Journal of Transport & Health最新文献

{"title":"Adverse behavioural and health outcomes of bus driving occupation in emerging countries: An investigation from Hanoi, Vietnam","authors":"Thanh Chuong Nguyen,&nbsp;Thanh Tung Ha,&nbsp;Minh Hieu Nguyen","doi":"10.1016/j.jth.2025.102145","DOIUrl":"10.1016/j.jth.2025.102145","url":null,"abstract":"<div><h3>Introduction</h3><div>Driving a bus is described as a notoriously demanding, stressful, and dangerous job. Thus, many studies have been conducted to investigate the adverse outcomes of this occupation; however, they are separate in terms of methods, research models, and settings, with many inconsistent findings. In response to this gap, we aimed at investigating the influential factors of the four negative outcomes among bus drivers in a developing country, including (1) risky driving behaviours, (2) crash prevalence, (3) rude behaviours against passengers, and (4) alcohol use.</div></div><div><h3>Methods</h3><div>The utilized data were collected from 1020 bus drivers working on the 132 routes in Hanoi in three weeks of March 2024. Four models were estimated using multiple methods, including exploratory factor analysis, linear regression, and binary and ordinal logit regression.</div></div><div><h3>Results</h3><div>The results highlighted that the prominent predictors of the four adverse outcomes were working environment and enterprise management. Driving electric buses and having a higher educational level were negatively associated with three of four undesirable outcomes. Other variables (e.g., risk-taking attitude, over-commitment, and working time) had significant roles in predicting one or two outcomes. Being over 50 years old and non-urban bus routes exhibited a negative correlation with crash prevalence but a positive one with the prevalence of rude behaviours against passengers.</div></div><div><h3>Conclusions</h3><div>Bus enterprises should carefully evaluate the interventions they intend to formulate because of their different effects on health- and safety-related outcomes. The local government should be more responsible for enhancing the working environment for bus drivers (e.g., offering bus lanes and signal priority). At the same time, enterprises should improve their management by promoting a salary system, safety training, and company culture. Besides, bus companies should form tailored campaigns and solutions to safety issues based on demographics.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102145"},"PeriodicalIF":3.3,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the associations of commuting behavior, perception, satisfaction, and subjective well-being: An analytical framework from the perspective of commuters' preferences and tolerance toward commuting time","authors":"Jiankun Yang ,&nbsp;Mingwei He ,&nbsp;Min He ,&nbsp;Lixiang Peng","doi":"10.1016/j.jth.2025.102140","DOIUrl":"10.1016/j.jth.2025.102140","url":null,"abstract":"<div><h3>Introduction</h3><div>Although commuting behavior and subjective well-being (SWB) have been widely shown to be statistically correlated, the complex relationships among commuting time dissonance and commuting modes, experiences, and SWB remain empirically unclear. From the perspective of commuters' preferences and tolerance toward commuting time, this study aims to reveal the associations of commuting time dissonance, perceptions, satisfaction, and SWB across commuting modes.</div></div><div><h3>Methods</h3><div>This study redefines the levels of commuting time dissonance based on the extent to which individuals' actual commuting time deviates from their ideal and tolerable reference points. An analytical framework linking modes→dissonance→perceptions→satisfaction to SWB was developed. We obtained a sample of 356 urban commuters from different industries in Kunming, China, using stratified sampling in 2023. Finally, a path analysis model was used to identify the pathways of association between these subjective and objective commute variables and SWB.</div></div><div><h3>Results</h3><div>First, commuting time dissonance was negatively related to multidimensional commute experiences. Actual commute time activated tolerance threshold (severe dissonance), increasing the likelihood of perceived commuting fatigue, stress, and pain while reducing commute satisfaction. Second, these negative experiences exerted significant adverse mediating roles between severe dissonance and SWB. Specifically, high levels of perceived commute pain and low levels of commute satisfaction further reduced SWB. Third, commuting time dissonance mediated the relationships between commuting modes and both perceptions and satisfaction. Specifically, active commuters exhibited significantly lower probabilities of severe commute time dissonance but higher likelihoods of commute time consonance (actual commute time alignment with ideal reference point). This dual advantage indirectly reduced negative commute perception and enhanced commute satisfaction.