The aerial–terrestrial integrated Internet of Things (ATI-IoT) utilizes both aerial platforms (e.g., drones and high-altitude platform stations) and terrestrial networks to establish comprehensive and seamless connectivity across diverse geographical regions. The integration offers significant advantages, including expanded coverage in remote and underserved areas, enhanced reliability of data transmission, and support for various applications such as emergency communications, vehicular ad hoc networks, and intelligent agriculture. However, due to the inherent openness of wireless channels, ATI-IoT faces potential network threats and attacks, and its security issues cannot be ignored. In this regard, incorporating physical layer security techniques into ATI-IoT is essential to ensure data integrity and confidentiality. Motivated by the aforementioned factors, this review presents the latest advancements in ATI-IoT that facilitate physical layer security. Specifically, we elucidate the endogenous safety and security of wireless communications, upon which we illustrate the current status of aerial–terrestrial integrated architectures along with the functions of their components. Subsequently, various emerging techniques (e.g., intelligent reflective surfaces-assisted networks, device-to-device communications, covert communications, and cooperative transmissions) for ATI-IoT enabling physical layer security are demonstrated and categorized based on their technical principles. Furthermore, given that aerial platforms offer flexible deployment and high re-positioning capabilities, comprehensive discussions on practical applications of ATI-IoT are provided. Finally, several significant unresolved issues pertaining to technical challenges as well as security and sustainability concerns in ATI-IoT enabling physical layer security are outlined.
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