Level of the Social Ecology | Identified barrier |
---|---|
Individual | • Limited economic resources to access weight-loss refferals and healthy food options. |
• Limited educational attainment and literacy levels. | |
• Lack of interest and motivation to lose weight and comply with clinical advice regarding weight loss. | |
Interpersonal | • Positive associations with larger body sizes and negative associations with smaller body sizes. |
• Lack of awareness of overweight and obesity because of the high prevalence of these conditions within patient communities. | |
• Beliefs about hereditary or generational body types. | |
Community | • Limited availability of healthy foods. |
• Southern food culture. |