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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.

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.

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 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.

* African American men have higher rates of getting and dying from prostate cancer than other men.

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Leafy greens may include spinach, collards, mustard, kale, and cabbage.

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