The PEN-3 cultural model consists of three interrelated domains, which can be used separately or in combination: (1) Cultural Identity (Person, Extended family, Neighborhood); (2) Relationships and Expectations (Perceptions, Enablers, Nurturers); and (3) Cultural Empowerment (Positive, Existential, Negative).
<p>This framework emphasizes the centrality of culture in health behavior and intervention design.</p>
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2025
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