Breast cancer deaths occur in 19.6 of every 100,000 American women. In Black women, that number increases significantly by 40% to 27.6. Breast cancer is one of the most common and costliest cancer in America. The Healthy People 2030 goal is to reduce breast cancer related deaths. Although breast cancer death rates have decreased overall, black women are disproportionately affected. Black women have increased exposure to breast carcinogens and the highest risk of serious health impacts from the disease.
Action is needed to increase access to breast cancer screenings, provide personalized treatment plans, promote research efforts for aggressive cancers, and establish community-based education and health promotion activities to reduce breast cancer deaths.
Data from the American Cancer Society shows while breast cancer incidence rates among back and white women are close, mortality rates are markedly different. Among women under 50, the disparity is even greater. Young, black women under the age of 45 are more likely to present with the triple negative subtype of the disease. It is both more aggressive and associated with a higher mortality. Science continues to study the link between breast cancer risks and cosmetic products targeted to black women, such as relaxers, skin lighteners and nail treatments. These products contain carcinogens and/or hormone disruptors that may increase cancer risk by 50% or greater.
There are also non-modifiable factors that increase the risk of breast cancer in black women. The American Cancer Society believes cancer disparities are driven by decades of structural racism leading to a higher risk of lower socioeconomic status. Socioeconomic factors play a role in being able to afford care, having access to care, and available treatment options. Implicit bias often leads to diagnosis delays, inequality of treatment, and the gatekeeping of knowledge.
Action is needed to increase access to breast cancer screenings, provide personalized treatment plans, promote research efforts for aggressive cancers, and establish community-based education and health promotion activities to reduce breast cancer deaths. Education is key to health promotion. Health providers and organizations in our communities should be the cornerstone and committed to providing the resources, knowledge, and skills needed to help patients reduce modifiable risk factors, not just in October, but all throughout the year.
Black women can reduce their breast cancer risk by adopting a healthy lifestyle that includes regular physical activity, a balanced diet rich in fruits, vegetables, and whole grains, and maintaining a healthy weight. Regular screenings and mammograms, starting at an age recommended by healthcare providers, are crucial for early detection. Limiting alcohol consumption, avoiding tobacco, and managing stress through mindfulness or other techniques can also contribute to lowering risk. Additionally, staying informed about family medical history and engaging in open discussions with healthcare providers about breast health can empower Black women to take proactive steps in cancer prevention.
Rebecca Seigel, Senior Scientific Director for the American Cancer Society Cancer Surveillance says, “We have been reporting this same disparity year after year for a decade. It is time for health systems to take a hard look at how they are caring differently for Black women.” This slide sums it up perfectly, “Your race and where you live should not determine if you live.”
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