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Table 1 Barriers to healthy weight maintenance that primary care providers practicing at community health centers perceive their patient populations face

From: Barriers to weight loss among community health center patients: qualitative insights from primary care providers

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.