From cancer screenings missed to heart disease and diabetes risks that start earlier than in other communities, these eye opening statistics show why African American health deserves urgent, informed action now.
Key Takeaways
- 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, 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 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, 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
- 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
African American health disparities persist: cancers, heart disease, HIV, maternal, mental.
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
Cancer
1In 2020, Black men had a cancer mortality rate of 189.3 per 100,000, 23% higher than White men at 153.7
Verified2Black women face 12% higher breast cancer mortality than White women despite lower incidence
Verified3Prostate cancer incidence among Black men is 70% higher than White men
Verified4Colorectal cancer death rate for Blacks is 27% higher than Whites
Directional5Black Americans are twice as likely to die from cervical cancer than White women
Single source6Lung cancer mortality in Black men is 22% higher than White men
Verified7Black women have highest pancreatic cancer mortality rates
Verified8Only 59% of Black Americans are up to date on colorectal cancer screening vs 68% Whites
Verified9Multiple myeloma incidence in Blacks is 2.4 times higher than Whites
Directional10Black breast cancer patients diagnosed at stage III/IV 50% more often
Single source11Kidney cancer mortality 2 times higher in Black men
Verified12Oral cavity cancer death rates 40% higher for Blacks
Verified135-year survival for Black prostate cancer patients is 78% vs 92% for Whites
Verified14Black women with ovarian cancer have 40% higher mortality risk
Directional15Liver cancer incidence rising 3% annually faster in Blacks
Single source16Black Americans receive chemotherapy less often for equivalent cancers
Verified17Uterine cancer mortality doubled in Black women from 2010-2019
Verified18Black men with stage I lung cancer get surgery 20% less often
Verified19Stomach cancer death rate 2.2 times higher in Blacks
Directional20Black breast cancer survivors report higher unmet supportive care needs
Single source21Esophageal cancer incidence 1.7 times higher in Black men
Verified22Black women diagnosed with endometrial cancer present at advanced stages more frequently
Verified23Bladder cancer survival 20% lower for Blacks
Verified24Black Americans have higher HPV-associated cancer rates despite vaccination
Directional25Melanoma mortality 50% higher in Blacks due to late diagnosis
Single source26Black thyroid cancer patients have worse recurrence-free survival
Verified27Brain cancer survival rates lower by 15% for Blacks
Verified28Leukemia incidence similar but mortality 20% higher in Blacks
Verified29Black lymphoma patients less likely to receive stem cell transplants
DirectionalCancer Interpretation
In 2020, the grim pattern across these cancer statistics is that Black Americans, especially men and women, experience higher mortality, more late stage diagnoses, and lower access to treatments like surgery and chemotherapy, proving that the fight against cancer is too often decided by inequity before it is decided by biology.
Cardiovascular Disease
1In 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
Verified2African American adults are 30% more likely to die from heart disease than non-Hispanic White adults
Verified347% of African American adults have high blood pressure, compared to 36% of White adults
Verified4Stroke death rates for African Americans are 48% higher than for Whites
Directional5African American men have a 1 in 4 lifetime risk of stroke, higher than any other racial group
Single source644% of African American adults have some form of cardiovascular disease
Verified7African Americans develop heart failure at age 52 on average, 5 years earlier than Whites
Verified8High cholesterol affects 37% of African American adults
Verified9African American women have a 70% higher risk of dying from stroke than White women
Directional10Only 48% of African Americans with hypertension have it under control, vs 55% of Whites
Single source11African Americans account for 24% of coronary heart disease deaths despite being 13% of population
Verified12Sudden cardiac death rates are 2.4 times higher in African American men under 35
Verified1356% of African American adults are overweight or obese, contributing to CVD risk
Verified14African Americans have 1.5 times higher prevalence of peripheral artery disease
Directional15Heart attack hospitalization rates for African Americans are 20% higher than Whites
Single source16African American adults under 65 have 2 times the CVD mortality rate of Whites
Verified17Sickle cell disease, affecting 1 in 365 African American births, leads to higher stroke risk
Verified1840% of African American adults with diabetes also have CVD
Verified19African Americans experience 30% higher atrial fibrillation-related strokes
Directional20Post-heart surgery survival rates are 15% lower for African Americans
Single source21African American youth have 2-3 times higher hypertension prevalence
Verified221 in 3 African American men will develop heart disease in lifetime
Verified23African American women have highest rates of cardiomyopathy
Verified24CVD is the leading cause of death for African Americans, killing 93,000 annually
Directional25African Americans have 50% higher risk of hypertensive heart disease
Single source2625% of African American adults report family history of early CVD
Verified27African Americans undergo fewer cardiac rehab sessions post-event
Verified28Prevalence of coronary artery calcium is higher in African Americans at younger ages
Verified29African American veterans have 1.8 times higher heart failure hospitalization rates
Directional3060% of African American adults with CVD have multiple risk factors uncontrolled
Single source31African American men have a 20% higher incidence of aortic aneurysms
VerifiedCardiovascular Disease Interpretation
These statistics tell a grim truth with a stubborn punchline: African Americans are hit by heart and stroke disease sooner, harder, and with less consistent follow through, even though the causes are often preventable and the need for equitable, earlier care is anything but mysterious.
