Nationally, African-American women have the highest breast cancer death rates of all racial groups, and are 40% more likely to die of breast cancer than Caucasian women.

African-American women were less likely than white women to get regular mammograms in the past, and these lower screening rates may have increased the chances of African-American women being diagnosed with more advanced breast cancers. However, today African-American women and white women have about the same rates of mammography use.

Access to follow-up care after an abnormal mammogram may explain part of the survival gap between African-American and white women. Some, but not all, findings have shown that African-American women may have more delays in follow-up after an abnormal mammogram than white women. These delays in follow-up may play a role in the lower survival rates among African-American women.

Even after accounting for differences income, past screening rates and access to care, African-American women are diagnosed with more advanced breast cancers and have worse survival than white women.

Differences in reproductive factors and breast cancer biology between African-American women and white women also appear to play a role in these disparities.

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