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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.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 often have strong religious affiliations.Soul food may refer to meals made with fried chicken, pork chops, chitterlings, grits, cornbread, macaroni and cheese, and hushpuppies.Dishes such as hoppin’ John (rice, black-eyed peas, and salt pork), gumbos, jambalyas, fried porgies, and potlikker may all be considered soul food.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.

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Institutionalization of elders has historically been avoided, with sons and daughters taking on the family caretaker role.