African-American women are missing from the list of risk factors for osteop
orosis although over 300,000 currently have osteoporosis. Possible bone str
ucture differences such as greater peak bone mass, a slower rate of bone lo
ss after menopause, and better quality of bone microarchitecture in African
-American women have not been supported by research. Approaches such as cal
cium intake, hormone replacement therapy, and medications which prevent and
treat osteoporosis need to be undertaken.