Black Women & Breast Cancer

By Dr. Richard Berry
​For Message Magazine

Despite advances in cancer research, African American women continue to face disparities in diagnosis, treatment, and outcomes for several conditions, including breast cancer. Understanding these disparities and addressing them head-on is essential for saving lives and achieving equity in healthcare.
Understanding the Disparities
Breast cancer affects women of all racial and ethnic backgrounds. However, the experience of African American women is marked by significant differences compared to other racial groups:

1. Higher Mortality Rates: Although African American women are diagnosed with breast cancer at a slightly lower rate than white women, they have a 40% higher mortality rate, according to the American Cancer Society (ACS). This disparity exists regardless of the stage at diagnosis.
2. Earlier Onset and Aggressiveness: African American women are more likely to be diagnosed with breast cancer at a younger age, and the cancer is often more aggressive. They are also disproportionately affected by triple-negative breast cancer (TNBC), a subtype that is particularly challenging to treat and has fewer targeted therapies.
3. Later Stage at Diagnosis: African American women are more likely to be diagnosed at a later stage, when the cancer is less treatable. Factors contributing to this include a lack of access to healthcare, delayed follow-ups, and fewer routine screenings.
4. Socioeconomic and Healthcare Barriers: African American women often face greater barriers to healthcare access, including limited insurance coverage, transportation issues, and a lack of healthcare facilities in their communities. These barriers contribute to delayed screenings and treatments, negatively impacting outcomes.

Recommendations for African American WomenRaising awareness is just the first step. Here are some specific recommendations for African American women to help reduce the risk of breast cancer and improve health outcomes:
Regular Screenings: African American women should begin discussing breast cancer screenings with their healthcare providers starting at age 40, or earlier if they have a family history of breast cancer. Annual mammograms are recommended for women aged 45 to 54, and those 55 and older can continue yearly or switch to biennial screenings.
Know Your Family History: Understanding your family’s medical history is vital. If you have close relatives who have had breast cancer or ovarian cancer, you may need to start screenings earlier and consider genetic counseling.
Advocate for Yourself: If you notice any changes in your breasts, such as lumps, pain, or changes in shape or size, see a healthcare provider immediately. Don’t be afraid to seek a second opinion if you feel your concerns aren’t being adequately addressed.
Healthy Lifestyle Choices: Maintaining a healthy lifestyle can reduce breast cancer risk. Incorporate regular exercise, eat a balanced diet rich in fruits and vegetables, limit alcohol consumption, and avoid smoking.
Participate in Clinical Trials: African American women are underrepresented in breast cancer clinical trials. Participation can help researchers develop treatments that are more effective for this population, ultimately improving outcomes for future generations.
Community Support and ResourcesCreating supportive environments within African American communities can enhance breast cancer awareness and early detection:

1. Community Outreach: Churches, local organizations, and sororities like Alpha Kappa Alpha and Delta Sigma Theta have historically played a crucial role in promoting health education and outreach in African American communities. Supporting and partnering with these organizations can amplify breast cancer awareness efforts.
2. Support Groups and Counseling: Encouraging participation in support groups, whether in person or online, can provide emotional support and help women navigate their diagnosis and treatment options. Organizations like the Sisters Network, Inc., offer resources specifically for African American women battling breast cancer.
3. Work with Healthcare Providers: Healthcare providers should be culturally sensitive and aware of the unique challenges facing African American women. Creating an open dialogue can ensure that these women receive care that addresses their specific needs.

Moving Towards Health Equity
Addressing the breast cancer burden among African American women requires a multi-faceted approach, including increased awareness, better access to healthcare, and more research focused on this population. This is a good opportunity to shine a light on these issues and advocate for a future where every woman has an equal chance of survival, regardless of race or ethnicity.
By raising our voices, supporting each other, and demanding change, we can work towards eliminating breast cancer disparities and ensuring that African American women are no longer at a disadvantage.

​