Culture and African contexts of HIV/AIDS prevention, care and support
Open accessAbstract
Culture plays a vital role in determining the level of health of the individual, the family and the community. This is particularly relevant in the context of Africa, where the values of extended family and community significantly influence the behaviour of the individual. The behaviour of the individual in relation to family and community is one major cultural factor that has implications for sexual behaviour and HIV/AIDS prevention and control efforts. As the impact of HIV/AIDS in Africa remains unabated, a culture-centered approach to prevention, care and support is increasingly recognised as a critical strategy. In this article PEN-3, a model developed to centralise culture in health promotion interventions, is presented as a framework to be used in HIV/AIDS prevention, care and support in Africa. The three domains of the PEN-3 model incorporate specific constructs: relationships and expectations, cultural empowerment, and cultural identity. The cultural empowerment and relationships and expectations domains are 'assessment/appraisal' domains used for cultural assessment. Community identity is the 'application/transformation' domain that helps the public health practitioner assist the community to identify the point of entry of the intervention. In this paper the authors describe PEN-3 and then present examples of how the assessment/appraisal domains can be utilised to frame HIV/AIDS-related concerns in the context of Africa.
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The assessment phase of the PEN-3 model provided the opportunity to arrange emerging themes at the intersection of two domains to assess for any domain interactions.
“This approach which is often referred to as the assessment phase of the PEN-3 model provided the opportunity to arrange the emerging themes at the intersection of two domains to assess for any domain interactions (Airhihenbuwa et al. 2009; Airhihenbuwa and Webster 2004).”
From Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions (2014) · cites this paper as Airhihenbuwa and Webster 2004
The PEN-3 cultural model provides researchers and interventionists a strategy for identifying and encouraging positive health behaviors.
“A central feature of the PEN-3 cultural model is that it provides researchers and interventionists a strategy for identifying and encouraging positive health behaviors (Airhihenbuwa and Webster 2004).”
From Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions (2014) · cites this paper as Airhihenbuwa and Webster 2004
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- Authors
- Airhihenbuwa, C. O., & Webster, J. D.
- Affiliations
- Pennsylvania State University (US)
- University of Michigan (US)
- Venue
- SAHARA-J: Journal of Social Aspects of HIV/AIDS
- Publisher
- Informa UK Limited
- Published
- 2004-05-01
- Volume
- 1
- Issue
- 1
- Pages
- 4-13
- ISSN
- 1729-0376 (ISSN-L)
- 1813-4424
- OpenAlex
- W2120305833
- Cited by
- 246
- References
- 41
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 14 · 2023: 6 · 2022: 8 · 2021: 10 · 2020: 7 · 2019: 9 · 2018: 11 · 2017: 15 · 2016: 19 · 2015: 16 · 2014: 18 · 2013: 29 · 2012: 16
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- SAHARA-J Journal of Social Aspects of HIV/AIDS (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- HIV prevention, HIV/AIDS care and support, PEN-3 model, cultural empowerment, cultural identity, sexual behavior, cultural assessment, community identity, Africa
- MeSH terms
- Acquired Immunodeficiency Syndrome, Attitude to Health, Culture, Humans, Perception, Social Identification, Social Support, HIV Infections
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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