Running head: PEN-3 Model Cultural Framework for Health Intervention and Prevention

The PEN-3 Model Cultural Framework can be used to design culturally specific, locally relevant health intervention and prevention programs to educate communities. This health intervention and prevention involves educating Hispanic females and males between the ages of 15 to 32. The health and wellness program design involve educating this group about the use of marijuana and its damaging effects on the body leading to mental illness, Diabetes, Cancer, lung and other organ damage, obesity, cognitive disorders, lowered IQ and EQ (emotional quotient), and various other damaging effects. Finally, a summary of the PEN-3 Model Cultural findings are discussed and analyzed to help health educators, practitioners, and advocates serve and address the needs of the target population. DOI: 10.32474/OJNBD.2018.01.000123 On J Neur & Br Disord Copyrights@ Lisa Marie Portugal. Citation: Lisa Marie P. Running head: PEN-3 Model Cultural Framework for Health Intervention and Prevention. On J Neur & Br Disord 1(5)2018. OJNBD. MS.ID.000123. DOI: 10.32474/OJNBD.2018.01.000123. 80 e) Neighborhood: Environment and people who may have an influence on the target population. Relationships and Expectations: Where to intervene? Who and where are negative influencing factors, people, and places that impact the views, perceptions, and ways of thinking of the target population? Who and where are positive influencing factors, people, and places that impact the views, perceptions, and ways of thinking of the target population? Compare and contrast conflicting messages from the environment, home, people, places, community, neighborhood, and family ties regarding marijuana use. i. Perception: The affects/influence marijuana has on lungs, other organs, immune system, circulatory system, body, mind, spirit, Cancer, Diabetes, obesity, lower IQ and EQ, cognitive thinking problems, and other health problems. ii. Enablers: Health and wellness education support, resources, tools, access to correct information, access to naturopathy traditional medicine providers, and encouragement toward healthy choices. All forms of support from friends, family, community. iii. Nurturer: Encourages education, knowledge-building from correct sources, people, providers, and naturopathy doctors / clinics in the area who are opposed to marijuana use. Encourage church and spiritual leaders’ participation. iv. Cultural Empowerment: Where to intervene? Is there a mindset to change positively toward healthy choices and the discontinuation of marijuana use? Are there aspects within the environment or culture that discourage healthy choices and promote or foster marijuana use? What beliefs or rituals might be present that prevent or promote healthy choices and the discontinuation of marijuana use? v. Positive: Culturally promote attending religious services. Encourage spiritual health, spiritual education, spiritual warfare, and church leaders’ participation in the agenda to stop marijuana use. vi. Existential: Fostering positive cultural events, support systems messaging anti-drug use, drug use can lead to spiritual attack and mental illness. vii. Negative: Encourage the target population and all associations to remove negative people, messages, and locations in environment that are unwilling to change / remove marijuana use.


Introduction
The PEN-3 cultural model can be used to assess marijuana use in the target population. The following components can identify themes in a practical approach to behavioral change through active participation: [1] cultural health behaviors, [2] data collection, [3] analysis, and [4] pattern recognition ( to actively engage the community through collaboration of health professionals with educational and scientific support [4,5].

Objective
Use a systematic approach to assess influences on the health behaviors of target populations. According to [6]. "Strategies that only emphasize individual change neglect an important aspect of ethnic populations, collectivism. Therefore, using more mainstream messages without addressing significant influences of the ethnic culture such as heritage, life experiences and cultural beliefs may act as a disincentive in disease prevention [7]. Focusing on cultural influences and the integration of cultural beliefs and experiences along with providing culturally sensitive messages by culturally competent educators may prove to be a more effective strategy for addressing minority health issues, particularly among minority populations". Health educators can focus on interventions that

Methods
This case study sought to understand the effects of culture, social norms, beliefs, values, ideology, and practices influencing health behaviors related to marijuana drug use in the target population. In addition, the researcher questioned participants about: a) perceptions regarding marijuana, b) cultural and/or social taboos (if any) related to marijuana, c) views regarding marijuana drug use by self or others, and d) how much and how often self or others use marijuana.
The researcher randomly chose 15 families (nuclear and extended family members) to interview using qualitative questioning methods. The interviews were composed of a series of guided questions, were conducted in-person and by telephone, and were electronically audio-tape recorded. Transcription services were used to document the interviews to ensure accuracy.

