women had the highest rate of getting cancer, followed by Black, Hispanic, Asian/Pacific Islander, and American Indian/Alaska Native women. African Americans also have higher prevalence and incidence of Alzheimer's disease compared to the overall average. Violence has an impact upon African American life expectancy. A report from the U.S. Department of Justice states "In 2005, homicide victimization rates for blacks were 6 times higher than the rates for whites". The report also found that "94% of black victims were killed by blacks." Black boys and men age 15–44 are the only race/sex category for which homicide is a top-five cause of death. In December 2020, African Americans were less likely to be vaccinated against COVID-19 due to mistrust in the U.S. medical system related to decades of abuses and anti-black treatment. From 2021 to 2022, there was an increase in African Americans who became vaccinated. Still, in 2022, COVID-19 complications became the third leading cause of death for African Americans. Sexual health According to the Centers for Disease Control and Prevention, African Americans have higher rates of sexually transmitted infections (STIs) compared to Whites, with 5 times the rates of syphilis and chlamydia, and 7.5 times the rate of gonorrhea. The disproportionately high incidence of HIV/AIDS among African Americans has been attributed to homophobic influences and lack of access to proper healthcare. The prevalence of HIV/AIDS among Black men is seven times higher than the prevalence for White men, and Black men are more than nine times as likely to die from HIV/AIDS-related illness than White men. Mental health African Americans have several barriers for accessing mental health services. Counseling has been frowned upon and distant in utility and proximity to many people in the African American community. In 2004, a qualitative research study explored the disconnect with African Americans and mental health. The study was conducted as a semi-structured discussion which allowed the focus group to express their opinions and life experiences. The results revealed a couple key variables that create barriers for many African American communities to seek mental health services such as the stigma, lack of four important necessities; trust, affordability, cultural understanding and impersonal services. Historically, many African American communities did not seek counseling because religion was a part of the family values. African American who have a faith background are more likely to seek prayer as a coping mechanism for mental issues rather than seeking