Abstract
This study explores barriers and facilitators to cervical cancer screening among indigenous Maya women in Guatemala. Eight weeks of observation, active participation, informal interviews, and semistructured interviews with community organizers were analyzed using Leininger's 4-phase process to elucidate five themes: fear/shame, “machismo,” education/experience, cost, and self-love. Results suggest sustainable cervical cancer screening may be possible through cultural humility, collaboration, balance of power, and emancipatory praxis. Practicing these concepts may help to build knowledge and trust between providers and community, thereby lessening oppression, empowering women, and reducing cervical cancer health disparities and disease burden among Guatemalan Maya women.
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