response to D 1 (3069)

Please, answer to this discussion in one paragraph, post required one reference from peer-reviewed Nursing journal (from Database) not the internet not older than 5 years. APA format required.    
There are various cultural groups and sub-groups in the United States that should be taken into consideration when interacting with a patient. According to Collins (2015) values, beliefs, and traditions of the specific cultures must be thoroughly evaluated through a cultural assessment in order to provide the best care possible for a patient. Three of the cultural groups in particular are: African Americans, American Indians, and Hispanics. The cultural variation in these groups becomes obvious when looking at educational, and economic factors, as well as illnesses that are more prevalent in certain groups (Jensen, 2015). African Americans have high poverty and unemployment rates, many are uninsured, and they also tend to have low immunization rates (Jensen, 2015). They are more likely to develop certain types of cancer, diabetes, and high blood pressure, whereas, many American Indians tend to be obese and suffer from diabetes, and high blood pressure. Hispanics, on the other hand, are the biggest minority group, and are more likely to have diabetes, end-stage renal disease, or cancer. The older Hispanic generation tends to decline the flu shot, and they are more likely to have heart disease. Overall, the three groups share some common advantages, but there can also be disease which they are all more likely to get, 
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