A lifetime of racism makes Alzheimer’s more common in Black Americans

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A lifetime of racism makes Alzheimer’s more common in Black Americans
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As populations of color are expected to rise, so are the number of their cases of Alzheimer’s and related disorders. Cases among Black Americans are projected to increase four times over current estimates, according to the CDC.

FREDERICKSBURG, Va. – Constance Guthrie is not yet dead, but her daughter has begun to plan her funeral.

Photographs of mother and daughter, Constance and Jessica Guthrie, decorate a bedroom, in Fredericksburg, Va., on Sept. 19, 2022. While some risk factors for Alzheimer’s may differ by race, the large disparities among racial groups can’t be explained just by genetics. Across the board, Black people don’t receive the same quality of health care throughout life as white people.

“To be a caregiver of someone living with Alzheimer’s is that you watch your loved one die every day. I’ve been grieving my mom for seven years.” In the 1990s, she made the difficult decision to move and close her beloved salon. She bought a home in Fredericksburg so her daughter could attend the best schools, and later became a paraprofessional in the local school district, which allowed her to have a schedule where she never missed oratorical contests or choir recitals.

She started to forget simple things, like where her keys were. She lost her way coming home from work on a familiar route she traveled almost daily for 18 years. She got into a car accident. “She spent so long trying to hide it,” Jessica said. “Like, ‘Oh, I’m good, I’m fine. I just forgot.’ But you could tell that a lot of her anxiety and stress was because she was trying to cover this up from other people.”

Constance never had diabetes nor high blood pressure — which are common risk factors. She was fairly active and healthy, and would often walk around her neighborhood. But in 2015, Constance suffered a transient ischaemic attack, or a “mini stroke,” which is a brief disruption in the blood supply to part of the brain.

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