The Amish

Today’s Amish live in rural areas in a band of over 30 states stretching westward from Vermont and Maine, through the most populous states of Pennsylvania, Ohio, and Indiana, and reaching as far as Montana. Amish settlements are also found several Canadian provinces. A few settlements can be found in Honduras, Belize, and Mexico. This chapter follows the dominant values and beliefs according to the 12 domains of the Purnell Model for Cultural Competence: overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy, death rituals, spirituality, health-care practices, and health-care practitioners.