ERIC Number: EJ1020344
Record Type: Journal
Publication Date: 2014-Feb
Abstractor: As Provided
Why Culture Matters in Health Interventions: Lessons from HIV/AIDS Stigma and NCDs
Airhihenbuwa, Collins O.; Ford, Chandra L.; Iwelunmor, Juliet I.
Health Education & Behavior, v41 n1 p78-84 Feb 2014
Theories about health behavior are commonly used in public health and often frame problems as ascribed or related to individuals' actions or inaction. This framing suggests that poor health occurs because individuals are unable or unwilling to heed preventive messages or recommended treatment actions. The recent United Nations call for strategies to reduce the global disease burden of noncommunicable diseases like diabetes requires a reassessment of individual-based approaches to behavior change. We argue that public health and health behavior intervention should focus more on culture than behavior to achieve meaningful and sustainable change resulting in positive health outcomes. To change negative health behaviors, one must first identify and promote positive health behaviors within the cultural logic of its contexts. To illustrate these points, we discuss stigma associated with obesity and human immunodeficiency virus and acquired immune deficiency syndrome. We conclude that focusing on positive behaviors and sustaining cultural and personal transformations requires a culturally grounded approach to public health interventions, such as that provided by the PEN-3 model.
Descriptors: Cultural Influences, Health Promotion, Public Health, Health Behavior, Acquired Immunodeficiency Syndrome (AIDS), Social Bias, Intervention, Behavior Change, Obesity, Sustainability, Interpersonal Relationship, Diseases, Hypertension
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Publication Type: Journal Articles; Reports - Evaluative
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