Table 1: The frequency of social and cultural themes by groups (entries are percentages of respondents within each group mentioning this theme - multiple theme mentions are permitted).

Clinical Risk/Economic Disadvantagea
Themes +/+

Group 1
+/-

Group 2
-/+

Group 3
-/-

Group 4
Overall

N = 125
n = 28 n = 32 n = 24 n = 41
Experience of change and transition 77.6 75.0 86.5c 87.5 68.3
Adhering to food traditions 42.4 57.2b 40.5 37.5 43.9c
Car main transport/long commute 41.6 28.6 41.6 50.0b 48.8c
Time constraints 40.0 32.2 37.8 41.6c 51.2b
Guided by peer appearance 32.0 17.9 24.3 33.3 43.9b
Active caregiver for dependents 32.0 25.0 21.6 37.5c 39.0
Lack of trust in health care or health care providers 28.8 60.0b 16.2 29.2 21.9
Living in a neighborhood with few amenities 21.6 32.2c 18.9 33.3 9.8
Not part of the local community 20.8 46.4b 13.5 25.0 17.0
Low health literacy 20.0 32.1b 27.0c 16.6 17.0
Group Summary Description Isolated skeptics Concerned seniors Financially pressured caregivers Time-pressured young

a: Clinical risk defined as having 2 or more of 3 clinical risk factors: age ≥ 45 years, body mass index ≥ 26.9 kg/m2, hypertension. Economic disadvantage defined as having 2 or more of 3 economic factors: ≤ 199% federal poverty level, financial constraint, difficulty buying food; b: Key primary factor; c: Key secondary factor.