</div></div><div><h3>Conclusion</h3><div>To achieve synergistic policy objectives in active travel promotion, commute experience optimization, and well-being enhancement, evidence-based planning of urban commuting zones should incorporate residents' ideal and tolerable commute time thresholds.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102140"},"PeriodicalIF":3.3,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardised neuropsychological test correlates of driving performance in mild cognitive impairment and dementia: A systematic review and meta-analysis","authors":"K.B. Stefanidis ,&nbsp;T. Mieran ,&nbsp;M.J. Summers","doi":"10.1016/j.jth.2025.102141","DOIUrl":"10.1016/j.jth.2025.102141","url":null,"abstract":"<div><h3>Aims/objectives</h3><div>As the ageing population increases, and hence emergence of age-related diseases such as dementia, there is an urgent need to identify sensitive measures of reduced cognitive fitness to drive. Such knowledge can assist health practitioners to effectively triage those older adults requiring a formal fitness to drive assessment. Extending on previous work in healthy older adults, the present study synthesised evidence on the relationship between standardised neuropsychological test measures and driving performance among older adults with mild cognitive impairment and dementia.</div></div><div><h3>Methods</h3><div>Following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, this review focused on studies examining the relationship between standardised neuropsychological test measures and driving performance metrics (e.g., on-road test, driving simulator) in older adults aged 60 years and over with cognitive impairments (mild cognitive impairment or dementia).</div></div><div><h3>Results/discussion</h3><div>A total of 7 studies were eligible for review, resulting in the analysis of 14 standardised neuropsychological measures. Due to insufficient data, only one meta-analysis could be performed, with the remaining data being analysed qualitatively. Based on the limited evidence available, measures of attention, processing speed and global cognition, were found to correlate with driving performance, generally exhibiting moderate-to-large effects. Future research utilising standardised neuropsychological test measures in assessing the relationship between cognitive function and driving in MCI/dementia, is warranted.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102141"},"PeriodicalIF":3.3,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of the effectiveness of interventions in improving uptake of active travel in women in wales","authors":"Leona M. Batten ,&nbsp;Sarah J. Jones","doi":"10.1016/j.jth.2025.102136","DOIUrl":"10.1016/j.jth.2025.102136","url":null,"abstract":"<div><h3>Introduction</h3><div>Active travel is positively linked to overall health, but is only used for around 2% of UK journeys and is lower in women than men. An increase in active travel by women will improve equality of health benefits with men, reduce emissions, and may also improve uptake of active travel in children. Identifying interventions which increase uptake of active travel in women is therefore of interest to policy makers.</div></div><div><h3>Methods</h3><div>A literature review using systematic methods was carried out to identify effective interventions for increasing active travel by women.</div></div><div><h3>Results</h3><div>Seven studies were identified, four reviewed individual or community interventions, and three reviewed environmental interventions. Overall, evidence was of weak quality with variable outcomes. Bike-to-work days appeared to result in long-term modal change in female first-timers compared to male, but men were still more likely to cycle overall. Infrastructure changes, particularly segregated bicycle lanes, improved active travel uptake, but usually to a lesser extent in women than men.</div></div><div><h3>Conclusion</h3><div>Overall, this review found that infrastructure improvements and a cultural shift towards active travel is needed to improve uptake in women, however data are limited by short follow-up periods. It identified a need for more consistency in data collection and reporting, as well as an improved breakdown of outcomes by sociodemographic characteristics, to identify which interventions work in which population subgroups.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102136"},"PeriodicalIF":3.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neighborhood environment and older adults’ mental wellbeing and cognition: mediating role of activity variety","authors":"Yafei Yue ,&nbsp;Dongfeng Yang ,&nbsp;Neville Owen ,&nbsp;Shiwen Zhou ,&nbsp;Delfien Van Dyck","doi":"10.1016/j.jth.2025.102144","DOIUrl":"10.1016/j.jth.2025.102144","url":null,"abstract":"<div><h3>Introduction</h3><div>Neighborhood built and social environment attributes can be associated with older adults’ mental health, but underlying mechanisms that may explain these associations remain unclear.