Cancer in the African American Community
Vs.
Caucasian Community
Justen Hudson
Professor Frazier
November 16, 2017
Abstract
Declining cancer incidence and mortality rates in the United States have continued through the first decade of the twenty-first century. However, Black Americans continue to have the higher cancer mortality rates and shorter survival times. This review discusses and compares only breast and prostate cancer mortality rates and mortality trends for Blacks and Whites. The complex relationship between socioeconomic status and race and its contribution to racial cancer disparities is discussed.
I never really thought I would be involved with cancer in the way I am now, as in being a student in
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The disparities are around us every day and unless we educate ourselves and our communities these disparities will continue to wreak havoc on our neighborhoods and in the future, we will just be putting our kids and their kids in a continuing cycle of ignorance when we could have done more if it’s just educating the community we leave in, that alone could be enough to turn the tides in our people favor. In turn, I would hope this paper enlighten you on what is going on in our neighborhood and what we can do to correct this issue to preserve our autonomy. Racial and ethnic health disparities undermine what a healthcare system should stand for. Although the top three causes and seven of the 10 leading causes of death are the same for African Americans and whites, the risk factors and incidence, morbidity, and mortality rates for these diseases and injuries often are greater among blacks than whites (MMWR, 2005). Health disparities refer to differences in disease risks, incidence, morbidity, and mortality but most of all for the sake of this paper unequal access to quality health insurance amongst African American in the United States, which will also go hand and hand with the social and economic disadvantages. The disadvantages of health disparities usually affect people of African American descent who have systemically experienced a greater social and economic obstacle to health care.
So, let’s compare breast and prostate cancer effects on
There are many factors that contribute to the current health status of Black Americans, but “Poverty may be the most profound and pervasive determinant of health status” (Edelman & Mandle, 2010, p. 39). Health care is expensive and can only be purchased by those who can afford to pay, so those below the poverty level are those who lack insurance. Without insurance their access to healthcare is limited, especially preventative care. No preventative care means more expensive care that comes with illness.
One’s socioeconomic status within a society affects that individual’s health. (CDC, 2013). The challenges faced by these African Americans is not just limited to accessing healthcare services but it may also involve the complete lack of health insurance coverage for example, in 2013, before the expansion of the major health care insurance coverage as required by the affordable Care Act(ACA) (Hayes, S.L, Riley, P., Radley, D.C., & McCarthy, D, 2015), more than one in five African American/blacks between the ages of 18 to 64 years (22%) and one in three Hispanics did not have healthcare insurance coverage.( Hayes, S.L, Riley, P., Radley, D.C., & McCarthy, D , 2015). The aforementioned data which demonstrates that many African American do not have healthcare insurance coverage with the difficulty encountered by some of these individuals that may even have healthcare insurance in accessing certain services, reinforces the necessity of a mechanism such as the patient navigation tool to assist those inviduals get the best out of the healthcare system.
There are several complex reasons health disparities occur in the United States and around the world. Based on the readings, health care disparity a complex problem with many variables, at the top of the list is poverty followed by ethnicity. Lack of health insurance is a persistent barrier to improving health in the poor (Koh, Oppenheimer, Massin-Short, Emmons, Geller, and Viswanath, 2010). McCarthy (2003) reports uninsured individuals are less likely to receive standard screening care and when hospitalized
African Americans carry an uneven share of the cancer load in the United States, having the highest death rate and shortest survival of any racial or ethnic group for most cancers. In this article, I will provide updated data for African Americans on cancer rate, death, survival, and cancer screening. I also estimate the total number of deaths prevented among African Americans as a result of the decline in cancer death rates since the early 1990s.
Breast cancer is the most diagnosed cancer among women. Despite the many technological advances that have been made to detect breast cancer at earlier stages, it continues to kill more women than any other cancer. Breast cancer affects all women, but the mortality rates from it are significantly higher in Black women than any other group (Hunt, Whitman, & Hurlbert, 2013). These rates are especially concerning when considering that White women are diagnosed at much higher rates.
