(Gigionthat) Over the last 20 years, there has been a major problem in Breast Cancer prevention, diagnosis, and care: While overall mortality rates have improved by more than 30%, the bad news is that black Women are still more likely to die from the disease than white women—and the disparity is growing in some cities more than others.

My colleagues at the Sinai Urban Health Institute and I have spent the last decade studying this trend, and have continued to sound the alarm with each report. Our latest study, published in Cancer Epidemiology, analyzed breast cancer mortality rates by race for the 50 most populous U.S. cities between 2010 and 2014, and built on our prior city-level analysis from 1990-2009.

In 1990, black women were 17% more likely to die than white women; and 9 Cities Displayed Statistically significant differences in mortality rates for black women and white women. By 2000, the disparity had risen to 35%; and 19 cities displayed statistically significant differences. Between 2010 and 2014, black women were 43% more likely to die than white women; and 24 cities displayed statistically significant differences. Seventeen more cities showed the same disheartening trend.

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