We know little about which transportation investments or initiatives are reducing transportation barriers and meeting people’s transportation needs. For example, are Complete Streets policies meeting the needs of community members? As Smart Growth America releases its best practices to evaluate the success of Complete Streets efforts, we at Salud America! want to draw attention to how transportation needs and barriers have been conceptualized. Across the fields of urban planning, public health, and health care are claims about how transportation impacts health and quality of life. However, regarding these impacts, transportation is often conceptualized only in terms of physical activity, pollution, safety, and/or access to medical care. Although transportation is often ...
Where you live can have a big impact on your health. Non-medical factors like where we are born, live, work, and age — known as social determinants of health (SDoH) — can influence health for better or worse. However, the U.S. has struggled to identify and help people with SDoH issues. That's where SDoH screening comes in. SDoH screening is a questionnaire given to patients in a healthcare setting to help providers identify non-medical barriers to health. These include issues like financial hardship, transportation, housing, food, employment, and safety. Patients can then be referred to helpful community resources. Here are seven reasons to implement SDoH screening in your healthcare system, hospital, or clinic.
1. SDoH Screening Helps Patients Speak Up
SDoH ...
In December 2023, the National Traffic Safety Administration (NHTSA) released the sixth edition of the Model Minimum Uniform Crash Criteria (MMUCC). The MMUCC is a voluntary guideline of standardized data for state and local agencies to collect on motor vehicle crashes. This can help compare crash trends across and between states and guide the design and assessment safety countermeasures and their effectiveness. Earlier in 2023, NHTSA had sought public comment on their revisions to the fifth edition of the MMUCC. Roughly 500 comments were submitted, most by Salud America! members. Unfortunately, it is unclear how NHTSA considered the solicited comments. Because the MMUCC is a voluntary guideline rather than a rule, NHTSA is not required to publish a summary of comments ...
Some big changes in 2022 and 2023 have set up the healthcare sector to advance screening for non-medical social needs in 2024 and beyond. This is great news as we work to address social determinants of health (SDoH), improve health outcomes, and reduce health disparities. But one key social need – transportation – isn’t getting the attention it deserves. Transportation is a foundational social need and often co-occurs with other needs and/or acts as a barrier to resolving other needs. Yet transportation is often poorly conceptualized, thus is poorly operationalized in social need screening tools and related justifications. In this post, we review the following big changes as they relate to transportation as a SDOH: Big Change 1: In 2022, the Centers for Medicare ...
In December 2023, the Federal Highway Administration (FHWA) released the final rule adopting the nearly 1,200-page 11th Edition of the Manual on Uniform Traffic Control Devices for Streets and Highways (MUTCD). The MUTCD is the national standard for all road marking, highway signs, and traffic signals. Three years prior, the FHWA requested public comments on the proposed changes to the then-700-page MUTCD, which hadn’t been updated since 2009. More than 25,000 people submitted public comments. That included nearly 450 of the model comments developed by our team at Salud America! at UT Health San Antonio. Let’s explore how the FHWA hit the mark for improvement (or missed an opportunity) for five key areas of concern in our model comments and those of other transportation ...
At her annual wellness visit, Dr. Stormee Williams filled out a digital questionnaire that asked about her need for help with housing, transportation, food access, and other non-medical needs. Williams was taking an “SDoH Screener.” An SDoH screener is a questionnaire to help healthcare workers identify a patient’s issues with the social determinants of health (SDoH), the conditions in which people are born, grow, work, live, and age, and the wider set of social, economic, and political systems that shape life. If a screener finds a patient in need, healthcare workers can then connect the patient to community support and resources. Helping patients address these non-medical needs can help them achieve better health. Williams, fortunately, didn’t have non-medical ...
One of the biggest contributors to climate change are gasoline-powered vehicles, which emit greenhouse gases that warm Earth’s atmosphere. In a positive step, our nation is shifting toward climate-friendly electric vehicles (EVs), which emit less greenhouse gasses than gasoline-powered cars, even when accounting for manufacturing and the electricity used for charging. But a new survey by Axios reveals disparities in EV accessibility, especially in the Latino population. How might these disparities impact Latino health and our nation’s fight against climate change?
How Do Latinos Feel About EVs?
According to the Axios survey, most Latinos (60%) say it’s important to shift to EVs to minimize climate change damage, but they expressed more interest in buying gas-powered ...
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 ...
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 ...
