Racial and Ethnic Disparities in the Incidence and Prevalence of Low Back Pain in the United States: A Systematic Review.

IF 3.3 2区医学 Q1 RHEUMATOLOGY

Arthritis Care & Research Pub Date : 2025-10-13 DOI:10.1002/acr.25665

Colleen A Burke, Rebecca Fillipo, Meira Epplein, M Alan Brookhart, Hayden B Bosworth, Adam P Goode

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引用次数: 0

Abstract

Objective: This systematic review synthesizes existing evidence to quantify racial and ethnic disparities in LBP incidence and prevalence in the United States, across stages of chronicity (acute, subacute, and chronic LBP).

Methods: Following PRISMA guidelines, we systematically searched MEDLINE, Embase, CINAHL, and Web of Science (through January 7, 2025) for studies reporting LBP incidence or prevalence by race/ethnicity in U.S. adults. Risk of bias was assessed using the ROBINS-E tool.

Results: Of 8,145 citations, 23 studies met inclusion criteria (10 on incidence, 13 on prevalence). Some incidence studies found higher risk of chronic LBP among Black adults compared to White adults, while data on Hispanic/Latino adults remain limited. Prevalence studies showed higher rates in White and American Indian/Alaska Native adults, with lower prevalence in Black, Hispanic/Latino, and Asian adults. Military studies consistently reported Black service members experienced higher LBP incidence compared to other races. No studies examined the subacute state.

Conclusion: This review highlights persistent race-based differences in LBP, with critical gaps in research on acute LBP incidence and community-based prevalence. Future studies should prioritize population-based research to better capture racial differences in LBP burden and inform targeted interventions.

查看原文本刊更多论文

美国腰痛发病率和患病率的种族和民族差异：一项系统综述。

目的：本系统综述综合现有证据，量化美国不同慢性阶段（急性、亚急性和慢性腰痛）腰痛发病率和患病率的种族和民族差异。方法：遵循PRISMA指南，我们系统地检索MEDLINE、Embase、CINAHL和Web of Science（截至2025年1月7日），以报告美国成年人中按种族/民族的LBP发病率或患病率的研究。使用ROBINS-E工具评估偏倚风险。结果：在8145次引用中，23项研究符合纳入标准（10项关于发生率，13项关于患病率）。一些发病率研究发现，与白人成年人相比，黑人成年人患慢性腰痛的风险更高，而关于西班牙裔/拉丁裔成年人的数据仍然有限。患病率研究显示，白人和美洲印第安人/阿拉斯加土著成年人的患病率较高，黑人、西班牙裔/拉丁裔和亚洲成年人的患病率较低。军事研究一致报告黑人服役人员与其他种族相比经历了更高的LBP发生率。没有研究检查亚急性状态。结论：本综述强调了LBP持续存在的种族差异，在急性LBP发病率和社区患病率的研究中存在重大空白。未来的研究应优先考虑基于人群的研究，以更好地捕捉腰痛负担的种族差异，并为有针对性的干预提供信息。

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

Arthritis Care & Research RHEUMATOLOGY-

CiteScore

9.40

自引率

6.40%

发文量

368

审稿时长

3-6 weeks

期刊介绍： Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.