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Disparities in cancer prevalence in African Americans: A United States population study 2021.

6531 Background: African-Americans (AA) have the highest incidence and death rates from cancer and the shortest survival of all racial groups in the USA, as reiterated by the American Cancer Society’s Cancer Facts and Figures for AA from 2019. We studied cancer prevalence in AA compared to Caucasians, focusing on patients with above-normal Body Mass Index (BMI). Methods: Data was collected from Explorys, IBM, a national database including over 73 million patients. Patients were divided based on age (18-64 and ≥ 65 years; for female cancers 18-49 and ≥ 50 years), race (Caucasians and AA), and BMI (18.5 - < 25 and ≥ 25.0 kg/m2). The odds ratio (OR) and 95% confidence interval (CI) for multiple cancer rates in AA compared to Caucasians were calculated with P values <0.001 considered significant. Results: N: Normal BMI EW: Excess weight (Females) C: Caucasian S: Significant NS: Non-significant. Conclusions: Our results show a significantly lower than expected prevalence of screenable cancers in AA compared to Caucasians, diverging widely from established incidence rates. The difference was more remarkable in pre-Medicare age (< 65 years) and excess weight patients. These disparities are concerning for a compromised healthcare access contributing to underdiagnosis of cancer or shorter survival among AA in the US.[Table: see text]