Young black women demonstrate impaired microvascular but preserved macrovascular function compared to white women

2021 ◽  
Author(s):  
Michele N. D'Agata ◽  
Elissa K. Hoopes ◽  
Felicia R. Berube ◽  
Alexandra E. Hirt ◽  
Melissa A. Witman
Keyword(s):  
Black Women ◽  
White Women ◽  
Young Black Women

The association between race and intrinsic subtype on hormone receptor-positive breast cancer among young black women.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e12591-e12591
Author(s):  
Sonya Reid ◽  
Jaleesa Moore ◽  
Ann Tezak ◽  
Anne Weidner ◽  
Ingrid A. Mayer ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Hormone Receptor ◽  
White Women ◽  
Published Data ◽  
Intrinsic Subtypes ◽  
Luminal A ◽  
Hormone Receptor Positive ◽  
Incidence And Mortality ◽  
Young Black Women

e12591 Background: Hormone receptor-positive, HER2-negative breast cancer (HR+/HER2- BC) has the highest incidence and mortality rate across all racial/ethnic groups. HR+/HER2- BC is clinically and biologically heterogenous. Gene expression profiling assays can provide prognostic information and predict risk of late recurrence among women with HR+/HER2- BC. Prior studies have shown worse clinical outcomes among black women with HR+/HER2- BC. We sought to compare the distribution of intrinsic subtypes among young black women with HR+/HER2- BC, compared to published data from a young white cohort in the Carolina Breast Cancer Study (CBCS). Methods: Two population-based cohorts of black women diagnosed with BC between 2002 to 2012 at or below age 50 years were analyzed. Participants were recruited from twelve Southeastern states. All participants were asked to complete release of medical records and tissue/tumor forms to verify clinical information and to obtain primary tumor samples for future analyses. We compared the distribution of intrinsic subtypes and associations to clinical characteristics as compared to white female counterparts using Pearson chi-squared test. Results: Of 569 black participants, 124 women had HR+/HER2- BC and tumor samples available for analysis. There were 66 Luminal A (53%), 35 Luminal B (28%), 19 Basal (15%), and 4 HER2-enriched (3%) tumors. Black women with non-Luminal A tumors were younger ( < 40) with larger tumors ( > 2cm) and had higher risk of recurrence (ROR-T) scores as compared to black women with Luminal A tumors (p = 0.065, 0.006, and < 0.001, respectively). Compared to young white women in the CBCS, black women in our study had a significantly higher percentage of non-Luminal HR+/HER2- BC (p = 0.037). Conclusions: Our results suggest that among young women with HR+/HER2- BC, black women have a higher proportion of non-Luminal tumors compared to their white counterparts. Non-Luminal HR+/HER2- tumors (i.e., basal and HER2-enriched) are more aggressive and may be less sensitive to endocrine therapy. These results suggest that overrepresentation of aggressive HR+/HER2- BC subtypes may contribute to the racial survival disparity observed among black women.

scholarly journals The Relative Earnings of Young Mexican, Black, and White Women

ILR Review ◽  
2002 ◽  
Vol 56 (1) ◽  
pp. 122-135 ◽  
Author(s):  
Heather Antecol ◽  
Kelly Bedard
Keyword(s):  
Black Women ◽  
White Women ◽  
Wage Gap ◽  
Important Determinant ◽  
Longitudinal Survey ◽  
Mexican Women ◽  
Black And White ◽  
Market Experience ◽  
Young Black Women ◽  
Labor Force Attachment

This analysis of data from the National Longitudinal Survey of Youth indicates that young Mexican women and young black women earned, respectively, 9.5% and 13.2% less than young white women in 1994. Differences in education appear to be the most important explanation for the Mexican-white wage gap, whereas differences in labor force attachment are the most important determinant of the black-white wage gap. The authors show that accounting for actual labor market experience, rather than simply imputing experience based on years since leaving school, is crucially important in such analyses.

