Introduction

High-speed rail (HSR), with its remarkable time-space shrinkage, has potentially enlarged labour market catchment areas and encouraged inter-city commuting; much literature, however, links long-distance commutes with health risks.

Methods

This study develops a conceptual framework in which a set of HSR-informed independent variables (shift in long-commute modes, transfer modes and travel time to and from HSR stations, job prospects and living conditions, and socio-economic attributes) are explored to discern physical and mental health variations. Ordinal logistic regression models are used to analyse 288 questionnaire samples from a cross-sectional study of HSR commuters travelling between Suzhou and Shanghai, China.

Results

Gaining insight into factors associated with HSR commuters’ physical and mental health, the findings from descriptive analyses reveal a slightly negative association. While travel-related instrumental factors (shift long commute from non-HSR to HSR, active transfer modes, shorter travel times to and from HSR stations) and noninstrumental factors (intimate family and social relationships) show significantly positive health benefits, commuters, such as technicians and professionals, with low rent/mortgage levels (implying lower quality of residence and relative inability to afford home ownership), report significantly negative associations with their health.

Conclusion

This paper concludes that HSR commuting requires personal commitment and a healthy work/life balance. Association with physical and mental health reflects a combination of structural inequality and personal travel experiences and living conditions. To promote the health of HSR commuters, a coordinated spatial-economic strategy at the mega-city regional level should be implemented to improve distribution of employment opportunities and consider users’ perspectives on long-distance commuting, taking a holistic approach to door-to-door travel, infrastructure provision, and services operation.