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Table 2 Barriers to a healthy diet

From: Focus groups inform a mobile health intervention to promote adherence to a Mediterranean diet and engagement in physical activity among people living with HIV

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1. Housing instability “Like for me, when you have to transition, it just rocks your whole world. It affects medication, food, stress level.”
2. Time for food preparation “You don’t just come home and start cooking. You need to get into that zone. My challenge is cooking meals later. Sometimes meals come in a little later, and that’s when a little extra weight comes on for me because I’m eating later and it’s taking more to metabolize.”
3. Cost of healthy food “I’m really limited financially, so I’m dependent on [a food bank] delivered meals. You know they have a lot of the stuff that is processed, chicken with stuff around it. I try to scrap off the breading and stuff. If I could afford to I would eat a lot better.”
4. Depression or psychiatric issues “I think when I got diagnosed, depression had set in, and so with depression they say you lose the appetite a little bit or somewhat. I only eat when I’m hungry.”
5. Gastrointestinal issues “I used to take a lot of meds and had a lot digestive issues.”
6. Physical disability “I used to like it, but I’ve had two back surgeries, plates and pins put in my back, and I got used to people bringing me food, like [a food bank] pantry.”
7. Changes in appetite since HIV diagnosis “I ate more [post-HIV diagnosis].”