Occupational hazards among food delivery workers: a systematic review of empirical studies

Authors

DOI:

https://doi.org/10.3126/ijosh.v16i1.87002

Keywords:

Food delivery riders, Musculoskeletal disorder, occupational safety, psychosocial stress, traffic accidents

Abstract

Introduction: The rapid growth of e-commerce has driven the global expansion of food delivery services. Delivery riders are exposed to multiple occupational hazards due to time pressure, long working hours, and physically demanding tasks. Despite their essential role, research on their health and safety remains fragmented.

Methods: This review followed the PRISMA 2020 guidelines. A systematic search was conducted in the MEDLINE and Scopus databases. Only cross-sectional studies involving adult food delivery workers were included. Studies focusing on any type of accident or work-related health problem were considered. Other study designs, such as systematic reviews, were excluded. Studies involving non-food delivery workers or participants under 18 years of age were also excluded. The search was conducted only in English. Keywords and phrases such as “work,” “accidents,” and “delivery rider” were used with Boolean operators. The methodological quality of the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Prevalence Studies.

Results: Occupational hazards were grouped into four categories. Traffic risks included speeding, running red lights, and mobile phone use while driving, with younger and less experienced riders showing a higher risk of accidents. Ergonomic risks were associated with prolonged sitting, vibration exposure, and repetitive movements, contributing to musculoskeletal disorders, particularly in the lower back, neck, and shoulders. Psychosocial risks included stress, burnout, verbal or physical abuse, and job insecurity. Socioeconomic factors, such as dependence on delivery income and lower educational levels, further increased vulnerability and limited access to preventive measures.

Conclusion: Food delivery workers face multidimensional risks that affect physical health, mental well-being, and road safety. Addressing these challenges requires comprehensive interventions, including road safety training, ergonomic improvements, psychosocial support, protective equipment, and improved working conditions to reduce accidents and protect worker health.

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Author Biographies

Ziaka Varvara, Ahepa Hospital, Greece

MS in Occupational and Environmental Health, Specialist Occupational Physician, Ahepa Hospital, Greece

E-mail: ziakarenia@gmail.com, Tel.: +306945354874

Paraskevas Mavropoulos, Interbalkan Medical Center, Greece

MD, MSc, Interbalkan Medical Center, Greece

E-mail: mavropoulos.paraskevas@yahoo.gr

Sotirios Koupidis, School of Public Health, University of West Attica, Athens, Greece

Occupational Physician, Lecturer in Occupational and Environmental Health, Public Health Policy Department, School of Public Health, University of West Attica, Athens, Greece

E-mail: sotkoupidis@uniwa.gr

George Rachiotis, Faculty of Medicine, University of Thessaly, Greece

Professor of Epidemiology and Occupational Hygiene Department, Faculty of Medicine, University of Thessaly, Greece

E-mail: gsrachmed@yahoo.com

Ermanno Vitale, University of Enna “Kore” Enna, Italy

Assistant Professor in Occupational Medicine, University of Enna “Kore” Enna, Italy

E-mail: Ermanno.vitale@unikore.it

George Dounias, University of West Attica, Greece

Professor of Occupational Medicine, Public Health Policy Department, University of West Attica, Greece

E-mail: gdounias@uniwa.gr

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Published

2026-04-15

How to Cite

Ziaka Varvara, Paraskevas Mavropoulos, Sotirios Koupidis, George Rachiotis, Ermanno Vitale, & George Dounias. (2026). Occupational hazards among food delivery workers: a systematic review of empirical studies. International Journal of Occupational Safety and Health, 16(1), 171–184. https://doi.org/10.3126/ijosh.v16i1.87002

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