Disparities of all kinds exist in modern day health care. One such disparity that is of particular interest is one that exists between Caucasian and African American women relating to their respective rates of breast cancer incidence and breast cancer survival. According to the American Cancer Society, Caucasian women have a higher incidence of breast cancer than African American women however; Caucasian women have a higher survival rate than African American women (ACS, 2006, as cited in Leshner, 2006). This is to say that although Caucasian woman have a higher rate of breast cancer compared to African American women, Caucasian women have a higher rate of survival. This finding is indeed a disparity in heath care, and one that begs the question as to why this is so. The reasons as to why this disparity exists are numerous and very complex. Several factors play a role in substantiating the disparity in mortality rates related to breast cancer in African American women, including differences in spirituality and religion, differences in education surrounding breast cancer, and differences in socio economic standing as it relates to ones health promotion
Reducing disparities in health and healthcare have been of importance for many federal, state, private and nonprofit organizations for many years. Countless research studies have been done and continue to be conducted to understand the dynamics of health/healthcare disparities and how other factors play a role in widening the gap in health outcomes, disease burden, and mortality among different populations in the United States. Included in the conversation about disparities seen within populations and subgroups, are the concepts of equality and equity in our healthcare system. “Identification and awareness of the differences among populations regarding health outcomes and health determinants are essential steps towards reducing disparities
The health of a nation plays an integral part in the overall success and economic well being of a particular country. The United Stated, while pouring more money into the healthcare system than any other country, still stands as a broken system with inadequate care for many citizens. One of the most marginalized groups of people, African American women, continually score alarmingly low on basic measures of overall health. The healthcare discrepancies between white and black women in the United States are alarming, and they reveal flaws in the American health care system as a whole.
The United States is a melting pot of cultural diversity. For a country that was founded by individuals fleeing persecution, it has taken us many years to grant African-Americans equal rights, and even longer for those rights to be recognized. Despite all the effort to eliminate inequality in this country, health disparity among this minority group remains a significant issue. Research in this area has pointed to several key reasons for this gap that center on differences in culture, socioeconomics, and lack of health literacy.
As stated previously in 2014 the USA had approximately 20.3 million people who were diagnosed with cancer. When exploring the 2013 incident rates of men with cancer black men had an incident rate of 518. Compared to white men of 473.9, next came Hispanic and Asian; black males had the highest death rate among all races (Centers for Disease Control and Prevention, 2016b). In regards to women, white women had an incident rate of 417.4, followed by blacks, Hispanics, and Asians, but the highest death rate is among black women (Centers for Disease Control and Prevention, 2016b). According to the statistics the needs for increased screening and care is needed in the African American and Hispanic community.
Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,
Among minorities such as Asians, Hispanics, Indians, Native Americans, and Middle Easterners, the African American race has been affected tremendously by the health disparities in the United States. Currently, African Americans have significantly higher mortality rates from cardiovascular and cerebrovascular disease, cancer, diabetes, HIV, unintentional injuries, pregnancy, sudden infant death syndrome, and homicide than do whites Americans (Fiscella & Williams, 2004). While African Americans may lead in these categories, other minorities are not far behind in experiencing health disparities.
Through the weekly courses, lectures and readings, I have learnt a lot about racial and ethnic disparities, racism amongst minorities (Hispanics, African American-Black, Asians, Latinos). America is a nation of immigrants and their health and healthcare consists of multi-ethnic immigrant stories. I want to share some thoughts on racial and ethnic health disparities, on why I think that America is still a racist nation and racism is so insidious and pervasive. Health disparity is defined as a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial
White Non-Hispanic women have the highest incidence rates for breast cancer; however, African American women have higher mortality rates. Cancer disparities to these non-Hispanics are purported by various factors. These disparities can