Results
The diversity study revealed heavy marijuana abuse in the target population at all ages i.e. youth, adults, and elderly in the Boomer generations within most families. In addition, many family members viewed marijuana use as recreational similar to alcohol use. Although some family members expressed that marijuana use can be frowned upon within the family circles, and that marijuana use is an illegal drug, nonetheless, many stated they enjoy using. Some stated they know it is a problem in their lives, others stated they do not care if it is viewed as a problem, while others did not see a problem with their use whatsoever. Some also mentioned that marijuana use should be legalized. When asked if they were aware of mental, physical, and spiritual health problems associated with marijuana use, most were unaware. Some family members, i.e. more often the caretakers, mothers, grandmothers, grandfathers, and seniors past the Boomer generation did view marijuana use as negative and unhealthy. That was an important finding since patriarchal, matriarchal, and senior bonds are strong in Hispanic populations and viewed positively. With this information, health educators can gain insight into how to approach health education to influence health and wellness choices and motivating attitudes and behaviors toward change [8][9][10][11][12][13]. Most who use marijuana were clearly over-weight and/or obese, and when questioned about food consumption, most eat poorly (i.e. GMO foods, grocery store non-organic snacks, pre-made-boxed grocery store meals, fast food restaurants, low natural foods-vegetable diet, high processed sugar diet, high Glyphosate grains diet). Most, if not all family members questioned, were not aware of: death. This was another important finding where health educators can design culturally-targeted programs to address this lack of knowledge specifically and the tie-in with marijuana use.

