scholarly journals Determinants of Mammographic Breast Density by Race Among a Large Screening Population

2020 ◽  
Author(s):  
Justin Xavier Moore ◽  
Yunan Han ◽  
Catherine Appleton ◽  
Graham Colditz ◽  
Adetunji T Toriola
Keyword(s):  
African American ◽  
African American Women ◽  
Breast Density ◽  
White Women ◽  
Menopausal Status ◽  
Dense Breast ◽  
Mammographic Breast Density ◽  
Age At First Birth ◽  
American Women ◽  
Hispanic White

Abstract BACKGROUND Due to mixed reports from smaller studies, we examined associations of race with mammographic breast density and evaluated racial differences in the determinants of breast density. METHODS Participants included 37,839 women (23,166 non-Hispanic White, and 14,673 African American women) receiving screening mammograms at the Joanne Knight Breast Health Center at Washington University School of Medicine, St. Louis, Missouri from June 2010 to December 2015. Mammographic breast density was assessed using Breast Imaging Reporting and Data System (5th edition). To determine the association of race and participant characteristics with mammographic breast density, we used multivariable polytomous logistic regression models (reference group: almost entirely fatty). RESULTS African American women had increased odds of extremely dense (adjusted odds ratio (AOR) = 1.31, 95% CI = 1.13–1.52) and reduced odds of heterogeneously dense breasts (AOR= 0.91, 95% CI = 0.84 – 0.99) compared to non-Hispanic White women. Altogether, race, parity and age at first birth, age, current body mass index (BMI), BMI at age 18, menarche, family history of breast cancer, oral contraceptive use, alcohol, and menopausal status explained 33% of the variation in mammographic breast density. Among African American and non-Hispanic White women these factors explained nearly 28.6% and 33.6% of the variation in mammographic density, respectively. Current BMI provided the greatest explanation of breast density (26.2% overall, 22.2% in African American, and 26.2% in non-Hispanic White women). CONCLUSIONS The determinants of mammographic breast density were generally similar between African-American women and non-Hispanic white women. After adjustments for confounders, African Americans had higher likelihood of extremely dense breast but lower likelihood of heterogeneously dense breast. The greatest explanation of breast density was provided by BMI, regardless of race.

scholarly journals Urban vs Rural Residence and the Prevalence of Depression and Mood Disorder Among African American Women and Non-Hispanic White Women

2015 ◽  
Vol 72 (6) ◽  
pp. 576 ◽  
Author(s):  
Addie Weaver ◽  
Joseph A. Himle ◽  
Robert Joseph Taylor ◽  
Niki N. Matusko ◽  
Jamie M. Abelson
Keyword(s):  
African American ◽  
Mood Disorder ◽  
African American Women ◽  
White Women ◽  
Rural Residence ◽  
American Women ◽  
Prevalence Of Depression ◽  
Hispanic White

scholarly journals African American Women and Domestic Violence: Addressing their Voice of Silence

2019 ◽  
Author(s):  
Bernice Kennedy ◽  
Chalice Rhodes (Former Jenkins)
Keyword(s):  
United States ◽  
Domestic Violence ◽  
African American ◽  
Black Women ◽  
African American Women ◽  
White Women ◽  
The United States ◽  
Slave Owner ◽  
American Women ◽  
Strong Black Women

Abstract Historically, during slavery, the international slave trade promoted normalization of violence against African American women. During slavery, African American women endured inhuman conditions because of the majority race views of them as being over-sexualized, physically strong, and immoral. This perception of the African American women as being highly sexual and more sexual than white women results in slave owner justifying their sexual violation and degrading of the African American women. The stereotypical representations of African American women as strong, controlling, dangerous, fearless, and invulnerable may interfere with the African American women receiving the needed services for domestic violence in the community. The Strong Black Women Archetype has been dated back to slavery describing their coping mechanism in dealing with oppression by developing a strong, less traditionally female role. The authors developed a model: The Multidimensional Perspectives of Factors Contributing to Domestic Violence of African American Women in the United States. This model depicts historically, the factors contributing to domestic violence of African American women in the United States. Also, this model addressed the African American women subscribing to the Strong Black Women Archetype to cope with domestic violence. Despite the increase in domestic violence in African American women, they focused more on the issue of racism instead of sexism in America. African American women have experienced the two obstacles of racism and sexism in America. However, African American women and men believe racism is more critical than sexism. Therefore, domestic violence in the African American population may remain silent because of cultural loyalty. However, the voice of silence of African American females is gradually changing with the upcoming generations.

scholarly journals Meaning of Pregnancy Terms Among African-American Women

2017 ◽  
Author(s):  
Stephanie Solomon ◽  
Sandra Suther ◽  
Ivette Lopez ◽  
Alicestine Ashford ◽  
Linda Amankwaa ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
White Women ◽  
Childbearing Age ◽  
American Women ◽  
Planning Policy ◽  
Pregnancy Intendedness ◽  
Women's Lives ◽  
Recurrent Patterns ◽  
Descriptive Method

