Black Women Research Articles

The Diverse Aspects of Uterine Serous Cancer: An NCI workshop on the status of and opportunities for advancement of research.

The marked increase in incidence and mortality in endometrial cancer over the last two decades is driven in part by rising rates of higher grade, more aggressive endometrial cancers with mutations in TP53, uterine serous cancers and their dedifferentiated component, uterine carcinosarcomas (collectively USC). USC rates have been increasing among all racial and ethnic groups, with higher rates of this aggressive uterine cancer in Black women. The National Cancer Institute (NCI) hosted a workshop in June 2023 to examine the diverse aspects of USC across epidemiology, biology, and molecular genetics, and to advance knowledge from basic to preclinical and translational efforts. Key stakeholders came together including basic scientists, clinical investigators, and patient advocates to identify critical research gaps that, when addressed, would facilitate more comprehensive and rapid progress in understanding and ultimately treating USC across all patients. NCI released a supplemental funding opportunity (NOT-CA-24-044) in Spring 2024 to facilitate rapid translation of these recommendations.

A Star is Born: An analysis of the media construction of Linda Caicedo’s sporting star status in Colombia

The teenage Colombian woman footballer Linda Caicedo has had a meteoric rise to prominence following her performances in several international tournaments in 2022 and 2023. Her star status is important to analyse from an intersectional perspective given her identity as a Black woman from humble Colombian origins. There has been insufficient analysis of the meanings and representations of Black women footballers, let al.one sportswomen from Latin America regarding their star construction. Therefore, this article investigates media narratives around Linda Caicedo, by analysing three Colombian publications, El Espectador, El Tiempo and Semana around the time of the 2022 Women’s Copa América, the 2022 Under 20 Women’s World Cup, the 2022 Under 17 Women’s World Cup, and the Women’s World Cup in 2023. We argue that media narratives present a rupture with traditional discourse around women’s football in Colombia, by constructing her star status around her exceptional playing attributes, her values and capacity to overcome obstacles.

EXPLORING THE INTERSECTION OF WORK, RACE, AND AGING IN THE LIVES OF ELDERLY BLACK WOMEN

This study explores the intersectional challenges faced by elderly Black women living in peripheral communities in northeastern Brazil. These women severeal obstacles stemming from their race, gender, age and socioeconomic status. How do elderly Black women perceive the effects of racism, sexism, and ageism on their lived experiences, particularly in relation to health, social interactions, and labor market participation? Objective: To analyze their perceptions of the aging process, focusing on the invisible scars left on their bodies and lives by systemic inequalities. This qualitative study employs thematic analysis to explore the lived experiences of Brazilian Black elderly women living in a peripheral community. Twenty voluntaries, aged 60 to 84, participated in the study. Data collection included narrative interviews based on the Oral History method. The data revealed three main themes: "Stories of Struggle and Overcoming", "Symbols of Resistance" and “Work and Economic Contributions”. These narratives highlighted the impact of structural racism and ageism on the women’s self-perception, well-being, and identity. While the women often faced marginalization and discrimination, their stories also reflected immense strength and a commitment to passing on resilience to future generations. the study shows the importance of addressing the needs of elderly Black women through public policies aimed at education, health and social inclusion. Their experiences shows a critical idea into the broader struggles of marginalized communities in Brazil, emphasizing the need for systemic change to promote equality and justice.

Judge dismisses ADA retaliation claim

The plaintiff was a Black woman with anxiety and depression who worked for Oklahoma Human Services in the capacity of a child welfare specialist.

Race/Ethnic Differences in In-Hospital Mortality after Acute Ischemic Stroke.

