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Currently, 63% of breast cancer for U. S. white women is detected and diagnosed while it is still localized to the breast tissue as Stage 1 breast cancer. Only 53% of breast cancer in U. S. black women is diagnosed while the breast cancer is still localized.

The difference in early detection rates between white women and black women is usually attributed to economic disparity and the lack of health insurance. It also helps explain the fact that in the U. S., breast cancer incidence for black women is 11% lower than for white women, but the breast cancer death rate for black women is 35% higher (NCI, SEER, 2007). The death rate increases when breast cancer detection and diagnosis are postponed while the cancer spreads.