Barriers to nutrition-related chronic disease management in Kaqchikel-speaking communities in Guatemala: an exploratory analysis of cultural and linguistic factors

Abstract

Our Indigenous Maya communities in Guatemala have experienced oppression, exclusion, and racism through ongoing colonization that systemically denies us the right to live happy, healthy lives. The rise of nutrition-related chronic diseases among our communities places us among the few countries facing a double burden of malnutrition, disproportionately impacting Indigenous people in Guatemala. Language has sustained our people through genocide, wars, and illnesses by preserving our knowledge of medicine and survival. It is also central to Indigenous identity, and this study shows it is central to the successful management of nutrition-related chronic conditions. Here, Indigenous Kaqchikel Maya health experts and patients share their insights on the factors that hinder their ability to successfully manage nutrition-related chronic conditions and the impact of language on the health of our people.