Stroke mortality has declined, with differential changes by race; stroke is now the 5th leading cause of death overall, but 2nd leading cause of death in Black individuals. Little is known about recent race/ethnic and sex trends in in-hospital mortality after acute ischemic stroke (AIS) and whether system-level factors contribute to possible differences. Using the National Inpatient Sample, adults (≥18 years) with a primary diagnosis of AIS from 2006 to 2017 (n=643,912) were identified. We assessed in-hospital mortality by race/ethnicity (White, Black, Hispanic, Asian/Pacific Islander [API], other), sex, and age. Hospitals were categorized by proportion of White patients served: "75% White hospitals", "50-75% White hospitals", and "<50% White hospitals". Using survey adjusted logistic regression, the association between race/ethnicity and odds of mortality was assessed, adjusting for key sociodemographic, clinical, and hospital characteristics (e.g., age, comorbidities, stroke severity, do not resuscitate orders, and palliative care). Overall, mortality decreased from 5.0% in 2006 to 2.9% in 2017 (p<0.001). Comparing 2012-2017 to 2006-2011, there was a 68% reduction in mortality odds overall after adjusting for covariates, most prominent in White individuals (69%) and smallest in Black individuals (57%). Compared to White patients, Black and Hispanic patients had lower odds of mortality (adjusted odds ratio (aOR) 0.82, 95% CI 0.78-0.87 and aOR 0.93, 95% CI 0.87-1.00), primarily driven by those >65 years (age x ethnicity interaction p < 0.0001). Compared to White men, Black, Hispanic, and API men, and Black women had lower aOR of mortality. The differences in mortality between White and all the other race/ethnic groups combined were most pronounced in 75% White hospitals (aOR 0.80, 0.74-0.87) compared to 50-75% White hospitals (aOR 0.85, 0.79-0.91) and <50% White hospitals (aOR 0.88, 0.81-0.95; interaction effect: p=0.005). AIS mortality decreased dramatically in recent years in all race/ethnic subgroups. Overall, while individuals of other race/ethnic subgroups had lower mortality odds compared to White individuals, this effect was significantly lower in hospitals serving predominantly White patients compared to those serving minority populations. White patients had higher , mortality than the other race/ethnic groups, a difference that was most striking in hospitals predominantly serving White patients. Further study is needed to understand these differences and to what extent sociocultural, biological, and system-level factors play a role.

Stained glass ceilings: Gender and race in accounting academia in Brazil

AbstractBrazil is divided into five large regions marked by profound economic and social inequalities. Such vast differences can make people feel like “foreigners”, even though they live in the same country. Here, meritocracy is seen as the criterion for assessing and promoting people, which is conflicting given the absurdly unequal contexts in the country. This choice widens inequalities of gender, race and, above all, social class. Between 2000 and 2018, Brazil experienced profound social transformations. Female participation in the labor market grew, although there were still barriers to access and professional advancement for women, which were exacerbated in the case of black women. When it came to leadership positions, they were almost always blocked by processes which depended on subjective decisions from evaluators. These circumstances occur through daily confrontations with processes of sexualisation and racialisation. These transformations were followed in the most recent period by clear setbacks, deepened by the COVID‐19 pandemic and intense political polarization. A milestone in terms of Esperançar, a verb proposed by Paulo Freire (1992), were the 2022 presidential elections, understood as a process of re‐democratisation. The social achievements that have been maintained, however, are ‘advances’ that work differently when the diversity of the population and regional differences are taken into account. With this particular context in mind, the aim of this study is to investigate how the “glass ceiling” phenomenon has been present in the daily interactions and academic trajectory of black women in the accounting field. The question that underpinned this study was: how can the academic accounting environment, considering practice and discourse, boost or hinder the “glass ceiling” phenomenon in the professional career of black female academics? This is a qualitative study with a post‐structuralist approach, based on the adoption of auto‐ethnographic and oral history techniques. The evidence was built up through semi‐structured, in‐depth interviews with female academics who had graduated from postgraduate programmes. This corpus was analyzed from an interpretivist perspective and the findings reveal that the “glass ceiling” phenomenon is present in accounting academia in Brazil and is expressed in barriers specific to the field. Barriers are erected in processes of closure, blocking the path of black women who aim to succeed in prestigious academic spaces, regardless of their level of qualification. In this way, they are conceptualized as “stained glass ceilings”, because the barriers become visible and concrete in a country where racism is a structuring element of social relations.

Black Girls Seeing Urban Schools: Visual, Affective, and Discursive (Re)Conceptualizations of Safety

Joining the chorus of Black/Critical Race Feminist scholarship in education, this article explores how both affect and visuality inform understandings of safety for Black girls in schools. Using participatory visual ethnography, I explore how five young Black women at a Philadelphia magnet school conceptualize safety as an affective achievement of visionary school design. I argue that any attempt to address safety for Black girls in urban schools must include attention to the visual school culture and the affective dimensions of the school environment to fully account for the ways these dimensions counter or enable further physical, emotional, or spiritual harm.

