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Opinion

Preventive vs. reactive care — a generational perspective in Arizona’s Latino community

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Health care attitudes within the Latino community are evolving, with younger generations embracing preventive care while their parents’ generation often leans toward a more reactive approach.

This shift is largely influenced by public health messaging, education and increased access to health care resources in the U.S. As a Latina with years of experience in health equity and access, I have witnessed firsthand the transformative power of culturally tailored health initiatives that promote prevention and wellness.

For younger Latinos, preventive care has become a cornerstone of their health care approach. This generation has grown up in an environment where public health campaigns emphasize the importance of vaccinations, routine screenings and annual check-ups. Schools, social media and health care providers have played pivotal roles in shaping this mindset.

These young people are more likely to understand the long-term benefits of early detection and disease prevention. For instance, many are proactive about getting vaccinated against diseases like COVID-19 and HPV, participating in mental health counseling and seeking regular dental care. These behaviors are supported by increased health literacy and access to bilingual resources, which reduce barriers to understanding complex medical information.

In contrast, the health care habits of many older Latinos often reflect a more reactive approach. Many in this group grew up where resources and access to health care was limited, and visits to doctors were reserved for urgent or severe conditions, primarily due to time or financial constraints. Cultural norms also play a role — stoicism and self-reliance are highly valued, leading some to delay seeking care until absolutely necessary.

Some older adults say they don’t go to the doctor because they already have an existing health concern. The thought of adding another diagnosis to worry about can be overwhelming, so they delay seeking medical attention out of fear rather than neglect.

Language barriers, fear of high medical costs and mistrust of the health care system may further discourage older Latinos from engaging in preventive measures. As a result, they are more likely to face advanced stages of chronic illnesses such as diabetes, hypertension and cancer, which could have been mitigated or managed more effectively with earlier intervention.

Addressing these generational differences requires a concerted effort to bridge the gap between preventive and reactive care. At Advance Community, we create culturally tailored programs that meet individuals where they are, respecting their unique experiences while fostering trust and understanding. For example, hosting bilingual workshops in community centers and churches can demystify preventive care for older Latinos, while digital outreach campaigns resonate with younger audiences.

To make meaningful progress, public health messaging must continue to emphasize the value of prevention while also addressing systemic barriers such as affordability, language access, and cultural competency in healthcare delivery. Programs designed to include family members of all ages can encourage intergenerational conversations about health, fostering a collective commitment to wellness.

The shift from reactive to preventive care within the Latino community is an encouraging sign of progress, but there is still much work to be done. By continuing to prioritize health equity and culturally inclusive practices, we can ensure that all individuals, regardless of age or background, have the tools and support they need to lead healthier lives.

Advance Community’s staff is deeply committed to fostering inclusivity and breaking down barriers in health care. Together, we can build a future where preventive care is not just an option but a cornerstone of health and wellness for all.

Editor’s note: Valeria López Macias is a health and wellness manager for Advance Community in Phoenix. Please send your comments to AzOpinions@iniusa.org. We are committed to publishing a wide variety of reader opinions, as long as they meet our Civility Guidelines.

Latino, Latino community, preventive care, health care, Advance Community

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