While statistics may quantify health disparities, they tell the human story of a community disproportionately burdened by heart disease, cancer, diabetes, and more, revealing an urgent call to address the systemic roots of African American health inequities.
Key Takeaways
- In 2021, the age-adjusted death rate for heart disease among non-Hispanic Black persons was 198.4 per 100,000 population, compared to 162.5 for non-Hispanic White persons
- African American adults are 30% more likely to die from heart disease than non-Hispanic White adults
- 47% of African American adults have high blood pressure, compared to 36% of White adults
- In 2020, Black men had a cancer mortality rate of 189.3 per 100,000, 23% higher than White men at 153.7
- Black women face 12% higher breast cancer mortality than White women despite lower incidence
- Prostate cancer incidence among Black men is 70% higher than White men
- In 2021, diagnosed diabetes prevalence among non-Hispanic Black adults was 12.1%, higher than 7.5% for non-Hispanic Whites
- African American adults are 60% more likely to have diabetes than non-Hispanic Whites
- 34.5% of African American adults are obese, highest among racial groups
- In 2021, maternal mortality rate for Black women was 69.9 per 100,000 live births, 3 times higher than 19.1 for White women
- Black infants have 2.4 times higher infant mortality rate than White infants at 10.9 vs 4.5 per 1,000
- Severe maternal morbidity affects 144 per 10,000 Black deliveries vs 90 for Whites
- In 2021, HIV diagnosis rate among Black adults was 41.6 per 100,000, 8 times higher than Whites at 5.3
- Black Americans account for 40% of new HIV diagnoses despite 13% population
- HIV death rate for Blacks is 6 times higher than Whites
Black Americans face significantly higher rates of heart disease, cancer, diabetes, and maternal mortality compared to White Americans.
Cancer
- In 2020, Black men had a cancer mortality rate of 189.3 per 100,000, 23% higher than White men at 153.7
- Black women face 12% higher breast cancer mortality than White women despite lower incidence
- Prostate cancer incidence among Black men is 70% higher than White men
- Colorectal cancer death rate for Blacks is 27% higher than Whites
- Black Americans are twice as likely to die from cervical cancer than White women
- Lung cancer mortality in Black men is 22% higher than White men
- Black women have highest pancreatic cancer mortality rates
- Only 59% of Black Americans are up to date on colorectal cancer screening vs 68% Whites
- Multiple myeloma incidence in Blacks is 2.4 times higher than Whites
- Black breast cancer patients diagnosed at stage III/IV 50% more often
- Kidney cancer mortality 2 times higher in Black men
- Oral cavity cancer death rates 40% higher for Blacks
- 5-year survival for Black prostate cancer patients is 78% vs 92% for Whites
- Black women with ovarian cancer have 40% higher mortality risk
- Liver cancer incidence rising 3% annually faster in Blacks
- Black Americans receive chemotherapy less often for equivalent cancers
- Uterine cancer mortality doubled in Black women from 2010-2019
- Black men with stage I lung cancer get surgery 20% less often
- Stomach cancer death rate 2.2 times higher in Blacks
- Black breast cancer survivors report higher unmet supportive care needs
- Esophageal cancer incidence 1.7 times higher in Black men
- Black women diagnosed with endometrial cancer present at advanced stages more frequently
- Bladder cancer survival 20% lower for Blacks
- Black Americans have higher HPV-associated cancer rates despite vaccination
- Melanoma mortality 50% higher in Blacks due to late diagnosis
- Black thyroid cancer patients have worse recurrence-free survival
- Brain cancer survival rates lower by 15% for Blacks
- Leukemia incidence similar but mortality 20% higher in Blacks
- Black lymphoma patients less likely to receive stem cell transplants
Cancer Interpretation
A grim constellation of data points, which together map a single, devastating truth: across nearly every form of cancer, being Black in America means facing a system that delivers the disease more aggressively, detects it later, treats it less effectively, and ultimately kills with a chilling and disproportionate efficiency.