Summary of Findings
The researcher's own experience and case study observations with this health challenge is that she has known many individuals throughout her life who have been negatively affected by marijuana use. Over time, she has witnessed their physical and mental health decline and illnesses manifest such as Cancer, Diabetes, Lupus, obesity, heart conditions, lung conditions, lowered IQ and EQ (emotional quotient), cognitive disabilities, mental illness, demonic possession, many other health problems, incarceration, destroyed relationships, and death. In fact, one cousin passed away recently and had all the conditions mentioned and he was a chronic marijuana abuser all his life. He passed away too early and too young in mid-2018. This is merely one example; the researcher has many more not discussed here. In addition, the researcher has witnessed the mental decline, severe mental illness, and demonic possession of many marijuana users over time as well. Although, marijuana is being touted as a "cure-all" for every health concern and illness these days, it does the complete opposite of all those claims. Whether the drug is used for smoking, religious purposes, marijuana essential oil, or eaten, all the effects are the same and not only damage the body physically, but also mentally and spiritually.
There are many studies being faked today claiming marijuana oil is a cure-all or marijuana leaves can be used in food and smoothies as a cure-all as well. There is a nefarious shadow government agenda behind the marijuana push as "medicine." In addition, the wide-spread marijuana "medicinal" retail businesses opening on every street corner in Westernized societies today are part of this nefarious, shadow government agenda to push marijuana use on the public. The Hegelian Dialect here is that the government is against marijuana and "hiding" its medicinal properties from the public purposefully. Yet, the government is allowing these fake "medicinal" marijuana retail businesses are on every street corner in Westernized nations. This creates a dialectic in the minds of the public by allowing them to be socially engineered to believe "if the government is hiding marijuana as medicine, then I want to use marijuana more." If the government does not want people using marijuana and if they are "hiding" its medicinal use, then why does the government allow "medicinal" marijuana businesses on every street corner available for public use? That is how Hegelian Dialectic works. There is another claim that Hemp seeds cure Cancer. Many essential oils (astringents) have been used for centuries to cure Cancer and other illnesses. The purchase of essential oils is legal and does not require a government marijuana card that is used to list, document, and remove rights of citizens by the government. A government marijuana card is another Hegelian Dialectic requiring individuals to go to the government for cures, aid, and help. The government is not necessary in the detoxing of Cancer and other illnesses. That can be done by individuals without government intervention or the loss of civil gun rights as written into the U.S.
Constitution. An illegal law was created in the U.S. to allow the government to confiscate one's gun rights if one has signed up for a government marijuana card. This is the encroachment and intrusion of nefarious government agents within the U.S.A. using the marijuana conversation as the Hegelian Dialectic tool to channel that agenda. Furthermore, a government marijuana card also lists and documents individuals as not having the proper mental capacity to care for oneself. This makes individuals easily subjectable to any government "intervention," vaccination, medical kidnapping, or imprisonment the government chooses to do to those documented and listed marijuana users.
The claim that Hemp seeds can cure Cancer and other illness might be valid as the use of essential oils, apricot seeds, peach seeds, and many other natural ingredients DO detox Cancer and many illnesses. But, the problem here is that the government, in cooperation with allopathic medicine, pharmaceutical companies, the Department of Agriculture, and Monsanto have been experimenting with GMO's (genetically modified foods and seeds) for a very long time. This information is published and easily assessable to the public if one chooses to look for it. Do you really trust getting Hemp seeds from these nefarious agents knowing that they genetically modify seeds and food? If one has to go to government agencies (and undercover agencies perpetrating nongovernment involvement such as the marijuana retail businesses) to purchase Hemp seeds (or Hemp seed oil), those seeds very well could be genetically modified with substances unknown dangerous, and toxic to the public. There are many ways to detox the body, mind, and spirit that are natural, healthy, and positive.
Marijuana use, government intervention, marijuana "pots cards," allopathic medicine, pharmaceutical drugs, and secular psychiatric -psychological services are not the answer. There are many claims made in each of those nefarious Hegelian Dialectic areas -all are false.
If individuals choose to believe marijuana can be used as medicine, go right ahead, they will experience most, if not all, of the health problems mentioned here as well as the legal issues discussed.
Learning the hard way does unfortunately teach individuals through physical and mental illness, homelessness, destroyed family relationships, incarceration, civil rights confiscation, government intrusion, demonic possession, and death.
The job of health educators and practitioners is to reach those individuals who are willing to hear the truth. For those who want to follow the lies and remain in his or her ignorance, he or she will learn some very hard lessons in life going down that path.

Real Cancer Detox
Cancer, Diabetes, Lupus, and all illness can be detoxed in many natural ways using natural foods, seeds, essential oils, more non-GMO organic plant food in diet, no processed sugar intake, no processed foods from the grocery store, no fast food restaurants, and many other ways not listed here, but easily researchable.

Cancer protection
When mice implanted with cells of a particularly deadly, fastgrowing human breast cancer were treated with the flavonoid apigenin, the cancerous growth slowed and the tumors shrank [11]. Apigenin may even be one reason why drinking chamomile tea has been found to reduce thyroid cancer risk by up to 80 percent.
Interestingly, the compound was also found to bind to 160 proteins in the human body, which suggests it has far-reaching health effects [13]. Additionally, treatment of cells with apigenin or quercetin inhibits CD38 and promotes an increase in intracellular NAD+ levels. CD38 is the primary enzyme that lowers NAD+ levels, so by inhibiting it, NAD+ levels are increased [13]. Onions and garlic are also rich in flavonoids, including quercetin, which inhibits the growth of cancer cells. Unlike anthocyanins, which had no effect on lung function in smokers, quercetin has been shown to reduce the risk of lung cancer in smokers. It also reduces your risk of heart disease, lowers blood pressure, relieves symptoms of interstitial cystitis and reduces symptoms of prostatitis [13].

