Mobility as a Social Determinant of Health

In a piece for The Flint Courier News, Dr. Aisha Harris asserts that transportation is a social determinant of health — “Meaning it directly and indirectly impacts how we access health care, obtain wellness and manage our chronic medical problems.”

Harris separates personal transportation options and transportation infrastructure, which is not in most people’s individual control. “In health, transportation is essential to how people access health care and maintain health, whether it is getting to the doctor, picking up medication from the pharmacy, going to the grocery store to maintain nutritional needs, or walking around their neighborhood to get more exercise.”

According to Harris, million of Americans can’t access medical care due to transportation issues such as long distances, lack of access to a vehicle, cost, or inadequate infrastructure. Thus, transportation and public health are intimately intertwined issues. “There are a lot of options to how a city, urban or rural, can look when it comes to transportation. But the infrastructure we create in our communities must adapt and include the needs of the entire community in order to not create more barriers and challenges, but help address them.”