Black Respondents Research Articles

The Influence of Group Identification and Morality in Support for Defunding the Police

There is very little research regarding what factors drive support for defunding the police. Using the theoretical framework of the Group Engagement Model and the Moral Foundations Theory, this study explores if and how race, group identification, and morality shape support for defunding the police. Results indicated that increased superordinate identification and binding moral foundations reduced support for defunding the police among White respondents. For Black respondents, increased subordinate identification explains their increased support for defunding the police. Attachment to one’s racial group and concerns for its welfare coupled with moral intuitions driven by care and fairness toward victims of police brutality who are disproportionately Black explains why Blacks Americans began and support calls to defund the police.

Medical mistrust and vaccine-hesitant attitudes explain SARS-CoV-2 vaccination disparities in a mixed-serostatus cohort.

To understand the extent of racial disparities in SARS-CoV-2 vaccination among PWH and those vulnerable to HIV infection and to estimate the contributions of medical mistrust and vaccine-hesitant attitudes to these disparities. Quantitative data analyses in a racially and gender diverse, mixed-serostatus prospective cohort, the MACS/WIHS Combined Cohort Study. Interviewer-assisted questionnaires assessed SARS-CoV-2 vaccination, medical mistrust, and vaccine-hesitant attitudes from March 2021-September 2022 (n=3948). Longitudinal analyses assessed effects of sociodemographics on medical mistrust and vaccine-hesitant attitudes. A hierarchical multivariable logistic regression assessed effects of these co-factors on SARS-CoV-2 vaccination. Causal mediation models assessed whether a) medical mistrust mediated the relationship between Black identity and vaccine-hesitant attitudes, and b) vaccine-hesitant attitudes mediated the relationship between Black identity and SARS-CoV-2 non-vaccination. Participants' mean age was 56.7; 55.3% were Black, 52.6% cisgender female, 62.6% PWH. 10.1% reported never receiving SARS-CoV-2 vaccinations (13.4% of Black and 4.5% of white participants). Black-identified participants had higher odds of non-vaccination than white participants (aOR = 1.72; 95% CI: 1.08, 2.72). Medical mistrust mediated the relationship between Black identity and vaccine-hesitant attitudes, accounting for 46.0% of the effect (p < 0.0001). Vaccine-hesitant attitudes mediated the relationship between Black identity and SARS-CoV-2 non-vaccination to the extent that 57.7% (95% CI: 25.3%, 90.1%) of the disparity would be eliminated if vaccine-hesitant attitudes among Black respondents were reduced to levels reported among other racial groups. Findings indicate a profound need to build trustworthy healthcare environments to combat medical mistrust and vaccine-hesitant attitudes in Black communities in the U.S, including those affected by HIV.

Mother knows best: how working mothers influence gender and racial differences in educational expectations for graduate school

Educational expectations have increased over time in the United States. Most adolescents expect to earn a bachelor’s degree and a graduate or professional degree. Although past research has generally agreed on the status-attainment perspective to understand educational expectations, these frameworks are limited in terms of the type of parental resources they address, as well as inattention to the intersection of gender and race over time. We address these gaps and investigate variations in youths’ expectations for graduate school by mother’s employment status, gender, and race using Monitoring the Future data from twelfth graders from 1976 to 2019. We find that mother’s employment status positively influences women’s graduate school expectations more than men’s across all racial groups we examine with young Black women holding the highest graduate school expectations. We also find that maternal employment patterns graduate school expectations over time but only for White respondents. Black respondents hold higher expectations, but this trend is stable across maternal employment status.

Telephone Survey-Reported Perceptions of Telehealth Visits Among Black and Non-Black Patients Diagnosed With Cancer.

