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Slow mobility & medicine: A critical review

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  • Loo, Becky P.Y.
  • Lian, Ting

Abstract

This critical review examines the complex interplay between slow mobility modes—specifically walking, cycling, and micromobility—and their associated health and environmental impacts. It is timely in view of various global initiatives to promote walkability and cyclability, and a paradigm shift towards people-oriented transport systems. Based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, we selected 458 papers and conducted detailed content analysis. The paper first identifies key themes related to risk and benefits, pinpointing traffic crashes as the key risk and enhanced physical and mental health, as well as increased accessibility, as key benefits. Secondly, it examines the main scope, revealing a focus on the general population rather than vulnerable groups. Geographically, there is a concentration of studies in Europe, North America, and East Asia, with under-representations in other regions. Lastly, common features and relationships are examined through a co-occurrence network analysis. The review underscores the need for targeted research and policy interventions not only to address the full range of health risk but also to enhance diverse benefits of slow mobility.

Suggested Citation

  • Loo, Becky P.Y. & Lian, Ting, 2025. "Slow mobility & medicine: A critical review," Social Science & Medicine, Elsevier, vol. 382(C).
  • Handle: RePEc:eee:socmed:v:382:y:2025:i:c:s0277953625006781
    DOI: 10.1016/j.socscimed.2025.118347
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    1. Kingham, Simon & Ussher, Shannon, 2007. "An assessment of the benefits of the walking school bus in Christchurch, New Zealand," Transportation Research Part A: Policy and Practice, Elsevier, vol. 41(6), pages 502-510, July.
    2. Wang, Hui & Tsoi, Ka Ho & Loo, Becky P.Y., 2025. "An assessment framework for 15-minute Cities: Progress worldwide and the impact of urban form," Transportation Research Part A: Policy and Practice, Elsevier, vol. 199(C).
    3. Devyani Pande & Araz Taeihagh, 2021. "The Governance Conundrum of Powered Micromobility Devices: An In-Depth Case Study from Singapore," Sustainability, MDPI, vol. 13(11), pages 1-24, May.
    4. Apparicio, Philippe & Carrier, Mathieu & Gelb, Jérémy & Séguin, Anne-Marie & Kingham, Simon, 2016. "Cyclists' exposure to air pollution and road traffic noise in central city neighbourhoods of Montreal," Journal of Transport Geography, Elsevier, vol. 57(C), pages 63-69.
    5. Plaut, Pnina & Shach-Pinsly, Dalit & Schreuer, Naomi & Kizony, Rachel, 2021. "The reflection of the fear of falls and risk of falling in walking activity spaces of older adults in various urban environments," Journal of Transport Geography, Elsevier, vol. 95(C).
    6. Marcus Cardoso & Tálita Santos & Luiza Gagno Azolin Tessarolo & Vicente Aprigliano & Antônio Nélson Rodrigues da Silva & Marcelino Aurélio Vieira da Silva, 2023. "Exploring the Resilience of Public Transport Trips in the Face of Urban Violence from a Gender Perspective," Sustainability, MDPI, vol. 15(24), pages 1-24, December.
    7. Bo Wang & Becky P. Y. Loo & Feiyang Zhang, 2024. "Aging in Place: Toward Understanding Momentary Well-Being and Daily Satisfaction of Older People," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 114(9), pages 2044-2067, October.
    8. Feiyang Zhang & Becky P. Y. Loo & Bo Wang, 2022. "Aging in Place: From the Neighborhood Environment, Sense of Community, to Life Satisfaction," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 112(5), pages 1484-1499, June.
    9. Emilie Schwarz & Marion Leroutier & Audrey de Nazelle & Philippe Quirion & Kévin Jean, 2024. "The untapped health and climate potential of cycling in France: a national assessment from individual travel data," Post-Print hal-04501482, HAL.
