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African American Profile
Health Status

General Information
Source: Robert Wood Johnson Foundation
Adults living in poor neighborhoods are 5 times as likely to be hospitalized with asthma and congestive heart failure and almost 4 times as likely to be hospitalized with bacterial pneumonia.

Racial Disparities
Source: National Journal Group, 1999

A recent study sponsored by The Commonwealth Fund indicates that minorities lag behind whites on nearly every health indicator, including health care coverage, access to care, life expectancy, and disease rates. Entitled "U.S. Minority Health: A Chart book," the report reveals that despite overall improvements in Americans’ health, disparities persist across age, sex, and income categories. Karen Davis, president of The Commonwealth Fund, explains: "Lower rates of health insurance coverage means less access to care, higher infant mortality rates, greater rates of chronic and acute disease in adulthood – and ultimately higher mortality rates for minority Americans."

Findings regarding the racial disparities in health care include the following:

  • 24% of black adults lack health insurance (compared with 14% of white adults).
  • 39% of black adults report that they do not have a regular physician (compared with 26% of white adults).
  • 41% of blacks over age 65 report that their health status is "fair or poor" (compared with 23% of whites over age 65).
  • 35% of black adults report difficulty paying for medical care (compared with 26% of white adults).
  • 19% of black children lack health insurance (compared with 11% of whites).

Dr. Karen Scott Collins, assistant vice president of The Commonwealth Fund, concludes, "Issues such as routine access to preventative care, cultural competence in providing health care, and proportional representation of minorities in the health professions must be addressed to eliminate inequities."

Cancer
Source: American Cancer Society

  • The survival rates for African Americans are 10 – 15% lower than those of whites for the most frequent cancers (other than lung cancer). For African Americans with cancer, the five-year survival rate was 44%.
  • The incidence of prostate cancer among African American men was 73% higher than for white men. 234 per 100,000 population of African American men were diagnosed with prostate cancer in 1992.
  • From 1973 to 1992, the death rate for African American men, who have one of the highest incidences of prostate cancer in the world, rose by 41%.
  • The five-year survival rate for prostate cancer diagnosed in 1986 – 1993 was 15% lower for African American men than for white men.
  • African American men are 1.5 times more likely to develop prostate cancer and are 2 to 3 times more likely to die of the disease than white men.
  • In 1993, breast cancer mortality was 28% higher for African American women than for white women.
  • The survival rate for breast cancer among African American women is 70% while the survival rate for white women is 86%.
  • In 1996, an estimated 1,359,150 new cancers were diagnosed in the United States. 136,380 of these new cancers were diagnosed among African Americans.
  • African American men have the highest overall cancer and mortality rates.

Coronary Atherosclerosis
Source: American Heart Association

  • Although mortality rates in general for this category of death have been declining, the percentage difference between white male and black male rates has been increasing.
  • Among African Americans aged 20 and older, 47% of men and 51% of women have blood cholesterol levels over 200 mg/dL; 16% of men and 19% of women have levels of 240 mg/dL or more.
  • African Americans are far more likely to have high blood pressure than whites. As many as 30% of all deaths in hypertensive African American men and 20% of all deaths in hypertensive African American women may be attributable to high blood pressure.
  • In 1993, the death rate from high blood pressure was 30.0 (Out of 100,000)for African American males (361% higher than for white males) and 22.6 (Out of 100,000) for African American females (370% higher than for white females).
  • From ages 35 – 74, the death rate from heart attack for African American women was more than 38% higher than that of white women.

Diabetes
Source: American Diabetes Association

  • The rate of diabetes has tripled in the African American community in the past thirty years. From 1980 to 1994 alone, the number of diabetes cases rose 33% among African Americans, three times the increase among whites.
  • Approximately 2.3 million or 10% of all African Americans have diabetes, however, one-third of them do not know it.
  • On average, African Americans are 1.7 times more likely to have diabetes than whites.
  • Twenty-five percent of African Americans between the ages of 65 and 74 have diabetes.
  • One in four African American women over age 55 have diabetes.
  • African Americans experience higher rates of at least three of the serious complications of diabetes: blindness, amputation, and end stage renal disease (kidney failure).

Cerebrovascula Atherosclerosis
Source: American Heart Association

  • African Americans tend to develop high blood pressure at an earlier age and, at any decade of life, hypertension is more severe in African Americans than in whites. This results in 1.3-fold greater rate of nonfatal stroke, a 1.8-fold greater rate of fatal stroke, a 1.5-fold greater rate of heart disease deaths, and a 5-fold greater rate of end-stage renal disease.
  • The 1993 death rate from stroke was 52.0 for African American males (94% higher than for white males) and 39.9 for African American females (75% higher than for white females).
  • The estimated crude prevalence of stroke was 1.8 for African American men and 2.5 for African American women in 1993. Compared to whites, young African Americans have a two-to-three-fold greater risk of cerebral infarction and African American men and women are 2.5 times more likely to die of stroke.

HIV and AIDS
Source: HIV/AIDS Surveillance Report 2000

  • The HIV/AIDS midyear Surveillance Reports that 154,695 African Americans died from 
    AIDS complications. 

Violence and Accidental Injuries
Source: National Institute on Aging, 1999-2000, p. 1
A landmark paper, entitled "Excess Mortality in Harlem" (New England Journal of Medicine, 1990), compares statistics from Harlem with death rates in the country of Bangladesh. Its shocking conclusion was that black males in Harlem have a lower chance of reaching age 65 than do Bangladeshi males. Specifically, low-income blacks are at much greater risk from being exposed to drug and gun violence than any other racial or ethnic group.

 

 

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