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Impacting cultural attitudes in African-American women to decrease breast cancer mortality.

Donald R Lannin1, Holly F Mathews, Jim Mitchell

  • 1Department of Surgery, Yale University School of Medicine, P.O. Box 208062, New Haven, CT 06520, USA. Donald.lannin@yale.edu

American Journal of Surgery
|November 16, 2002
PubMed
Summary

The breast cancer mortality gap between white and African-American women persists due to later diagnoses in Black women. Addressing socioeconomic and cultural barriers to early screening and detection is crucial for reducing disparities.

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Area of Science:

  • Oncology
  • Public Health
  • Health Disparities

Background:

  • Breast cancer mortality rates have declined in white women but not African-American women over the last decade.
  • This disparity represents a significant national health problem requiring urgent attention and solutions.

Purpose of the Study:

  • To investigate the reasons behind the persistent breast cancer mortality gap.
  • To review current solutions and present new survey data to illuminate the issue.

Main Methods:

  • Comprehensive literature review on breast cancer mortality disparities.
  • Analysis of population-based survey data from North Carolina.

Main Results:

  • African-American women are diagnosed with more advanced breast cancer than white women.

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  • Lower screening mammography utilization and delayed presentation for symptoms contribute to this gap.
  • Socioeconomic and cultural factors influence access to care and early detection behaviors.

    • Conclusions:

    • Understanding cultural beliefs is key to improving physician care for African-American patients.
    • Addressing these factors may help reduce the racial disparity in breast cancer mortality.