The Disparities Between African American Women And European Americans

The incidence of cancer is higher in Black Americans, both men and women, than non-Hispanic Whites. Men are more likely to have lung, pancreatic and stomach cancer. They are more likely to die from prostate cancer. Black African American women are 36% more likely to die from breast cancer.

The Tuskegee Syphilis Study was an unethical prospective study based on the differences between white and black males that began in the 1930’s. This study involved the mistreatment of black males and their families in an experimental study of the effects of untreated syphilis. With very little knowledge of the study or the disease by participants, the Tuskegee Syphilis Study can be seen as one of the worst forms of injustices in the United States history. Even though one could argue that the study was originally intended to be for good use, the Tuskegee Syphilis Study was immoral and racist because only poor, uneducated black males were used in experiment, the participants were not properly informed of their participation in the

This will explore the role gender, ethnicity, race and socio-economics play in the acquisition, maintenance and experience of health care. A particular focus is the interaction (intersection) between these elements and their effect on awareness, education, active prevention and early detection of cancer, particularly breast cancer in women. Cancer is a disease caused by a mutation and rapid division of cells. Cancer is a general term describing many diseases; essentially there is a wide array of types of cancers. This vast differentiation makes it difficult to combat this disease and similarly the differences among individuals cause the course of this disease to vary greatly, cancer effects people differently. Breast cancer is one of the more well-known forms of cancer and is frequently touched upon or glazed over in discussion. A conversation may start with “I know someone who has or had cancer” but way to often this is where the conversation ends. The discussion on breast cancer needs to expand, to further the spread of information and understanding of the many aspects of this disease. “Breast cancer is a malignant tumor that starts in the cells of the breast. A malignant tumor is a group of cancer cells that can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body” (What is Breast cancer). Breast cancer can be found in both male and female populations but it is particularly, prevalent among women, Breast cancer is the most pervasive

According to genetics and social science research there are striking differences between White and minority populations affected with breast cancer in the U.S. These disparities are likely due to a combination of cultural, environmental and genetic factors that differ between the groups. Historically, scientists have separately explored either the genetic or the social/behavioral contributions to cancer. The research team profiled in this case study takes the position that we cannot effectively grasp the complexity of cancer etiology, nor design appropriate

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.

The Tuskegee syphilis experiment was an infamous clinical study conducted between 1932-1972 in Macon Country, Alabama by the U.S Public Health Service. The purpose was to study the natural progression of untreated syphilis in rural African American men who thought they were receiving free health care from the U.S government; about four hundred African American men were denied. The doctors that were involved in this study had a shifted mindset; they were called “racist monsters”; “for the most part, doctors and civil servants simply did their jobs. Some merely followed orders, others worked for the glory of science” (Heller) The men that were used for the study got advantage of, especially those

Regardless, the unconsented medical experimentation of African Americans has been active from the colonial times to present day. In his book, Medical Apartheid: The Dark History of Experimentation on Black Americans From the Colonial Times to Present, Harriet A. Washington captures the beginning of this abuse to as early as the times of slavery. Malcolm Mills, a journalist wrote a review on this book and comments on how Washington “paints a powerful portrait of the medical establishment's abuse of power by exploiting prevailing racial politics beginning in the era of slavery. When medical transgressions often included painful procedures on men, women, and children who had no legal protection and could not object”. He continues saying how it went through to the 20th century when the dangers of certain procedures and their side effects were kept from test

13.2% of the United States population identifies themselves as Black as African Americans, and of those over 16% had an mental illness that was diagnosable. The socio economic impact of a history of slavery, sharecropping and race-based exclusion from health, racism, spiritual beliefs, social and economic resources, education and other factors are key factors that contribute to African American disparities today. Many of these things are linked to mental health. According to the US department of health, African Americans are 20% more likely to report having serious psychological distress than in non-Hispanic whites (. Despite knowing this, African Americans are less likely to seek mental health services than white Americans.

