is an important factor to consider in health outcomes, also. Distinctive cultural and geographical regions predict variations in the economic and social experience of Blacks (Green, 1978). Health researchers have documented variations in morbidity and mortality based on region of birth (Fang et al., 1997). Considerable ethnic variation also exists among Black immigrants from the Caribbean region and the African mainland and islands in terms of both culture and language. For example, a Black person born and raised in the U.S. South, a Kenyan, a Jamaican, a Haitian, and a Black person born and raised in the U.S. North are likely to differ in beliefs, behaviors, and even biology. Some limited research suggests that