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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.
Traditionally, many elders eat a large noon meal on Sunday after church.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.Okra is the principal ingredient in gumbo, a Creole stew, and is believed to have spiritual and healthful properties.Many of these foods found their way from the south to the north via the Mississippi River.
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An apt analogy to keep in mind is that learning about a specific model of car is helped by referencing the operator’s manual, but reading and even memorizing that manual doesn’t replace learning how to drive a car.