Changes in anthropometry, adiposity, and inflammation in Black and White women engaged in intentional weight loss.

We examined associations among changes in anthropometry, regional adiposity, and inflammatory markers in Black and White women participating in intentional weight loss. A total of 104 women with BMI ≥ 25 kg/m2 self-selected bariatric surgery (n = 66) or a diet and exercise program (n = 38). Anthropometric, dual-energy x-ray absorptiometry-quantified regional adiposity, and inflammatory markers (C-reactive protein [CRP], tumor necrosis factor α [TNF-α], soluble TNF receptor I [sTNFRI], sTNFRII, interleukin [IL]-6, and soluble IL-1 receptor antagonist) were measured at baseline and 6 months. Weight, BMI, visceral adipose tissue, and regional (android and gynoid) adiposity declined in the bariatric surgery group. Among bariatric surgery participants, Black women experienced declines of lesser magnitude in terms of weight and BMI than White women, but changes in regional adiposity and visceral adipose tissue did not differ. In the bariatric surgery group, decreases in weight and BMI were associated with decreases in CRP and IL-6 among White women, but not Black women. Decreases in weight, BMI, and android fat were associated with increases in TNF-α, sTNFRI, and sTNFRII among Black women, but not White women. Decreases in anthropometry and adiposity were observed among Black and White bariatric surgery participants; however, associations among changes in adiposity, anthropometry, and inflammation differed by race.

Rapping about pleasure: the role of Black women’s rap music in shaping Black women’s sexual attitudes

Black women’s sexuality has historically been constrained by stereotypes and a discourse focused on risks rather than pleasure. Early Black women rappers initiated vital conversations about sexual pleasure, with contemporary Black women rappers continuing to challenge norms and define Black women’s sexualities. Grounded in Hip-Hop Feminism and Sexual Script Theory, this study explores how Black women interpret and find meaning in sexual pleasure-focused lyrics in Black women’s rap music and how these interpretations shape their sexual self-concepts and navigation of systemic oppression. Through semi-structured interviews with 20 Black women aged 20–42 years who frequently listen to Black women rappers, thematic and discourse analysis identified three key themes: (a) prioritising sexual pleasure as a means of self-empowerment; (b) practising assertiveness as a means to achieving sexual pleasure; and (c) celebrating the body as an act of sexual pleasure. Black women rappers’ unapologetic discussion of sexual pleasure empowers Black women to reclaim sexuality on their own terms, independent of dominant societal narratives. This study extends existing literature on Hip-Hop Feminism by demonstrating the transformative potential of culturally relevant media in fostering sex-positive attitudes and advocates for incorporating these messages into sexual health education for Black women.

Racial disparities in presenting stage and surgical management among octogenarians with breast cancer: a national cancer database analysis.

As the US faces a diverse aging population, racial disparities in breast cancer outcomes among elderly patients remain poorly understood. We evaluate the association of race with presenting stage, treatment, and survival of invasive breast cancer among octogenarians. Women (≥ 80years) with invasive breast cancer were identified in 2004-2020 NCDB. To facilitate comparison, only non-Hispanic Black and non-Hispanic White patients were included; patients of Hispanic ethnicity were excluded. Demographics, tumor characteristics, and treatments were assessed by race. Overall survival was compared using the logrank test. Multivariable logistic and Cox proportional hazard regression models were developed to evaluate the independent association of race with outcomes of interest. Of 222,897 patients, 19,059 (8.6%) were Black. Most patients had stage I ER + HER2- invasive ductal carcinoma. Black patients more frequently had greater comorbidities, low income and education, and advanced stage (p < 0.001 each; ref: White). Following adjustment, Black women had increased likelihood of Stage III/IV over time, as well as increased odds of chemotherapy (AOR 1.22, 95% CI 1.15 - 1.29) and non-operative management (AOR 1.82, 95% CI 1.72 - 1.92; ref: White). Although Black patients had lower survival rates compared to White, race was not associated with 5-year mortality following adjustment for stage, receipt of surgery, and adjuvant treatments (p = 0.34). Inferior survival among elderly Black patients appears be driven by advanced stage at presentation. While such disparities are narrowing in the present era, future work must consider upstream interventions to ensure equitable outcomes for all races.

