A major type of cancer affecting older African American men is prostate cancer, in which they have a 60% higher incidence than white males (Hinata, 2022). Black non-Hispanic males have been found to have twice the incidene of prostate cancer as Black Hispanic men (https://www.cdc.gov/mmwr/volumes/69/wr/mm6941a1.htm)
Breast cancer incidence is about the same for African American women as other women, but African American women have a 40% higher death rate from breast cancer because the tumor is diagnosed at the late stages for African American women.
Factors associated with the late stage diagnosis are:
- limited access to care
- care in public rather than private clinics
- higher body mass index
- lower rates of mammography
Breast cancer continues to be diagnosed at later stages of the illness in African American women compared to white women. A new study suggests that poorer communication of mammogram results may not allow black women to benefit fully from mammography screening and may underlie their later diagnosis of breast cancer (Jones et al. 2007).
The investigators reported that communication of mammogram results was problematic for 14.5 percent of the women in the study (12.5 percent had not received their screening result, and 2 percent had received their result, but their self-report differed from the radiology record).
Inadequate communication of mammogram results was nearly twice as common among black women as white women (21 vs. 11 percent), even after adjustment for other sociodemographic, clinical, and care access factors. Also, abnormal results were more likely to be inadequately communicated to black women (31 percent of abnormal results vs. 19 percent of normal results), but not to white women.
Among women in the study who had abnormal results, 44 percent of those in the inadequate communication group (many of whom believed their mammogram was normal) compared with 29 percent of those in the adequate communication group did not receive adequate follow-up.
Cervical cancer risk is higher among African American women (Manton, 1997). Incidence and mortality for multiple myeloma cancer among Blacks are twice that among Whites, and the risk increases with age. (For complete discussion of causes of racial differences in cancers see Manton and Stallard, 1997).
Figure 2 shows a comparison of cancer survival rates between Black and White patients. With the exception of Mesothelioma, Blacks tend to have a lower survival rate than Whites. Sizable disparities are seen in Breast, Corpus & Uterus, NOS, Larynx, Non-Hodgkin Lymphoma, Oral Cavity & Pharynx and Kaposi Sarcoma.