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R ACIAL D ISPARITIES & B REAST C ANCER Leah Calvert PHE 510: Public Health & Social Justice Spring 2009.

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Presentation on theme: "R ACIAL D ISPARITIES & B REAST C ANCER Leah Calvert PHE 510: Public Health & Social Justice Spring 2009."— Presentation transcript:

1 R ACIAL D ISPARITIES & B REAST C ANCER Leah Calvert PHE 510: Public Health & Social Justice Spring 2009

2 I NTRO 10% drop in breast cancer rates in U.S. Racial disparity in health outcomes Higher death rates, but lower incidence Public health professionals have a responsibility to address and reduce health disparities

3 B REAST C ANCER F ACTS All women at risk – tends to increase with age Most commonly diagnosed cancer in African American women 2 nd to only lung cancer in female deaths Most common type (excluding non-melanoma skin cancer)

4 R ACIAL D ISCRIMINATION & B REAST C ANCER Association between racial discrimination & stress Study: racial discrimination & risk of developing breast cancer On the job discrimination – 32% higher risk of breast cancer

5 H EALTH D ISPARITIES : I NCIDENCE Incidence Rates by Race (2007 statistics from CDC) Race/EthnicityIncidence Per 100,000 women All Races127.8 White132.5 African American118.3

6 H EALTH O UTCOMES 5 year survival rate, 60% compared to 77% (1975) 5 year survival rate, 70% compared to 85% (1990) 5 year survival rate, 74% compared to 97% (2001)

7 H EALTH D ISPARITIES : M ORTALITY Mortality Rates by Race/Ethnicity (2007 Statistics from CDC) Race/EthnicityMortality Rate per 100,000 All Races25.5 White25.0 African American33.8

8 D ELIVERY OF H EALTH C ARE Percentage of U.S. women (age 40+) who received a mammogram in past year Screening raises odds 70% in among African American women Year of Mammogram (Data from CDC) Race 19941998200020032005 White60.667.471.470.167.4 African American 64.366.067.870.464.9

9 D ELIVERY OF H EALTH C ARE Less likely to be caught in early stages Less adequate screening results/follow-up “Did not discuss test/examination findings” 34% had survival knowledge – compared to 57% of white counterparts

10 O PPORTUNITIES TO R EDUCE D ISPARITIES Educate African American women about breast cancer outcomes Work within health systems to improve physician/patient communication Continue to promote screening – but focus on improving follow-up care for African Americans

11 W ORKS C ITED American Cancer Society. “Race and Ethnicity affect Breast Cancer Outcome.” Feb 2 2003. ancer_Outcome.asp. Accessed 24 April 2009. ancer_Outcome.asp Brach, Cindy and Irene Fraserirector. “Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model.” Medical Care Research Review. 57.4 (2000): 181-217. Accessed 23 April 2009. Centers for Disease Control and Prevention. “Mammography Percentages by Race and Ethnicity.” Breast Cancer Statistics. Accessed 22 April 2009. DeSantis C., et al. "Temporal trends in breast cancer mortality by state and race.” Cancer Causes Control. 19.5 (2008):537-45. Accessed 20 April 2009. 8f606e7b899de4f6&pi=10 8f606e7b899de4f6&pi=10 Gamble, Vanessa Northington, MD, PhD. “Under the Shadow of Tuskegee: African Americans and Health Care”. American Journal of Public Health. 87.11 (1997): 1773-1778. Accessed 25 April 2009. Grouse, Lynette. “Reducing Disparities in Cancer Health Care.” National Cancer Institute. Nov 2005. Accessed 24 April 2009. Imaginis. “Breast Cancer: Statistics on Incidence, Survival, and Screening.” Imaginis: The Women’s Health Resource. Jan 2008. Accessed 23 April 2009.

12 W ORKS C ITED C ONT Lee, Christopher. “Studies Look for Reasons Behind Racial Disparities in Health Care.” The Washington Post. Oct 2006. dyn/content/article/2006/10/24/AR2006102401184.html. Accessed 23 April 2009. dyn/content/article/2006/10/24/AR2006102401184.html Medical News Today. “Breast Cancer Treatment Disparities Between Black, White Women in Georgia Exist Despite Health Insurance Status, Study Finds.” June 2008. Accessed 25 April 2009. Newman, Lisa A. MD et al. “Local Recurrence and Survival Among Black Women With Early- Stage Breast Cancer Treated With Breast-Conservation Therapy or Mastectomy.” Annals of Surgical Oncology. 6.3 (1999):241-248. Accessed 15 May 2009. Norton, Amy. “Breast Cancer Still Diagnosed Later in Black Women.” Dec 2006. Accessed 20 April 2009. Reuters Health. “Racial Discrimination Tied to Breast Cancer Risk.” American Journal of Epidemiology. July 2007. Accessed 25 April 2009. Science Daily. “American Cancer Society Report Finds Breast Cancer Death Rate Continues to Drop.” 2007. Accessed 18 April 2009. Stanford University, news release: “Ethnic Differences Can Play a Big Role in Medical Treatment,” October 1991. ( Accessed 22 April 2009. Surveillance Epidemiology and End Results. “Cancer Statistics: Fast Stats, Statistics Stratified by Race/Ethnicity.” n.d. National Cancer Institute. Taylor, Teletia R et. al. “Racial Discrimination and Breast Cancer Incidence in US Black Women.” American Journal of Epidemiology. 166.1 (2007):46-54. hhtp:// Accessed 22 April 2009. hhtp://

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