scholarly journals Young black women have more aggressive breast cancers than white women

BMJ ◽  
2004 ◽  
Vol 329 (7456) ◽  
pp. 13.2 ◽  
Author(s):  
Janice Hopkins Tanne
Keyword(s):  
Black Women ◽  
White Women ◽  
Breast Cancers ◽  
Young Black Women

Race, Family Status, and Young Women’s Residential and Financial Dependency: 1970 to 2010

2016 ◽  
Vol 38 (18) ◽  
pp. 2567-2593 ◽  
Author(s):  
Joan R. Kahn ◽  
Javier García-Manglano ◽  
Frances Goldscheider
Keyword(s):  
Black Women ◽  
White Women ◽  
Intergenerational Support ◽  
Family Status ◽  
Race Difference ◽  
Black And White ◽  
Family Patterns ◽  
Intergenerational Coresidence ◽  
Young Black Women ◽  
Financial Dependency

This article examines the extent to which recent increases in intergenerational coresidence and financial dependency among young Black and White women are associated with declines in marriage and increases in nonmarital parenthood. We use U.S. Census and American Community Survey data for the period 1970 to 2010 to examine how changing family patterns by race have contributed to changes in intergenerational support. We find that compositional shifts in marriage and, to a lesser extent, nonmarital childbearing contribute to rises in coresidence and financial dependency over time, as well as to the growing gap between White and Black women. Controlling for marital and parental status reduces the temporal increase in coresidence and greatly reduces the race difference. Race differences in financial dependency are reversed after controlling for marital and family status, showing that coresiding young Black women are less, not more, likely than similar White women to be financially dependent on their parents.

Ethnic Differences in Self-Poisoning Across South London

Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 268-272
Author(s):  
Sean Cross ◽  
Dinesh Bhugra ◽  
Paul I. Dargan ◽  
David M. Wood ◽  
Shaun L. Greene ◽  
...  
Keyword(s):  
Black Women ◽  
Data Collection ◽  
White Women ◽  
Population Based ◽  
Care Services ◽  
Self Harm ◽  
Managing Risk ◽  
The Uk ◽  
Incident Cases ◽  
Minority Ethnic

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.

Race, Gender, and Perceived Employment Discrimination

2021 ◽  
Vol 52 (5) ◽  
pp. 509-527
Author(s):  
Philip Q. Yang
Keyword(s):  
Black Women ◽  
White Women ◽  
Social Inequalities ◽  
Employment Discrimination ◽  
General Social Survey ◽  
Self Report ◽  
Independent Effect ◽  
Race And Gender ◽  
Job Discrimination ◽  
And Gender

This study investigates the effects of race and gender on perceived employment discrimination using the 2016 General Social Survey that provides new data on perceived employment discrimination that aligns more closely with the legal definition of employment discrimination. It is found that 19% of the American adults self-reported the experience of employment discrimination in job application, pay increase, or promotion in the past 5 years. The results of logistic regression analysis show that either controlling or not controlling for other factors, Blacks were much more likely to perceive being discriminated in employment than Whites, but other races were not significantly different from Whites in perceived employment discrimination after holding other variables constant. While gender did not have a significant independent effect on perceived job discrimination, it did interact with race to influence perceived job discrimination. Regardless of race, women were somewhat less likely than men to perceive job discrimination, but Black women were significantly even less likely than White women to self-report job discrimination, and Black men were much more likely to self-report employment discrimination than White men. These findings have implications for combating employment discrimination and addressing social inequalities.