Cardiovascular Disease
- In 2021, the age-adjusted death rate for heart disease among non-Hispanic Black persons was 198.4 per 100,000 population, compared to 162.5 for non-Hispanic White persons
- African American adults are 30% more likely to die from heart disease than non-Hispanic White adults
- 47% of African American adults have high blood pressure, compared to 36% of White adults
- Stroke death rates for African Americans are 48% higher than for Whites
- African American men have a 1 in 4 lifetime risk of stroke, higher than any other racial group
- 44% of African American adults have some form of cardiovascular disease
- African Americans develop heart failure at age 52 on average, 5 years earlier than Whites
- High cholesterol affects 37% of African American adults
- African American women have a 70% higher risk of dying from stroke than White women
- Only 48% of African Americans with hypertension have it under control, vs 55% of Whites
- African Americans account for 24% of coronary heart disease deaths despite being 13% of population
- Sudden cardiac death rates are 2.4 times higher in African American men under 35
- 56% of African American adults are overweight or obese, contributing to CVD risk
- African Americans have 1.5 times higher prevalence of peripheral artery disease
- Heart attack hospitalization rates for African Americans are 20% higher than Whites
- African American adults under 65 have 2 times the CVD mortality rate of Whites
- Sickle cell disease, affecting 1 in 365 African American births, leads to higher stroke risk
- 40% of African American adults with diabetes also have CVD
- African Americans experience 30% higher atrial fibrillation-related strokes
- Post-heart surgery survival rates are 15% lower for African Americans
- African American youth have 2-3 times higher hypertension prevalence
- 1 in 3 African American men will develop heart disease in lifetime
- African American women have highest rates of cardiomyopathy
- CVD is the leading cause of death for African Americans, killing 93,000 annually
- African Americans have 50% higher risk of hypertensive heart disease
- 25% of African American adults report family history of early CVD
- African Americans undergo fewer cardiac rehab sessions post-event
- Prevalence of coronary artery calcium is higher in African Americans at younger ages
- African American veterans have 1.8 times higher heart failure hospitalization rates
- 60% of African American adults with CVD have multiple risk factors uncontrolled
- African American men have a 20% higher incidence of aortic aneurysms
Cardiovascular Disease Interpretation
The sobering weight of these numbers tells us that for African Americans, the rhythm of the heart is too often a countdown to crisis, set against a relentless background of disparity that demands more than just awareness, but urgent and equitable action.
Diabetes
- In 2021, diagnosed diabetes prevalence among non-Hispanic Black adults was 12.1%, higher than 7.5% for non-Hispanic Whites
- African American adults are 60% more likely to have diabetes than non-Hispanic Whites
- 34.5% of African American adults are obese, highest among racial groups
- African American women have obesity rates of 56.9%, vs 39.8% for White women
- Diabetes-related death rate for Blacks is 1.7 times higher than Whites
- Only 22% of African Americans with diabetes achieve A1C <7%, vs 30% Whites
- African American youth have 2-3 times higher prediabetes prevalence
- 25% of African American adults with hypertension also have diabetes
- Gestational diabetes affects 14% of African American pregnancies
- African Americans develop diabetes 4 years earlier on average
- Kidney failure from diabetes is 3.2 times more common in Blacks
- 40% of African American adults with diabetes have CKD
- Lower extremity amputations due to diabetes are 1.8 times higher in Blacks
- African American men with diabetes have 50% higher heart disease risk
- Insulin affordability issues affect 30% of African American diabetics
- Retinopathy prevalence in African American diabetics is 38%
- 70% of African American type 2 diabetics are overweight at diagnosis
- African Americans have 2.5 times higher risk of diabetic hyperosmolar state
- Continuous glucose monitor use is 50% lower among African Americans
- Hispanic Black adults have 15% higher undiagnosed diabetes rates
- African American seniors over 65 have 27% diabetes prevalence
- Diabetes contributes to 13% of deaths among African Americans aged 65+
- Prediabetes awareness is 40% lower in African Americans
- African American children have 4 times higher type 2 diabetes rates
- Neuropathy affects 50% of African American diabetics
Diabetes Interpretation
These statistics paint a bleak, systemic picture: from womb to old age, Black Americans face a gauntlet of inequities—from earlier diagnoses to unaffordable insulin to devastating complications—that together form a diabetic crisis of disproportionate and preventable suffering.
