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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.

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.

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