How to Get More Flavonoids into Your Diet
While this is certainly not an exhaustive list, to naturally increase the flavonoids in your diet, consider eating more of the

Explanation of what Health Educators can do to Collaborate with and Motivate the Population to Implement Behavioral Change
Alcohol and drug abuse can have a devastating, lasting, and permanent negative impact on the wellbeing and health of youth [14]. Ultimately, ties should be cut with negative influencers, enablers, and the supply source -and if any signs are recognizable of unhealthy addictions, action should be taken immediately. Drug and alcohol abuse starts very early for most individuals who live in modern Westernized countries. Although drugs and alcohol have always been available throughout centuries, these substances are easily assessable to everyone, even children, in modern cultures.
In older cultures, communities, and societies, drugs and alcohol were not as easily assessable and individuals were not bombarded everywhere with social messaging as they are in modern societies. to live a happier, healthier life, drug-free for yourself, children, and family today! "It is widely acknowledged that obesity is a serious health issue" and "the proportion of adults classified as overweight or obese is increasing steadily" [14]. In particular, research suggests that establishing family goals encourages working together to improve the lives of everyone within the family (11). In addition, an essential key to success when motivating family members is helping them reflect upon lifestyle choices and giving them educational tools to address ways in which they might make healthier decisions [14].

Explanation of how Health Educators might help Target Population Adhere to and Sustain Health Behavioral
Change Over Time administered to children in elementary, junior high, high school, and college when they are so-called "diagnosed" with the new fallacy in allopathic, psychiatric medicine called "depression." In fact, this is the latest con government agencies are pushing on populations in Westernized countries. Depression is not solved with drugs. It is solved in various other ways that involve diet, exercise, healthy living, fostering healthy child development, fostering healthy ego development, education, moral development, and the pursuit of virtue development versus pleasure or a quick drug fix. Psychotropic and anti-depressant drugs damage the mind, body, and spirit and these drugs do not heal or cure anything. In addition, these drugs do not address the underlying root cause of depression, but rather ignore the issue and merely drug children, adults, and seniors. Not only is the administering of these drugs malpractice, it is criminal.
Furthermore, seniors and adults are being administered these drugs as well. Basically, anyone who visits an allopathic doctor or a hospital today will be prescribed these drugs. Individuals will also be given damaging, toxic, Cancer-causing vaccines with a hospital visit and many times against his or her knowledge, consent, and will. Follow nurses and damaged families and children speaking out about this issue on Vaxxed TV Figure 1.

Personal and Individualized Approaches to Health
Health educators and practitioners can to take a personal and individualized approach to each case by helping communities find naturopathy traditional medicine sources, tools, research, doctors, and service providers in their local areas. In addition, counseling and education are crucial. Developing new health curriculum, programs, and services and reaching out to individuals where they are at is essential Health educators and practitioners can use technology; provide research, tools, and resources easily accessible to the public as well. Health educators and practitioners can write books, publish studies in peer-reviewed academic and medical journals, speak in public, speak in alternative media channels, develop websites, and get the message out into the public sphere.
Health educators and practitioners can also be a resource within their families, spheres of influence, and communities.

Bibliography Resources regarding the War on Citizens with Weaponized Drugs, Vaccines, and Indoctrination Warfare
TheFetch, (2018, June 19). The raging civil war in America-pt 1- The pharmaceutical terror wing. InsideTheEyeLive.com Retrieved from http://insidetheeyelive.com/the-raging-civil-war-in-americapt-1-the-pharmaceutical-terror-wing/ There is a civil war raging in America, it is just that nobody seems to see it, or even recognize how such might be so. The civil war is being waged on multiple fronts, but only one side seems to know it exists. Consequently, all the shots are being fired in one direction while those being targeted remain blissfully unaware that they are at war and that casualties are indeed being taken (12). There are those who are killed in action, wounded in action, and of course, missing in action (12).
The civil war is relentless, yet nobody is shooting back. Perhaps it is because the people surviving the dying, caring for the maimed, and mourning the missing simply cannot fathom the nature of this raging civil war (12). In a very real way, paramilitary wings, secret death squads, air forces, and occupation propaganda outlets are all employed in this civil war, yet Americans blissfully seem to not notice (12). The Opioid Epidemic (12). Georgia Nurse gives