The health of Black women is a crucial yet frequently neglected topic. Raising awareness, improving access, and providing education on the health challenges that disproportionately affect Black women are essential steps in addressing healthcare disparities. Issues such as breast health, physical wellness, mental health, and access to quality care are especially important, as they can have a profound impact on the lives of Black women. 

Archbold Primary Care physician Dr. Rachel P. Anderson delves into the topic of Black women's health, shedding light on the specific health challenges that disproportionately impact this community. In his blog post, Dr. Anderson offers valuable insights into these issues and shares her expertise on how to better address the disparities in care. 

Breast Cancer and Black Women

Breast cancer is the most diagnosed cancer among women in the United States, and statistics paint a concerning picture for Black women. Although the rate at which Black women are diagnosed with breast cancer is similar to white women (around 12%), the American Cancer Society states Black women are around 40% more likely to die from breast cancer than non-Hispanic white women. 

"This start statistic highlights an important health disparity that has persisted and needs to be addressed," says Dr. Anderson. 

• Triple-Negative Breast Cancer
  Black women are disproportionately affected by triple-negative breast cancer, which is one of the most aggressive forms of breast cancer. In fact, Black women are twice as likely to develop triple-negative cancer due to a number of factors, including higher rates of obesity and social inequities. 
   
• Challenges of Early Detection
  Many Black women encounter obstacles when it comes to early detection of breast cancer. Lack of accessible healthcare, less education around risks and symptoms, and concern of facing discrimination are all factors that lead to fewer Black women going to the doctor for regular checks. 
   
• Underrepresentation in Research
  Despite their increased risk, Black women continue to be underrepresented in clinical trials and genetic studies, which could impact how they are viewed and treated in healthcare. Until there is regular representation, there is a risk of overlooking specific symptoms, reactions, and treatments for Black women. 
   
• Impact of Socioeconomic Status and Healthcare Access
  Historically, Black women have faced inequities in healthcare, resulting in limited access to healthcare. Lower socioeconomic status can also result in lack of local or accessible healthcare providers or facilities. 

"We need to keep fostering discussions about breast health within communities to remove barriers and promote screening mammograms for all women," says Dr. Anderson. "Offering resources and education can make a significant difference in early detection. The more awareness we create around the topic, the greater the chance that issues will be identified and addressed more quickly." 

Broader Context of Health Risks for Black Women

While addressing breast cancer is critical, it's also important to recognize that Black women face heightened risks for other health conditions, as well, including heart disease, hypertension, diabetes, and mental health issues. 

Heart Disease

Heart disease is the leading cause of death among Black women, with contributing factors such as hypertension, obesity, and diabetes significantly impacting their health. 

Heart disease is characterized by a range of conditions affecting the heart, such as coronary heart disease, cardiac arrest, congestive heart failure, and high blood pressure. 

Black women are nearly 50% more likely to have high blood pressure when compared to non-Hispanic white women. Higher rates of hypertension among Black women pose severe health risks, often leading to complications that can heighten other health conditions. 

Some symptoms of hypertension include: 

• Severe Headaches
• Chest Pain
• Dizziness
• Difficulty Breathing
• Nausea
• Vomiting

"Understanding the interconnectedness of health issues is vital for early detection and treatment," states Dr. Anderson. It's important to have regular checks with your primary care doctor and note any changes or unusual symptoms you're experiencing."

Diabetes

Type 2 diabetes also has an increased prevalence among Black women, with complications arising from limited healthcare access. In comparison to non-Hispanic white women, Black women are at nearly double the risk of being diagnosed with diabetes (12.1%). 

Common symptoms of diabetes include:

• Feeling thirsty
• Urinating often
• Feeling tired or weak
• Feeling irritable or sudden mood changes
• Losing weight without trying
• Blurry vision

"If left untreated, diabetes can cause serious health problems, such as heart disease, vision loss, and kidney disease," says Dr. Anderson. "It's important to recognize the signs of diabetes early and seek treatment from a primary care physician."

Mental Health

Black women often encounter distinct challenges regarding mental health. Historically, they have been an underrepresented and undertreated group, facing inequities and racism within the healthcare system, which can create obstacles to addressing emotional well-being. Mental health stigma may arise both from within their community and, at times, from healthcare providers. As a result, many may resort to self-managing their mental health to avoid additional stress or anxiety. Alongside the stigma, there is also the potential risk of not being fully heard or taken seriously by healthcare professionals. 

A 2022 study at NYU Rory Meyers College of Nursing and Columbia University School of Nursing found that Black women may experience different symptoms with depression, which could result in underdiagnosis and undertreatment. 

"As a primary care physician, we must remember it's important to keep the patient in mind when making a diagnosis," says Dr. Anderson. "Building a connection of trust with every patient allows doctors to better detect changes in behavior and mental health."

Keep Healthcare a Top Priority

Understanding the unique health challenges faced by Black women, particularly in relation to breast cancer, is crucial in our efforts to reduce disparities and improve overall health outcomes. At Archbold, we are committed ot continually raising awareness, providing education, and increasing access to vital resources. 

Make sure to schedule your annual checkup with your primary care physician - it's an essential part of preventative care. Regular doctor visits, even when you're feeling well, can help detect diseases early and ensure more effective treatment options. 

If you're looking for a primary care provider, reach out to Archbold Primary Care to find a physician in your area. To schedule a screening mammogram at the Archbold Women's Center, call (22) 228.3710.