by Tara E. l March 11, 2025
Why African American Women Are at Higher Risk
Did you know that African American women are almost four times more likely to develop kidney disease than white women? Despite making up only 13% of the U.S. population, African Americans account for over 35% of kidney failure cases. The good news? Many kidney-related complications can be prevented with early detection and the right lifestyle changes.
This article will break down why African American women are at higher risk for kidney disease, what signs to look for, and how you can take control of your kidney health starting today.
Why Are African American Women at Higher Risk?
Kidney disease doesn’t happen overnight—it develops over time, often due to other underlying health conditions. Here’s why Black women are at higher risk:
✅ High Blood Pressure (Hypertension): Nearly 60% of Black women develop high blood pressure, which can damage the kidneys over time. Because high blood pressure often shows no symptoms, many women don’t realize they have it until complications arise.
✅ Diabetes: African American women are also more likely to develop type 2 diabetes, one of the leading causes of kidney failure. Uncontrolled blood sugar can damage kidney function over time.
✅ Genetics & Family History: Research suggests that certain genetic factors—like the APOL1 gene variant, which is more common in African Americans—may contribute to a higher risk of kidney disease.
✅ Access to Healthcare: Socioeconomic barriers, medical mistrust, and lack of access to regular screenings can delay diagnosis and treatment. Many Black women don’t know their kidney health status until it’s too late.
Signs & Symptoms of Kidney Disease
One of the biggest dangers of kidney disease is that it often shows no symptoms in the early stages. However, as kidney function declines, some signs to watch for include:
🔺 Swelling in the feet, ankles, or hands (due to fluid retention)
🔺 Persistent fatigue or weakness
🔺 Frequent urination (especially at night) or changes in urine color
🔺 Trouble concentrating or brain fog
🔺 Loss of appetite, nausea, or metallic taste in the mouth
If you’re experiencing any of these symptoms, don’t ignore them! See your doctor and ask for a kidney function test (eGFR, creatinine levels, and urine albumin test).
How to Protect Your Kidneys
The good news? You can take control of your kidney health with these five key steps:
🩺 1. Get Regular Screenings – If you have high blood pressure, diabetes, or a family history of kidney disease, get tested at least once a year. Early detection can save your kidneys.
🍏 2. Eat a Kidney-Friendly Diet – Cut back on salt, processed foods, and sugary drinks. Instead, focus on kidney-friendly foods like leafy greens, berries, fish, and whole grains.
💧 3. Stay Hydrated – Drinking plenty of water helps your kidneys flush out toxins. Aim for at least 8 cups of water daily unless your doctor says otherwise.
💪 4. Control Blood Pressure & Blood Sugar – If you have high blood pressure or diabetes, managing them properly can prevent kidney damage. Monitor your numbers and follow your doctor’s recommendations.
🚶♀️ 5. Move More, Stress Less – Regular exercise helps regulate blood pressure, blood sugar, and weight—all crucial for kidney health. Aim for 30 minutes of movement daily.
African American women face unique risks when it comes to kidney disease, but you have the power to protect your health. Start with small changes: drink more water, check your blood pressure, and schedule your annual checkup.
Your kidneys work hard for you every day—it’s time to return the favor. 💜
📌 Call to Action: Take the first step today! Schedule a kidney function test with your doctor, and share this article with the women in your life.