Racial Disparities in Pregnancy-associated Intimate Partner Homicide

2021 ◽  
pp. 088626052199083
Author(s):  
Aaron J. Kivisto ◽  
Samantha Mills ◽  
Lisa S. Elwood
Keyword(s):  
Black Women ◽  
Ethnic Minority ◽  
Racial Disparities ◽  
White Women ◽  
The United States ◽  
Intimate Partner ◽  
Intimate Partner Homicide ◽  
Homicide Victimization ◽  
Increased Risk ◽  
Racial Ethnic

Pregnancy-associated femicide accounts for a mortality burden at least as high as any of the leading specific obstetric causes of maternal mortality, and intimate partners are the most common perpetrators of these homicides. This study examined pregnancy-associated and non-pregnancy-associated intimate partner homicide (IPH) victimization among racial/ethnic minority women relative to their non-minority counterparts using several sources of state-level data from 2003 through 2017. Data regarding partner homicide victimization came from the National Violent Death Reporting System, natality data were obtained from the Centers for Disease Control and Prevention’s National Center for Health Statistics, and relevant sociodemographic information was obtained from the U.S. Census Bureau. Findings indicated that pregnancy and racial/ethnic minority status were each associated with increased risk for partner homicide victimization. Although rates of non-pregnancy-associated IPH victimization were similar between Black and White women, significant differences emerged when limited to pregnancy-associated IPH such that Black women evidenced pregnancy-associated IPH rates more than threefold higher than that observed among White and Hispanic women. Relatedly, the largest intraracial discrepancies between pregnant and non-pregnant women emerged among Black women, who experienced pregnancy-associated IPH victimization at a rate 8.1 times greater than their non-pregnant peers. These findings indicate that the racial disparities in IPH victimization in the United States observed in prior research might be driven primarily by the pronounced differences among the pregnant subset of these populations.

Discordance Between Perinatal Alcohol Use Among Women and Provider Counseling for Alcohol Use: An Assessment of the Pregnancy Risk Assessment Monitoring System

2021 ◽  
pp. 003335492098414
Author(s):  
Erika L. Thompson ◽  
Tracey E. Barnett ◽  
Dana M. Litt ◽  
Erica C. Spears ◽  
Melissa A. Lewis
Keyword(s):  
Black Women ◽  
Alcohol Use ◽  
Universal Screening ◽  
White Women ◽  
Hispanic Women ◽  
Pregnancy Risk ◽  
Health Insurance Status ◽  
Prenatal Alcohol Use ◽  
Prenatal Alcohol ◽  
Alcohol Counseling

Objective In the United States, guidelines indicate all pregnant women should be screened for and counseled on alcohol use to prevent adverse perinatal outcomes due to alcohol consumption. The objective of this study was to describe sociodemographic factors associated with receipt of prenatal alcohol counseling and perinatal alcohol use among US women. Methods State health departments collected data for the Pregnancy Risk Assessment Monitoring System Phase 7 during 2012-2015, and we restricted the sample to a complete case analysis (N = 135 111). The 3 dichotomous outcomes were preconception alcohol use (3 months before pregnancy), prenatal alcohol use (during last 3 months of pregnancy), and prenatal alcohol counseling. Predictor variables were age, race, Hispanic ethnicity, education, marital status, health insurance status, and previous live births. We estimated survey-weighted logistic regression models for each outcome. Results Half (56.0%) of pregnant women reported preconception alcohol use, 70.5% received prenatal alcohol counseling, and 7.7% reported prenatal alcohol use during the last 3 months of pregnancy. Black women were significantly less likely than White women (odds ratio [OR] = 0.49; 95% CI, 0.46-0.52) and Hispanic women were significantly less likely than non-Hispanic women (OR = 0.62; 95% CI, 0.58-0.66) to report preconception alcohol use. We found similar patterns for prenatal alcohol use among Black women. Black women were significantly more likely than White women (OR = 1.66; 95% CI, 1.55-1.77) and Hispanic women were significantly more likely than non-Hispanic women (OR = 1.51; 95% CI, 1.40-1.61) to receive prenatal alcohol counseling. We found similar patterns for age, education, and health insurance status. Conclusion Disparities in alcohol counseling occurred despite the national recommendation for universal screening and counseling prenatally. Continued integration of universal screening for alcohol use during pregnancy is needed.

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