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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.
Many of these foods found their way from the south to the north via the Mississippi River.
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.
Many are affiliated with Christian denominations—notably Baptist and Church of God in Christ. Maintaining good health is associated with good religious practice.
Many churches maintain a health ministry, through which congregations and parish nurses support good health with flu shots, blood pressure checks, and health education.
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.
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.
National programs to improve diet quality and the overall health of African Americans and other minority groups have been initiated.
By 1996, 28 percent of this population was reported to have a poor-quality diet, compared to 16 percent of whites.