SynthesisEthnicity & health2014
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.
Synthesis in Ethnicity & health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
122 citing papers in PubMed, 9 syntheses or guidelines pooled it, 249 citations in OpenAlex.
- Socio-cultural beliefs and perceptions influencing diagnosis and treatment of breast cancer among women in Ghana: a systematic review.BMC women's health · 2024Pooled it
- Interventions to Reduce Healthcare Disparities in Cancer Screening Among Minority Adults: a Systematic Review.Journal of racial and ethnic health disparities · 2021Pooled it
- Factors Influencing Pregnancy and Postpartum Weight Management in Women of African and Caribbean Ancestry Living in High Income Countries: Systematic Review and Evidence Synthesis Using a Behavioral Change Theoretical Model.Frontiers in public health · 2021Pooled it
- What makes community-based physical activity programs for culturally and linguistically diverse older adults effective? A systematic review.Australasian journal on ageing · 2020Pooled it
- Interventions for increasing colorectal cancer screening uptake among African-American men: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Socio-Structural Factors Influencing the Prevention of Mother-to-Child Transmission of HIV in the Democratic Republic of the Congo: A Systematic Review.Maternal and child health journal · 2019Pooled it
- Cultural Factors relevant to Korean Americans in Health Research: A Systematic Review.Journal of community health · 2018Pooled it
- Toward the sustainability of health interventions implemented in sub-Saharan Africa: a systematic review and conceptual framework.Implementation science : IS · 2016Pooled it
- Illness perceptions and explanatory models of viral hepatitis B & C among immigrants and refugees: a narrative systematic review.BMC public health · 2015Pooled it
- The effect of educational intervention based on the PEN-3 model on breast cancer screening behaviors.Frontiers in public health · 2023Trial
- Caught between worlds: West African immigrant mothers` experiences with the Finnish healthcare system: a qualitative study using the socioecological model.BMC health services research · 2026Article
- Testing community-based strategies to increase hypertension screening in Nigeria: a protocol for an effectiveness-implementation hybrid type III cluster-randomized trial.Contemporary clinical trials · 2026Article
- Rationale, design and methods of theBMJ open · 2026Article
- Sustaining the 4 youth by youth HIV prevention intervention in Nigeria: a cluster randomized controlled trial protocol.Implementation science : IS · 2026Article
- A community-informed approach to develop a gardening model for the Bangladeshi community in Brooklyn, NY.Health promotion international · 2026Article
- The role of healthcare providers in shared decision making for cervical cancer prevention in Ghana: A qualitative study.BMC cancer · 2026Article
- Creative Arts to Enhance Cervical Cancer Awareness Using Art-Based Messages From a Nigerian Crowdsourcing Open Call: Qualitative Thematic Analysis.JMIR formative research · 2026Article
- A designathon to collaboratively develop sustainable HIV prevention services for youth with community-based organizations in Nigeria.PloS one · 2026Article
- Handwashing as a socially co-produced practice: an analysis through cultural-historical activity theory.Frontiers in public health · 2026Review
- Influence of cultural beliefs and practices on unassisted homebirths in Afghanistan: A qualitative exploration.PLOS global public health · 2026Article
62 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThis paper reviews available studies that applied the PEN-3 cultural model to address the impact of culture on health behaviors.
methodsWe search electronic databases and conducted a thematic analysis of empirical studies that applied the PEN-3 cultural model to address the impact of culture on health behaviors. Studies were mapped to describe their methods, target population and the health behaviors or health outcomes studied. Forty-five studies met the inclusion criteria.
resultsThe studies reviewed used the PEN-3 model as a theoretical framework to centralize culture in the study of health behaviors and to integrate culturally relevant factors in the development of interventions. The model was also used as an analysis tool, to sift through text and data in order to separate, define and delineate emerging themes. PEN-3 model was also significant with exploring not only how cultural context shapes health beliefs and practices, but also how family systems play a critical role in enabling or nurturing positive health behaviors and health outcomes. Finally, the studies reviewed highlighted the utility of the model with examining cultural practices that are critical to positive health behaviors, unique practices that have a neutral impact on health and the negative factors that are likely to have an adverse influence on health. DISCUSSION: The limitations of model and the role for future studies are discussed relative to the importance of using PEN-3 cultural model to explore the influence of culture in promoting positive health behaviors, eliminating health disparities and designing and implementing sustainable public health interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.