The concept of pregnancy intendedness is complex and may not bear the same meaning to all women. Moreover, researcher definition and women’s meaning were thought to be different. Some researchers have indicated that it is unclear how well women understand and relate to questions used by the National Survey of Family Growth (NSFG) and how the classifications relate to women’s lives. The purpose of this study was to explore the meaning of terms such as planned and/or intended pregnancy among African-American women of childbearing age using a qualitative exploratory descriptive method. Although African-American women want children, they are three times as likely to experience an unintended pregnancy as white women. Data extracted from transcripts were coded and analyzed for recurrent patterns and themes. For this study, the Theory of Planned Behavior (Ajzen & Fishbein, 1980) was employed to frame interview questions and to interpret data. Findings suggest participants and partners often did not have the same perceptions or meanings of pregnancy planning or intentions. These findings have implications for research and family planning policy.

African American Women, Racism and Triple Oppression

2020 ◽  
Vol 1 (1) ◽  
pp. 113-117
Author(s):  
Rajendra Prasad Chapagain
Keyword(s):  
African American ◽  
African American Women ◽  
Racial Discrimination ◽  
Black Men ◽  
Black Males ◽  
White Women ◽  
Black American ◽  
American Women ◽  
Black American Women ◽  
Sexual Repression

African American women have been made multiple victims: racial discrimination by the white community and sexual repression by black males of their own community. They have been subjected to both kind of discrimination - racism and sexism. It is common experience of black American women. Black American women do have their own peculiar world and experiences unlike any white or black men and white women. They have to fight not only against white patriarchy and white women's racism but also against sexism of black men within their own race. To be black and female is to suffer from the triple oppression- sexism, racism and classicism.

scholarly journals Between-Race Differences in Processes Predicting Physician Communication for African American and European American Recipients of Breast Density Notifications

2018 ◽  
Vol 53 (8) ◽  
pp. 721-731 ◽  
Author(s):  
Mark Manning ◽  
Terrance L Albrecht ◽  
Louis Penner ◽  
Kristen Purrington
Keyword(s):  
Decision Making ◽  
African American ◽  
African American Women ◽  
Breast Density ◽  
Race Differences ◽  
Physician Communication ◽  
Caucasian American ◽  
American Women ◽  
Behavioral Decision ◽  
Decision Making Processes

Abstract Background Breast density notification laws mandate reporting of dense breast to applicable women. The same psychological and systemic barriers that yield between-race differences in mammography use will probably yield between-race differences in women’s psychological and behavioral responses to breast density notifications. Purpose We used the theory of planned behavior as a framework to examine between-race differences in the likelihood of following-up with physicians after receiving breast density notifications and to examine differences in African American and Caucasian American women’s behavioral decision-making processes. Methods A subset of 212 African American and Caucasian American women who participated in an initial and follow-up survey examining responses to breast density notifications were examined for this study. Participants reported background and demographic measures, psychological responses to receiving notifications, and planned behavior measures related to following up with physicians approximately 2 weeks after receiving their mammogram reports. Participants self-reported their behaviors 3 months later. Results There were no between-race differences in self-reported physician communication; however, there were differences in processes that predicted behavior. For Caucasian American women, behavioral intentions, education, and income predicted behaviors. Instead of intentions, group-based medical suspicion, confusion, breast cancer worry, and breast density anxiety predicted behaviors for African American women. Conclusions Behavioral decision-making processes for Caucasian American women were in line with well-validated theoretical predictions. For African American women, race-related medical suspicion, prior breast density awareness, and emotional responses to breast density notifications predicted behavior. The results highlight the need to focus on racially distinct psychological targets when designing interventions to support guideline concordant behavioral decisions among women who receive breast density notifications.

Does Universal Coverage Mitigate Racial Disparities in Potentially Avoidable Maternal Complications?

2020 ◽  
Author(s):  
Anju Ranjit ◽  
Tomas Andriotti ◽  
Cathaleen Madsen ◽  
Tracey Koehlmoos ◽  
Barton Staat ◽  
...  
Keyword(s):  
African American ◽  
Racial Disparities ◽  
African American Women ◽  
White Women ◽  
Racial Group ◽  
Direct Care ◽  
Health Coverage ◽  
African American Mothers ◽  
Maternal Complications ◽  
American Women

Abstract Objective Potentially avoidable maternity complications (PAMCs) have been validated as an indicator of access to quality prenatal care. African-American mothers have exhibited a higher incidence of PAMCs, which has been attributed to unequal health coverage. The objective of this study was to assess if racial disparities in the incidence of PAMCs exist in a universally insured population. Study Design PAMCs in each racial group were compared relative to White mothers using multivariate logistic regression. Stratified subanalyses assessed for adjusted differences in the odds of PAMCs for each racial group within direct versus purchased care. Results A total of 675,553 deliveries were included. Among them, 428,320 (63%) mothers were White, 112,170 (17%) African-American, 37,151 (6%) Asian/Pacific Islanders, and 97,912 (15%) others. African-American women (adjusted odds ratio [aOR]: 1.05, 95% CI: 1.02–1.08) were more likely to have PAMCs compared with White women, and Asian women (aOR: 0.92, 95% CI: 0.89–0.95) were significantly less likely to have PAMCs compared with White women. On stratified analysis according to the system of care, equal odds of PAMCs among African-American women compared with White women were realized within direct care (aOR: 1.03, 95% CI: 1.00–1.07), whereas slightly higher odds among African-American persisted in purchased (aOR: 1.05, 95% CI: 1.01–1.10). Conclusion Higher occurrence of PAMCs among minority women sponsored by a universal health coverage was mitigated compared with White women. Protocol-based care as in the direct care system may help overcome health disparities.