Diabetes
1In 2021, diagnosed diabetes prevalence among non-Hispanic Black adults was 12.1%, higher than 7.5% for non-Hispanic Whites
Verified2African American adults are 60% more likely to have diabetes than non-Hispanic Whites
Verified334.5% of African American adults are obese, highest among racial groups
Verified4African American women have obesity rates of 56.9%, vs 39.8% for White women
Directional5Diabetes-related death rate for Blacks is 1.7 times higher than Whites
Single source6Only 22% of African Americans with diabetes achieve A1C <7%, vs 30% Whites
Verified7African American youth have 2-3 times higher prediabetes prevalence
Verified825% of African American adults with hypertension also have diabetes
Verified9Gestational diabetes affects 14% of African American pregnancies
Directional10African Americans develop diabetes 4 years earlier on average
Single source11Kidney failure from diabetes is 3.2 times more common in Blacks
Verified1240% of African American adults with diabetes have CKD
Verified13Lower extremity amputations due to diabetes are 1.8 times higher in Blacks
Verified14African American men with diabetes have 50% higher heart disease risk
Directional15Insulin affordability issues affect 30% of African American diabetics
Single source16Retinopathy prevalence in African American diabetics is 38%
Verified1770% of African American type 2 diabetics are overweight at diagnosis
Verified18African Americans have 2.5 times higher risk of diabetic hyperosmolar state
Verified19Continuous glucose monitor use is 50% lower among African Americans
Directional20Hispanic Black adults have 15% higher undiagnosed diabetes rates
Single source21African American seniors over 65 have 27% diabetes prevalence
Verified22Diabetes contributes to 13% of deaths among African Americans aged 65+
Verified23Prediabetes awareness is 40% lower in African Americans
Verified24African American children have 4 times higher type 2 diabetes rates
Directional25Neuropathy affects 50% of African American diabetics
Single sourceDiabetes Interpretation
These statistics read like a preventable pattern: African American communities face higher rates of diabetes, obesity, and its complications, earlier onset and worse outcomes than Whites, fueled by barriers to diagnosis, treatment, and affordability, while even youth and pregnancy are affected.
Infectious Diseases
1In 2021, HIV diagnosis rate among Black adults was 41.6 per 100,000, 8 times higher than Whites at 5.3
Verified2Black Americans account for 40% of new HIV diagnoses despite 13% population
Verified3HIV death rate for Blacks is 6 times higher than Whites
Verified442% of Black gay and bisexual men living with HIV
Directional5Late HIV diagnosis (stage 3) in 36% of Black cases vs 24% Whites
Single source6Black women represent 50% of new HIV infections among women
Verified7PrEP use among Black MSM is only 10%, vs 20% Whites
Verified8Syphilis rates among Blacks 5.5 times higher than Whites at 37.9 per 100,000
Verified9Gonorrhea incidence in Blacks 5.6 times higher
Directional10Chlamydia rates 5.6 times higher among Black females
Single source11Hepatitis C prevalence 2 times higher in Blacks
Verified12TB incidence among Blacks 6 times U.S. average
Verified13COVID-19 death rate for Blacks 1.7 times higher than Whites
Verified14Influenza hospitalization rates 3 times higher in Blacks
Directional15Sickle cell trait carriers 1 in 13 Blacks, increasing infection risks
Single source16Black children have higher pneumococcal disease rates pre-vaccine
Verified17HIV viral suppression 59% in Blacks vs 70% Whites
Verified18Congenital syphilis in Black infants 7 times higher
Verified19Black adults 4 times more likely to have chronic HBV
Directional20Pertussis hospitalization 4 times higher in Black infants
Single source21Black women have highest HPV prevalence at 44%
Verified22MRSA infection rates higher in Black hospitalized patients
Verified23Black transplant recipients have higher post-op infection rates
Verified24Valley fever hospitalization 3 times higher in Blacks
Directional25Black sickle cell patients 10 times higher osteomyelitis risk
Single source26HIV testing rates 75% lifetime but recent testing lower at 40%
Verified27Black MSM account for 70% of new infections among MSM
VerifiedInfectious Diseases Interpretation
These statistics tell a grim, stubborn story: even when many Black Americans get tested at some point, unequal infection rates, lower prevention use like PrEP, higher rates of late diagnosis, and chronic burdens such as sickle cell and community level health disparities keep turning preventable diseases into preventable deaths, with HIV as the sharpest example.
