to engage in advocacy against anti-Black racism. This pathway was the best-fitting model compared with an alternative parallel model (fear and empathy as separate mediators) and a model with empathy as the first mediator. Our study suggests that clinicians, educators, and researchers should target parents' anti-Black messages and Asian American emerging adults' emotional responses (fear, empathy) to anti-Black racism in disrupting anti-Blackness at parental/family and individual levels.

"You Can't Let Go" - A Black Community Leader's Perspective on Engagement and Advocacy.

Lanre Tunji-Ajayi is president and CEO of the Sickle Cell Awareness Group of Ontario (SCAGO). This charitable organization focuses on ameliorating the lives of those living with sickle cell disease by providing evidence-based support to patients and supporting clinical and psychosocial research, health promotion and the development of best practice guidelines. Lanre's passion for this work is personal. Following the death of her brother Sunday Afolabi from preventable and treatable complications of sickle cell disease, Lanre immersed herself in advocacy for community health and quality patient care. In this oral history narrative, Lanre reflects on her decades-long journey advocating for those living with sickle cell disease - a disease which disproportionately affects Black people. Her reflections focus acutely on the challenges she has faced in raising awareness and visibility, including through formal public engagement policy processes. Lanre also speaks to the personal costs she has encountered engaging in this advocacy work and the subtle and institutionalized forms of anti-Black racism that have punctuated this already difficult effort to bring about change.

Perception Matters: The Influence of School Ethnic Racial Context on Ethnic Racial Identity Development for Black Adolescents.

In the current study, latent growth curve modeling is used to explore growth in ethnic-racial identity (ERI) commitment from 9th to 12th grade as a function of two aspects of the school ethnic-racial environment-perceived representation among peers and perceived discrimination from peers. The participants included 237 students that self-identified as African American (Mage = 14.7; 50% female). The results showed that perceiving more Black peers at school buffered the negative impact of racial discrimination from peers on ERI commitment. Further, the positive impact of perceived representation remained significant even after controlling for other markers of school ethnic-racial context including objective representation and school ethnic-racial diversity. The findings have implications for the environmental factors that support ERI development as well as how we study and conceptualize the influence of the school ethnic-racial environment.

Study on the Interactive Mechanism between Racism and Terrorism in Europe

Given the growing racial and religious tensions in Europe and the frequent occurrences of terrorist activities, studying the correlation between the two can provide a theoretical basis for preventing terrorist activities. This study aims to explore the logical relationship and interaction mechanism between them. Taking the Paris terrorist attack in 2015 as an example, adopting the analytical dualism theory, this paper analyzes the mutual influence paths between racial discrimination and terrorist activities and discusses from cultural and structural perspectives the conditions under which racism becomes the hotbed for extremism, as well as the ways terrorist organizations manipulate racial issues to expand influence. The study concludes that racial divides in Europe provide a real basis for the spread of extremism, while extremist organizations also manipulate racial, customary, and religious emotions through online and offline means to expand influence, and the two reinforce each other. To thoroughly break this vicious cycle, positive multicultural identity needs to be promoted, structural discrimination between races needs to be eliminated at the social system level, and the independent thinking abilities and subjectivity of minority ethnic groups need to be enhanced to block the conduction of resentful emotions towards terrorism at its root.

Racism on Trial in U.S. Symphony Orchestras

Abstract This essay examines how racial discrimination operates under the surface and through the guise of preserving musical excellence, as exemplified through the 1969 lawsuit filed by double bassist Arthur Davis and cellist Earl Madison charging the New York Philharmonic with racial discrimination in hiring practices. Analyzing the narratives that emerged during the 1969 hearings around artistic merit, racial discrimination, and screened auditions, I argue that the New York Philharmonic weaponized musical excellence as a pure entity abstracted from race and other social categories in order to claim that its sanctity required protection from societal charges of discrimination. Notably, these same legal arguments were used in a subsequent case in which timpanist Elayne Jones charged the San Francisco Symphony with discrimination on the basis of race and sex following her tenure denial in 1974. Placing these two cases in conversation not only illuminates the tenacity and power of discriminatory ideas and practices in U.S. orchestras, but it also demonstrates how the experience of fighting legal battles reverberated personally and professionally for Black classical musicians. These lawsuits exacted a significant toll on Davis, Madison, and Jones, each of whom was sacrificed at the altar of change that, decades later, has yet to come.

