Prevalence and risk factors of low back pain in middle-aged and older adult in China: a cross-sectional study.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Archives of Public Health Pub Date : 2025-08-11 DOI:10.1186/s13690-025-01695-0

Xue Jiang, Rui Wang, Yi-Wen Bai, Le Tang, Wen-Yuan Xing, Nan Chen, Xue-Qiang Wang

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引用次数: 0

Abstract

Background: The study aimed to determine the prevalence of low back pain (LBP) and risk factors among people aged 45 years and above in Mainland China.

Methods: This cross-sectional analysis was based on data from 15,743 individuals obtained from the China Health and Retirement Longitudinal Study in 2018. We sampled people aged 45 years and above, representing the national population, with a response rate of 83.8%. Weighted logistic regression analyses were utilized to ascertain factors linked to the prevalence of LBP.

Results: The overall prevalence of LBP was 38.5% (37.7-39.2). Female (odds ratio [OR] 2.24 [1.78-2.81], higher education level (OR 1.24 [1.04-1.49]), poorer health status (OR 2.96 [2.44-3.60]), more chronic diseases (OR 1.32 [1.09-1.61]), insufficient sleep (OR 1.45 [1.26-1.67]), alcohol consumption (OR 1.25 [1.04-1.50]), depression (OR 1.39 [1.22-1.59]), and engagement in agricultural work (OR 1.50 [1.32-1.70]) exhibited significant associations with LBP.

Conclusion: Among Chinese adults aged 45 years and above, the prevalence of LBP was 38.5%. Significant risk factors for LBP comprised poor health status, a greater number of chronic diseases, poor sleep, alcohol consumption, depression, and employment in the agricultural work.

Trial registration: Not applicable.

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中国中老年人腰痛患病率及危险因素：一项横断面研究

背景：本研究旨在确定中国大陆地区45岁及以上人群腰痛（LBP）患病率及其危险因素。方法：本横断面分析基于2018年中国健康与退休纵向研究中获得的15,743人的数据。我们抽样的人群年龄在45岁及以上，代表全国人口，回复率为83.8%。加权逻辑回归分析用于确定与腰痛患病率相关的因素。结果：腰痛总患病率为38.5%（37.7 ~ 39.2）。女性(优势比[OR] 2.24[1.78-2.81]、高学历（OR 1.24[1.04-1.49]）、健康状况较差（OR 2.96[2.44-3.60]）、慢性病较多（OR 1.32[1.09-1.61]）、睡眠不足（OR 1.45[1.26-1.67]）、饮酒（OR 1.25[1.04-1.50]）、抑郁（OR 1.39[1.22-1.59]）、从事农业劳动（OR 1.50[1.32-1.70]）与LBP有显著相关性。结论：中国45岁及以上成人中，腰痛的患病率为38.5%。腰痛的主要危险因素包括健康状况不佳、慢性病较多、睡眠不足、饮酒、抑郁和从事农业工作。试验注册：不适用。

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来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.