The Coronavirus disease 19 (COVID-19) pandemic has disrupted both transportation and health systems. While about 40% of Americans have delayed seeking medical care during the pandemic, it remains unclear to what extent transportation is contributing to missed care. To understand the relationship between transportation and unmet health care needs during the pandemic, this paper synthesizes existing knowledge on transportation patterns and barriers across five types of health care needs. While the literature is limited by the absence of detailed data for trips to health care, key themes emerged across populations and settings. We find that some patients, many of whom already experience transportation disadvantage, likely need extra support during the pandemic to overcome new travel barriers related to changes in public transit or the inability to rely on others for rides. Telemedicine is working as a partial substitute for some visits but cannot fulfill all health care needs, especially for vulnerable groups. Structural inequality during the pandemic has likely compounded health care access barriers for low-income individuals and people of color, who face not only disproportionate health risks, but also greater difficulty in transportation access and heightened economic hardship due to COVID-19. Partnerships between health and transportation systems hold promise for jointly addressing disparities in health- and transportation-related challenges but are largely limited to Medicaid-enrolled patients. Our findings suggest that transportation and health care providers should look for additional strategies to ensure that transportation access is not a reason for delayed medical care during and after the COVID-19 pandemic.

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This study presents findings from a survey with 1,284 students at three Los Angeles area universities, exploring their experiences with sexual harassment in transit environments, and how these differ by gender, race/ethnicity, and sexual orientation. It finds that sexual harassment is a common occurrence, forcing precautionary behaviors. Nevertheless, reporting of harassment incidents is extremely low. Regression models find that certain individual characteristics of students and environmental characteristics of transit settings influence the incidence of victimization and student perceptions of safety. The study discusses multi-pronged strategies to tackle harassment in transit environments that include research, design, and policy initiatives.

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