Infectious Diseases
- In 2021, HIV diagnosis rate among Black adults was 41.6 per 100,000, 8 times higher than Whites at 5.3
- Black Americans account for 40% of new HIV diagnoses despite 13% population
- HIV death rate for Blacks is 6 times higher than Whites
- 42% of Black gay and bisexual men living with HIV
- Late HIV diagnosis (stage 3) in 36% of Black cases vs 24% Whites
- Black women represent 50% of new HIV infections among women
- PrEP use among Black MSM is only 10%, vs 20% Whites
- Syphilis rates among Blacks 5.5 times higher than Whites at 37.9 per 100,000
- Gonorrhea incidence in Blacks 5.6 times higher
- Chlamydia rates 5.6 times higher among Black females
- Hepatitis C prevalence 2 times higher in Blacks
- TB incidence among Blacks 6 times U.S. average
- COVID-19 death rate for Blacks 1.7 times higher than Whites
- Influenza hospitalization rates 3 times higher in Blacks
- Sickle cell trait carriers 1 in 13 Blacks, increasing infection risks
- Black children have higher pneumococcal disease rates pre-vaccine
- HIV viral suppression 59% in Blacks vs 70% Whites
- Congenital syphilis in Black infants 7 times higher
- Black adults 4 times more likely to have chronic HBV
- Pertussis hospitalization 4 times higher in Black infants
- Black women have highest HPV prevalence at 44%
- MRSA infection rates higher in Black hospitalized patients
- Black transplant recipients have higher post-op infection rates
- Valley fever hospitalization 3 times higher in Blacks
- Black sickle cell patients 10 times higher osteomyelitis risk
- HIV testing rates 75% lifetime but recent testing lower at 40%
- Black MSM account for 70% of new infections among MSM
Infectious Diseases Interpretation
This jarring constellation of healthcare disparities paints a portrait of a system where Black Americans are left to weather a perfect storm of historical neglect, access barriers, and inequitable outcomes across virtually every infectious disease.
Maternal Health
- In 2021, maternal mortality rate for Black women was 69.9 per 100,000 live births, 3 times higher than 19.1 for White women
- Black infants have 2.4 times higher infant mortality rate than White infants at 10.9 vs 4.5 per 1,000
- Severe maternal morbidity affects 144 per 10,000 Black deliveries vs 90 for Whites
- Preterm birth rate for Black women is 14.2%, 50% higher than Whites
- Low birthweight occurs in 13.7% of Black infants vs 7% White
- Black women are 4 times more likely to die from pregnancy-related cardiomyopathy
- Postpartum hemorrhage rates 60% higher in Black women
- Preeclampsia affects 5% of Black pregnancies vs 3.5% White
- Black women receive later or no prenatal care in 7.5% of pregnancies
- Sudden unexpected infant death 2.9 times higher in Black infants
- Black teen birth rate is 26.1 per 1,000, twice that of Whites
- Cesarean delivery rate for Black women is 36.1%, higher than 31.7% for Whites
- Hypertensive disorders cause 15% of Black maternal deaths
- Black women experience 50% higher ectopic pregnancy rates
- Neonatal sepsis mortality 3 times higher in Black newborns
- Black mothers have 2 times higher placenta previa rates
- Fetal mortality rate 1.8 times higher for Black fetuses
- Black women with college degrees still have 5 times higher maternal mortality
- Infection-related maternal deaths 3 times higher in Blacks
- Black preterm infants have 50% higher NICU admission rates
- Maternal sepsis rates 1.7 times higher in Black women
- Black women report 20% less satisfaction with childbirth care
- Perinatal depression screening lower for Black mothers at 60%
- Black infant abstinence syndrome from opioids 2 times higher
- Maternal stroke risk 5 times higher in Black women postpartum
- Black women have 30% higher gestational hypertension rates
- Infant mortality from congenital anomalies 1.5 times higher in Blacks
Maternal Health Interpretation
The grim arithmetic of American healthcare assigns Black mothers and infants a higher mortality tax simply for being born, proving that while medical science advances, systemic bias remains stubbornly stuck in the past.
