HEALTH AND HEALTH CARE

African Americans continue to have lower life expectancies on average than whites in the United States. Even when adjusted for age, African Americans are 1.6 times more likely to die from one of the 10 leading causes of death in the United States than European Americans. However, there is evidence that this may be changing: by 2003, sex had replaced race as the primary factor in life expectancy in the United States, with African American females expected to live longer than European American males born in that year.
In the same year, the gap in life expectancy between American whites (78.0) and blacks (72.8) had decreased to 5.2 years, reflecting a long term trend of this phenomenon. By 2004, "the trend toward convergence in mortality figures across the major race groups also continued", with white–black gap in life expectancy dropping to five years. The current life expectancy of African Americans as a group is comparable to those of other groups who live in countries with a high Human Development Index.
At the same time, the life expectancy gap is affected by collectively lower access to quality medical care. With no system of universal health care, access to medical care in the U.S. generally is mediated by income level and employment status. As a result, African Americans, who have a disproportionate occurrence of poverty and unemployment as a group, are more often uninsured than non Hispanic whites or Asians. For a great many African Americans, healthcare delivery is limited, or nonexistent. And when they receive healthcare, they are more likely than others in the general population to receive substandard, even injurious medical care.[116] African Americans have a higher prevalence of some chronic health conditions.
African Americans are twice as likely to have diabetes, than whites, and twice as likely to die from the disease. Obesity affects 37% of men and 51% of women. This and other factors contribute to hypertension, which affects 40% of all adults. African American men are twice as likely to have diabetes induced end-stage kidney disease, and twice as likely to die of it than white men of the same age. African Americans are 1.7 times more likely to have a stroke and 60% more likely to die from it. Two reasons for poorer health are lack of routine preventative medical care, such as mammograms and colonoscopies and lack of the primary care physcian.
While 1 in 6 Americans (16.2 percent) between the ages of 14 and 49 is infected with herpes simplex virus type 2 (HSV-2), the infection rate is more than three times higher among blacks (39.2 percent) than whites (12.3 percent). The most affected group is black women, with a prevalence rate of 48 percent. Dr. Kevin Fenton, director of the CDC's National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention stated that "high rates of herpes among African-Americans is most likely contributing to the high rate of HIV in that community. In fact, statistics show that people with herpes are two to three times more likely to get HIV if exposed."
African Americans are the American ethnic group most affected by HIV and AIDS, according to the Centers for Disease Control and Prevention. Black men are six times more likely to have HIV than white men and black women are nearly 18 times more likely to have HIV than white women.[123] A 2004 "CDC analysis of MSM in five cities found that while only 18 percent of the HIV-infected white men were unaware of their infections, 67 percent of the infected black men were unaware.
It has been estimated that "184,991 adult and adolescent HIV infections [were] diagnosed during 2001–2005" (1). More than 51 percent occurred among blacks than any other race. Between the ages of 25–44 years 62 percent were African Americans. Dr. Robert Janssen (2007) states, "We have rates of HIV/AIDS among blacks in some American cities that are as high as in some countries in Africa". The rate for African Americans with HIV/AIDS in Washington, D.C. is 3 percent, based on cases reported. In a New York Times Article, about 50 percent of AIDS-related deaths were African American woman, which accounted for 25 percent of the city's population. In many cases there are a higher proportion of black people being tested than any other racial group. Dr. Janssen goes on by saying "We need to do a better job of encouraging African Americans to test. Studies show that approximately one in five black men between the ages 40 to 49 living in the city is HIV-positive, according to the TIMES. Research indicates that African Americans' sexual behavior is no different than any other racial group. Dr. Janssen says "Racial groups tend to have sex with members of their own racial group.
Crime also plays a significant role in the racial gap in life expectancy. A report from the U.S. Department of Justice states "In 2005, homicide victimization rates for blacks were 6 times higher than the rates for whites" and "94% of black victims were killed by blacks.