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Older African Americans may be suspicious of clinicians, believing their health is personal and up to God’s will.

Because they may be reluctant to share personal or family issues, building a trusting relationship is key.

African Americans are affected disproportionately by the leading causes of death in the US, with more morbidity and mortality from premature births, cancer, HIV/AIDS, obesity, and diseases related to obesity, including heart disease, hypertension, stroke, and type 2 diabetes.

* African American men have higher rates of getting and dying from prostate cancer than other men.

However, through health education and increased awareness of healthy eating practices, African Americans are replacing traditional pork products with turkey, fried foods with baked foods, and starchy vegetables with tomatoes and green vegetables.

National programs to improve diet quality and the overall health of African Americans and other minority groups have been initiated.

Soul food may refer to meals made with fried chicken, pork chops, chitterlings, grits, cornbread, macaroni and cheese, and hushpuppies.

Many churches maintain a health ministry, through which congregations and parish nurses support good health with flu shots, blood pressure checks, and health education.Traditional African-American food—sometimes referred to as “soul food”—is diverse and flavorful with origins in Africa, the West Indies, and American southern states.The idea of what soul food is differs greatly among African Americans.And fast foot companies have specifically targeted African American communities as a growing market for their products.Although many African Americans eat foods such as greens, beans, and rice, which are rich in nutrients, economic issues and deep-rooted dietary habits create challenges for changing behaviors and lowering disease risk in this population.

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