Hard-to-reach communities in the rural Ecuador: A qualitative perspective on dietary habits and physical activity.

While many studies focus on urban areas, it's vital to understand health-related behaviours in rural communities. This paper aims to explore the factors that influence dietary habits and physical activity from the perspective of men and women of different ethnic groups living in a hard-to-reach rural area in Ecuador. We conducted 5 focus groups with 37 participants (26 women) from diverse cultural and ethnic backgrounds in marginalized communities in Esmeraldas. The thematic analysis showed environment and culture shape dietary habits and physical activity, influenced by taste preferences, economic factors, and societal norms, with gender roles and beauty standards playing significant roles.