Empirical evidence underscores both benefits of telehealth visits and persistent disparities in use for Black adults. Guided by the Technology Acceptance Model, we evaluated perceptions regarding telehealth visits among Black and Non-Black adults receiving cancer care from two academic health systems. Between April 2022 and October 2023, a survey was conducted among adult patients treated for cancer in the past 3 years. Survey recruitment was stratified by visit type (telehealth or in-person) and race. Before a scheduled oncology visit, respondents completed a telephone survey to assess their perceptions of usefulness, ease of use, and attitudes toward telehealth visits. Frequency differences were estimated using chi-square tests, and prevalence differences using logistic regression. The survey was completed by 773 respondents (42% Black) with a 15% response rate. Black respondents were younger and less likely to report male sex, being married, having a college education, comfortable income, or confidence in medical and e-literacy. Compared with Non-Black respondents, Black respondents perceived telehealth visits as less useful for determining health needs (37% v 48%) and asking questions (9% v 15%). They thought that telehealth visits were less easy with regard to understanding their health care provider (14% v 21%) and the ability to connect (23% v 30%). Black respondents expressed more concern about internet access (26% v 15%), access to electronic devices (17% v 9%), and finding assistance for connecting (24% v 12%). They also found telehealth visits to be less private (19% v 34%). Racial differences in telehealth ease of use and usefulness perceptions highlight the need for oncology practices to couple connectivity support with effective communication strategies to avoid disparities in oncology telehealth services.

Reducing Racial Asymmetries in the Survey Overestimation of Voter Turnout

Abstract Research has consistently demonstrated that Black respondents are more likely than their White counterparts to overstate their plans or previous decisions to vote. We propose that by using a single question regarding turnout intention and candidate preference (rather than the typical approach of using two separate questions), survey researchers can reduce these racial asymmetries. The reason, we suggest, is that doing so encourages Black respondents to consider the turnout question through the lens of candidates and parties, rather than as a civic responsibility they have toward other Black Americans, which therefore mitigates the social desirability bias that leads to overestimation. We evaluate this argument using a survey experiment that randomly asks a control group of survey respondents to answer two voting questions—one about turnout and one about vote choice—and asks the other half of the sample, the treatment group, a single question that combines the two. Using original data from a nationally representative survey, we find that using the single turnout/preference question reduces the racial asymmetry in turnout overestimation substantially. We further observe that the decrease is concentrated among respondents with relatively high levels of campaign indifference and especially racial civic consciousness, a condition that is much more common among Black respondents than among White respondents. We believe these findings are particularly relevant to election scholars and campaign professionals, given their focus on understanding the thought processes of survey respondents and prospective voters, as well as improving the validity of self-reports in survey research.

The Curious Case of Black “Conservatives”: Assessing the Validity of the Liberal-Conservative Scale among Black Americans

Abstract Many Black Americans identify as conservative on surveys, despite their allegiance to the Democratic Party. Prominent theoretical accounts claim this mismatch results from identity-based considerations. I revisit this long-standing puzzle and offer an alternative explanation with broad implications for studying political attitudes and behavior across the social sciences. Leveraging data from the American National Election Studies, I demonstrate that the terms “liberal” and “conservative” are unfamiliar to many Black Americans, compromising the usefulness and validity of the liberal-conservative scale for Black respondents. Respondents unfamiliar with these terms misapply them and choose ideological labels that fail to align with their partisan preferences. Consequently, scholars and political actors make incorrect and imprecise inferences about the contours of Black politics. Findings also raise new concerns about the generalizability of claims that rely on ideological self-identification measures, including popular claims about mass polarization and partisan-ideological sorting among the American public. Critically, this work suggests a need for caution when using concepts that vary in their meaningfulness across social groups.

Public perceptions of opioid misuse recovery and related resources in a nationally representative sample of United States adults.

