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The Provider's Guide to Quality & Culture


 
    Understanding Minority, Immigrant and Refugee Populations
    Common Health Problems in Selected Minority, Ethnic, and Cultural Groups
    Common Beliefs and Cultural Practices
    An Expanded Look at Some Cultural Groups
    Book Excerpts

 
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Topic 7: Common Health Problems in Selected Minority, Ethnic, and Cultural Groups

African Americans

  • In the US, 38% of African-American adults are hypertensive, compared to 29% of European Americans.
  • African Americans have a higher incidence of hypertension, sickle cell anemia, and diabetes than the majority population.
  • The combined overweight and obesity rates for African Americans are higher than for European Americans; 65% of African-American men and 56.5% of African-American women are overweight or obese, compared to 61% of European-American men and 49.2% of European-American women.
  • Sickle cell anemia can occur in this population. In the US, 0.3% of African Americans are homozygotes and 8–13% are heterozygotes.
  • The cardiovascular disease (CVD) death rate for African-American men and women far exceeds the rate for the majority population and for other ethnic groups.
  • The prevalence of diabetes among African Americans is substantially higher than among the majority population, and the incidence of complications, including lower-limb amputations and end-stage renal disease is double.
  • African-American women are far more likely than women of the general population to be infected with HIV, and about 64% of all women with new HIV infections in a given year are African Americans.
  • Ten percent of African-American males suffer from a mild form of Glucose-6-phosphate dehydroginase (G-6PD) deficiency.
  • For men and women combined, African Americans have a cancer death rate about 35% higher than that for the majority population.
  • Lactose intolerance is common among African Americans.
  • Certain diseases, including prostate and breast cancer, may progress more rapidly in African Americans than in the general population.

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