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Impact of Energy Balance on Cancer Disparities pp 233–257Cite as

Community-Based Strategies to Alter Energy Balance in Underserved Breast Cancer Survivors

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Part of the book series: Energy Balance and Cancer ((EBAC,volume 9))

Abstract

Breast cancer survival rates are significantly lower for African-American women compared to white women. Additionally, African-American women with breast cancer are more likely than other women to die from comorbid conditions including diabetes and hypertension. Such disparities are not easily explained and likely involve complex issues related to social injustices. However, obesity and behavioral factors may be additional contributors. Seventy-eight percent of African-American women are overweight or obese, and data suggest that many do not engage in regular physical activity and tend to have diets high in fat and low in vegetables and whole grains. The combined effects of obesity, unhealthy diet, and inactivity may contribute to the disparity in breast cancer survival between African-American and white women and may be the easiest modifiable factors to address in the near term. Although several weight loss interventions have reported beneficial results for breast cancer survivors, the inclusion of AA women has been extremely limited. This chapter presents a review of health behaviors among African-American breast cancer survivors, followed by a discussion of qualitative work exploring the beliefs, attitudes, barriers, and facilitators related to health behaviors and weight loss. A summary of interventions to date is provided as well as an in-depth look at one particular community-based intervention, Moving Forward.

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  1. Division of Health Promotion Research, Department of Medicine, University of Illinois at Chicago (MC 275), 456 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL, 60608, USA

    Melinda Stolley

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  1. Department of Community Health Sciences, Boston University, Boston, Massachusetts, USA

    Deborah J. Bowen

  2. Boston University, Boston, Massachusetts, USA

    Gerald V. Denis

  3. Center for Science, Health & Society, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

    Nathan A. Berger

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Stolley, M. (2014). Community-Based Strategies to Alter Energy Balance in Underserved Breast Cancer Survivors. In: Bowen, D., Denis, G., Berger, N. (eds) Impact of Energy Balance on Cancer Disparities. Energy Balance and Cancer, vol 9. Springer, Cham. https://doi.org/10.1007/978-3-319-06103-0_10

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