To understand how the US public defines recovery from opioid misuse and the recovery-related resources it views as most helpful, and to compare differences by opioid misuse history and demographic characteristics. Observational study of data from the nationally representative AmeriSpeak® Panel survey administered in October/November 2021. United States. 6515 adults (≥ 18 years). Respondents ranked 10 definitions of recovery (religious in nature; spiritual in nature; physical/mental in nature; contributing to society; enhanced quality of life; seeking professional help; having a sense of purpose; moderate/controlled substance use; no drug use; abstaining from all substance use) and 9 resources that might contribute to recovery (primary care physician; intensive inpatient program; residential rehabilitation program; self-help group; therapist/psychologist/social worker; prescribed medication; talking to family/friends; spiritual/natural healer; faith-based organization). We explored differences in rankings by opioid misuse history (personal vs. family/friend vs. no history) and demographic characteristics (race, sex, age) using multivariable ordinal logistic regression. Seeking professional help was the most endorsed recovery definition overall [mean (M) = 6.97, standard error (SE) = 0.03]. Those with personal opioid misuse history ranked enhanced quality of life (B = 0.16, P = 0.049) and having a sense of purpose (B = 0.16, P = 0.029) significantly higher, and ranked abstaining from substance use (B = -0.20, P = 0.009) significantly lower as recovery definitions than those without a history of opioid misuse. Compared with White respondents, Black (B = 0.60, P < 0.001) and Hispanic (B = 0.55, P < 0.001) respondents defined recovery as more religious in nature. Residential rehabilitation program was identified as the most helpful resource for recovery (M = 7.16, SE = 0.02), while prescribed medication received a relatively low ranking overall (M = 4.05, SE = 0.03). Those with family/friend opioid misuse history ranked prescribed medication as less helpful than others (B = -0.14, P = 0.003). The general US public's views around recovery from opioid misuse appear to focus on abstinence and formal treatment receipt, while people with a history of opioid misuse place less emphasis on abstinence and greater emphasis on other aspects of well-being.

Demographic variation in preferred sources for suicide prevention and mental health crisis services among U.S. adults

IntroductionRecent federal policy initiatives (e.g., 988 Lifeline, Certified Community Behavioral Health Clinics) aim to increase access to mental health crisis services. The objective of this study was to determine the prevalence and correlates of U.S. adults reporting being “very likely” to reach out to different sources if they/a loved one were experiencing suicidality or a mental health crisis. MethodsA nationally representative Ipsos KnowledgePanel survey of 5,058 U.S. adults (response rate = 55.0 %) in English and Spanish was conducted in June 2023. Multivariable logistic regression models assessed the reported likelihood of reaching out to five different sources of support in a crisis, controlling for past 30-day psychological distress and demographic characteristics. ResultsOne-in-four respondents (27.8 %; 95 % CI = 26.5 %, 29.0 %) were very likely to reach out to a crisis line and 33.6 % (95 % CI = 32.3 %, 34.9 %) were very likely to reach out to a mental health professional. A friend/family member was the most frequently identified source of support (44.7 %; 95 % CI = 43.4 %, 46.1 %). After adjustment, people of younger ages, male gender, and identifying as Republican had significantly lower odds of reporting being very likely to reach out to a crisis line and mental health professional. Black and Hispanic respondents had significantly higher odds of reporting being very likely to reach out to a crisis line and someone in their religious network than non-Hispanic Whites. ConclusionsMost U.S. adults report not being very likely to reach out to a crisis line or mental health professional if experiencing suicidality/crisis, although variation across demographic groups exists.

Trends in racial/ethnic and geographic disparities in substance use disorders mortality in the United States, 2000-2019.

