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Many are affiliated with Christian denominations—notably Baptist and Church of God in Christ. Maintaining good health is associated with good religious practice.

Many churches maintain a health ministry, through which congregations and parish nurses support good health with flu shots, blood pressure checks, and health education.

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.

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.

Cajun and Creole cooking, which originated from the French and Spanish in Louisiana, was changed in character and composition by the influence of African cooks.

In 1965, African Americans were more than twice as likely as whites to eat a recommended diet of fruit, vegetables, fat, fiber, and calcium.

Many of these foods found their way from the south to the north via the Mississippi River.The family may be matriarchal, although father or mother may take on the decision-making role.For African Americans, women more than men tend to remain unmarried, and more women have been educated at the college level.Leafy greens may include spinach, collards, mustard, kale, and cabbage.Traditionally, many elders eat a large noon meal on Sunday after church.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.

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