When your patient is black West Indian.
D001741:Black or African American; D001294:Attitude to Health; D003469:Culture; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D012803:Sick Role; D014481:United States; D014900:West Indies / Q000208:ethnology