</div></div><div><h3>Methods</h3><div>We examined the contribution of variety of leisure-time physical activities (PA), leisure-time sedentary activities (SA), and transport-related PA in mediating the relation of built and social environment characteristics with mental wellbeing and cognition in older adults. Data from 879 respondents aged 60 or older in Dalian, China were used, and a Structural Equation Model (SEM) approach was used. Built environment characteristics were measured objectively. Social environment characteristics, variety of three types of activities, mental wellbeing, and cognition were self-reported.</div></div><div><h3>Results</h3><div>In the SEM, variety of leisure-time PA mediated the positive associations of access to recreation services and street furniture with mental wellbeing, and the negative associations of physical barriers with mental wellbeing. The variety of leisure-time SA was identified as a significant mediator of the positive associations of access to restaurants and social environment characteristics with cognition. The variety of transport-related PA was not a significant mediator.</div></div><div><h3>Conclusion</h3><div>These findings suggest that environmental and policy initiatives to improve older adults’ mental health could comprehensively consider multifaceted environments and activities, and optimize specific built and social environment characteristics that support diverse leisure-time activities for older adults. This new empirical evidence identifies ways for urban planning and neighborhood design to better promote the mental health of older adults.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102144"},"PeriodicalIF":3.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health service use after minor to moderate motor vehicle crash injury: A systematic review","authors":"Simone Yu ,&nbsp;Preeti Maharjan ,&nbsp;Daniel Griffiths ,&nbsp;Nigel Armfield ,&nbsp;Shannon Gray ,&nbsp;Alex Collie","doi":"10.1016/j.jth.2025.102143","DOIUrl":"10.1016/j.jth.2025.102143","url":null,"abstract":"<div><h3>Background</h3><div>Mental health symptoms are commonly experienced after sustaining an injury in a motor vehicle crash (MVC). Around 80% of MVCs are classified as minor to moderate (e.g., whiplash, sprains, strains), yet around half experience mental health impairments one-year post-injury. The prevalence, frequency, and determinants of mental health service use after these injuries are unclear.</div></div><div><h3>Methods</h3><div>A systematic literature review was conducted. Searches for primary studies reporting the prevalence of mental health practitioner interactions or medicines use after minor to moderate MVC injury were conducted in six databases (CINHAL, MEDLINE, Embase, Scopus, Web of Science, and PsycINFO). The primary outcome is the period prevalence of mental health service use. Secondary outcomes were determinants and patterns of service use. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Findings from eligible studies were reported in subgroups of mental health service type, injury severity, and follow-up period.</div></div><div><h3>Results</h3><div>From 4087 identified records, 12 studies were included. Prevalence of service use varied from 0.5% to 83% over time periods from &lt;12 weeks to 106 months. Most studies (n = 9) included data from cohorts with mixed injury types. Studies were largely (11/12) retrospective cohort studies conducted in Victoria, Australia, with a single register-based cohort study in Sweden. Five studies reported psychological therapies, four examined medication use, and three included a mix. Determinants of mental health service use included female sex, seeking common law compensation, and soft tissue injury. Frequency was reported by eight studies, timing to first service was reported by one, and duration of care was reported by one.</div></div><div><h3>Conclusions</h3><div>Prevalence increased with longer follow-up periods and was higher for psychological therapies than medications. However, estimates varied substantially due to differing outcome definitions, study designs, and cohort characteristics. Improvements in recording and reporting of mental health service use will lead to enhanced understanding of mental health service use, supporting more effective service planning and delivery, and ultimately contributing to better health outcomes after MVC injury.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102143"},"PeriodicalIF":3.