Breast and Cervical Cancer Screening Behaviors of African American Sexual Minority Women

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Four decades after the institution of the war on cancer, advancements in prevention, screening, and treatment have resulted in downward trends in mortality rates and actual cancer deaths. Nevertheless, cancer continues to extract a tremendous toll on subsections of the U.S. populations, with continuing disparities in how cancer affects different ethnic and racial groups. In 2012, it was estimated that nearly 1.6 million cases of cancer were diagnosed – 790,740 cases for women in particular. In 2013, another 1.7 million cases are expected to be diagnosed in the United States, and about 580,350 Americans are expected to die of cancer this year. Among women, African Americans continue to face disproportionate burden associated with cancer. For example, breast cancer is the most common cancer in African American women, with an estimated 26,840 new cases expected to occur in this population in 2011. Long-term survival rates for breast cancer among African Americans are significantly lower than their white counterparts despite a lower breast cancer incidence rate (78% vs. 90%). Similar disparities by race exist in cervical cancer incidence and death rates, with African American women having a 2.6% higher incidence than Caucasian women.