Widespread HIV/AIDS and other sexually transmitted infections (STIs) disproportionately impact African American women. Compared with their white counterparts, African American women are seven times more likely to have HIV and ten times more likely to have an STI.101,102 The United States has the highest rates of teen pregnancy in the developed world,102 with African American adolescent girls and young women consistently reporting the highest rates of pregnancy, abortion, and delivery.103
Since the 1980s, the United States has experienced the largest and most persistent racial and ethnic health disparities in the world.99 Nationally, African Americans have been disproportionally impacted by these health disparities. For example, African Americans are more likely than other racial or ethnic groups to be uninsured; African Americans are more likely to die from HIV/AIDS; African Americans are more likely to be arrested for a drug offense and receive a longer sentence; African Americans are more likely to become homeless; and African Americans are more likely to experience an employment-related injury,99 as well as to be injured by police.100
Evidence-based programs to enhance social resources can improve the health and well-being of African American women. However, few programs are specifically targeted at improving the health of African American women.110 To improve resilience, social support, and promote equitable health in African American communities, the following strategies are recommended:
African American women also experience different mental health problems than other racial and ethnic groups. For example, in a nationally representative sample of women and men, African American women had a significantly higher lifetime prevalence of major depression, bipolar disorder, and anxiety disorders.107 Furthermore, African American women are more likely to use illicit drugs, have alcohol problems, and engage in high-risk sexual behaviors.108,109
Women of color are less likely to be screened or receive follow-up care after a cervical cancer screening.104 While African American women have higher rates of cervical cancer, they are less likely to receive early screening and are less likely to receive follow-up care.104 Cervical cancer screening is challenging for African American women in part because of lack of knowledge, access, and culturally-appropriate care.105,106
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