Substance use disorders (SUD) are a major public health concern in the United States. This study examined racial/ethnic and state-level disparities in SUD mortality in the United States from 2000 to 2019. Age-standardized mortality rates for SUD were obtained for 5 racial/ethnic groups (White respondents, Black respondents, Latino, Asian-Pacific Islander [API], American Indian/Alaska Native [AIAN]) by state and sex from 2000 to 2019. Joinpoint regression analysis was used to model temporal trends overall and by demographic factors. From 2000 to 2019, the overall mortality rate increased from 8.0 to 28.8 deaths per 100,000 population across all groups. AIANs had the highest mortality in 2019 (57.8 per 100,000), followed by Black respondents, White respondents, Latinos, and APIs. Significant increases occurred across all racial/ethnic groups, with the greatest average annual percentage change (AAPC2000-2019) among White respondents (6.7%; 95% confidence interval [CI]: 6.2%-7.3%), APIs (6.0%, 95% CI: 5.6%-6.2%), and AIANs (5.9%, 95% CI: 5.6%-6.2%). Mortality rates increased more rapidly for females than males among White respondents, AIANs, Black respondents, and Latinos. Substantial state-level variation emerged, with the highest mortality rates in 2019 seen in West Virginia, the District of Columbia, Delaware, Ohio, and Pennsylvania. Racial/ethnic and geographic disparities in SUD mortality have widened significantly from 2000 to 2019, highlighting priority areas for prevention efforts. This study provides detailed insights into long-term trends in racial, ethnic, and geographic disparities in SUD mortality across the United States, informing targeted prevention and intervention strategies.

US FDA Advisory Panel Members’ Assessment of Premarket Approval Process and Suggestions for Improvement

The manufacturing and marketing of medical devices is regulated by the US Food and Drug Administration (FDA), and the FDA premarket approval (PMA) process evaluates the safety and effectiveness of medical devices. The PMA process includes a detailed scientific, regulatory and quality system review and is critical to ensure that novel devices are safe, effective, and meet the needs of patients. To survey current voting members serving on panels of the FDA's Medical Devices Advisory Committee to better characterize panel decision-making and identify steps for improvement. This qualitative survey study included 36 questions that were mailed to FDA device panelists regarding their opinions on the influence of sources of information, pivotal trial design, quality of evidence, panel composition and internal deliberative process, time allocation, and impartiality of the FDA. The survey was mailed to the members of all 18 FDA device panels in January and February 2017. Data were collected from January to May 2017 and analyzed from 2018 to 2019. Respondents read and returned the aforementioned paper survey, while nonrespondents did not. The main outcomes included panel members' perceptions, and their implications for process improvement. χ2 or Fisher exact tests were used to test differences between subgroups. Of 64 of 92 panel members who responded (69.6%), 38 of 64 (59.4%) were male, 3 of 63 (4.8%) were Black respondents, 46 of 63 (73.0%) were White respondents, and 36 of 60 (60.0%) were in academic practice. The mean (range) panel service was 6.8 (1-22) years with 3.9 (1-19) meetings attended. Overall, respondents considered information presented by the FDA unbiased, and 28 of 61 (45.9%) believed that pivotal trials were frequently well-designed, 55 of 62 respondents (88.7%) suggested FDA consult panel members preemptively regarding trial design and 54 of 64 (84.4%) regarding the device label. Most indicated that prior FDA approval of another device serving the same medical purpose (43 of 62 [69.4%]) or approval in other countries with comparable regulatory regimes, such as Canada and Europe (39 of 62 [62.9%]), would make them more likely to recommend approval. Respondents rated written information (50 of 60 [83.3%]), live presentations (43 of 58 [74.1%]), and prior professional knowledge (41 of 60 [68.3%]) as the most important sources of information in deciding whether to recommend approval. Additionally, 52 of 58 respondents (89.7%) recommended that a panel member-only executive session would allow more clarity and honesty in deliberations, and 33 of 59 (55.9%) believed a three-fourths majority appropriate for recommending approval, which would be a deviation from the current system in which an overall vote is reported without designation of a vote threshold. In this survey study of FDA device panel members, respondents wanted improved study designs, more relevant clinical data, including from other countries, involvement of panelists in study design and device label development, and inclusion of an executive session. Demographically, panels could be made more diverse.

