In the course of the 20th century, cancer went from being perceived as a white woman’s nemesis to a “democratic disease” to a fearsome threat in communities of color. Drawing on film and fiction, on medical and epidemiological evidence, and on patients’ accounts, Keith Wailoo tracks this transformation in cancer awareness, revealing how not only awareness, but cancer prevention, treatment, and survival have all been refracted through the lens of race.
Spanning more than a century, the book offers a sweeping account of the forces that simultaneously defined cancer as an intensely individualized and personal experience linked to whites, often categorizing people across the color line as racial types lacking similar personal dimensions. Wailoo describes how theories of risk evolved with changes in women’s roles, with African-American and new immigrant migration trends, with the growth of federal cancer surveillance, and with diagnostic advances, racial protest, and contemporary health activism. The book examines such powerful and transformative social developments as the mass black migration from rural south to urban north in the 1920s and 1930s, the World War II experience at home and on the war front, and the quest for civil rights and equality in health in the 1950s and ’60s. It also explores recent controversies that illuminate the diversity of cancer challenges in America, such as the high cancer rates among privileged women in Marin County, California, the heavy toll of prostate cancer among black men, and the questions about why Vietnamese-American women’s cervical cancer rates are so high.
A pioneering study, How Cancer Crossed the Color Line gracefully documents how race and gender became central motifs in the birth of cancer awareness, how patterns and perceptions changed over time, and how the “war on cancer” continues to be waged along the color line.
Delve into the groundbreaking exploration of race, gender, and the evolving perception of cancer in America with Keith Wailoo's "How Cancer Crossed the Color Line." This compelling hardcover edition, published by Oxford University Press, offers a meticulously researched and deeply insightful account of how cancer awareness, prevention, treatment, and survival have been inextricably linked to race throughout the 20th and early 21st centuries. Wailoo, a renowned historian of medicine and science, masterfully weaves together diverse sources from medical journals and epidemiological data to film, fiction, and poignant personal narratives to reveal the shifting landscape of cancer's social construction. The book meticulously traces cancer's transformation from a disease initially associated with white women to a "democratic disease" and, ultimately, a disproportionate threat to communities of color. "How Cancer Crossed the Color Line" doesn't simply present statistics; it breathes life into the historical context, illuminating the social, cultural, and political forces that shaped our understanding of cancer. Wailoo expertly connects evolving theories of risk with significant societal shifts, including changes in women's roles, the Great Migration of African Americans from the rural South to urban North, the growth of federal cancer surveillance programs, diagnostic advancements, the Civil Rights Movement, and the rise of contemporary health activism. The book explores how race subtly but powerfully influenced the way cancer was perceived and treated. It demonstrates how, even as cancer was presented as an intensely individual experience often associated with white populations, people of color were frequently categorized as racial types lacking the same personal dimensions and individualized risk factors. Wailoos meticulous research highlights the persistent and often unconscious biases embedded within the medical system. Furthermore, the book delves into specific case studies and controversies that exemplify the complex interplay of race, gender, and cancer. From the unexpectedly high cancer rates among affluent women in Marin County, California, to the disproportionate burden of prostate cancer among Black men and the alarmingly high rates of cervical cancer among Vietnamese-American women, Wailoo unpacks the multifaceted factors that contribute to these disparities. "How Cancer Crossed the Color Line" is more than just a historical account; it's a critical examination of the enduring legacy of racial inequality in American healthcare and the ongoing "war on cancer." It challenges readers to confront the uncomfortable truths about the ways in which race and gender continue to shape our understanding of this devastating disease and calls for a more equitable and culturally sensitive approach to cancer prevention, treatment, and research. It is essential reading for anyone interested in the history of medicine, public health, race relations, or women's studies. Wailoos insightful analysis and meticulous research make this book a seminal contribution to our understanding of cancer and its impact on American society. Prepare to be informed, challenged, and moved by this groundbreaking work.