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The following guides emphasize information that can be used to stimulate thinking about cultural differences and prompt questions that will help providers understand how their patients identify with and express their cultural backgrounds.These are not fact lists to apply indiscriminately.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.

Each person is an individual, as well as a community member.

The term African American generally refers to people descended from Africans who did not come to the US voluntarily—descendants of the four million slaves brought to the US between 16.

According to the University of California School of Nursing, in Culture and Clinical Care, many aspects of African American culture today reflect the culture of the general US population.

The structure in African American families is often nuclear and extended with non-related “family” members.

The family may be matriarchal, although father or mother may take on the decision-making role.

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For African Americans, women more than men tend to remain unmarried, and more women have been educated at the college level.In general, the older generation is more conservative, may have a more traditional view of gender roles, and may shun interracial dating and marriage.Elders are respected and often provide care for their grandchildren.Institutionalization of elders has historically been avoided, with sons and daughters taking on the family caretaker role.Many African Americans like hearty meals that may include meat, fish, greens, rice, grits, white and sweet potatoes, corn, turnips, eggplant, peanuts, and homemade desserts.Leafy greens may include spinach, collards, mustard, kale, and cabbage.Traditionally, many elders eat a large noon meal on Sunday after church.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.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.

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