Socio-demographic disparities in the familiarity with coastal climate adaptation strategies: implications for coastal management and climate justice

AbstractPublic preferences for coastal climate adaptation strategies have been increasingly documented in the face of climate change and sea-level rise in coastal regions worldwide. However, empirical evidence of whether the public is familiar with these strategies remains unclear. In this study, we conducted an online survey among residents in three coastal counties in Southeast Florida, the United States to elicit households’ familiarity with different coastal climate adaptation strategies and examine the socio-demographic disparities. Using a multinomial logit model, we find that although most respondents are familiar with coastal climate adaptation strategies, socio-demographic disparities in the level of familiarity are evident. Specifically, Black respondents are significantly less likely to be familiar with coastal climate adaptation strategies when compared to their White counterparts. Moreover, having college degrees or more advanced degrees significantly increases the respondents’ probability of being very familiar with these strategies. Respondents’ risk perception and their awareness of current flood risk also significantly influence their familiarity with coastal climate adaptation strategies. Since adaptive planning often overlooks equitable access, and local support is essential for implementing climate adaptation strategies, our results can provide insightful policy implications for coastal management. A lack of familiarity with coastal climate adaptation strategies among marginalized and vulnerable populations can lead to insufficient support for these strategies aimed at mitigating climate risks, exacerbating the issue of climate justice.

Understanding consumption and purchase of tap water and diverse tap-alternative drinking water sources in Detroit, Michigan

ABSTRACT Several gaps remain in understanding individuals' water consumption reliance outcomes in disadvantaged communities. We utilize a cross-sectional sample of household-level survey data from predominantly low-income, minoritized households in Detroit, MI, to examine the relationship between tap and tap-alternative drinking water consumption and purchase behavior. We collected survey data from one English-speaking adult per household in May–October 2021 (n = 259). Consistent with past studies, tap water consumption is negatively correlated with single-use bottled water consumption and consuming drinking water from multiple sources. We also find tap distrust is correlated with tap-alternative water consumption, yet there is a surprising positive relationship between tap and overall bottled water consumption levels. Very low-income households were more likely to rely on bottled water and multiple other water sources simultaneously. Female respondents reported lower levels of most types of water consumption. Black respondents reported lower tap water and bottled water consumption but had higher levels of other tap-alternative source consumption. Our results call into question whether higher tap water consumption is synonymous with tap trust or with reduced bottled water consumption. Public health interventions must further address high levels of bottled water consumption among low-income individuals, and low tap water consumption among Black individuals.

Exploring Effects of Race and Differential Item Functioning on PrEP Stigma Experiences: Implications for Latent Stigma Measurement in Racially and Sexually Diverse Populations.

PrEP stigma measurement remains a challenge to the validity of studies and interventions addressing HIV prevention. It may lead to inaccurate assessment of the relationship between PrEP stigma and health outcomes such as PrEP persistence and care retention in groups experiencing HIV-related inequities. The present research explored the psychometric properties of a novel IV pre-exposure prophylaxis (PrEP) stigma scalein a cohort of racially diverse men who have sex with men (MSM). Using item response theory, analyses explored presence of differential item functioning (DIF)among Black and White respondents. Participants completed baseline surveys measuring psychosocial factors, sociodemographic factors, and PrEP stigma items. The primary analysis used a machine learning approach to assess (a) the presence of DIF; and (b) compare latent stigma between Black and White respondents, after correcting for any DIF. The model identified four out of 13 scale items as having a high probability of DIFfor Black respondents, which is relatively good given that the original PrEP stigma scale was neitherdesigned nor tested for validation comparing Black and White respondents. The DIF-adjusted latent PrEP stigma measure reveals statistically and substantially significantly higher levels of stigma for Black compared to White respondents (Diff.: 1.05 +/- 0.19). While most items performed well, findings demonstrate the importance of assessing measurement error in populations where stigma is rampant and being studied or intervened upon (and in this case, where multilevel and intersectional stigma may be present).

