This brief report assesses parent-adolescent relationships, screen behaviors, and tridimensional acculturation as risk and promotive or protective factors for health among Black U.S. immigrant or refugee adolescents during the dual COVID-19 and racism or Whiteness pandemics. Eighty-nine immigrant- or refugee-origin adolescents completed online surveys (72% Somali American, 28% Jamaican American; 45% female; 15% foreign-born; M = 14.11 years). Regression analyses revealed that parental autonomy support, parental restrictive media mediation, and adolescent heritage culture identification were promotive of better screen media use behaviors. Only adolescent media literacy self-efficacy was related to higher screen time. Importantly, screen self-regulation was a better predictor of general health than screen time. Results highlight many parenting strengths in Black immigrant or refugee families and underscore the resilience-promoting power of parent-adolescent relationships. Health implications are discussed to provide guidance for future prevention efforts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).