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Lecture for Cultural Competence CourseAfrican Americans
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Janice K. Warrington, MSNEd, RN, SD/CLTC
One of largest ethnic groups in United States37 million (12.1% population)
Expected to increase to 40.2 million by 2010Multiple racial/ethnic identifiers
Age related differences in preferenceNegro, Black American, person of color, colored
Largely descendants of slavesAfrican American denotes pride in both African
and American heritage
U.S Census Bureau (2009)
Everyculture.com (2008)
Segregation/DesegregationHigh school drop out rate highHigh valueWomen more likely than men to earn
higher degreeUnderrepresented in managerial positionsOver represented in blue collar
Conant, J.B. (1961)
Dominant language EnglishHigh contextDemonstrative and loud-may be
misunderstood as angryDirect eye contact can be seen as
aggressionPresent orientedPrefer to be addressed by surnameMistrust healthcare providers
High percentage MatriarchalGrandparents raising childrenGender roles and childrearing vary widelyValue self-relianceRespect for eldersSocial status is importantValue the Afrocentric Framework
Nguzo Saba The Seven Principles
of KwanzaaUmojo-unityKujichagula-self-determinationUjimaa-Cooperative economicsUjima-collective work responsibilityKummba-creativityNia-purposeImani-faith
Karenga, M. (1999-2009 ) The Nguzo Saba (the seven principles) http://www.officialkwanzaawebsite.org/7principles.shtml
Long history of disadvantage“Glass Ceiling”Absence of African American leadershipIncreased stress
Different assessment techniques required to detect cyanosis, pallor, rashes, and jaundice
Overgrowth of connective tissue leading to keloids
Long bones are longer, bone density is greater than that of Asians, Hispanics, and European-Americans
Greater incidence of birthmarks
Unprotected sexSmokingDrugsAlcoholSedentary lifestyleViolenceDelayed health care
Soul foodHigh fat (fried)Encourage infants to eat early (usually before
2 months)Important to “have meat on their bones”“High blood/Low blood”Dietary deficiencies
Elders provide advicePicaNo picturesInfant clothingReachingInducing laborBelly bands / coins
Very family orientedBig “send off”Long “lay out”Intact body“Falling out”Less likely to have advance directives
Use of prayerReligious affiliation importantTrust in GodCoping mechanism
Suspicious of healthcare providersNatural vs. Unnatural illnessNon compliant with treatmentFolk medicineLow health literacyLack of accessCultural response to health and illnessBlood transfusion/organ donation
Folk practitioners Grandmothers, respected women, elders in the
community, church leaders, root doctors, or voodoo priests and priestesses, who remove hexes
Preference for care provider of the same gender
Folk practitioners held in high esteemPrefer Western healthcare providers who are
familiarMust establish trust