Mental Health
- In 2020, age-adjusted suicide rate among Black males was 13.6 per 100,000, higher than previous decades
- 19.1% of Black adults report serious psychological distress
- Black youth have 13.3% major depressive episode rate
- Only 31.9% of Black adults with mental illness receive treatment
- Black women report postpartum depression at 11.4%, but underdiagnosed
- Opioid overdose death rate increased 188% among Blacks 2015-2020
- Black adolescents have highest vaping rates at 16%
- 24% of Black adults report anxiety symptoms
- Black veterans PTSD prevalence 20% higher than Whites
- Alcohol use disorder 14.7% among Black adults
- Black men suicide attempts 50% higher in rural areas
- Schizophrenia diagnosis 2.4 times higher in Blacks
- Black children autism diagnosis delayed by 18 months
- 40% of Black adults with depression untreated due to stigma
- Black LGBTQ+ youth suicide attempt rate 47%
- Illicit drug use 20.3% among Black adults
- Bipolar disorder treatment gap 60% for Blacks
- Black seniors dementia prevalence 14%, higher with vascular risks
- COVID-19 anxiety 2 times higher in Black communities
- Black men homicide as suicide proxy rate high
- ADHD diagnosis in Black boys 3 times medication rates lower
- Black women report highest burnout rates 52%
Mental Health Interpretation
These numbers paint a portrait of a community bearing a disproportionate psychological burden, where resilience is constantly stretched thin by systemic barriers to care, layered stigmas, and the exhausting calculus of surviving in a society that too often mistakes your pain for pathology.
Sources & References
- Reference 1CDCcdc.govVisit source
- Reference 2HEARTheart.orgVisit source
- Reference 3MILLIONHEARTSmillionhearts.hhs.govVisit source
- Reference 4AHAJOURNALSahajournals.orgVisit source
- Reference 5NCBIncbi.nlm.nih.govVisit source
- Reference 6JAMANETWORKjamanetwork.comVisit source
- Reference 7AHRQahrq.govVisit source
- Reference 8JACCjacc.orgVisit source
- Reference 9SEERseer.cancer.govVisit source
- Reference 10CANCERcancer.govVisit source
- Reference 11CANCERcancer.orgVisit source
- Reference 12ATSJOURNALSatsjournals.orgVisit source
- Reference 13AJOGajog.orgVisit source
- Reference 14SKINCANCERskincancer.orgVisit source
- Reference 15THYROIDthyroid.orgVisit source
- Reference 16KIDNEYkidney.orgVisit source
- Reference 17DIABETESdiabetes.orgVisit source
- Reference 18AMA-ASSNama-assn.orgVisit source
- Reference 19NEInei.nih.govVisit source
- Reference 20DIABETESJOURNALSdiabetesjournals.orgVisit source
- Reference 21NIDDKniddk.nih.govVisit source
- Reference 22MARCHOFDIMESmarchofdimes.orgVisit source
- Reference 23AJOGMFMajogmfm.orgVisit source
- Reference 24KFFkff.orgVisit source
- Reference 25ACOGacog.orgVisit source
- Reference 26NIHnih.govVisit source
- Reference 27AIDSaids.govVisit source
- Reference 28HIVhiv.govVisit source
- Reference 29SAMHSAsamhsa.govVisit source
- Reference 30NAMInami.orgVisit source
- Reference 31NIDAnida.nih.govVisit source
- Reference 32PTSDptsd.va.govVisit source
- Reference 33NIAAAniaaa.nih.govVisit source
- Reference 34MHANATIONALmhanational.orgVisit source
- Reference 35THETREVORPROJECTthetrevorproject.orgVisit source
- Reference 36NIMHnimh.nih.govVisit source
- Reference 37ALZalz.orgVisit source
- Reference 38AJPHajph.aphapublications.orgVisit source