Disparities in Breast Cancer Associated With African American Identity

Author:

Stringer-Reasor Erica M.1,Elkhanany Ahmed1,Khoury Katia1,Simon Melissa A.2,Newman Lisa A.3

Affiliation:

1. Division of Hematology Oncology, Department of Medicine, O’Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL

2. Department of Obstetrics and Gynecology and the Robert H. Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, IL

3. Department of Surgery, Weill Cornell Medicine/New York Presbyterian Hospital Network, New York, NY

Abstract

Persistent disparities in the burden of breast cancer between African Americans and White Americans have been documented over many decades. Features characterizing breast cancer in the African American community include a 40% higher mortality rate, younger age distribution, greater advanced-stage distribution, increased risk of biologically aggressive disease such as the triple-negative phenotype, and increased incidence of male breast cancer. Public health experts, genetics researchers, clinical trialists, multidisciplinary oncology teams, and advocates must collaborate to comprehensively address the multifactorial etiology of and remedies for breast cancer disparities. Efforts to achieve breast health equity through improved access to affordable, high-quality care are especially imperative in the context of the COVID-19 pandemic and its disproportionately high economic toll on African Americans.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

General Medicine

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