ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1562760
This article is part of the Research TopicUnpacking the Gender Pain Gap: Pain Prevalence, Perception, and Treatment Disparities by Gender, Including Transgender PopulationsView all 5 articles
Calling for More Public Health Resources for Women: Finding from the Burden of Low Back Pain in China
Provisionally accepted
- 1Shanghai University of Sport, Shanghai, China
- 2Department of Rehabilitation Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China
- 3Department of Rehabilitation Medicine, Shanghai Eighth People Hospital, Shanghai, Shanghai Municipality, China
- 4Department of Otolaryngology–Head and Neck Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, Shanghai Municipality, China
- 5Department of Radiology, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China
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Background：To reveal the burden and progression of low back pain in China from perspectives such as gender and age using data from the Global Burden of Disease 2019 (GBD 2019).The data we use are all from the Global Burden of Disease dataset. We calculated Annual Percentage Change (APC) and Average Annual Percentage Change (AAPC) from 1990 to 2019 by Joinpoint regression analysis. Meanwhile, the independent effects of age, period and cohort were estimated using Age-Period-Cohort analysis. Autoregressive integrated moving average (ARIMA) model was used to predict the trend of LBP prevalence in the next decade.Results: From 1990 to 2019, age-standardized prevalence (ASPR) and incidence rates (ASIR) of low back pain in China declined significantly, yet the total prevalence and incidence continued to rise, with higher rates in women. And we predict it will continue to rise in the next decade. Disability-Adjusted Life Years(DALYs), Years Lived with Disability(YLDs), and Years of Life Lost(YLLs) were consistently higher in women, while age-standardized YLD and DALY rates decreased, though total YLDs and DALYs continued to rise.Low back pain is a significant public health burden in China, and its burden may further increase with aging, while women have a higher risk and require additional attention.
Keywords: Low Back Pain, China, female, Joinpoint, Age-Period-Cohort analysis, ARIMA model
Received: 30 Jan 2025; Accepted: 17 Jun 2025.
Copyright: © 2025 Shao, Qu, Fan, Zhu, Hu, Ma and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yanhong Ma, Department of Rehabilitation Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, 200233, China
Huaichun Yang, Department of Rehabilitation Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, 200233, China
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