Evidence map›Paper›PMID 42558923›Full record

ArticleFrontiers in public health2026

From algorithmic efficiency to cascading health burdens: a text-mining study of online food delivery riders in the platform economy.

Longxiao Li, Yongjun Zhou, Biyu Yang, Zhe Zhang

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Longxiao LiSchool of Management, Chongqing University of Science and Technology, Chongqing, China.
Yongjun ZhouSchool of Management, Chongqing University of Science and Technology, Chongqing, China.
Biyu YangSchool of Economics and Management, Hubei Minzu University, Enshi, China.
Zhe ZhangCollege of Mechanical and Vehicle Engineering, Chongqing University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Algorithmic management has markedly improved operational efficiency in the platform economy, yet its consequences for the occupational health of platform workers remain insufficiently understood. This study therefore examines how efficiency-driven algorithmic pressures produce occupational health burdens among online food delivery (OFD) riders in China. The analysis drew on 10,103 valid rider comments from a major Chinese social media platform, and it combined Latent Dirichlet Allocation topic modeling with co-occurrence network analysis and sentiment intensity assessment. Semi-structured interviews with 32 OFD riders were added to corroborate these computational findings and to reduce reliance on a single data source. Expert review identified five core health burden dimensions: physical exhaustion, social devaluation, disciplinary distress, injury vulnerability, and health-protection deficit. Network analysis showed that these dimensions form a tightly interconnected structure with physical exhaustion as the central hub, and that pressure cascades from operational demands into punitive mechanisms and then into injury risk and social protection deficits. A clear gap emerged between structural prominence and emotional intensity. Riders discussed time pressure most widely and largely accepted it as routine, while punitive mechanisms and health-protection deficits drew the strongest negative responses. The study contributes an integrated text-mining framework for occupational health research. It reframes rider health as a cascading system of mutually reinforcing burdens rather than a set of isolated risks, and it shows that the most central burden is not the one felt most acutely. These insights point to concrete measures for governments, platforms, rider organizations, and industry associations such as portable occupational-injury insurance, algorithmic transparency, fairer timing and rating rules, and accessible grievance channels.

Indexed as

AlgorithmsData MiningOccupational HealthSocial MediaAdultChinaDigital MediaFemaleHumansInterviews as TopicMalealgorithmic managementmixed-methods researchoccupational health burdensonline food delivery riderstopic modeling

Identifiers

PMID42558923
PMCPMC13438392

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.