Breast cancer remains one of the most pressing health concerns for women in the United States, but in New York City, the burden falls disproportionately on Black women. While Black women are diagnosed with breast cancer at slightly lower rates than white women, they are nearly 40 percent more likely to die from the disease, according to the American Cancer Society .

Doctors and advocates point to a mix of systemic barriers and biological factors fueling the disparity. Black women are more often diagnosed at younger ages and with more aggressive forms of breast cancer, including triple-negative breast cancer. At the same time, gaps in access to early detection, high-quality care, and follow-up treatment continue to widen survival differences.

In New York City, where health care re

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