Healthcare Disparities in Telemedicine Access and Use During the COVID‐19 Pandemic

ABSTRACTThis study investigates disparities in telemedicine access and use among racial groups in the United States during the COVID‐19 pandemic. Our analysis of a dataset from the National Center for Health Statistics (NCHS) reveals that telemedicine access and use varied significantly across racial groups, which the NCHS categorized as “Black,” “Hispanic,” “White,” or “Other.” Hispanic respondents were more likely to lack a regular place of care, which might explain their lower access to telemedicine, relative to other groups. White respondents reported relatively high telemedicine access. Black respondents also reported relatively high rates of telemedicine use, contrary to the literature suggesting lower healthcare access among African Americans. Findings underscore the need for public health agencies to disseminate information about telemedicine to all community members. We suggest future research exploring the socioeconomic barriers impacting individuals' ability to access and use telemedicine.

Creating scalable health equity and quality improvement frameworks: Evaluating the impact of a cancer screening awareness campaign for reducing disparities in Black and Hispanic women.

75 Background: Cancer disparities persist for Black and Hispanic women. Quantifiable learnings from early detection efforts may help inform future health equity initiatives and improve patient outcomes. This study describes survey results measuring the effectiveness of Love Letters for Cancer Screening for Women of Color, an awareness campaign using representative artwork and letters created “for the community, by the community,” within a quality improvement framework. Methods: Genentech and IQVIA deployed a survey at community health events hosted by partner organizations Weill Cornell Medicine and the American Cancer Society. The survey (fielded in English and Spanish) evaluated the impact of this health equity campaign on perceptions of cultural representation, cancer screening awareness, and motivation to act. In-person responses were compared with responses from an online control group in the broader NY metro area. Participants gave informed consent, and modest compensation was provided upon survey completion. This study was not powered for statistical significance. Results: Responses from 317 participants (117 in person; 200 online) showed that this campaign successfully resonated with target demographics of Black and Hispanic women both in person and online, demonstrating the positive impact of this community-based campaign. The campaign was effective at motivating Black and Hispanic respondents to act, with 74% reporting they would schedule a cancer screening, and 75% reporting they would talk to friends or family. Among respondents with self-reported low health literacy, 85% reported feeling more knowledgeable. Overall, in-person engagement was more meaningful than online engagement, highlighting the importance of partnering with community organizations for live events. Conclusions: Partnerships across patient, community, industry,and provider organizations are key to advancing cancer health equity and overcoming health disparities in historically marginalized, underserved populations. These survey results support cocreation and co-implementation of culturally tailored awareness campaigns with measurement frameworks to achieve quality improvement and health equity goals. Respondents who “agreed” or “completely agreed”. The campaign respects/reflects my culture and community Felt inspired to act around cancer screening for myself/my loved ones Will share information and/or materials about campaign with others Will talk to family and/or friends about cancer screenings Will speak to my HCP about cancer screenings Will schedule a cancer screening appointment for myself Black In-person (n=64) 75% 89% 77% 80% 77% 75% Online (n=20) 65% 75% 50% 70% 60% 60% Hispanic In-person (n=28) 82% 86% 79% 82% 75% 82% Online (n=20) 70% 70% 60% 70% 60% 65%

Interracial interaction, park ownership, belonging, community asset, and perceived provision of cultural ecosystem services

Public urban parks contribute fundamentally to social and ecological functioning of modern cities, and enhance human wellbeing through associated ecosystem services, including cultural ecosystem services (CES). This study was conducted to understand how components of interactional justice contribute to users’ perceptions of how well CES are provided in public parks. This paper therefore explores the possibility of parks’ contribution to sense of ownership and belonging, and their place as community assets, as potential catalysts for CES. Data came from an online survey distributed to adult residents of St. Louis, Missouri, USA in spring-summer of 2019. Black respondents reported more positive park interactions than white respondents. Positive interactions in parks were positively related to all dependent variables, while negative interactions were negatively related to belonging and community asset, but positively related to perceived provision of CES. Only community asset was positively related to perceived provision of CES. Results suggest that residents perceive the provision of CES differently based on the quality of interactions with others in their community parks. Additionally, feeling that the park is a community asset contributed positively to users’ perceptions of CES associated with it. This finding indicates that the social and cultural components of a community park relate to how well that space is perceived to deliver cultural environmental benefits. As these interactions influence relationships to and use of the park itself, it is implied that interactional justice plays an important role in determining how effective urban parks are in delivering CES.