The Timothy 0. Webster Papers and the Pearce Civil War Collection: Using Civil War Military Collections for Women's History

Collections ◽  
2018 ◽  
Vol 14 (3) ◽  
pp. 365-381
Author(s):  
Julie L. Holcomb
Keyword(s):  
African American ◽  
Civil War ◽  
Working Class ◽  
African American Women ◽  
White Women ◽  
Final Part ◽  
American Women ◽  
Women's Experience ◽  
History Of ◽  
Civil War Era

Working-class and rural white women and free and enslaved African American women left few material traces, making it difficult for scholars to document their experience of the Civil War. This three-part article uses the story of the Timothy O. Webster Papers, which is part of the Pearce Civil War Collection at Navarro College in Corsi-cana, Texas, to examine the possibilities and limitations of recovering women's experience of the war from military collections. The first part examines the practice of collecting Civil War documents, the history of the Pearce Civil War Collection, and the collection and preservation of the Webster letters. In the second part, I begin to reconstruct Harriet's story using letters from the Webster Papers. The final part returns to the archive to consider how archivists might aid scholars in recovering the story of Civil War-era women from military collections.

Differences in Treatment and Outcome Between African-American and White Women With Endometrial Cancer

2003 ◽  
Vol 21 (22) ◽  
pp. 4200-4206 ◽  
Author(s):  
Thomas C. Randall ◽  
Katrina Armstrong
Keyword(s):  
African American ◽  
Endometrial Cancer ◽  
African American Women ◽  
Racial Differences ◽  
White Women ◽  
Sociodemographic Characteristics ◽  
Histologic Type ◽  
American Women ◽  
Epithelial Cancers ◽  
Primary Surgery

Purpose: To investigate disparities in treatment and outcomes between African-American and white women with endometrial cancer. Patients and Methods: We analyzed 1992 to 1998 Surveillance, Epidemiology, and End Results data for 21,561 women with epithelial cancers of the endometrium. Sequential Cox proportional hazard models were used to determine the association between tumor characteristics (stage, grade, and histologic type), sociodemographic characteristics (age and marital status), and treatment (surgery and radiation therapy) and the racial difference in mortality. Results: The unadjusted hazard ratio (HR) for death from endometrial cancer for African-American women compared with white women was 2.57. However, African-American women were significantly more likely to present with advanced-stage disease and have poorly differentiated tumors or tumors with an unfavorable histologic type and were significantly less likely to undergo definitive surgery at all stages of disease. Adjusting for tumor and sociodemographic characteristics lowered the HR for African-American women to 1.80. Further adjustment for the use of surgery reduced the HR to 1.51. The association between surgery and survival was stronger among white women (HR, 0.26) than among African-American women (HR, 0.44). Conclusion: African-American women with endometrial cancer are significantly less likely to undergo primary surgery and have significantly shorter survival than white women with endometrial cancer. Racial differences in treatment are associated with racial differences in survival. The association between use of surgery and survival is weaker among African-American than white women, raising questions about potential racial differences in the effectiveness of surgery.

The character of womanhood: How African American women’s perceptions of womanhood influence marriage and motherhood

Ethnicities ◽  
2011 ◽  
Vol 11 (4) ◽  
pp. 512-535 ◽  
Author(s):  
Cassandra Chaney
Keyword(s):  
African American ◽  
Black Women ◽  
African American Women ◽  
White Women ◽  
Future Research ◽  
Black Feminist ◽  
American Women ◽  
Written Responses ◽  
The Family ◽  
Women’S Perceptions

This qualitative paper will focus on how black women understand and perceive womanhood, and will explore how black women’s perceptions regarding womanhood shape their attitudes and behaviours toward marriage and motherhood. Using a black feminist approach, I assert that black women’s perceptions of womanhood are not based on European notions as the family structure and experiences of African American women is characteristically different from that of white women. Further, I assert that African American women create a modified version of womanhood based on their education, social class and economic position in relation to black men, and which may, in turn, inform their decisions regarding marriage and motherhood. Specifically, I examine the written responses of fifteen African American women between the ages of 18 and 55 (mean age of 32.6 years) regarding what is expected of them as women. Qualitative analyses of the data revealed that womanhood was defined in terms of feminine attitudes (strength, sensitivity and sensuality) and feminine behaviours (familial care, their own physical appearance and self-respect). In addition, womanhood was demonstrated through a woman’s ability to care for her home and to take the lead in the absence of male leadership. Supporting qualitative data are presented in connection with each theme. Recommendations for future research are also provided.

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