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Black Women’s Health Imperative Applauds USPSTF Guidelines—but Warns More Needed

The Black Women’s Health Imperative supports new breast cancer screening at 40 but urges annual screening and equity for Black women’s health.

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Last Updated on October 1, 2025 by Daily News Staff

Black Women’s Health Imperative

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Black Women’s Health Imperative Applauds USPSTF Guidelines—but Warns More Needed

A Shift in Screening Policy

In 2024, the U.S. Preventive Services Task Force (USPSTF) revised its breast cancer screening guidelines. Women at average risk are now advised to begin mammograms at age 40 instead of 50, with screenings every two years through age 74.
 
This update reflects rising rates of breast cancer among women in their 40s and new data showing earlier detection can save lives.
 
“Lowering the starting age to 40 is progress—but it doesn’t go far enough for Black women.” – BWHI Statement
⸻
 

Why Black Women Are Calling for More

The Black Women’s Health Imperative (BWHI) welcomed the shift but voiced frustration that the guidelines still fall short in addressing the unique risks facing Black women.
•Younger onset: Black women are more likely to be diagnosed in their 30s and 40s.
•More aggressive cancers: Subtypes like triple-negative breast cancer appear disproportionately among Black women.
•Higher mortality: Despite similar or lower incidence compared to white women, Black women die at higher rates from breast cancer.
 
BWHI believes annual screening—not biennial—is necessary for many Black women to catch cancers earlier.
 
⸻
 

Data Spotlight

•CDC data (2024): Breast cancer is the leading cause of cancer death among Black women under 45.
•Young women (20–44): Black women are almost twice as likely as white women to develop triple-negative breast cancer.
•Survival gaps: Later-stage diagnoses and unequal treatment access contribute to worse outcomes.
 
⸻

Limitations of the New Guidelines

The Task Force’s recommendations are based on population averages. That means:
•Screening remains every other year, not annually.
•No risk-stratified guidance for groups with higher risks (like Black women).
•Evidence gaps remain for dense breasts, older women (75+), and genetic or familial risk groups.
 

BWHI’s Next Steps

The Black Women’s Health Imperative is pushing for:

  1. Annual screening for Black women and those at higher risk.

  2. Expanded research inclusive of Black women, focusing on biology, environment, and social determinants.

  3. Access equity: Ensuring insurance and care coverage for earlier and more frequent screening.

  4. Community outreach: Educating women about risks, symptoms, and when to request screening—even before age 40 if family history suggests it.


Beyond Screening: Closing the Care Gap

Detection is only part of the story. Research shows Black women face delays in follow-up testing and treatment after an abnormal mammogram, plus systemic inequities in access to newer therapies.

BWHI stresses that improving screening access without treatment equity risks leaving the mortality gap unchanged.

📊 Suggested Graphic: “Screening to Survival Pathway” – Detection ➝ Diagnosis ➝ Treatment ➝ Survival, with gaps highlighted for Black women.


More is Needed

The new USPSTF guidelines are a step in the right direction—but for Black women, they don’t go far enough. Earlier and more frequent screening, combined with equitable access to treatment and stronger community education, is essential.

As BWHI notes, real progress will come only when screening policies reflect the lived realities of Black women and the healthcare system commits to closing the gaps in both research and care.


🔗 Learn more: Black Women’s Health Imperative – Breast Cancer Resources


The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.

https://stmdailynews.com/the-bridge

 

Women's Health

Menopause changes your mouth. Most women have no idea.

Menopause changes your mouth: Many women are familiar with the most talked-about symptoms of menopause – hot flashes, disrupted sleep, brain fog and mood swings. Far fewer know that dry mouth and sensitive teeth belong on that list too.

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Menopause changes your mouth. Most women have no idea.

(Sheeka Sanahori) Many women are familiar with the most talked-about symptoms of menopause – hot flashes, disrupted sleep, brain fog and mood swings. Far fewer know that dry mouth and sensitive teeth belong on that list too.

There’s a name for it: menopause mouth. According to survey data from Delta Dental Insurance Company, 83% of women 40 and older in menopause aren’t aware of any of its symptoms.

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What menopause mouth feels like

Forty percent say they have noticed an increase in dry mouth. Another 27% have noticed more tooth sensitivity in recent months, and 26% say things taste different than they used to. You tell yourself it’s something else. You’re not drinking enough water; you’ve been brushing too hard. Menopause isn’t the first thing that comes to mind.

It adds up. Forty-five percent say oral symptoms associated with menopause, such as tooth pain, dry mouth or gum inflammation, take a toll on their confidence, mood or mental health.