The Complex Dynamics of Indigenous Education in Mid-Twentieth-Century: Ecuador as a Theater for Political Debate

Abstract Activists in Ecuador established in the 1940s what have come to be remembered as the country's first Indigenous-run bilingual schools. Or at least this is the image that their founders presented when reflecting back on their achievements years later, and what has become fixed in the minds of subsequent educators. Archival records, however, present a more complicated picture. Rather than as “Indigenous” or “bilingual,” the recently formed Federación Ecuatoriana de Indios (Ecuadorean Federation of Indians) had created them as “syndicate” schools to mobilize against the racial discrimination and economic exploitation that agricultural workers faced on government-owned haciendas. In the process, organizers came into conflict with government policies that mandated the creation of public schools in rural communities and on haciendas. The competing school systems became an arena in which public policy debates were carried out with ramifications that extended to rival notions of how society should be properly organized.

“It’s Not About Numbers, It’s About Power”: How Latino Young Adults Imagine the Ethnic and Racial Demographic Future of the United States

The ethnoracial composition of the United States has been changing rapidly in recent decades, a trend expected to persist into the foreseeable future. While quantitative studies have investigated individual attitudes about these shifts, we know little about Americans’ more nuanced and complex views about the projected growth of Latinos, Blacks, Asians, and others in the United States and the decline of non-Hispanic Whites over the next 25 to 30 years. Drawing from research about ethnoracial demographic sentiments, the sociology of the future, and U.S. generations, we offer the first qualitative exploration of how Americans imagine the country’s ethnoracial demographic future. Our analyses of intensive interview data gathered from 91 U.S.-born Latinos aged 18 to 29 in Arizona in Winter 2021 focus on how Latino Gen Z and Millennials talk about this future. Latino young adults express optimism about a more heterogeneous nation in 2050 and imagine impacts on diversity, politics and political power, and racial discrimination. However, their optimism is tempered by skepticism about whether population growth among people of color will lead to lasting and meaningful changes, given U.S. history and existing structural inequalities. Latino Gen Z and Millennials also express concerns about current and future White responses to these population dynamics. Understanding how young adults in the United States envision the country’s ethnoracial demographic future has important social, political, and economic implications.

Urban Black adolescents' victimization experiences: The moderating role of family factors on internalizing and academic outcomes.

This study investigated the moderating role of family factors on victimization experiences and internalizing and academic outcomes. Data (collected 2017-2019) on 471 Black urban ninth graders (51% male; Mage = 14 years) with elevated externalizing symptoms were analyzed and we explored how the interaction between (self-reported) racial socialization, parent relations, and (teacher-reported) family academic involvement and (self-reported) violence exposure, racial discrimination, and (teacher-reported) bullying potentially influenced (student- and teacher-reported) anxiety and depression, and (student-reported) academic engagement and negative school attitudes. High racial socialization and parent relations were associated with lower internalizing symptoms for youth with discrimination and heard violence, respectively. High academic involvement and parent relations were linked with higher internalizing symptoms for youth with discrimination and high parent relations were linked with higher anxiety for bullied youth. Racial socialization and parent relations may help offset the potential influence of discrimination and heard violence, respectively, for adolescents.

NO MEIO DA GUERRA E DO RACISMO: O PAPEL DA MÍDIA NA CONSTRUÇÃO DE NARRATIVAS DA RÚSSIA X UCRÂNIA E SUAS IMPLICAÇÕES SOCIAIS

The article analyzes how the international media demonstrates structural and institutional racism in its coverage of global conflicts, focusing especially on the unequal attention given to wars in developed countries compared to crises in peripheral regions. Using a qualitative and exploratory approach, the research examined news and advertisements from recent wars, revealing that the media tends to prioritize tragedies involving white Europeans, while marginalizing conflicts in impoverished countries. The results show that this unequal coverage perpetuates a selective commotion, highlighting racial and social prejudice in the media narrative. The conclusion is that in order to promote fairer coverage, it is essential for the media to value all lives equally and re-evaluate its practices, combating the institutional and structural racism present in its operations.

