Cultural communities in America range from hip-hopping teens to train-hopping hobos, but each culture has its own explanations for the causes and treatment of ill health. This guide focuses to some extent on racial and ethnic cultural communities, but the secret to getting the word out to any community is the same: know the culture. Cultural differences manifest themselves in tangible ways. For example, people from a given culture may not be comfortable talking about a problem involving the reproductive organs (this is often true of elderly people, regardless of culture). Cultures also have different ideas about how to talk frankly about serious or terminal illness. Some.