Indigenous, Black, and Latine Adolescents Disproportionately Experience Barriers to Pediatric Gender-Affirming Care

Although prior studies have explored the barriers that transgender and nonbinary (TNB) adolescents experience in receiving gender-affirming medical care (GAMC), few have sought to understand how these barriers may differ among racial and ethnic minority groups. Accordingly, this study used data from a survey of TNB young adults (ages 18–20 years) to explore how barriers to GAMC during adolescence varied by race and ethnicity. Differences in the impact of 11 potential barriers when comparing the members of each racial and ethnic group with those who did not identify with that racial or ethnic group were evaluated usingttests. The results showed that Indigenous respondents indicated that parental unwillingness to consent for GAMC and attend a clinic visit and not being able to find a clinic contributed significantly more compared with those who did not identify as Indigenous. Black respondents indicated that not knowing it was possible to receive GAMC during adolescence and previous negative experiences in healthcare related to race or ethnicity contributed significantly more to their inability to receive GAMC during adolescence compared with those who did not identify as Black. Latine respondents indicated that parental unwillingness to consent for GAMC and attend a clinic visit, worries about cost, and previous negative experiences in healthcare due to race or ethnicity contributed significantly more compared with those who did not identify as Latine. Overall, the results suggest disproportionate barriers in access to GAMC during adolescence among Indigenous, Black, and Latine TNB individuals and illustrate a need for additional resources and interventions to promote more equitable access.

Racialized Gender Stress and Mental Health Among Black Women: a Test of the Vance-wade Intersectional Suicide Risk Model with Longitudinal Data.

The recent shift in Black women's suicide risk calls for a new paradigm focused on unique factors specific to Black womanhood. The Vance-Wade Intersectional Suicide Risk Model (VWISRM) was introduced to contextualize this unexpected spike. According to the VWISRM, for Black women, psychosocial risk factors, gendered racism, and the Strong Black Woman script (SBW) lead to racialized gender stress (RGS) which results in mental health outcomes which are established predictors of suicide-related behaviors. The National Longitudinal Study of Adolescent Health (Add Health) was used to test for empirical evidence supporting the VWISRM. Our sample consisted of 418 Black female adolescent respondents who fully participated in data collection during Waves 1, 3, and 4. We ran bivariate analyses to examine both (1) what psychosocial factors of Black women are associated with SBW traits, gendered racism, and racialized gendered stress and (2) what mental health outcomes are predicted by SBW traits, gendered racism, and racialized gendered stress. Our analysis showed having both lower scores on the SBW traits and experiencing gendered racism are associated with a PTSD diagnosis. Specifically, the analysis explained 30% of the variation in PTSD diagnoses among Black women. Having both lower scores on the SBW traits predicted anxiety, PTSD, and contemplating suicide, and having experienced RGS linked to depression anxiety and contemplating suicide. Importantly, there were no moderating effects among SBW traits and RGS on PTSD, anxiety, or suicidality. Findings highlight important research and clinical implications for Black women's mental health. The Gendered Racism Intersectional Trauma model (GRIT) is introduced to better understand the breadth of mental health outcomes for Black women. Notably, our findings make a new contribution to the scientific inquiry of PTSD in Black women.