Comments on Suraj Yengde’s lecture

Emerging out of religious conflict in early modern Europe, the terms race and caste as we understand them today went on to define hierarchical relations in different parts of the globe. Yet, they have never completely parted ways and Suraj Yengde’s essay explores these hidden connections in the use that American sociologists made of both categories. They generally did so by setting one term against the other in the attempt to account for racial discrimination in the United States. Race and caste were mediated by class in these debates, a category seen as being more modern and progressive than either of them. The comments that follow argue that caste and race are not simply the precursors of class and continue to interact with each other without the latter’s mediation. Anti-race and anti-caste politics are also more connected to religious forms of universality.

Abstract A155: Perceived interpersonal racism in healthcare settings and cancer screening

Abstract Introduction: Black and Hispanic people frequently report that perceptions of their race or ethnicity underlie racist and discriminatory experiences in many settings. In the healthcare field, these interpersonal racist experiences can severely impact the decision to receive care and the general health of the patient. Previous studies assessing the role of perceived racial discrimination in the healthcare setting and cancer screenings struggled with low sample sizes that precluded meaningful conclusions. Also, a methodological issue not considered in prior studies is the large degree of uncertainty reported by racialized groups in their assessment of perceived racism and its relevance to the measurement of this construct. In response to these data limitations and newly available nationally representative Behavioral Risk Factor Surveillance System data, we assessed the relationship of perceived racial discrimination in the healthcare setting associated with timely cancer screening across racial/ethnic groups. Methods: Data was collected from the 2022 Behavioral Risk Factor Surveillance System, which is a nationally representative state level population-based household survey with 28 states and the District of Columbia administering the optional modules assessing perceived racial discrimination. Perceived racism in healthcare was measured with the question: “Within the past 12 months when seeking health care, do you feel your experiences were worse than, the same as, or better than for people of other races?”. The outcomes were USPSTF recommendation concordant up-to-date colorectal, cervical, and breast cancer screening. Survey weighted logistic regression models adjusted for age, sex, education, and state estimated prevalence differences stratified by race/ethnicity. Results: Colorectal, cervical, and breast cancer screening were lower in White persons who reported worse (aPD vs. "better": -11.6%, -15.8%, -19.3%) and uncertain (don’t know) experiences of racial discrimination (aPD vs. "better": -7.4%, -4.1%, -5.0%). Among Black people, colorectal and cervical screening were only lower in those reporting uncertain experiences (aPD vs. "better": -10.8% and -12.0%). Among Hispanic persons, breast cancer screening prevalence was lowest in those who reported uncertain and worse racial discrimination (aPD vs. “better”: -12.4% and -15.9%). Conclusions: In this large generalizable sample, perceived racial discrimination in the healthcare setting was associated with cancer screening for both White and Black persons, but in different ways. Worse interpersonal racism in the healthcare setting was associated with lower cancer screening in White persons; but being uncertain relative to other race groups was largely associated with worse cancer screening among Black persons. Uncertainty in self-reported, racist experiences must be considered in institutional efforts to measure and address racism in healthcare settings. Citation Format: Jessica Star, Priti Bandi, Kilan Ashad-Bishop. Perceived interpersonal racism in healthcare settings and cancer screening [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A155.

