• Lack of knowledge on healthy food choices and preparation

techniques, understanding of pre/low/high BP values,

unaware of symptoms & signs of HTN, etc
• Lack of willingness, support, and opportunity to change
cultural dietary preferences
Intrapersonal o Low intake of fruits and vegetables
o High intake of sodium
• Discouraged due to Linguistic barriers - reading, writing,
and understanding
• Cultural beliefs/habits that conflict with positive health
outcomes.
• Low-income and single-parent households, domestic
violence, and low self-esteem.
• Mistrust with CHW and agencies

• Family priorities placed on the children’s health before

personal health.
o Grandparents are typically neglected for health care
access as they culturally do not speak up on their
Interpersonal health needs.
o Mothers are placed with familial burdens, which cause
more stress - most likely to be uninsured out of the
family.
• Lack of community and family support for mental health.
• Poor neighbor/community relationships - due to gossip,
jealousy, and other negative behaviors.

• Unable to afford insurance and unqualified for Orange Card

Organizational or other financial assistance programs
• Living on minimum wage or working “under the table”
• Linguistic and cultural barriers with community
organizations that host programs or provide administrative
assistance.
• Lack of resources in the area (food desert, public
Community transportation, neighborhood safety.)
• Lack of access to English classes with CNNC
• Lack of applicable health education programs offered

Policy • Health coverage - Insurance policies