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This site is an archive of our Well Written Blog posts until April 2020. For the most up-to-date content visit NWIJournal.com.

The opinions and thoughts expressed here those of the authors and do not necessarily correlate with those of the National Wellness Institute. Read more.


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Deloitte's 2019 State of Inclusion Survey

Posted By NWI, Tuesday, July 9, 2019
Updated: Tuesday, July 9, 2019

Deloitte's 2019 State of Inclusion SurveyGreat research by Deloitte showing how diversity and inclusion are making strides but still have a long way to go. One of the issues the NWI has uncovered is that most inclusion and diversity trainings fall short of strategies to incorporate the training into work culture.  For this is why NWI developed the multicultural competency wheel.

The bias barrier: Allyships, inclusion, and everyday behaviors (PDF)

Looking for more great wellness research? Find what you need at NWI's resources page.

Tags:  Diversity  inclusion  multicultural competency 

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Breast Cancer Rates Rise Among African American Women

Posted By NWI, Tuesday, November 3, 2015

For the first time, breast cancer rates among black women have reached the same level as among white women.

Black women historically have had a lower rate of breast cancer than the rate among white women. This new benchmark is especially troublesome because black women have had a higher mortality rate from breast cancer than women of other races. The higher mortality rate can be attributed to a variety of factors, including accessibility of care, cultural distrust of doctors, or lack of insurance coverage.

Black women are also more susceptible to a form of breast cancer called “Triple Negative Breast cancer.” This type of cancer is more deadly in part because there is no specific treatment for it. Triple Negative Breast Cancer shows up in 22 percent of black breast cancer patients, while it only appears in 11 percent of white breast cancer patients.

These facts about the rising rate of breast cancer among black women should be cause for alarm, with the intent of calling for more education among black communities for women to receive regular breast cancer screenings, and a call for the medical community to focus on Triple Negative Breast Cancer.

To read the full study, released by the American Cancer Society, click here.

Tags:  Breast Cancer  Cancer  Diversity  Health  Health Care 

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Women, Breast Cancer: Cultural Background May Impact Drug Effectiveness

Posted By NWI, Friday, May 1, 2015
Updated: Thursday, April 23, 2015

The cause for poorer outcomes for African American breast cancer patients was identified in a recent study. According to an April 2015 press release from Georgetown University Medical School, African American women with estrogen-receptor positive (ER+) breast cancer have cancer cells with a stronger survival mechanism than the cancer cells of European-American patients.

The Georgetown Lombardi Comprehensive Cancer Center researchers found that breast tumors from African-American patients show reduced sensitivity to tamoxifen, a leading treatment for ER+ breast cancer.

To give perspective, about 70 percent of all breast cancers are ER+. The researchers caution that biology is not the only factor impacting African American women and stress the need to continue to reduce racial disparities in treatment overall.

Cavalli, L. Array-CGH and miRNA expression profiling of triple negative breast cancer in African-American women. American Association for Cancer Research (AACR) Annual Meeting. May 2015.

For more information on Women’s health issues visit:

May 10 – 16 (Mother’s Day week)

Women’s Health Week

Office on Women’s Health

Department of Health and Human Services



Tags:  Breast Cancer  Diversity  May 2015  Physical  Social  Women 

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Wellness in 10: How Culturally Competent Are You?

Posted By NWI, Tuesday, April 1, 2014
Updated: Thursday, March 20, 2014

This month’s Wellness in 10 is inspired by National Minority Health & Health Disparities Month (sponsored by the Office of Minority Health Resource Center, www.minorityhealth.hhs.gov).

Tremendous disparities exist in healthcare. For instance, about 30 percent of Hispanic and 20 percent of black Americans lack a usual source of health care compared with less than 16 percent of whites (see http://www.ahrq.gov/research/findings/factsheets/minority/disparit/index.html for more health disparity information). 

These disparities are attributable to many things such as education, income level, access to health insurance, proximity to healthcare facilities, and even cultural and communication barriers.

If each journey begins with one step, we as individuals can work to change the societal cultural and communication barriers by first focusing on our own views and biases.

Ask yourself the questions below to help determine your level of cultural competence. The questions are intended to help you think about your perceptions, biases, and ideals, and are not intended to be conclusive evidence. You may think about answering these questions with never, sometimes, often, or always.

  1. Do you value diversity? (I view human difference as positive and a cause for celebration.)
  2. Do you know yourself? (I have a clear sense of my own ethnic, cultural and racial identity.)
  3. Do you share your culture? (I am aware that in order to learn more about others I need to understand and be prepared to share my own culture.)
  4. Are you aware of areas of discomfort? (I am aware of my discomfort when I encounter differences in race, color, religion, sexual orientation, language, and ethnicity.)
  5. Do you check your assumptions? (I am aware of the assumptions that I hold about people of cultures different from my own.)
  6. Do you challenge my stereotypes? (I am aware of my stereotypes as they arise and have developed personal strategies for reducing the harm they cause.)
  7. Do you reflect on how your culture informs your judgment? (I am aware of how my cultural perspective influences my judgment about what are “appropriate,” “normal,” or “superior” behaviors, values, and communication styles.)
  8. Do you accept ambiguity? (I accept that in cross-cultural situations there can be uncertainty and that uncertainty can make me anxious. It can also mean that I do not respond quickly and take the time needed to get more information.)
  9. Are you curious? (I take any opportunity to put myself in places where I can learn about difference and create relationships.)
  10. Are you aware of privilege? (I acknowledge that individuals may be perceived as a people with or without power and racial privilege, and that all individuals may be seen as biased depending on the perspective of other individuals.)

Tags:  April 2014  Cultural Competency  Diversity  Emotional  Intellectual  Social  Spiritual 

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