{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T05:35:35Z","timestamp":1792215335930,"version":"4.4.0"},"reference-count":43,"publisher":"IWA Publishing","issue":"9","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007588","name":"Washington State University","doi-asserted-by":"publisher","award":["Donation from Paul G. Allen School for Global Health"],"award-info":[{"award-number":["Donation from Paul G. 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To assess how sociocultural factors can inform water safety interventions, this study combines cultural consensus analysis of drinking water quality with microbiological assessments of water quality in 30 urban and 30 rural households in Quetzaltenango. Water samples were tested for coliforms, Escherichia coli, and antimicrobial-resistant Enterobacterales. Participants ranked bottled water as the safest source, yet laboratory analysis revealed bottled water had the highest coliform contamination (83.3%). Piped household water, another highly ranked source, exhibited high E. coli contamination (27.8%), presence of extended-spectrum beta-lactamase (ESBL) Enterobacterales (11.1%), and presence of carbapenem-resistant Enterobacterales (11.1%). While JMP guidelines are essential for water safety assessments, sociocultural perceptions play a crucial role in shaping water consumption behaviors. Integrating ethnographic methods with water quality assessments can lead to the design of more nuanced water safety interventions.<\/jats:p>","DOI":"10.2166\/wh.2025.056","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T15:01:52Z","timestamp":1757343712000},"page":"1042-1054","update-policy":"https:\/\/doi.org\/10.2166\/iwapcrossmarkpolicypage","source":"Crossref","is-referenced-by-count":5,"title":["Comparing cultural perceptions of drinking water safety with water quality in urban and rural Guatemalan communities"],"prefix":"10.2166","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8527-4067","authenticated-orcid":false,"given":"Brooke M.","family":"Ramay","sequence":"first","affiliation":[{"name":"a Paul G. 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