Abstract A016: Understanding the Impact of Numerous Cancer Prevention Guidelines on Public Adherence

Abstract Background: Organizations like the American Cancer Society (ACS) and the U.S. Preventive Services Task Force (USPSTF) have developed comprehensive cancer prevention guidelines focusing on nutrition, physical activity, cancer screening, and vaccination with a goal of reducing cancer incidence and improving cancer health outcomes. However, the abundance and complexity of these guidelines can lead to public confusion and potentially hinder adherence. This study investigates public perception of the multitude of cancer prevention guidelines and their potential impact on compliance. Methods: Data were derived from the 2020 Health Information National Trends Survey (HINTS 5, Cycle 4, 2020), conducted via a mail survey from February to June 2020. We examined public perception about cancer prevention recommendations and if the number of recommendations made it more difficult to determine which ones to follow. Multivariable Logistic regression was used to examine the factors that are associated with agreement with the statement: “there are so many different recommendations about preventing cancer, it's hard to know which ones to follow.” Results: Survey respondents consisted of 3,747 U.S. adults. Approximately 74.1% of respondents agreed with the statement, "There are so many different recommendations about preventing cancer, it's hard to know which ones to follow." Non-Hispanic Black respondents had the highest proportion of agreement (80.6%) Level of education was statistically significantly associated with agreement with the statement "there are so many different recommendations about preventing cancer, it's hard to know which ones to follow." As education level increased, the odds of agreeing with the statement decreased. Specifically, college graduates (aOR 0.58; 95% CI: 0.36-0.94), and those with postgraduate education had an aOR of 0.38 (95% CI: 0.22-0.67). Conclusion: The study highlights significant public perception challenges regarding the abundance of cancer prevention guidelines. These findings suggest a need for streamlined communication and education strategies to enhance guideline adherence and optimize cancer prevention efforts. Citation Format: Tochukwu Nzeako, Onyema Chido-Amajuoyi. Understanding the Impact of Numerous Cancer Prevention Guidelines on Public Adherence [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 A016.

Political violence, racial violence, and new gun ownership: results from the 2023 National Survey of Gun Policy

BackgroundU.S. firearm sales surged during the COVID-19 pandemic, with many purchases by first-time firearm owners. The 2023 National Survey of Gun Policy sought to understand the public health implications of this surge by comparing the purchasing motivations and firearm policy views of pandemic-era first-time purchasers to prior gun owners.MethodsWe fielded a nationally representative public opinion survey of U.S. adults (n = 3096) from 1/4/23 to 2/6/23. We oversampled for gun owners and Black, Hispanic, and Asian Americans. Survey weights were applied to generate representative estimates. New gun owners were identified through affirmative responses to: “Have you bought any guns since January 1, 2020?” and “Did you buy your first gun after January 1, 2020?” Recent purchasers were additionally asked whether concerns of 1) political or 2) racial violence motivated their purchase. Purchase motivations and gun policy support were examined among new and prior gun owners (n = 1002) and compared using logistic regression and predictive probabilities.ResultsOverall, 11% of respondents reported purchasing a gun since 1/1/20, 35% for the first time. Among recent purchasers, larger proportions of Democrat, Black, Asian, and Hispanic respondents were new gun owners than Republican or white respondents. Compared to prior owners, odds were 4.5-times higher that new gun owners’ recent purchase was motivated by racial violence and 3.2-times higher for political violence.Majority support was found for protective gun policies, with few differences by purchase recency or motivations. The only policy for which support by new and prior gun owners differed significantly was the permit-to-purchase policy (76% v. 63%, respectively). Similarly, few significant differences in support were observed when stratifying by purchase motivation. Notably, both those who reported recent purchase motivations of racial violence and of political violence expressed significantly higher support for a “stand-your-ground” policy compared to those who did not report such motivations.ConclusionsRacial and political violence appear to be larger concerns among new gun owners, motivating purchasing among demographic groups with traditionally lower gun ownership rates. These findings suggest a need for safety assurances amid racial and political tensions and growing gun ownership. Gun owners’ support for such policies remains strong.