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older adults' experiences with app-based ride-hailing in Indonesia: At the intersection of health, gender, digital literacy, and affordability","authors":"Octaviani Ariyanti,&nbsp;Dora Sampaio,&nbsp;Ajay Bailey","doi":"10.1016/j.jth.2025.102134","DOIUrl":"10.1016/j.jth.2025.102134","url":null,"abstract":"<div><h3>Introduction</h3><div>App-based ride-hailing services—from car-based to motorbike-based—have significantly transformed urban mobility in Southeast Asia over the past decade. These services offer flexible, door-to-door transport essential for urban residents, particularly those who might experience reduced mobility, such as older adults.</div></div><div><h3>Methods</h3><div>This qualitative study examines older adults’ experiences with app-based ride-hailing services, focusing on their experiences and perceptions of accessibility. The analysis is based on 28 semi-structured in-depth interviews with older adults (aged 60+) in Yogyakarta, Indonesia.</div></div><div><h3>Results</h3><div>The findings reveal that age-related physical challenges and declining health often motivate older adults to use ride-hailing services, especially for accessing healthcare facilities. Older women, in particular, face greater challenges in accessing private vehicles, and their mobility needs are often neglected within the household. Digital literacy strongly shapes older adults’ perceived accessibility, influencing both their ability and confidence to use ride-hailing apps. Affordability also appears as a key concern, with frequent use of ride-hailing posing financial challenges for those on fixed or limited income.</div></div><div><h3>Conclusions</h3><div>Beyond examining perceived accessibility to ride-hailing services, this study provides a nuanced understanding of how these services are used. It highlights the dynamic intersections between gender, digital literacy, affordability, and health issues that affect older adults' engagement with using these services. These insights enhance our understanding of their mobility needs and inform the broader discourse on inclusive mobility.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102134"},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pedalling towards inclusion: Accessibility and equity implications for older people in future cycling scenarios for a small-sized mediterranean city","authors":"Konstantina Damvakari ,&nbsp;Stefanos Tsigdinos ,&nbsp;Ioannis Chatziioannou ,&nbsp;Efthimios Bakogiannis ,&nbsp;Alexandros Nikitas","doi":"10.1016/j.jth.2025.102137","DOIUrl":"10.1016/j.jth.2025.102137","url":null,"abstract":"<div><h3>Introduction</h3><div>Resilient cities shift from car-centric systems to sustainable transport modes, with cycling playing a pivotal role in rebranding urban mobility and supporting health and wellbeing. For small-sized cities, though, cohesive methods for planning accessibility-enabling and equity-enhancing cycling networks remain underdeveloped. In this context, this study endeavours to assess how diverse future cycling scenarios affect accessibility and equity, focusing on older people.</div></div><div><h3>Methods</h3><div>The method followed, explored three scenarios with different cycling network configurations: the do-nothing scenario that preserves existing conditions, the formal planning scenario, stemming from the Sustainable Urban Mobility Plan (SUMP), and the “bicycle-oriented” scenario, a radical one formulated by an advanced street classification method. Accessibility levels were calculated through gravity measures, while equity implications were evaluated using indices like the Concentration Index and Bivariate Local Moran's, with a particular interest in accessibility for older people.</div></div><div><h3>Results</h3><div>The coastal city of Kalamata, Greece, serves as our case study, characterised by a prominent share of older people and a strong car-centric culture. Our results indicate that achieving equitable outcomes is a complex effort. Although, the bicycle-oriented scenario yielded the most critical changes and cycling accessibility benefits areas with high concentration of older people were disproportionately affected raising equity concerns. On the contrary, significantly milder changes, as shown in the formal planning scenario, led to more balanced outcomes, thus manifesting the usefulness of planning, acknowledging distributional issues.</div></div><div><h3>Conclusions</h3><div>While some scenarios enhance accessibility, they may not lead to the most equitable distribution of infrastructure. There is a need for more society-centric integrated planning, attending to the special needs of certain socio-economic groups, as “universal” solutions risk exacerbating transport inequity. The paper offers insights on cycling equity for both academics and practitioners operating in similar urban contexts.