Breasts: So Much Attention Yet So Ignored

In the vibrant world of comedy, few voices resonate as powerfully as that of Wanda Sykes. Known for her fearless stand-up routines and memorable roles in television shows like "The Upshaws," Sykes has carved out a special niche in the hearts of millions. Recently, she appeared in the Novartis commercial during the Super Bowl.  The ad not only entertained but also tackled a crucial issue that affects countless lives: breast health.

The commercial shines a spotlight on society’s obsession with breasts while delivering an urgent message about the importance of breast health and early detection. It’s a poignant reminder that while breasts may be the subject of much attention, the health concerns surrounding them often go ignored. 

In 2011, Wanda Sykes became part of the one in eight women diagnosed with breast cancer. At the age of 47, while preparing for breast reduction surgery, she received the shocking news that she had ductal carcinoma in situ (DCIS), an early stage of breast cancer. With a family history of cancer weighing heavily on her mind, Sykes made a courageous choice: she opted for a double mastectomy. Reflecting on her decision, she stated,

“To me, it was, 'They're just boobs.' Do you want your boobs or your life? I went with life.” (Source: People)

The Importance of Early Detection

In the book "Love Your Breasts, Love Yourself: A Comprehensive and Holistic Approach to Breast Care," I share the hope that many of us have for a world without cancer. I dream of a time when cancer can be completely prevented, no matter our genetic background. Until that day comes, the most important step we can take to improve breast cancer outcomes is to catch it in its earliest stages.

One effective way to detect breast cancer early is through monthly self-exams. This method is simple and cost-free, allowing you to check for lumps or any other changes that might signal cancer. You can access your Free Breast Self-Exam Tool here.

Other options include annual practices like clinical exams, mammograms, ultrasounds, and MRIs (Magnetic Resonance Imaging). To learn more about these exams and their purpose, click →  Understanding Breast Health: A Comprehensive Guide to Mammograms, Ultrasounds, MRIs, and Self-Exams.

Health organizations, including the American College of Radiology, the Society of Breast Imaging, The American Society of Breast Surgeons, and the National Comprehensive Cancer Network, emphasize the necessity of early screenings for breast cancer. For women of average risk, annual mammograms should begin at age 40, while those with high risk factors may need to start as early as 30. It’s essential for every woman to understand her individual risk, and consulting with a healthcare professional can provide clarity and guidance on the best screening practices.

Risk Factors and Demographics

Let’s take a closer look at breast cancer risk factors, particularly focusing on the challenges faced by women of color and those of Ashkenazi Jewish descent. This conversation goes beyond statistics; it’s about real people and the urgent need for change in healthcare.

First, we need to address the situation for women of color. When we discuss Black women, we’re talking about mothers, daughters, sisters, and friends navigating a healthcare system that often overlooks them. The recommendation for a thorough breast cancer risk evaluation by age 25 isn’t just advice—it’s a crucial step. Research indicates that genetic and environmental factors, like access to healthcare and lifestyle choices, can raise risk levels for these women. While diagnosis rates may seem similar, the survival rates reveal a troubling truth: Black women are 40% more likely to die from breast cancer than their white counterparts. This stark difference highlights a serious issue of healthcare inequity that demands immediate action.

Now, let’s turn to women of Ashkenazi Jewish descent. The presence of BRCA1 and BRCA2 gene mutations is a major risk factor for breast cancer in this group. These mutations significantly increase the likelihood of developing the disease, making early screening and genetic counseling essential. For these women, understanding their genetic status can lead to proactive steps—such as preventive surgeries or specialized monitoring—that can save lives. The sooner they know, the better they can manage their health.

It’s important to recognize that disparities in healthcare access and education impact entire communities. Not every woman has the same opportunity for preventive care, regular screenings, or the knowledge needed to take charge of her health. This isn’t just a healthcare issue; it’s a critical public health concern. Everyone deserves equitable healthcare, yet many women are underserved due to their backgrounds.

So, what can we do? We need to prioritize outreach and support for these communities. Healthcare systems must ensure that information about breast cancer risks and screenings is available to all women. Culturally competent care is also vital—understanding patients’ unique backgrounds can improve health outcomes. We need to promote awareness, enhance access to mammograms, and eliminate barriers that perpetuate disparities.

Taking Charge: Lifestyle Changes and Prevention

In my book, “Love Your Breasts, Love Yourself: A Comprehensive and Holistic Approach to Breast Care,” I outlined risk factors for breast cancer, dividing them into non-modifiable and modifiable categories. While some factors, like genetics and family history, are beyond our control, lifestyle changes can significantly impact breast cancer prevention. Simple steps such as engaging in regular exercise, eating a plant-based diet, managing weight, and limiting alcohol intake can empower women to take charge of their health.

For those seeking further resources, this website is a good one. It offers personalized risk assessments and access to the Tyrer-Cuzick Risk Assessment Test, which evaluates lifetime risk based on various factors.

With every step taken toward understanding our bodies and advocating for our health, we move closer to empowerment and awareness.

Conclusion: A Call to Action

The message in the Novartis commercial is crystal clear: “So Much Attention Yet So Ignored.” It’s a call to action for all of us. Let’s join together to prioritize our health, spread awareness, and ensure that breast health is a topic of conversation that receives the attention it deserves.

Together, we can make a difference—one conversation, one screening, and one empowered choice at a time.

The Inspirer,
Dr. Lilian O. Ebuoma