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At the start of the pandemic, efforts were made to stop the spread of COVID-19 through recommending person-level, health protective behaviors (e.g. mask wearing), but minimal research has explored what factors were related to Black and low-income individuals\u2019 engagement in these behaviors. The current study sought to increase understanding on how (a) COVID-19 knowledge, (b) medical mistrust, and (c) COVID-19 specific worry, related to following COVID-19 recommendations at the start of the pandemic in a sample of 110 Black, predominantly low-income, caregivers of young children. Findings demonstrated that participants were frequently following the COVID-19 recommendations, and that COVID-19 specific worry was positively associated with following the recommendations. 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