Abstract 6183: Social determinants and survivorship care among Black women breast cancer survivors in Maryland

Abstract Purpose: Limited research has examined the impact of social determinants of health (SDOH) on survivorship care experiences exclusively among Black breast cancer (BC) survivors who face survival disparities due their high prevalence of obesity, comorbidities, and inequities in access and quality of care. Survivorship care experiences among Black BC survivors should be examined to identify potential interventions to improve health outcomes. The goal of this study is to test the feasibility of establishing a state-wide cohort study of Black BC survivors residing in Maryland to address this research gap. Methods: This study will recruit 350 Black women BC survivors, aged ≥18 years, and diagnosed with stage I-III primary BC who have completed recommended adjuvant treatment including surgery, chemotherapy, and/or radiation. Recruitment approaches include targeted Facebook ads, outreach to previous study participants, and mailed recruitment letters from the Maryland Cancer Registry (MCR). Participants complete a 30-40-minute online survey, covering demographic and lifestyle factors, clinical and SDOH characteristics, and survivorship care questions. The study also pilots medical record abstractions with the MCR for cancer characteristics and the state designated health-information exchange, Chesapeake Regional Information System for Patients (CRISP), for follow-up care. Results: Recruitment began in July 2024, and by September 2024, 61 self-reported Black participants with a prior diagnosis of BC have completed the survey. The average age at survey is 58.96 (standard deviation (SD)= 11.84)) years, with an average age at diagnosis of 46.42 (SD=13.35) years. 40% are married/living as married, 36.7% are college graduates, all have health insurance, and only 20% reported household incomes <$40, 000/year. Almost half of the survivors self-reported being diagnosed with stage 1 BC (45.9%), followed by 31.1% stage 2, 18% stage 3, and 4.9% unknown stage. The most common self-reported comorbidities include hypertension (39.3%), diabetes (16.7%), and obesity (12.3%). Related to care, 83.3% have a family doctor, and 73.8% received a treatment summary. Additionally, 56.1% and 54.4% consented to medical record linkages with MCR and CRISP, respectively. Recruitment is ongoing. Conclusion: This study will inform future interventions by identifying disparities in survivorship care experiences among Black BC survivors and evaluating the impact of this care on health outcomes. Citation Format: Lensa S. Keno, Camryn Mae Cohen, Kate E. Dibble, Kala Visvanathan, Avonne E. Connor. Social determinants and survivorship care among Black women breast cancer survivors in Maryland [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2025; Part 1 (Regular Abstracts); 2025 Apr 25-30; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2025;85(8_Suppl_1):Abstract nr 6183.