All the Ways Congestion and Long Car Commutes Are Bad for Public Health

The status quo is unhealthy for everybody.

2 minute read

January 25, 2019, 5:00 AM PST

By James Brasuell @CasualBrasuell


Houston Traffic

Donald Rogers / Flickr

Austin Frakt, director of the Partnered Evidence-Based Policy Resource Center at the V.A. Boston Healthcare System; associate professor with Boston University’s School of Public Health; and adjunct associate professor with the Harvard T.H. Chan School of Public Health, takes to the pages of The New York Times to provide a literature review, of sorts, of all the evidence for the negative health impacts of long, congested commutes.

There is a lot to unpack here, but research suggest that congestion and long-commute times has negative outcomes on stress, respiratory health, aggressive behavior, and domestic violence.

While there is plenty of bad news to deliver about the consequences of the daily realities of most people in the United States, Frakt also provides a few examples of light at the end of the tunnel, so to speak. For instance, charging drivers for access to express lanes has shown positive results on the stress levels of commuters:

Los Angeles has put in a system that charges solo drivers more to use certain lanes of the I-10 and I-110 highways during periods of heavy traffic. This encourages drivers to move their commutes to less congested times or routes. A study of congestion pricing on Seattle’s SR-520 Bridge found that drivers using the route and its alternatives were less stressed and more satisfied with their commutes after the pricing change.

Frakt also lists increasing options for remote work, bike and transit commutes (in some cities), and the potential of autonomous transportation for further mitigating some of the negative health outcomes connected to driving and congestion.

Monday, January 21, 2019 in The New York Times

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Get top-rated, practical training

Wastewater pouring out from a pipe.

Alabama: Trump Terminates Settlements for Black Communities Harmed By Raw Sewage

Trump deemed the landmark civil rights agreement “illegal DEI and environmental justice policy.”

April 13, 2025 - Inside Climate News

Logo for Planetizen Federal Action Tracker with black and white image of U.S. Capitol with water ripple overlay.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

April 16, 2025 - Diana Ionescu

Blue and white Seattle Link light rail train exiting concrete Downtown Bellevue Tunnel in Bellevue, WA.

Why Should We Subsidize Public Transportation?

Many public transit agencies face financial stress due to rising costs, declining fare revenue, and declining subsidies. Transit advocates must provide a strong business case for increasing public transit funding.

April 7, 2025 - Todd Litman

Two people on bikes in red painted bike lane with bus in traffic lane next to them.

Understanding Road Diets

An explainer from Momentum highlights the advantages of reducing vehicle lanes in favor of more bike, transit, and pedestrian infrastructure.

April 17 - Momentum Magazine

Aerial view of large warehouses across from development of suburban single-family homes in Jurupa, California with desert mountains in background.

New California Law Regulates Warehouse Pollution

A new law tightens building and emissions regulations for large distribution warehouses to mitigate air pollution and traffic in surrounding communities.

April 17 - Black Voice News

Purple Phoenix light rail train connected to overhead wires at sunset.

Phoenix Announces Opening Date for Light Rail Extension

The South Central extension will connect South Phoenix to downtown and other major hubs starting on June 7.

April 17 - Arizona Republic