A Legacy of Strength: Facing Breast Cancer in the Black Community

A Legacy of Strength: Facing Breast Cancer in the Black Community

As we celebrate Black History Month, we celebrate the remarkable achievements and resilience of Black people across the globe, we also honor the strength, resilience, and achievements of Black women throughout history. I want to take a moment, this month to shine a light and address a pressing issue that disproportionately affects Black women – breast cancer. 

Breast cancer remains one of the leading causes of death among Black women, and despite medical advancements, Black women are more likely to be diagnosed at later stages and experience worse outcomes compared to their white counterparts. Why? The reasons are complex and deeply rooted in generational, social, and economic factors, including limited access to quality healthcare, genetic predispositions, and even cultural perceptions about illness and self-care.

My Journey: The Power of Early Detection

This issue is deeply personal to me. As many of you know, I am a breast cancer survivor. This journey has been a profound teacher, revealing not only the strength of the human spirit but also the critical need for self-care and awareness within our community. I was diagnosed at Stage 0/1, and early detection was key to my survival! 

The statistics are stark: Black women are more likely to be diagnosed with breast cancer at younger ages and with more aggressive forms of the disease. We are also more likely to die from breast cancer than white women. These disparities are rooted in a complex interplay of factors, including genetics, socioeconomic inequities, and access to healthcare.

After weighing my options, I chose to undergo a mastectomy, a decision that, along with proper treatment and care, gave me a new lease on life. I shared my story, resources, and insights in my book, Cancer and the Ribbon of Resilience, published by Amazon in October 2024. My journey has taught me that knowledge, early action, and community support can make all the difference.

The Generational Risk Factors

Generational trauma, often stemming from systemic racism and discrimination, can also play a significant role. Stress, anxiety, and other mental health challenges can take a toll on our physical well-being, increasing our vulnerability to disease.

Many Black women carry a higher genetic risk for more aggressive forms of breast cancer, such as triple-negative breast cancer. Additionally, family history plays a critical role—if your mother, grandmother, or sister has had breast cancer, your risk increases. Yet, for decades, many Black women have not had the same access to early screening and genetic counseling that could have led to earlier detection and treatment.

Environmental factors also contribute to this disparity. From the use of certain hair care products linked to increased breast cancer risk to disproportionate exposure to environmental toxins in predominantly Black communities, these issues must be addressed at both personal and systemic levels.

The Power of Self-Care & Prevention

But amidst these challenges, there is hope. We have a legacy of strength, resilience, and community that has carried us through countless trials. And now, armed with knowledge and empowered by self-love, we can face this challenge head-on.

While systemic change is necessary, self-care is a crucial tool in our fight against breast cancer. Self-care is not selfish—it is survival. As Black women, we must take charge of our health and well-being by prioritizing preventive care and early detection. This Black History Month, I urge you to prioritize your health. Here are a few things you can do:

  1. Know your family history: Talk to your relatives about their health history, especially any instances of breast cancer.
  2. Know Your Body: Perform regular breast self-exams and report any unusual changes to a doctor immediately.
  3. Schedule Regular Screenings: Get annual mammograms starting at age 40 (or earlier if you have a family history of breast cancer). Mammograms and other screening tools can help detect breast cancer early when it is most treatable and less expensive for all.
  4. Adopt a Healthy Lifestyle: Maintain a balanced diet, exercise regularly, and limit alcohol intake to reduce risk factors.
  5. Break the Silence: Talk openly about breast cancer in our families and communities to normalize conversations around early detection and care.
  6. Advocate for Your Health: Be proactive in seeking medical care and second opinions if necessary. No one knows your body better than you. Don’t be afraid to ask questions and seek second opinions. You have the right to be an active participant in your healthcare.
  7. Practice self-care: Make time for activities that nourish your mind, body, and soul. This could include exercise, healthy eating, meditation, spending time in nature, or connecting with loved ones.
  8. Support one another: Let’s create a culture of support and encouragement within our community. We are stronger together.

Lifting Each Other Up

At The Garden of HOPE Foundation USA, we stand by the principle that we rise by lifting others. This Black History Month, let’s commit to empowering one another by sharing knowledge, providing support, and ensuring that no woman in our community feels alone in this fight.

To all my sisters, aunties, and friends—your health matters. You matter. Take care of yourself so you can continue to be the powerhouse that history has always known you to be.

With love and HOPE,

Egondu Rosemary Onyejekwe
President, The Garden of HOPE Foundation USA