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Menopause affects the whole body, mentally and physically. So why is the mouth left out?

Even after learning about this connection, 30% of women say they can’t find information about menopause-related oral health concerns. It isn’t that no one is willing to discuss it.

What makes the conversation hard to start

Three-quarters of dentists say they are comfortable discussing menopause with patients. They just want to know who they’re talking to. Most say they would want more patient history, or to know a patient was in menopause, before raising the subject. Forty-five percent say they would not bring up how menopause affects oral health unless a patient asked.

Dentists also believe that patients are already informed. Ninety-four percent say their patients are at least somewhat aware that menopause can affect oral health. So a patient says nothing about her dry mouth, because it doesn’t seem like a dental problem. The dentist doesn’t bring it up either, assuming someone already has.

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Women are asking for the information

Nearly nine in 10 women say it would help to receive specific instructions during dental visits about managing oral health during menopause. And 69% say they would be more likely to book an appointment if a primary care provider or OB-GYN had told them menopause affects oral health.

No matter who brings it up, the conversation is one worth having. Hormonal changes during menopause can increase the risk of tooth loss or tooth decay, gum disease, receding gumline or loss of jawbone density. Discussing new oral symptoms with a dentist can help women identify potential problems and address them early.

How to start the conversation with your dentist

Your dentist probably doesn’t know you’re in menopause. Start there.

Questions worth asking:

  • “Could the changes I’m noticing be related to menopause?”
  • “I haven’t had a cavity in 30 years, and now I have two. Could that be tied to hormonal changes?”
  • “What can I do about dry mouth?”
  • “Are there symptoms I should watch for?”
  • “Should I adjust my oral care routine?”

Any one of these questions can get the conversation started.

Methodology

Delta Dental Insurance Company commissioned Atomik Research to conduct two online surveys between June 25 and July 2, 2025.

The first surveyed 200 dentists throughout the United States. The margin of error is +/- 7 percentage points with a 95% confidence level.

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The second surveyed 1,511 women ages 40 or older throughout the United States. To qualify, participants had to indicate they are in perimenopause, menopause or post-menopause. Those who were not sure which stage they were in, or who indicated they were not yet in one of the three stages, were excused from participation. The margin of error is +/- 3 percentage points with a 95% confidence level

Atomik Research, part of 4media group, is an independent market research agency.

Photo courtesy of Shutterstock

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Delta Dental Insurance Company

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Beyond Hot Flashes: 5 Things Women Wish Everyone Knew About Menopause

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Beyond Hot Flashes: 5 Things Women Wish Everyone Knew About Menopause

(Feature Impact) Menopause is a phase of life every woman knows will come eventually yet few are truly prepared for. Beyond stereotypical symptoms like hot flashes and mood swings, the other realities of menopause can be mysterious, taking women by surprise when their experiences differ from expectations.

Rather than being a single event, menopause involves a gradual transition that happens as estrogen production changes – meaning symptoms can appear and evolve unpredictably. According to a survey commissioned by the National Menopause Foundation, 63% of U.S. women ages 35-54 experienced symptoms they believed may be related to perimenopause or menopause, yet nearly half (49%) said they weren’t prepared for the changes beforehand.

When women and their loved ones understand what they’re facing, they can approach this time with patience and compassion, which can make a real difference to the 71% of women who wished the people in their lives understood more about perimenopause or menopause. Consider these five facts to help fill in the menopause knowledge gap.

https://stmdailynews.com/when-vision-changes-5-ways-to-navigate-what-comes-next/

Perimenopause Can Start Years Before Menopause

The physiological transition to menopause can happen up to 10 years before a woman’s final menstrual period, although the average length of perimenopause is about four years. Symptoms may quietly begin in a woman’s 30s, 40s or 50s, and what might look like an isolated problem at first – like brain fog, a night of insomnia or an irregular monthly cycle – could be connected to broader hormonal changes.

Menopause Is More Than Just “Hot Flashes”

Since more than half of women surveyed were already aware of menopause symptoms like hot flashes, mood changes, anxiety and fatigue, these may not take them by surprise. Little-known symptoms are a different story – the majority of respondents didn’t anticipate menopausal issues like rage, inner-ear itching or reduced joint mobility. According to the National Menopause Foundation, women may also experience sleep disturbances, sweating, changes in libido, vaginal dryness, incontinence, weight changes and more.

Every woman’s experience is unique, so these symptoms could present in different combinations and intensities during menopausal years or may not appear at all.

Talking About Menopause Can Be Difficult

Even as women go through these physical and emotional shifts, many struggle to open up about their experiences. In fact, women rank menopause symptoms (17%) more difficult to discuss than hot-button topics like political views (13%), weight (13%) and religious beliefs (10%).