A laying on of hands: reading afrodiasporic spirituality, matrilineage & collectivism in lemonade

ABSTRACT Lemonade (2016) is a genre-blending text that imports cultural and fantastical devices in order to revise, interrogate, and re-examine history–specifically, the traumas inherited from enslavement. In its analysis of history, Lemonade immortalizes Afrodiasporic spiritual practices and enshrines Black women-healers and magic-users as folk heroes. This work advances that the Afrodiasporic spiritual practices and gynocentric connections are used to form Black female collectives. It draws largely on Black and Africana feminist and womanist scholarship to frame an expanded discussion of spirituality and Black motherhood in the American South, and to demonstrate how collectives–sacred, transhistorical communities–are critical to Black female healing. It contextualizes Lemonade’s “chapters,” visuals, and wider narrative, and it examines the Southern psychic and epistemological resources that Beyoncé, as protagonist, consults. In doing so, this work ultimately intends to create new intellectual space for readers to revisit questions of collectivity in Lemonade and consider the indispensability of community for Black women and girls.

Adenocarcinoma of unknown primary presenting with congestive heart failure in a middle-aged Ethiopian woman: a case report

BackgroundHeart failure is a rare manifestation of metastatic disease of the carcinoma of an unknown primary, malignancy that requires extensive work-up to identify the primary site. Initial consideration of rare etiologies in patients presented with a common clinical syndrome is challenging.Case presentationA 35-year-old Black woman presented with shortness of breath at rest, orthopnea, paroxysmal nocturnal dyspnea, chest pain, a blood-tinged productive cough, and fever for 2 weeks. She also had progressive body swelling, easy fatigability, loss of appetite, and abdominal pain during the same week’s duration. Body imaging revealed large pleural and pericardial effusions, metastatic liver lesions, and bilateral pulmonary vascular segmental and subsegmental filling defects. Pericardial and pleural fluid cytology suggest malignant effusion. Liver lesions and core needle biopsy indicated adenocarcinoma of unknown origin, and the carcinoembryonic antigen level also increased significantly.ConclusionCarcinoma of unknown primary origin commonly presents in an advanced stage and is often accompanied by clinical features of site metastasis. This case highlights heart failure as an unusual first manifestation of adenocarcinoma with an unknown primary origin.

Body Positivity, Physical Health, and Emotional Well-Being Discourse on Social Media: Content Analysis of Lizzo's Instagram.

Weight stigma is a fundamental cause of health inequality. Body positivity may be a counterbalance to weight stigma. Social media is replete with weight-stigmatizing content and is a driver of poor mental health outcomes; however, there remains a gap in understanding its potential to mitigate the prevalence and impact of harmful messaging and to promote positive effects on a large scale. We selected musical artist Lizzo, whose brand emphasizes body positivity and empowerment, for an instrumental case study on the discourse on social media and specifically Instagram. We focused on 3 domains, including body positivity, physical health, and emotional well-being. These domains challenge social norms around weight and body size and have the potential to positively affect the physical and psychological health of people with diverse body sizes. We evaluated posts by Lizzo, comments from Instagram users, and replies to comments over a 2-month period (October 11 to December 12, 2019). Two coders rated Lizzo's posts and Instagram users' comments for their sentiments on the 3 domains. Replies to Instagram users' comments were assessed for their reactions to comments (ie, did they oppose or argue against the comment or did they support or bolster the comment). Engagement metrics, including the number of "likes," were also collected. The final sample included 50 original posts by Lizzo, 250 comments from Instagram users, and 1099 replies to comments. A proportion of Lizzo's content included body positive sentiments (34%) and emotional well-being (18%); no posts dealt explicitly with physical health. A substantial amount Instagram users' comments and replies contained stigmatizing content including the use of nauseated and vomiting emojis, implications that Lizzo's body was shameful and should be hidden away, accusations that she was promoting obesity, and impeachments of Lizzo's health. In spite of the stigmatizing content, we also discovered content highlighting the beneficial nature of having positive representation of a Black woman living in a larger body who is thriving. Moreover, analysis of the discourse between users illustrated that stigmatizing expressions are being combated online, at least to some degree. This study demonstrates that Lizzo has exposed millions of social media users to messages about body positivity and provided more visibility for conversations about weight and shape. Future research should examine the extent to which body positive messages can lead to greater acceptance of individuals living in larger bodies. Instagram and other social media platforms should consider ways to reduce body-shaming content while finding ways to promote content that features diverse bodies. Shifting the landscape of social media could decrease stereotypes about weight and shape while increasing dialog about the need for greater acceptance and inclusion of people with diverse bodies.