Maternal Health
1In 2021, maternal mortality rate for Black women was 69.9 per 100,000 live births, 3 times higher than 19.1 for White women
Verified2Black infants have 2.4 times higher infant mortality rate than White infants at 10.9 vs 4.5 per 1,000
Verified3Severe maternal morbidity affects 144 per 10,000 Black deliveries vs 90 for Whites
Verified4Preterm birth rate for Black women is 14.2%, 50% higher than Whites
Directional5Low birthweight occurs in 13.7% of Black infants vs 7% White
Single source6Black women are 4 times more likely to die from pregnancy-related cardiomyopathy
Verified7Postpartum hemorrhage rates 60% higher in Black women
Verified8Preeclampsia affects 5% of Black pregnancies vs 3.5% White
Verified9Black women receive later or no prenatal care in 7.5% of pregnancies
Directional10Sudden unexpected infant death 2.9 times higher in Black infants
Single source11Black teen birth rate is 26.1 per 1,000, twice that of Whites
Verified12Cesarean delivery rate for Black women is 36.1%, higher than 31.7% for Whites
Verified13Hypertensive disorders cause 15% of Black maternal deaths
Verified14Black women experience 50% higher ectopic pregnancy rates
Directional15Neonatal sepsis mortality 3 times higher in Black newborns
Single source16Black mothers have 2 times higher placenta previa rates
Verified17Fetal mortality rate 1.8 times higher for Black fetuses
Verified18Black women with college degrees still have 5 times higher maternal mortality
Verified19Infection-related maternal deaths 3 times higher in Blacks
Directional20Black preterm infants have 50% higher NICU admission rates
Single source21Maternal sepsis rates 1.7 times higher in Black women
Verified22Black women report 20% less satisfaction with childbirth care
Verified23Perinatal depression screening lower for Black mothers at 60%
Verified24Black infant abstinence syndrome from opioids 2 times higher
Directional25Maternal stroke risk 5 times higher in Black women postpartum
Single source26Black women have 30% higher gestational hypertension rates
Verified27Infant mortality from congenital anomalies 1.5 times higher in Blacks
VerifiedMaternal Health Interpretation
These statistics are a stark reminder that for Black mothers and babies, the numbers say the same story over and over again, with higher rates of death, disease, and preventable complications that persist even into the “expected” protective categories like prenatal care and college education.
Mental Health
1In 2020, age-adjusted suicide rate among Black males was 13.6 per 100,000, higher than previous decades
Verified219.1% of Black adults report serious psychological distress
Verified3Black youth have 13.3% major depressive episode rate
Verified4Only 31.9% of Black adults with mental illness receive treatment
Directional5Black women report postpartum depression at 11.4%, but underdiagnosed
Single source6Opioid overdose death rate increased 188% among Blacks 2015-2020
Verified7Black adolescents have highest vaping rates at 16%
Verified824% of Black adults report anxiety symptoms
Verified9Black veterans PTSD prevalence 20% higher than Whites
Directional10Alcohol use disorder 14.7% among Black adults
Single source11Black men suicide attempts 50% higher in rural areas
Verified12Schizophrenia diagnosis 2.4 times higher in Blacks
Verified13Black children autism diagnosis delayed by 18 months
Verified1440% of Black adults with depression untreated due to stigma
Directional15Black LGBTQ+ youth suicide attempt rate 47%
Single source16Illicit drug use 20.3% among Black adults
Verified17Bipolar disorder treatment gap 60% for Blacks
Verified18Black seniors dementia prevalence 14%, higher with vascular risks
Verified19COVID-19 anxiety 2 times higher in Black communities
Directional20Black men homicide as suicide proxy rate high
Single source21ADHD diagnosis in Black boys 3 times medication rates lower
Verified22Black women report highest burnout rates 52%
VerifiedMental Health Interpretation
These statistics paint a clear but unsettling picture: Black communities are shouldering disproportionately high mental health burdens and health risks, while stigma, underdiagnosis, unequal access to treatment, and targeted harms leave many people without the care they need, until crises like suicide, overdoses, and violence force the issue.