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Amanda Merck

Merck completed her MPH with a concentration in Physical Activity and Health. She curates content for Salud America! (@SaludAmerica), a Latino childhood obesity prevention project based at the Institute for Health Promotion Research at UT Health San Antonio. She focuses on the latest research, resources, and stories related to policy, systems, and environmental changes to enhance equitable access to safe places for kids and families to walk, bike, and play.

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Articles by Amanda Merck

#SaludTues 10/3/2023: Addressing Inadequate Transportation to Improve Health


Addressing Inadequate Transportation to Improve Health

Many Americans face transportation barriers that threaten quality of life. When burdened by transportation costs and lack of safe, feasible options, families are forced to make tradeoffs, such as foregoing spending on food and medications or skipping trips to essential destinations such as medical care, the grocery store, workforce development, and other resources, and services. Inadequate transportation not only contributes to inequities in health but also contributes to inequities in social and economic outcomes which exacerbate inequities in health. To reduce inequities and improve overall health, we need both individual-level and community-level strategies to mitigate the symptoms and consequences of inadequate transportation. Let’s use #SaludTues on October 3, 2023, ...

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Nearly 3,000 Comments to NHTSA About Considering Pedestrians in Vehicle Safety Ratings


NCAP Share the Real Risk to Pedestrians in Vehicle Safety Ratings (1)

The National Highway Traffic Safety Administration (NHTSA) is proposing to consider pedestrians in their vehicle safety rating system. That is good news for a system that has ignored the safety of people outside the vehicle wherein "pedestrian fatalities have skyrocketed 77% since 2010, compared to 25% for all other traffic-related deaths," according to preliminary data from the Governors Highway Safety Association (GHSA). But the news isn’t all good. NHTSA’s proposed changes to the vehicle safety rating system – the New Car Assessment Program (NCAP) – are insufficient. The changes do not differentiate between pedestrian injury risk and fatality risk, and they fail to fully inform consumers about the true risk to pedestrians from vehicles, lessening the potential ...

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UPDATE: Health Equity Report Card Covers Child Opportunity, Location Affordability, Transit Access


UPDATE: Health Equity Report Card Covers Child Opportunity, Location Affordability, Transit Access

We have updated our Salud America! Health Equity Report Card to cover your county’s child opportunity score, environmental justice score, location affordability, and transit access. The Health Equity Report Card, first launched in 2017, auto-generates Latino-focused and local data with interactive maps and comparative gauges, which can help you visualize and explore local inequities in housing, transit, poverty, health care, food, education, and more. You will see how your county stacks up in these health equity issues — now including child opportunity, location affordability, and transit access — compared to your state and the nation. Then you can share the Report Card with your local leaders to shift from individualist thinking to advocating for systemic community change ...

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#SaludTues 6/6/2023: Why and How to Nurture Civic Health


Why and How to Nurture Civic Health

Civic health is the ability to participate in one’s community and be involved in the decision-making process, from voting and advocacy to mentoring and volunteering. However, some places face more structural barriers to civic health, which threatens democracy. Structural barriers are policies and practices that create or maintain unfair and unjust outcomes and they also threaten health equity. Let’s use #SaludTues on June 6, 2023, to tweet about how policies, practices, and people can improve civic space and foster shared decision-making, so all people have the opportunity to meaningfully shape decisions that affect their communities. WHAT: #SaludTues Tweetchat: “Why and How to Nurture Civic Health” TIME/DATE: 1-2 p.m. ET Tuesday, June 6, 2023 WHERE: On ...

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We Need More Complete Data on Social Determinants of Health


We Need More Complete Data on Social Determinants of Health

Data can drive action for healthy change. But what if we don’t have enough data? Or the right data? Or equitable data? Unfortunately, even with more health reports and more health dashboards than ever before, we still face inconsistent and incomplete data. We are lacking sufficient data – especially data disaggregated by race/ethnicity – on social determinants of health, firearm violence, traffic crashes, and adverse childhood experiences. Insufficient data happens for many reasons. Limited funding, limited staff, uncertain methods, logistical challenges, entrenched practices, inadequate analysis, and inadequate or non-uniform reporting after data collection are occurring at the local, state, and federal levels. Let’s explore the most critical missing data and how ...

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433 People Urge Better Crash Data Collection to Guide Traffic Safety


Tell NHTSA to Align Crash Data with a Safe System Approach

For too long, the blame for our nation’s high traffic fatality rate has fallen on individual drivers and factors, rather than on environmental and systemic traffic safety factors. One of the contributors to and consequences of this approach is insufficient crash data. Insufficient crash data hinders efforts to define and monitor the problem and identify risk and protective factors, and thwarts strategies to prevent these unnatural and gruesome deaths. Now is your opportunity to urge federal leaders to collect better crash data to guide traffic safety. Public comments are wanted by the National Highway Traffic Safety Administration (NHTSA) on revisions to the Model Minimum Uniform Crash Criteria (MMUCC), a voluntary guideline of standardized crash data variables for state and ...

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#SaludTues 1/10/2023: American Roads Shouldn’t be this Dangerous


American Roads Shouldn’t be this Dangerous

More Americans died in motor vehicle traffic crashes in 2021 than any other year since 2005, according to the National Highway Traffic Safety Administration (NHTSA). These are violent and tragic deaths. The roughly 2,700,000 injuries from non-fatal crashes are also violent and tragic with individuals often sustaining multiple traumatic injuries, injuries that significantly reduce their quality of life. These violent deaths and injuries are preventable. However, despite past efforts to reduce violent deaths and injuries on American roads, auto-centric guidance and policies and the growing size of automobiles undermine safety efforts today. It’s time to take meaningful action to prevention violent deaths and injuries on our roads. Let’s use #SaludTues on January 10, 2023, ...

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5 Essential Frameworks for Preventing Violent Child Death


violent child death is a problem in America

The U.S. has a violent child death problem. Developing strategies to prevent violent child death from firearms and traffic crashes is a demanding task that requires consideration of numerous upstream, interrelated, and tangential issues. To help safety advocates develop strategies to prevent violent child death, we compiled five frameworks to help: Understand and explain how proposed strategies will prevent violent child death Layer multiple strategies to cover shortcomings in strategies Prioritize upstream primary prevention strategies to improve outcomes for entire populations Consider the level of intrusiveness of strategies Apply racial equity tools to ensure equitable adoption/implementation of strategies The five frameworks include: Logic Model/Theory ...

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What Are the Risk and Protective Factors for Violent Child Death?


violent child death is a problem in America

Gun violence and traffic crashes may seem like unpredictable events. But they are not random. They are systematic. Data reveal trends and patterns in gun violence and traffic crashes that can help us identify risk factors and protective factors. This is especially important for addressing violent child deaths. So what do the data show? Join Salud America! as we explore data on risk factors as part of our four-part series on violent child death. Read the Series Overview and Part 1. Nothing is as Random as You Think Very little is random when it comes to our health and length of life. Rather, trends in health outcomes point to various individual, social, and environmental factors that either contribute to or safeguard against health-related problems. Although often not ...

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