Objectives/Goals: This study aimed to develop and validate the Black Wealth-Health Framework, a community-derived model that integrates behavioral, cultural, and structural dimensions to explain and intervene on the relationship between wealth and health among Black individuals. Methods/Study Population: Using a community participatory approach, we conducted semi-structured interviews and focus groups with 40 Black adults across diverse life contexts. Grounded theory and thematic analysis guided data collection and synthesis. Participants explored how they define and experience wealth and health across physical, emotional, mental, and spiritual domains; identified culturally grounded strategies for maintaining well-being; and described interactions with structural systems such as housing, employment, and healthcare. Results/Anticipated Results: Preliminary findings reveal that Black adults conceptualize wealth and health as multidimensional, intergenerational, and deeply relational. Themes include the centrality of cultural wealth such as mutual aid, spirituality, and community care, the burden of structural barriers, and the embodied stress of economic exclusion. These insights informed a conceptual and visual model linking systemic inequity, cultural resilience, and health outcomes. Discussion/Significance of Impact: The Black Wealth-Health Framework bridges public health, economic justice, and cultural resilience to guide clinical, community, and policy interventions that reflect the lived experiences of Black people. Translating this framework into practice offers a pathway toward wealth-health equity.
Tiffany Younger (Wed,) studied this question.