Abstract B156: Exploring identity-specific stressors among Black women with a family history of cancer

Abstract Background: Compared to women of other racial/ethnic groups, Black women are more likely to be diagnosed with aggressive subtypes of breast cancer (including triple-negative breast cancer), diagnosed at younger ages, diagnosed at more advanced stages, and have higher mortality rates and poorer survival outcomes. Black women also experience higher rates of breast cancer recurrence, which further exacerbates the survival disparities. These disparities are influenced by a complex interplay of genetic, environmental, and social factors, including chronic stress and discrimination. Understanding identity-specific stressors will help identify potential risk factors impacting breast cancer outcomes among Black women.Objective: This study aims to identify common stressors among Black women aged 18 to 49 with a family history of cancer, exploring potential links to breast health risk. Methods: We conducted a grounded theory study, including qualitative interviews from Black women in the Augusta, Georgia, area (N=47) discussing life as a Black woman and sources of stress. Participants with a close family history of cancer (defined as having at least one first- or second-degree relative diagnosed with cancer) were selected for this analysis (n=22). We applied the Sort & Sift, Think & Shift method for analysis. Results: We identified three categories in response to the research question, including healthcare access barriers and medical invalidation (particularly in rural communities), intergenerational trauma, and Strong Black Woman persona (characterized by independence, emotional suppression, and a tendency to care for others while neglecting their own needs). Participants described these categories in reference to themselves and their female family members with cancer. Participants reported stress related to jobs and caregiving responsibilities, lack of adequate social support, lack of time and finances necessary for self-care, and racial discrimination in medical settings. Conclusion: The identified stressors highlight the complex interplay between familial cancer history and daily stress experiences among Black women. These findings suggest the need for targeted interventions to mitigate stress and potentially reduce breast cancer risk. Further research is warranted to explore these themes in relation to breast cancer outcomes. Citation Format: Samantha R. Jones, Debbynie Barsh, Kathleen McIntyre, Christy J.W. Ledford. Exploring identity-specific stressors among Black women with a family history of cancer [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B156.

Abstract B149: Investigating Disparities in Cost-Associated Barriers to Medication Adherence in Breast Cancer Survivors in the National Institutes of Health All of Us Research Program

Abstract Purpose: Medication adherence (e.g., endocrine therapy, antihypertensives) during survivorship remains suboptimal. Racial disparities in medication adherence continue to persist, yet reasons for this disparity are not fully understood. This study aimed to assess racial differences in cost-associated barriers to medication adherence. Methods: This cross-sectional analysis utilized data from the National Institutes of Health All of Us Research Program. Cohort eligibility included identifying as Black/African American or White, being at least 18 years old, and having a diagnosis of breast cancer. Survivors must have completed the Healthcare Access and Utilization survey, a validated assessment of factors impacting healthcare behaviors. Comparisons between patient characteristics (e.g., age, annual income, marital status, employment, education, etc.) and survey responses were analyzed by race using Pearson’s chi-square tests. Univariable and multivariable logistic regression models were fitted to investigate the unadjusted and adjusted associations of cost-related barriers to medication adherence and race. Results: Among the 1,840 breast cancer survivors included in this cohort, the mean age was 63.8 (standard deviation (sd) = 10.4). The majority of survivors were White (94.3%) (5.7% Black), married (58.9%) and unemployed (57.4%). The mean score for racial discrimination in healthcare was 10.3 (sd = 3.8) (range = 7 - 35). Most survivors did not report any cost-related barriers to adherence (74.9%); however, 19.5% of survivors asked their doctor for lower cost medication to save money. When compared with White survivors, a higher proportion of Black survivors reported that they could not afford prescription medicines (6.5% vs. 12.4%). In the multivariable model, no significant association by race was observed (p=0.387). Survivors who reported annual household income levels above $50k were less likely to report cost-reported barriers when compared to survivors who reported a household income of <$25k (p<0.001). Each one-point increase in perceived discrimination in healthcare increased the odds of reporting a cost-related barrier to adherence by a factor of 1.10 (95% confidence interval: 1.07, 1.13). Conclusions: Although racial differences were not noted for overall cost-related barriers, results highlight a need to understand nuanced differences in perceived cost-related barriers to adherence and how survivors navigate those differences. Further research is needed to understand providers’ roles in encouraging medication adherence and how discrimination in healthcare may serve as a barrier to adherence. Citation Format: Arnethea L. Sutton, Jian He, Lakeshia Cousin, Keesha Powell-Roach, Mandy J. Hill, Wendy Bottinor. Investigating Disparities in Cost-Associated Barriers to Medication Adherence in Breast Cancer Survivors in the National Institutes of Health All of Us Research Program [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B149.