title: The perspective of African-American breast cancer survivor-advocates.
abstract: BACKGROUND
  This article discusses the sometimes unique presentation and course of breast cancer in African-American women and the impact these differences have on the perception of breast disease among African-American women.
  
  
  METHODS
  The project described represents the thoughts of many African-American breast cancer survivors, as summarized by three breast cancer survivor-advocates who work through very different national organizations, each of whom has vast experience working directly with African-American breast cancer survivors and their families.
  
  
  RESULTS
  In addition to discussions of compelling considerations that have an impact on survivor access, such as agency, culture, and class, other important access questions are raised for research scientists and clinicians that have an impact on the prevention, screening, and detection and treatment of breast cancer in African-American women as well as their accrual to clinical trials.
  
  
  CONCLUSIONS
  To eradicate ethnicity-related disparities in breast cancer outcomes for African-American women, it is important for the medical community (clinicians and research scientists) to develop active partnerships with African-American and other breast cancer survivor-advocates in order to establish effective breast health awareness and breast cancer treatment programs and to develop meaningful breast cancer research programs.
authors.affiliation: Breast Cancer Liaison, National Black Women's Health Project, Mailman School of Public Health, Columbia University, 722 West 168 Street, Suite 1030, New York City, NY 10032, USA. nl227@columbia.edu
authors.forename: Ngina
authors.initials: N
authors.lastname: Lythcott
authors.forename: Bettye L
authors.initials: BL
authors.lastname: Green
authors.forename: Zora
authors.initials: Z
authors.lastname: Kramer Brown
mesh_terms: D001741:Black or African American; D001943:Breast Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology* / Q000628:therapy; D002986:Clinical Trials as Topic; D005260:Female; D006265:Health Care Coalitions; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D008913:Minority Groups; D010344:Patient Advocacy; D012106:Research; D012944:Social Support; D017741:Survivors / Q000523:psychology*; D016387:Women's Health