Like previously stated, there has been a vast history of racial issues particularly in the medical field. These issues have led to minorities, especially African Americans, to not trust medical professionals and procedures. A study found in the Archives of Internal Medicine gives shocking results by stating that “African Americans were far less trusting than whites of the medical establishment and medical researchers in particular. African Americans were 79.2 percent more likely to believe that someone like them would be used as a guinea pig without his or her consent” (Clark 118). There are many cases in the past which would make a minority feel neglected and like a “guinea pig”. For instance, Henrietta Lacks, the main character of Rebecca Skloot’s book, was diagnosed with cervical cancer in 1951. Her doctors were shocked at the terrifying rate her tumor was growing (Skloot 117). Her cells were taken from her cervix and they were distributed world wide without her or her family’s consent. The distribution went on for years even after her death

The maltreatment of Henrietta Lacks, like other African Americans, is primarily due to the historical derogation of the racial group since they are perceived as subordinates within America, including the medical world. African Americans are branded as inferior in the fields of gynecology, biology, and genetics due to America’s historical degradation of African Americans seeping into the medical world. The gynecological practices presented within the text showcase the lack of basic ethical considerations of women, especially African American women since they received maltreatment due to both their race and gender. For example, the doctors who stole Henrietta’s cells felt that giving consent was not even worth it because the “colored women” do not pay for their treatment so stealing cells was their form of payment, but the hospital still had Lacks fill

After the emancipation of Black slaves, the practice of exploiting Black people for medical experimentation continued. One such instance of this is the Tuskegee Syphilis Experiments of 1932; which is often cited as a pivotal point that entrenched Black people’s distrust of medical institution (Gamble, 1997). During the Tuskegee study, Black American male patients were subjected to experiments to ascertain the proper treatment for syphilis, by U.S. government-funded medical professionals (Rusert, 2009). From this study, penicillin emerged as an effective treatment for syphilis, but this treatment was withheld from many Black American patients, and many were falsely informed that they suffered from “bad blood” rather than syphilis (Rusert, 2009). This resulted in many unwitting patients dying from complications related to the disease, and infecting others.

While today’s “patients [have] one thing going for them that Henrietta didn't: They [are] alive. And the dead have no right to privacy-even if part of them is still alive,” (Skloot 211) history’s ethical debate regarding medical racism remains a social issue. When patients experience racism, they may be unable to defend themselves if they are incapacitated by medical professionals. Due to patient negligence and bias, the health care provider’s poor treatment breaks the trust of minorities. As shown in the Tuskegee Syphilis Study and treatment of Henrietta Lacks, doctors and researchers have failed to inform the participants correctly. Both occurrences highlight medical racism because of the historical maltreatment of minority groups. Now, many

Personal and institutional relationships may be affected by concerns of continued discrimination against African Americans who have historically been victims of both interpersonal and institutional racial discrimination (LaVeist & Nuru-Jeter, 2002). Research demonstrated that concordance in patient and physician race is positively related to African Americans perceptions of quality of care. Patient satisfaction supports the notion that fear of race-based discrimination in interpersonal relationships with health care providers may also affect trust (Cooper, Gallo, Gonzales, Vu, Powe, Nelson & Ford, 1999; LaVeist, 2002). African Americans had been shown to have greater awareness of the documented history of racial discrimination in the health care system than white Americans.

The book, Bad Blood: The Tuskegee Syphilis Experiment, by James H. Jones, was one of the most influential books in today’s society. The Tuskegee Syphilis Experiment study began in 1932 and was terminated in 1972. This book reflects the history of African Americans in the mistrust of the health care system. According to Colin A. Palmer, “James H. Jones disturbing, but enlightening Bad Blood details an appalling instance of scientific deception. This dispassionate book discusses the Tuskegee experiment, when a group of physicians used poor black men as the subjects in a study of the effects of untreated syphilis on the human body”(1982, p. 229). In addition, the author mentioned several indications of discrimination, prejudice, and stereotype toward this population. Also, this book provides multiple incidents of the maltreatment of human beings. The reader is able to identify the incompetence of the helping professions and violation of human rights, ethical issues, and dehumanize African Americans.

Breast cancer accounts for one third of all new cancer diagnoses in the United States (Cauley, et al., 2007). The first sign in the process of this disease is a lump that forms around the breasts. For this reason, it is necessary to get the yearly mammograms once a woman reaches a certain age. Also, monthly self-examinations can aid in finding breast cancer early. If this condition is found early enough, chances of survival are abundant. Most women who get breast cancer are older than 50 with 86% of the deaths occurring in this age group (Cauley, et al., 2007). Postmenopausal women have a higher risk for breast cancer, because the risk increases when levels of endogenous estradiol rise (Cauley, et al., 2007). Breast cancer is the most common cancer that occurs in women. This epidemic has a higher incidence rate among white women than in African American women, but African American women have a higher mortality rate (Breast Cancer Risk Factors, 2010). White women are more apt to develop this disease than any other ethnicity. However, in women under 45, breast cancer is more common in African American women (Breast Cancer Risk Factors, 2010).