Increasing preventive health use in Black women may reduce disparate health outcomes, but, little is known how Black women define and learn about preventive health. This qualitative study examined 39 Black college women’s sources of knowledge and conceptualizations of preventive health care. Results showed that participants learned about preventive care behaviors from primarily women family members, health organizations, academic courses, media, and personal experiences. Additionally, Black college women rarely included recommended screenings and vaccinations in their definitions of preventive. These findings highlight the need for increased prevention efforts and discussions around preventive health in primary care settings.