Abstract A161: Investigating the relationship between emotional support and up-to-date mammography among African American women over 40

Abstract Background: Social capitol has been evidenced to have a strong relationship with both U.S census region, as well as mammography rates among African American women. However, limited research to date has focused specifically on emotional support, a function of social capitol, as a predictor to up-to-date mammography among African American women. Moreover, limited research has investigated nuance in levels of emotional support for African American women across US Census Regions. Method: A subset of data (N=620) from the 2022 Behavioral Risk Factor Surveillance System were used for this analysis. A logistic regression adjusted for age, education, income, and insurance status was used to determine the relationship between emotional support, which was assessed through participants’ perception of how often the receive the emotional support they need, [EK1] and receipt of a mammogram within 2 years among African American women over 40. Additionally, mental health status was assessed for interactive effect with emotional support. Finally, frequency distribution and a Chi Square test were used to analyze geographic variations in emotional support by US Census Region (West, Midwest, South and Northeast). Results: African American women over 40 with high levels of emotional support had 2.39 times the odds of having a mammogram within the last two years, p<0001, 95% CI:1.05, 4.24) when compared to those with low emotional support. Having no poor mental health days within 30 days did not have a significant interactive effect with high emotional support, and geographic variation by Census region in levels of emotional support was not statistically significant for African American women, though notable regional disparities were observed. Discussion: These findings align with other work showing that receipt of recent mammogram is associated with features of social capital, but warrants further exploration of this relationship among African American women, with census region as a potential moderator. Citation Format: Asli McCullers, Ebbie Kalan. Investigating the relationship between emotional support and up-to-date mammography among African American women over 40 [abstract]. In: Proceedings of the 18th AACR Conference on the Science of Cancer Health Disparities; 2025 Sep 18-21; Baltimore, MD. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2025;34(9 Suppl):Abstract nr A161.