Black Women & Cervical Cancer – The Unspoken “Other” Cancer2
Cervical cancer affects more than 11,000 women worldwide annually. Of the close to 2,000 Black women diagnosed with cervical cancer each year, over 40 percent will die. This is unacceptable. Cervical cancer is one of the most preventable types of cancer, and women can be screened for it with routine Pap tests. Despite this fact, the American College of Obstetricians and Gynecologists (ACOG) is now recommending women begin cervical cancer screening at age 21, instead of 3 years after the onset of sexual activity, as was previously recommended by the group. Cervical cancer is almost always caused by genital human papillomavirus (HPV) infection. HPV can also lead to cancers of the anus, vulva, vagina, throat and penis.
Why is this Important to Black Women?
Based on surveys conducted by the Black Women’s Health Imperative (Imperative), we found that a majority of Black women are familiar with certain facts about cervical cancer –how it is caused and that it is preventable. Yet we are still dying at a disproportionately higher rate. Although cervical cancer occurs most often in Hispanic women, Black women tend to have lower 5-year survival rates and die more often than any other race. In fact, Black women have twice the cervical cancer mortality rate compared to white women.
While the Imperative, like ACOG, encourages women to be informed about the risks and benefits of any procedure, the fact remains that most cervical cancer deaths occur among women who have never been screened or have not been screened in the past five years. While we share ACOG’s concerns on the affects of overtreatment and the social and economic toll they may place on women, particularly young women, we also know that screening and early detection are critical components in eliminating these disparate health outcomes for Black women and other women of color.