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102137"},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between commuting time to school and depressive symptoms in early adolescence in rural China","authors":"Xiaojie Wang ,&nbsp;Fangxiao Xie ,&nbsp;Pengcheng Liu ,&nbsp;Liang Ma","doi":"10.1016/j.jth.2025.102131","DOIUrl":"10.1016/j.jth.2025.102131","url":null,"abstract":"<div><h3>Objectives</h3><div>After the implementation of the “village school consolidation” policy, long commutes to school have become the norm for rural early adolescents in China. This study aims to explore the association between prolonged commutes to school and depressive symptoms among this population.</div></div><div><h3>Methods</h3><div>A quantitative study was conducted. Utilizing pooled cross-sectional data derived from China Family Panel studies (2016); 2018, a sample of 1438 rural adolescents aged 10–15 in China was obtained. This study employs the Receiver Operating Characteristic (ROC) method to separate short from long commuting distances (i.e., the threshold commuting distance), and employs this threshold as a boundary to conduct grouped binary logistic analysis on the association between commuting time and rural adolescents’ depressive symptoms. Meanwhile, this study, focusing on two types of commuting—non-motorized commuting (i.e., walking and cycling) and motorized commuting (i.e., using cars, motorcycles, or public transportation)—examines the moderating effect of commuting modes in the association.</div></div><div><h3>Results</h3><div>The threshold commuting distance for the sample is determined to be 1.675 km. Among early adolescents residing within this threshold distance (n = 830), there is no significant association between commuting time to school and their depressive symptoms. For those whose commuting distance exceeds this threshold (n = 608), commuting time to school is significantly and positively correlated with depressive symptoms. Motorized commuting modes shows a tendency to weaken the positive correlation between longer commuting times and depressive symptoms.</div></div><div><h3>Conclusion</h3><div>The correlation between commuting time and depressive symptoms among early adolescents in rural China is nonlinear, and this correlation is influenced by the mode of commuting. The results provide insights for targeted prevention and intervention strategies aimed at mitigating depressive symptoms in early adolescents, with a focus on commuting factors.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102131"},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The human cost of fast deliveries: A systematic literature review of occupational risks and safety outcomes in last-mile delivery workers","authors":"Sergio A. Useche ,&nbsp;Sergio Traficante ,&nbsp;Francisco J. Llamazares ,&nbsp;Cristina Marin","doi":"10.1016/j.jth.2025.102133","DOIUrl":"10.1016/j.jth.2025.102133","url":null,"abstract":"<div><div>The rapid growth of the gig economy has transformed urban labor markets in the digitalization era, particularly in the last-mile delivery industry. Despite its expansion, the working conditions and occupational risks faced by ‘last-mile workers’ remain underexplored, with limited systematic evidence on their psychosocial, health, and safety challenges.</div></div><div><h3>Aim</h3><div>This study aims to systematically review empirical evidence on the occupational risks, psychosocial outcomes, and safety of last-mile delivery workers, focusing on how working conditions, delivery modalities, and road safety issues shape their health and well-being.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Scopus, and Web of Science for studies published until 2025, following PRISMA guidelines. The included studies were evaluated for methodological quality using the Newcastle-Ottawa Scale (NOS) for observational studies and the CASP checklist for qualitative research.</div></div><div><h3>Results</h3><div>A total of 32 studies, covering a total of 38,682 last-mile workers, were included. Poor working conditions (e.g., economic insecurity, algorithmic control, time pressure) were consistently associated with negative psychosocial outcomes, including stress, fatigue, burnout, and reduced mental well-being. Motorized two-wheelers were found to have higher crash and injury risks than bicycles or light vehicles, primarily due to higher speeds and greater traffic exposure. Psychosocial stressors related to algorithmic management and piece-rate pay significantly influenced safety and health-related behaviors, linking high stress and workload to riskier riding/driving practices.</div></div><div><h3>Conclusion</h3><div>These findings highlight the need for multidimensional interventions targeting both the physical and psychosocial risks faced by last-mile workers, including safer work environments, occupational health initiatives, support for mental well-being, and more sustainable work practices.</div></div>","PeriodicalId":47838,"journal":{"name":"Journal of Transport & Health","volume":"44 ","pages":"Article 102133"},"PeriodicalIF":3.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}