Black identity and internal health attributions of second generation black immigrant women

ABSTRACT Objective Despite second generation Black immigrants being a rapidly growing population, they are often overlooked in health attribution research that treats Black populations as a monolithic group. Very few studies focus on how discrimination, societal pressure, and racial identity play a role in the health attributions of Black immigrant women. Even fewer studies have examined this relationship solely with second generation Black immigrant women. Research has shown, however, that increased racial and ethnic identity but decreased experiences with racism are related to higher internal health attributions in Black populations. Thus, we addressed this dearth in research in the current study by examining the relationship between racial centrality, racism stress, and internal health attributions in a sample of 123 second generation Black immigrant women. Design Health attributions were assessed using the Illness Attribution Scale, racism stress using the Schedule of Racist Events, and racial centrality using the Multidimensional Inventory of Black Identity. Multiple regression analyses were conducted to test the hypotheses that lower levels of racism stress, but higher ratings of racial centrality would relate to higher scores of internal health attributions. Results A positive relationship was found between racial centrality and internal health attributions but not racism stress. Conclusion The results indicated that stronger affirmations with Black identity are associated with a greater importance of the causes of illness to be within one’s perceived control for second generation Black immigrant women, which highlights the importance of examining wthin-group differences via collective identity measures to better explain health attribution behavioirs.

Breast cancer incidence and mortality, by age, stage and molecular subtypes, by race/ethnicity in Canada.

Breast cancer (BC) characteristics and outcomes in Canada related to race/ethnicity are not currently documented. Age-specific and age-standardized BC incidence and mortality rates, age distribution of cases, proportions of stage, and molecular subtypes were calculated for women aged 20+, by race/ethnicity, using 2006 and 2011 Canadian Census Health and Environment Cohort databases of linked census, cancer, and death data. In 47105 BC cases, age-specific incidence rates were higher in Filipina (rate ratio (RR) = 1.27, 95%CI, 1.11-1.46) and multiethnicity (RR = 1.57, 95% CI, 1.18-2.08) compared to White women aged 40-49; and Filipina (RR = 1.16, 95% CI, 1.02-1.31) and Arab (RR = 1.3, 95% CI, 1.02-1.65) women aged 50-59. Median age at diagnosis was 63 among White women and 52-60 among other race/ethnicity groups, with 22.4%-41.1% of cases (P < .001) diagnosed before age 50 compared to 16.6% among White women. BC was diagnosed at stage I less frequently among Filipina (38.6%), Black (39.2%), South Asian (40.6%), and First Nations (40.7%) compared to White (46.5%) and Chinese (49.6%) (P < .05) women. Black women had higher proportions of BC diagnoses at stages III and IV combined (26.3%) than White women (17.0%, P = .001). The proportion of triple-negative BC among Black women (20.5%) was higher than among White (9.5%, P < .001). Compared to White, age-specific BC mortality rates were higher among Black women aged 40-49 (RR = 1.4, 1.06-1.85) as well as First Nations (RR = 1.21, 1.01-1.45) and Métis (RR = 1.48, 1.15-1.91) women aged 60-69. Compared to White women, other Canadian women had an earlier peak age of BC diagnosis and higher proportions of cases diagnosed under age 50. Although many race/ethnicity groups had lower BC incidence and mortality than White, the higher age-specific BC mortality among Black 40-49 and First Nations and Métis women 60-69 merits further investigation.

