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Disease Isn't Always Color Blind
April is National Minority Health and Health Disparities Month


The statistics are both staggering and sobering. African Americans are more likely to be diagnosed with cancer than any other ethnic group. African Americans also have the highest cancer mortality rate. Hispanic women are two and a half times more likely to be diagnosed with cervical cancer than white women. And Asian Americans are twice as likely to die from liver and stomach cancer as white Americans.

One of the major challenges facing the U.S. healthcare system involves the disparities in the tolls that different diseases take on minority racial and ethnic groups. Texas is home to several of the top 10 cities in the nation with the largest minority populations—El Paso, San Antonio, Dallas, and Houston—making this an issue of great importance to the state and its healthcare infrastructure.

Michael Romain, MD, Internal Medicine, The Austin Diagnostic Clinic
Michael Romain, MD

“Minority groups, including African Americans, Hispanics, Asian Americans, and Native Americans, suffer a disproportionate health burden from major diseases like cancer, diabetes, heart disease, and HIV/AIDS,” says Michael Romain, M.D., an internal medicine physician with The Austin Diagnostic Clinic (ADC). “Minority groups have higher incidences of disease and higher mortality rates from these diseases. This continued problem highlights the need for more research and an increased effort in making sure these populations have access to the care they need.”

African Americans

African Americans are the second largest minority group in the U.S. next to Hispanics. This population has suffered greatly from one disease in particular—HIV/AIDS. African Americans are 10 times more likely than white Americans to die from AIDS. AIDS is the leading cause of death for African American women ages 25-34, and the third leading cause of death for African American men in that same age group.

African Americans have a higher mortality rate from cancer than any other group. African American men are more than twice as likely as white men to die from prostate cancer. Genetic gene variances in human DNA that are most often found in African American men may contribute to the high rate of prostate cancer in this minority group.

African American women have the highest mortality rate for breast cancer. Recent National Cancer Institute (NCI) research has indicated that younger African American women as well as Hispanic women are more likely to be diagnosed with aggressive breast tumors that are more difficult to treat successfully.

African Americans are also more likely than white Americans to be diagnosed with diabetes and stroke, and African American men are 30 percent more likely to die from heart disease than white men.

Hispanics

Hispanics/Latinos are the largest minority group in the U.S. Hispanics include people of Mexican, Cuban, Puerto Rican, South or Central American descent, or any other group of Spanish culture or origin. The U.S. Census Bureau predicts that by 2050 Hispanics will constitute 30 percent of the U.S. population.

HIV/AIDS is spreading rapidly throughout the Hispanic population. Though Hispanics constituted 15 percent of the U.S. population in 2006, they accounted for 17 percent of new HIV cases reported that year, according to the Centers for Disease Control (CDC). The rate of new HIV cases was three times that of whites in 2006.

Hispanic women have the highest rates of cervical cancer, though African American women have the highest mortality rate for that type of cancer. Hispanics also have higher rates of liver and stomach cancer than whites, though Hispanics have a lower incidence of other types of cancer such as prostate and breast cancer.

Obesity is a risk factor for diabetes, and Mexican American men are more likely to be overweight or obese than white men, according to the U.S. Department of Health and Human Services (USDHHS). Hispanics are one and a half times more likely to be diagnosed with diabetes than whites, but are less likely to die from heart disease.

Asian Americans

Asian Americans—the group having origins in any of countries of the Far East or Southeast Asia—are the fastest growing minority group in the U.S., currently accounting for five percent of the population. This group has lower rates of HIV than whites, but according to the CDC, the numbers of HIV/AIDS cases among Asian Americans has been steadily growing over the years. This group also has the highest liver and stomach cancer incidences and mortality rates of all ethnic groups.

One risk factor for stomach cancer as a type of bacteria called H. pylori, according to the NCI. Researchers suggest that infection with this bacterium might partly explain why Asian Americans have higher rates of stomach cancer.

Native Americans

This group represents people who have origins in any of the original people of North, South, or Central America and who still have tribal affiliation or attachment. In 2007 there were about 4.5 million American Indian and Alaska Natives in the U.S., making up 1.5 percent of the population.

Native Americans are three times more likely to have AIDS than whites. This population also has higher rates of kidney cancer and mortality from kidney cancer than any other ethnic group, according to the American Cancer Society (ACS). Native American men are almost two times more likely to have stomach cancer than white men, and are more than twice as likely to die from that type of cancer.

Native Americans are more than twice as likely to have diabetes as whites. According to data from 2005, they were also twice as likely to die from diabetes. Adults in this group are also more likely than white adults to have heart disease. 

“There are many different organizations studying or expanding their studies of minority health disparities,” says Dr. Romain. “Research is indicating that there are many complicated reasons for disparities, including socioeconomic causes, cultural and language barriers, and access to care. Our minority populations are growing rapidly, and these groups are going to represent an even larger percentage of our total population in the coming years. To improve the total health of the U.S., we’re going to have to focus on improving the health of our minority populations.”


Michael Romain, M.D., is a board certified internal medicine physician at The Austin Diagnostic Clinic, a multi-specialty clinic with more than 120 physicians representing 24 medical specialties at six locations throughout Austin and Central Texas. Visit www.adclinic.com or call 512-901-1111.

Statistics compiled from the U.S. Census Bureau, U.S. Department of Health & Human Services Office of Minority Health, the Centers for Disease Control and Prevention, the American Cancer Society, and the National Cancer Institute.

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The Austin Diagnostic Clinic, A Multi-Specialty Medical Clinic
12221 MoPac Expressway North | Austin, TX 78758 | 512.901.1111
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