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Table 4 Factors inhibiting compliance with behavioral measures: thematic matrix of categories, subcategories and concepts (n = 40)

From: Perceptions of inhibitors and facilitators for adhering to hypertension treatment among insured patients in rural Nigeria: a qualitative study

A) Salt consumption   
Category Sub-category Concepts
1) Local practices Food preservation/conservation Salt used to prevent decomposition of food [n = 3]*
Salt preserved (canned or processed) foods used [n = 5]
  Food preparation Salt, maggi used(in quantities) to cook/season meals [n = 14]
Extra (table) salt added to already cooked meals [n = 2]
  Medicinal use of salt Salted solution (salt water) used in treating stomach (abdominal) discomfort [n = 3]
2) Patient related factors Poor hypertension knowledge Ignorance of the influence of salt on hypertension [n = 2]
B) Weight control   
Category Sub-category Concepts
1) Local practices Perceived relationship of weight to affluence/comfort/wealth Societal views that ‘the fatter, the more affluent, the more comfortable’ [n = 12]
  Perceived relationship of weight to illness/disease Societal view that ‘losing weight (slimming down) means serious illness’ [n = 13]
  Perceived relationship of weight to beauty Societal view that ‘being fat enhances beauty/sexual attractiveness’ [n = 7]
  Perceived inheritableness of weight gain/obesity (family trait) Heaviness (fatness) is inherited in my family; we usually have big sizes [n = 3]
  Perceived fattening tendency of local meals Local meals heavily starch based and fattening [n = 5]
Red palm oil and Groundnut oil are the only readily available cooking oils here [n = 11]
Rampant local Goat breeding practice makes meat easily available and cheap [n = 2]
C) Exercise   
Category Sub-category Concepts
1) Local practices Perceived needlessness of exercise Societal view that ‘exercise is meant for the unengaged, unserious and greedy persons that rather walk to avoid travel costs’ [n = 5]
  Perceived danger of exercise for the aged Societal view that ‘exercise is dangerous’ for older adults and the elderly [n = 7]
2) Patient related factors Poor knowledge of relationship between exercise and hypertension Perception that ‘exercise is dangerous’, makes hypertension worse [n = 5]
  Poor awareness on ‘how to exercise’ Ignorance about available and easy everyday exercise activities [n = 11]
D) Tobacco, alcohol, stimulants
Category Sub-category Concepts
1) Local practices Perceived benefits of tobacco (smoking) Alcohol used in relieving stress/tension [n = 2]
  Perceived benefits of alcohol (local palm wine) Palm wine makes vision clearer [n = 1]
  Perceived benefits of snuff (Nicotine powder) Snuff useful in relieving stress and tension [n = 1]
  Perceived benefits of Kola nut consumption Normal for older adults and the elderly to chew ‘Kola’ regularly; Kola nuts stimulate work [n = 2]