Mother knows best: how working mothers influence gender and racial differences in educational expectations for graduate school

Educational expectations have increased over time in the United States. Most adolescents expect to earn a bachelor’s degree and a graduate or professional degree. Although past research has generally agreed on the status-attainment perspective to understand educational expectations, these frameworks are limited in terms of the type of parental resources they address, as well as inattention to the intersection of gender and race over time. We address these gaps and investigate variations in youths’ expectations for graduate school by mother’s employment status, gender, and race using Monitoring the Future data from twelfth graders from 1976 to 2019. We find that mother’s employment status positively influences women’s graduate school expectations more than men’s across all racial groups we examine with young Black women holding the highest graduate school expectations. We also find that maternal employment patterns graduate school expectations over time but only for White respondents. Black respondents hold higher expectations, but this trend is stable across maternal employment status.

Building Trust, Fostering Agency, Sharing Power: Interracial Feminist Co-Mentoring as a Strategy for Dismantling White Supremacy in Higher Education

Despite institutional claims to value increased racial diversity in higher education, Black women in faculty roles perpetually navigate oppressive cultures across all institutional types. The ability to build and foster mutually beneficial interracial mentoring relationships is vitally important to move beyond performative diversity and build truly inclusive organizations. In this project, we sought to interrogate our own interracial feminist co-mentoring relationship to identify guiding principles for others engaged in these types of relationships. As a Black woman and a white 1 1 In opposition to APA guidelines, we do not capitalize white as a racial category or identity. We do capitalize Black, as a form of “rejecting the standard grammatical norm as a means to acknowledge and reject the grammatical representation of power capitalization brings to the term ‘white’” (Huber, 2010, p. 93). woman, we employed duoethnography to analyze the realities of our interracial mentoring relationship and to develop a conceptual framework of interracial feminist co-mentoring. This study emphasized the transformative opportunities that can occur through experiences of social exchange and reciprocity within interracial feminist co-mentoring relationships. We argue for critical evaluation of existing mentorship models to include (a) a recognition of the historical and contemporary factors that inhibit Black women’s ability to build and foster relationships with white women and (b) explicit ways white women can foster trust within interracial co-mentorships that facilitate true agency and shared power. Through this intentional exploration of our relationship, we make space for true divestment in internalized white supremacy for both Black and white women and movement toward dismantling white supremacy culture in mentoring relationships throughout higher education.

I am not (your) superwoman, Black girl magic, or beautiful struggle: Rethinking the resilience of Black women and girls.

The concept and social media hashtag, #BlackGirlMagic, is used to demonstrate the ability of Black women and girls to create paths and to succeed despite intersectional racism, sexism, and classism. Conversely, the concept of Black Girl Magic and Strong Black Woman schemas have been used to glorify struggle, undermine support, and victim-blame. Therefore, resiliency for Black women and girls requires clarification on how and why it is used and understood by researchers and practitioners. This article examines the experiences of Black women and girls by (a) evaluating the use of resiliency research and theoretical frameworks (Luthar et al., 2000; Spencer, 2005); (b) exploring unrecognized strengths and vulnerabilities across the lifespan; and (c) providing recommendations for researchers, interventionists, and practitioners to rethink resilience for Black women and girls. Black feminist thought and womanism frameworks are integrated to promote sustained healthy development for Black women and girls. Resiliency can only be promoted in Black women and girls if (a) immediate psychosocial and physical needs are addressed while (b) concurrently eliminating systemic barriers and social norms that allow Black women and girls to experience outsized adversity. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Invisibility/Hypervisibility paradox for Black women navigating the nursing academic environment

The invisibility/hypervisibility paradox is Black women's complex and often contradictory experiences in the workplace. In nursing academia, Black women find themselves simultaneously experiencing invisibility and hypervisibility. This paper delves into how the paradox shows up in academic nursing. The paper's objectives are threefold: (a) to dissect the dynamics of whiteness, gender, and class within nursing education perpetuating the invisibility/hypervisibility paradox; (b) to elucidate the concept of intersectionality and the matrix of domination informing this paradox; and (c) propose strategies for Black nursing faculty to resist oppression, mitigate the paradox, and thrive in academic settings. We used high-profile cases to connect the paradox to nursing education.

Variation in organisational factors across high- and low-performing hospitals with regard to spontaneous vaginal birth for Black women in four states: a cross-sectional descriptive study

ObjectiveTo describe variation in hospital organisational factors across high- and low-performing hospitals with regard to spontaneous vaginal birth (SVB) for Black women.DesignCross-sectional descriptive.SettingWe conducted a cross-sectional study using three datasets...