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Michelle Rivera

on 29 September 2014

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Transcript of African-American

High Risk Behavior
"When immigrants come to a new land, their old ways die hard. This has been the case with most immigrant groups to the new world. The language, customs, values, religious beliefs, and artistic forms they bring across the Atlantic are reshaped by the new realities or America and in turn add to it's fabric. The rich Traditions of Africa, combined with the British Colonial experience, created a new ethnicity." (US History) African American...defining characteristics include...
Average Age life expectancy is 75.3 years of age
a general widening of the nares
plumper lips and a
a range of skin tone between light tan to dark brown
Folk Medicine

“Unfamiliarity with cultural communication differences can lead to misinterpretation, misunderstanding and even unintentional insult. For example, the African American individuals who shows little reserve in stating his or her feelings may be misperceived as hostile, or perhaps as dangerous. Similarly, the African American person who looks away from speakers during conversation may be erroneously perceived as showing disrespect or not paying attention. The African American person who freely states his or her position to another may be perceived as challenging authority when the person may just be demonstrating honesty and pride in the value of his or her opinion.” (Maec)
African-American Culture, and Health Care
It is important for the nurse when working with African American patients, remember that when this patient enters the traditional bio-medical health care delivery system, it is best to assume that all known and available cultural home remedies have been tried. It is essential that the nurse determine whether these home remedies will interact or interfere with orthodox medical approaches. With an emphasis on education, the patient can be navigated toward modern medical preventive techniques and cures, and the nurse may observe and judge the variety and efficacy of age-old culturally entrenched health care practices. Future studies may just substantiate the science behind the folklore." (Black American)
African American families often have extensive family bonds, and can have extensive and far reaching family members. There is often a key family member, who can and often does act as a key consultant. This Patriarch or Matriarch is often consulted for important health-related decisions. (Clinical)
"African American culture finds diversity not so much in the varieties of religion, since the majority of African Americans are Christian, but in the expressive forms of the denomination within that religion. For example, the varieties of spiritual expression found in ritual ceremonies and religious person may be very different between a African American Baptist and African American Episcopalians. While the religion of these two groups has a unified basis - belief in Christ - the idioms of the spirituality in worship and life are largely heterogeneous." (Soul Survivor)
According to a 2012 Census Bureau report, the average African-American household median income was $33,762 in comparison to $56,565 for non-Hispanic/Caucasion households. In 2012, the U.S. Census bureau reported that 28.1 percent of African-Americans in comparison to 11.0 percent of non-Hispanic Whites were living at the poverty level. For 2012, the unemployment rate forAfrican Americans was twice that for non-Hispanic/ Caucasions (10.3 percent and 4.8 percent, respectively). This finding was consistent for both men and women. (Minority Health)
"Heart disease and cancer are the first and second leading causes of death for African-American adults 18 years and older. Diabetes was the fourth leading cause of death among African-American adults 18 years and older",As well as sickel cell anemia(CDC)

Nutritionally speaking "African-American cuisine traditionally includes many nutritious items such as yellow and green leafy vegetables which are rich in vitamins and antioxidants; fish; poultry; and beans, which are naturally low in fat and excellent sources of protein. However, many of the traditional methods of cooking such as deep frying, seasoning with ham or ham hocks, or adding gravy are in conflict with the heart-healthy recommendations to reduce fat and sodium intake. Many African-American rites revolve around food. The popular term for African-American cooking is “soul-food.” Staples of soul food include fried chicken, fried pork chops, cornbread, and ribs. Many of these dishes use large amounts of pork fat, butter, and salt for flavor." (California pg 2)

"Violence, substance use, and unsafe sexual practices are major public health problems challenging today's urban African American youth. Urban African American youth are at high risk for violence owing to exposure to violence in their communities. They also experience more exposure, easy access, and daily pressure to use or traffic illicit drugs." (Jama)
Health prevention is usually. through good diet, herbs, rest, and cleanliness." There is a need for better education regarding

heatlhcare for a large section of this culture amd a concerted effort on the part of the healthcare worker to be aware of certain fears that the culture may have regarding
past medical experiences.
"For the sake of low-income African Americans, who live in rural communities several hospitals and agencies provide free prostate cancer screenings at least once a year, and there are other opportunities to obtain prostate cancer screenings." (medscape)

"Community leaders, church elders, and other "communicators" When incorporated in Boards and involved in health care planning for the community, and through cultural awareness and sensitivity that improved access to, and utilization of health care services, will influence positive health behaviors and successful outcomes will be attained for African American's" (Socioculture)
Black American folk medicine health care beliefs
: imp... [ABNF J. 1992] - PubMed - NCBI. (n.d.). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/1554896

Black/African American
- The Office of Minority Health. (n.d.). Retrieved from http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61

Cross-Cultural Communication
- Culture, Communication and Language. (n.d.). Retrieved from http://maec.org/cross/4.html

Health and Health Care of African American
. (n.d.). Retrieved from http://web.stanford.edu/group/ethnoger/african.html

JAMA Network | JAMA Pediatrics |
Effects of 2

Prevention Programs on High-Risk Behaviors Among African American Youth: A Randomized Trial
. (n.d.). Retrieved from http://archpedi.jamanetwork.com/article.aspx?articleid=485672

Medscape: Medscape Access
. (n.d.). Retrieved from http://www.medscape.com/viewarticle/589250_5

Smith, S. F., Duell, D., & Martin, B. (2012).
Clinical nursing skills: Basic to advanced skill
s (8th ed., p. 1293). Boston: Pearson.

Smith, S. F., Duell, D., & Martin, B. (2012).
Clinical nursing skills: Basic to advanced skill
s (8th ed., p. 118). Boston: Pearson.

Sociocultural Factors and Health Care-Seeking Behavior Among Black Americans
. (n.d.). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2625488/

"In summary their are aspects to be aware of regarding African American cultural belief's that affect client teaching.... This culture can be highly family and church oriented, have extensive family bonds, and a key family member is usually consulted for important health-related decisions. Illness is sometimes considered a punishment from God for wrongdoing.
"Even in this age of information, some African Americans equate good health with luck or success. An illness or disease, viewed as undesirable, may be equated with bad luck, chance, fate, poverty, domestic turmoil, or unemployment, and in such case, Black Americans will consult a physician only after attempts with home remedies have failed.
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