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Racial discrimination and breast cancer incidence

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Summary:

This paper considered whether perceived discrimination was related to breast cancer incidence in African American women in the US. Weak positive associations were found between breast cancer and both major (job, housing, and police) and everyday (e.g. being treated as dishonest) discrimination. Young African American women showed stronger associations between discrimination and breast cancer. Women under the age of 50 years who reported frequent everyday discrimination were at higher risk than were those with infrequent experiences. Those women who reported discrimination with respect to housing, job, and police, had a breast cancer incidence rate ratio of 1.48 (95% CI, 1.01-2.16) whilst the ratio for those who cited discrimination only at their job was 1.32 (95% CI, 1.03- 1.70) as compared to those who reported no discrimination. The authors conclude that perceived experiences of racism are associated with increased incidence of breast cancer among African American women, particularly those of young age.

Comment:
The ‘Black Women’s Health Study’ commenced in 1995. It aims to understand more about and improve some of the health issues faced by African American women. 59,000 women enrolled at the start and over the past 12 years the researchers (most of whom are African American women) have looked at a diverse range of topics including breast and other types of cancer, lupus, hypertension, menopause, deprivation, perceived racism and physical activity. The finding reported in this paper (that perceived racism appeared to increase the risk for breast cancer in the younger population) is disturbing and raises questions about the ‘severity’ of perceived racism for younger women. As Dr Camara Jones says, we must acknowledge the present day existence and impacts of racism.
Reference: Am J Epidemiol. 2007.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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