However, suffering in silence can lead to feelings of isolation, relationship misunderstandings and hesitation to seek help, which is why 66% of women said the lack of open discussion about menopause makes the experience worse.

Menopause Isn’t All Bad News

Although this season of life comes with challenges, there are joys to embrace as well. Women navigating midlife can come out the other side with more resilience, emotional awareness and a stronger sense of self. In fact, 44% of women surveyed said their outlook on life became more positive since their transition.

What Loved Ones Can Actually Do

Menopause is a highly individual experience, but that doesn’t mean women have to navigate it alone. Support from partners, families and friends can lift women up during difficult moments, and it can be as simple as taking the time to ask questions, listen and learn about how menopause is affecting their lives. With 30% of women in the U.S. labor force – approximately 15-16 million – in the age range corresponding to menopausal transition (ages 45-60), workplaces can also take steps to become more menopause friendly.

For more resources to help understand symptoms and discuss the transition with loved ones, visit nationalmenopausefoundation.org.

Photo courtesy of Shutterstock

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SOURCE:

National Menopause Foundation

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Women's Health

Beyond Hot Flashes: 5 Things Women Wish Everyone Knew About Menopause

Published

on

5 Things Women Wish Everyone Knew About Menopause

(Feature Impact) Menopause is a phase of life every woman knows will come eventually yet few are truly prepared for. Beyond stereotypical symptoms like hot flashes and mood swings, the other realities of menopause can be mysterious, taking women by surprise when their experiences differ from expectations.

Rather than being a single event, menopause involves a gradual transition that happens as estrogen production changes – meaning symptoms can appear and evolve unpredictably. According to a survey commissioned by the National Menopause Foundation, 63% of U.S. women ages 35-54 experienced symptoms they believed may be related to perimenopause or menopause, yet nearly half (49%) said they weren’t prepared for the changes beforehand.

When women and their loved ones understand what they’re facing, they can approach this time with patience and compassion, which can make a real difference to the 71% of women who wished the people in their lives understood more about perimenopause or menopause. Consider these five facts to help fill in the menopause knowledge gap.

https://stmdailynews.com/type-2-diabetes-doesnt-have-to-be-your-future-medicare-has-a-benefit-that-can-help/

Perimenopause Can Start Years Before Menopause

The physiological transition to menopause can happen up to 10 years before a woman’s final menstrual period, although the average length of perimenopause is about four years. Symptoms may quietly begin in a woman’s 30s, 40s or 50s, and what might look like an isolated problem at first – like brain fog, a night of insomnia or an irregular monthly cycle – could be connected to broader hormonal changes.

Menopause Is More Than Just “Hot Flashes”

Since more than half of women surveyed were already aware of menopause symptoms like hot flashes, mood changes, anxiety and fatigue, these may not take them by surprise. Little-known symptoms are a different story – the majority of respondents didn’t anticipate menopausal issues like rage, inner-ear itching or reduced joint mobility. According to the National Menopause Foundation, women may also experience sleep disturbances, sweating, changes in libido, vaginal dryness, incontinence, weight changes and more.

Every woman’s experience is unique, so these symptoms could present in different combinations and intensities during menopausal years or may not appear at all.

Talking About Menopause Can Be Difficult

Even as women go through these physical and emotional shifts, many struggle to open up about their experiences. In fact, women rank menopause symptoms (17%) more difficult to discuss than hot-button topics like political views (13%), weight (13%) and religious beliefs (10%).

However, suffering in silence can lead to feelings of isolation, relationship misunderstandings and hesitation to seek help, which is why 66% of women said the lack of open discussion about menopause makes the experience worse.

Menopause Isn’t All Bad News

Although this season of life comes with challenges, there are joys to embrace as well. Women navigating midlife can come out the other side with more resilience, emotional awareness and a stronger sense of self. In fact, 44% of women surveyed said their outlook on life became more positive since their transition.

What Loved Ones Can Actually Do

Menopause is a highly individual experience, but that doesn’t mean women have to navigate it alone. Support from partners, families and friends can lift women up during difficult moments, and it can be as simple as taking the time to ask questions, listen and learn about how menopause is affecting their lives. With 30% of women in the U.S. labor force – approximately 15-16 million – in the age range corresponding to menopausal transition (ages 45-60), workplaces can also take steps to become more menopause friendly.

For more resources to help understand symptoms and discuss the transition with loved ones, visit nationalmenopausefoundation.org.

Photo courtesy of Shutterstock

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SOURCE:

National Menopause Foundation

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