Abstract A063: Survivorship care plan receipt, social determinants of health, and current health status among black breast cancer survivors in Maryland

Abstract

Black breast cancer (BC) survivors face persistent survival disparities driven by inequities in access to and quality of survivorship care, yet little is known about how social determinants of health (SDOH) shape survivorship care experiences and outcomes. Survivorship care plans (SCPs), which provide patients transitioning from active treatment to survivorship with a treatment summary and follow-up care instructions, have been promoted to support the transition to primary care. However, it remains unclear whether SCP receipt is associated with current health status and measures of SDOH including household income, educational attainment, housing type, marital status, employment and perceived interpersonal discrimination among Black BC survivors. We conducted a cross-sectional analysis of adult Black female BC survivors living in Maryland, diagnosed with first primary BC (stages I-III), and completed active cancer treatment. Participants were recruited through social media, local peer networks, and the Maryland Cancer Registry. Survivors completed an online survey from July 2024 to November 2025 covering demographic, lifestyle factors, clinical cancer information and questions about their SDOH, including the Everyday Discrimination Scale, and survivorship care experiences. We evaluated the association between SCP receipt and odds of excellent, very good or good (hereafter, better) self-rated health and whether SCP receipt and current health status were associated with SDOH. Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs), adjusted for time since BC diagnosis, age at BC diagnosis, and BC stage. Of the 111 participants, the median age at diagnosis was 47 years (interquartile range (IQR): 41-57 years), median time since diagnosis was 7 years (IQR: 3-16 years), and 51 (46%) were diagnosed with stage II or III BC. A total of 76 (68.5%) received an SCP, and 79 (71.2%) individuals had better self-rated health. Individuals who received an SCP were significantly more likely to report better self-rated health (OR: 3.91, 95% CI: 1.11-13.71). Those who received an SCP were significantly more likely to have a college degree or higher (OR: 3.87, 95% CI: 1.24-12.10) and those with a college degree or higher were significantly more likely to have better self-rated health (OR: 3.24, 95% CI: 1.18-8.88). There were no significant associations with SCP receipt or current health status with income, housing type, marital status, employment or perceived interpersonal discrimination. SCPs may be associated with better current health status among Black female BC survivors in Maryland. However, given the observed association between SCP receipt and educational attainment, survivors with lower educational attainment may be less likely to receive or recall SCP receipt and its potential benefits. Future research should focus on effective survivorship care interventions for BC survivors across educational levels. Camryn M. Cohen, Lensa S. Keno, Kate E. Dibble, Kala Visvanathan, Avonne E. Connor. Survivorship care plan receipt, social determinants of health, and current health status among black breast cancer survivors in Maryland [abstract]. In: Proceedings of the 19th AACR Conference on the Science of Cancer Health Disparities; 2026 Oct 18-21; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2026;35(10 Suppl):Abstract nr A063.