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4  Cultural Competence in Health Education and Health Promotion








                               AK
                                                           Population, 2006
                                           WA
                                                                                       ME
                                                     MT      ND
                                                                 MN                 VT
                                          OR                                         NH
                                                ID           SD      WI           NY  MA  RI
                                                     WY                   MI            CT
                                                                  LA             PA
                                                             NE                        NJ
                                            NV                              OH    MD
                                                 UT                    IL  IN  WV      DE
                           20,000,000 to 36,457,549    CO
                                         CA                                      VA
                           10,000,000 to 19,999,999           KS   MO      KY          DC
                           5,000,000 to 9,999,999
                                                                                 NC
                           1,500,000 to 4,999,999                         TN
                           515,004 to 1,499,999  AZ   NM       OK   AR          SC
                                                                          AL  GA
                                                                      MS
                                                                    LA
                                                             TX
                                                                                FL
                               HI                                                        PR
                                    Population Density                   Population Distribution







                                                      DC                                  DC






                                            9518.7 (DC)                          12.2 (CA)
                                            500.0 to 1,999.9                     4.0 to 7.9
                             Average population  200.0 to 499.9          Percentage of  2.0 to 3.9
                               per square mile  U.S.  84.7 to 199.9      U.S. population  1.0 to 1.9
                                      density
                                       84.7  50.0 to 84.6                        0.2 to 0.9
                                            1.2 to 49.9                          Not included
                                                                                 in calculation
                           FIGURE 1.1.  U.S. Population by State, Density, and Distribution, 2006.


                       (such as students), humanitarian migrants (refugees), naturalized U.S. citizens, and
                       persons illegally present in the United States (U.S. Census Bureau, 2006).

                            The impact of the foreign - born population on the diversification of the U.S. popu-
                       lation merits a little discussion of U.S. immigration policy, which not only affects the
                       number of foreign - born nationals admitted to the United States but has also at times







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