The effect of education based on PEN-3 cultural model on students' menstrual health behaviors: a mixed method study

• Published in: Health education research 2021-04, Vol.36 (2), p.239-247
• Main Authors: Mohammadinia, Neda, Rezaei, Mohammad Ali, Morowatisharifabad, Mohammad Ali, Heydarikhayat, Nastaran
• Format: Article
• Language: English
• Subjects: Health technology assessment
• ISSN: 1465-3648; 1465-3648
• DOI: 10.1093/her/cyab001

Menstruation is a natural process in girls, but sometimes it is accompanied by beliefs and behaviors with cultural roots that result in poor health consequences; this study aimed to consider perceptions of individual, families and community to current cultural beliefs, and to determine the effect of education based on the PEN-3 cultural model on students' menstrual health behaviors in Iran. Study had a mixed method design. In the qualitative phase, data were collected from students, their mothers and teachers through focused group discussion and in-depth interviews. In the quantitative phase, training was done in four 2-h sessions for intervention group. The data were collected immediately and 2 months after the training by a questionnaire and they were analyzed by Friedman and Wilcoxon non-parametric tests. Training was effective on all of the model structures and significantly increased mean score of the health behavior after training and 2 months later by 8.74 and 13.86, respectively, in intervention group (P