    10. Montes, Alejandro & Geržinic, Nejc & Veeneman, Wijnand & van Oort, Niels & Hoogendoorn, Serge, 2023. "Shared micromobility and public transport integration - A mode choice study using stated preference data," Research in Transportation Economics, Elsevier, vol. 99(C).
    11. von Stülpnagel, Rul & Rintelen, Heiko, 2024. "A matter of space and perspective – Cyclists’, car drivers’, and pedestrians’ assumptions about subjective safety in shared traffic situations," Transportation Research Part A: Policy and Practice, Elsevier, vol. 179(C).
    12. Li, W. & Keegan, T.H.M. & Sternfeld, B. & Sidney, S. & Quesenberry Jr., C.P. & Kelsey, J.L., 2006. "Outdoor falls among middle-aged and older adults: A neglected public health problem," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1192-1200.
    13. Leung, Kevin Y.K. & Astroza, Sebastian & Loo, Becky P.Y. & Bhat, Chandra R., 2019. "An environment-people interactions framework for analysing children's extra-curricular activities and active transport," Journal of Transport Geography, Elsevier, vol. 74(C), pages 341-358.
    14. Maizlish, N. & Woodcock, J. & Co, S. & Ostro, B. & Fanai, A. & Fairley, D., 2013. "Health cobenefits and transportation-related reductions in greenhouse gas emissions in the San Francisco Bay Area," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 703-709.
    15. Lu, Yi & Sarkar, Chinmoy & Xiao, Yang, 2018. "The effect of street-level greenery on walking behavior: Evidence from Hong Kong," Social Science & Medicine, Elsevier, vol. 208(C), pages 41-49.
    16. Kathy Kornas & Laura C. Rosella & Ghazal S. Fazli & Gillian L. Booth, 2021. "Forecasting Diabetes Cases Prevented and Cost Savings Associated with Population Increases of Walking in the Greater Toronto and Hamilton Area, Canada," IJERPH, MDPI, vol. 18(15), pages 1-13, July.
    17. Collins, Damian & Kearns, Robin A., 2010. "Walking school buses in the Auckland region: A longitudinal assessment," Transport Policy, Elsevier, vol. 17(1), pages 1-8, January.
    18. repec:osf:socarx:2mzuy_v1 is not listed on IDEAS
    19. de Vries, Sjerp & van Dillen, Sonja M.E. & Groenewegen, Peter P. & Spreeuwenberg, Peter, 2013. "Streetscape greenery and health: Stress, social cohesion and physical activity as mediators," Social Science & Medicine, Elsevier, vol. 94(C), pages 26-33.
    20. Paraskevi Karanikola & Thomas Panagopoulos & Stilianos Tampakis & Georgios Tsantopoulos, 2018. "Cycling as a Smart and Green Mode of Transport in Small Touristic Cities," Sustainability, MDPI, vol. 10(1), pages 1-18, January.
    21. Teschke, K. & Harris, M.A. & Reynolds, C.C.O. & Winters, M. & Babul, S. & Chipman, M. & Cusimano, M.D. & Brubacher, J.R. & Hunte, G. & Friedman, S.M. & Monro, M. & Shen, H. & Vernich, L. & Cripton, P., 2012. "Route infrastructure and the risk of injuries to bicyclists: A case-crossover study," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 2336-2343.
    22. de Geus, B. & Wuytens, N. & Deliens, T. & Keserü, I. & Macharis, C. & Meeusen, R., 2019. "Psychosocial and environmental correlates of cycling for transportation in Brussels," Transportation Research Part A: Policy and Practice, Elsevier, vol. 123(C), pages 80-90.
    23. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    24. Combs, Tabitha & Pardo, Carlos F., 2021. "Shifting Streets COVID-19 Mobility Data: Findings from a global dataset and a research agenda for transport planning and policy," SocArXiv 2mzuy, Center for Open Science.
    25. Zinette Bergman & Nicolas Allenspach & Manfred Max Bergman, 2024. "A Tale of Two Divvys: The Bicycle Sharing System of Chicago," Sustainability, MDPI, vol. 16(5), pages 1-20, March.
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    1. Loo, Becky P.Y., 2025. "Micromobilities: The turn to health, social interaction and inclusivity," Social Science & Medicine, Elsevier, vol. 385(C).
    2. Kale, Snehal & Brown, Marilyn A., 2025. "Mobilizing household adoption of climate-smart electric technologies: Lessons from the U.S," Applied Energy, Elsevier, vol. 400(C).

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