Black-White Disparities Among African Americans

Great Essays
Poverty
Barriers related to poverty contribute significantly to Black-White disparities in breast cancer survival (Freeman, 2004). Poverty affects all Americans regardless of race; however, African Americans tend to shoulder a greater burden from poverty because they constitute a large proportion of the poor in the United States. Some studies have shown that Black-White disparities in breast cancer mortality are reduced after accounting for socioeconomic status. Poverty is associated with poorer breast cancer outcomes for all Americans, regardless of race; however, because a larger proportion of African Americans than Whites live in poverty (Bigby & Holmes, 2005), African Americans are more likely to face poverty-related barriers.

The Bronx
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This makes them mistrustful of these community medical services available and due to that they fail to obtain medical attention in time thus worsening the condition. Many African Americans have a general mistrust of the health care system (Cooper-Patrick, 1999). This mistrust is partially rooted in the history of experiments where African Americans subjects were used and the abuse that they have endured. Although there are not many studies that investigate the direct connection between medical mistrust and breast cancer decision making are lacking, several researchers have suggested that the mistrust that African Americans' have in the health care system may affect their decisions about seeking medical care, how they interact with medical providers, and their overall satisfaction with health care (LaVeist TA, Carroll T, …show more content…
(2004). Poverty, Culture, and Social Injustice: Determinants of Cancer Disparities. CA: A Cancer Journal For Clinicians, 54(2), 72-77. http://dx.doi.org/10.3322/canjclin.54.2.72

Bigby, J., & Holmes, M. (2005). Disparities across the breast cancer continuum. Cancer Causes & Control, 16(1), 35-44. http://dx.doi.org/10.1007/s10552-004-1263-1

Cooper-Patrick, L. (1999). Race, Gender, and Partnership in the Patient-Physician Relationship. JAMA, 282(6), 583. http://dx.doi.org/10.1001/jama.282.6.583

LaVeist TA, Carroll T. Race of physician and satisfaction with care among African-American patients. J Natl Med Assoc 2002;94:937–43.

Carter J, Park ER, Moadel A, Cleary SD, Morgan C. Cancer knowledge, attitudes, beliefs, and practices (KABP) of disadvantaged women in the South Bronx. J Cancer Educ 2002;

Winstead-Fry P, Hernandez CG, Colgan GM, et al. The relationship of rural persons' multidimensional health locus of control to knowledge of cancer, cancer myths, and cancer danger signs. Cancer Nurs 1999;

U.S. Preventative Services Task Force. Screening for Breast Cancer. 2002; Retrieved November 15, 2015 from

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