Prevalence and Sociodemographic Correlates of Low Back Pain in a Diverse U.S. Population: Insights From the All of Us Research Program.

IF 1.6 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2025-07-17 DOI:10.1016/j.pmn.2025.06.007

Anitha Saravanan, Rana Jaber, Boshi Zhao, Alireza Majd, Prempreet Bajaj, Michael R Kushnick, Angela Starkweather

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引用次数: 0

Abstract

Objectives: To estimate the prevalence of clinically diagnosed low back pain (LBP) and examine associated sociodemographic and clinical factors in a large, diverse national sample of U.S. adults using data from the All of Us Research Program.

Design: Cross-sectional analysis of survey data, electronic health records, and physical measurements from the All of Us Research Program.

Data sources: All of Us Research Program database, including electronic health record diagnoses, participant surveys, and biometric data.

Review or analysis methods: Multivariable logistic regression was used to identify factors associated with LBP diagnosis. Independent variables included sex, race, ethnicity, BMI, income, education level, and marital status.

Results: Among 183,714 participants, 49.7% had a clinical diagnosis of LBP. Female participants had significantly higher odds of LBP (OR 1.37) compared to males. Individuals identifying as Asian (OR 0.67), Black/African American (OR 0.75), and Hispanic (OR 0.88) had lower odds of LBP than White participants. Lower income and education levels, along with being married, were associated with higher odds of LBP.

Conclusions, and nursing practice implications: This study reveals that sociodemographic disparities play a critical role in the diagnosis of low back pain. Nurses should consider these disparities when assessing risk, planning care, and developing targeted interventions. Tailoring pain management strategies to reflect patients' social and demographic contexts can enhance outcomes and promote equity in care.

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美国不同人群中腰痛的患病率和社会人口学相关性：来自我们所有人研究项目的见解。

目的：评估临床诊断的腰痛（LBP）的患病率，并检查相关的社会人口学和临床因素，使用来自我们所有人研究计划的数据。设计：对调查数据、电子健康记录和来自我们所有人研究计划的物理测量进行横断面分析。数据来源：All of Us Research Program数据库，包括电子健康记录诊断、参与者调查和生物识别数据。回顾或分析方法：使用多变量逻辑回归来确定与腰痛诊断相关的因素。自变量包括性别、种族、民族、身体质量指数、收入、教育程度和婚姻状况。结果：在183,714名参与者中，49.7%的人有LBP的临床诊断。女性受试者患LBP的几率明显高于男性（OR为1.37）。亚洲人（OR 0.67）、黑人/非裔美国人（OR 0.75）和西班牙裔（OR 0.88）的LBP发生率低于白人。较低的收入和教育水平，以及已婚，与较高的LBP几率相关。结论和护理实践启示：本研究揭示了社会人口统计学差异在腰痛的诊断中起关键作用。护士在评估风险、规划护理和制定有针对性的干预措施时应考虑到这些差异。调整疼痛管理策略以反映患者的社会和人口背景，可以提高结果并促进护理的公平性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.