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Table 1 Incidence, prevalence, and DALYs of low back pain among WAP in 1990 and 2021, and AAPC from 1990 to 2021, by global, gender, SDI, and regional levels

From: Low back pain among the working-age population: from the global burden of disease study 2021

Location

Incidence

Prevalence

 

incident cases(1990)

ASIR(1990)

incident cases(2021)

ASIR(2021)

AAPC

1990–2021

Prevalent cases(1990)

ASPR(1990)

Prevalent cases(2021)

Global

125925385(87544428 to 172267414)

4111.23(2862.47 to 5618.98)

192550188(134315720 to 262878367)

3675.94(2563.49 to 5020.65)

−0.36(−0.39 to −0.33)

296642960(215204490 to 395405566)

9730.88(7060.60 to 12969.73)

452846791(330333138 to 604396309)

Sex

Female

75951023(53026751 to 103695789)

5000.79(3497.67 to 6823.18)

118418188(82947248 to 161150943)

4528.97(3170.70 to 6166.82)

−0.32(−0.33 to −0.31)

181779425(131887939 to 241458952)

12025.71(8726.46 to 15969.16)

281435400(205375959 to 373723566)

Male

49974361(34573334 to 68574620)

3238(2242.53 to 4436.53)

74132000(51443798 to 101390522)

2826.69(1961.14 to 3866.76)

−0.43(−0.47 to −0.40)

114863535(83052587 to 154202535)

7476.28(5405.16 to 10040.19)

171411390(124374955 to 230170260)

Sociodemographic Index

High SDI

31996276(22636746 to 43257100)

5322.54(3766.51 to 7194.25)

38264233(27840059 to 50615316)

4874.22(3547.7 to 6454.88)

−0.29(−0.3 to −0.27)

77274769(57105936 to 101490300)

12837.99(9485.16 to 16863.90)

92246403(70795946 to 118421405)

High-middle SDI

29407862(20509990 to 40183442)

4262.33(2976.47 to 5821.91)

36778634(25568300 to 50289192)

3708.61(2574.68 to 5080.53)

−0.44(−0.46 to −0.42)

69239192(50321775 to 92184033)

10056.01(7309.23 to 13387.01)

86579542(62634606 to 115920251)

Middle SDI

33470147(22933114 to 46153891)

3488.39(2394.66 to 4802.16)

55606595(38259999 to 76458930)

3220.22(2214.56 to 4429.84)

−0.25(−0.27 to −0.23)

77479340(55355152 to 104614900)

8135.4(5812.78 to 10988.02)

129464382(92484333 to 174824719)

Low-middle SDI

22304333(15371539 to 30651219)

3841.45(2651.7 to 5272.34)

42279629(29044383 to 58279689)

3635.29(2500.23 to 5004.14)

−0.17(−0.19 to −0.16)

52234309(37562830 to 70111395)

9060.35(6515.15 to 12160.28)

99061649(70836855 to 133825654)

Low SDI

8604821(5940659 to 11821306)

3841.06(2658.9 to 5265.78)

19445994(13368207 to 26821070)

3637.29(2506.24 to 5003.85)

−0.17(−0.19 to −0.15)

20069793(14473489 to 26853856)

9035.4(6512.93 to 12086.17)

45072896(32387947 to 60627236)

Region

Andean Latin America

570301(392916 to 785348)

5866.93(4166.93 to 7904.89)

1246659(863571 to 1711670)

5356.04(4053.70 to 6816.87)

0(−0.03 to 0.02)

1300086(929913 to 1758658)

14129.53(10479.51 to 18448.14)

2847094(2047731 to 3835421)

Australasia

842795(596044 to 1136169)

3796.38(2606.12 to 5212.98)

1235552(861674 to 1678056)

3858.83(2660.46 to 5298.81)

−0.25(−0.30 to −0.20)

2066723(1526064 to 2717767)

9041.69(6465.48 to 12166.94)

3008647(2178172 to 4015827)

Caribbean

627518(429017 to 864096)

6265.36(4412.53 to 8499.08)

984506(686699 to 1344506)

6138.77(4310.43 to 8326.88)

−0.05(−0.06 to −0.04)

1445197(1034694 to 1945278)

15661.73(11500.55 to 20604.99)

2274842(1652979 to 3032091)

Central Asia

1687686(1172570 to 2313336)

3822.06(2638.87 to 5234.76)

2829579(1962110 to 3876012)

3684.2(2538.58 to 5072.21)

−0.01(−0.02 to −0.01)

3907378(2836612 to 5220358)

8898.99(6407.86 to 11963.50)

6593807(4753671 to 8821861)

Central Europe

5398459(3805760 to 7315417)

3840.14(2647.79 to 5276.63)

5212380(3669280 to 7056409)

3477.54(2387.30 to 4803.06)

−0.06(−0.07 to −0.05)

13531238(9943671 to 17789506)

9010.41(6462.07 to 12103.38)

13054958(9520426 to 17233576)

Central Latin America

3224029(2211591 to 4433405)

5544.01(3873.49 to 7549.22)

6506259(4485666 to 8933634)

5081.45(3540.42 to 6935.53)

0.05(0.03 to 0.07)

7601306(5436561 to 10208604)

13425.48(9753.38 to 17843.67)

15531012(11181554 to 20913070)

Central Sub-Saharan Africa

932231(640581 to 1287702)

3293.75(2252.57 to 4551.58)

2414165(1653161 to 3336430)

2698.83(1875.11 to 3703.57)

−0.11(−0.14 to −0.09)

2151323(1542370 to 2914873)

7585.01(5405.55 to 10287.25)

5558525(3969418 to 7531464)

East Asia

24527075(16743945 to 33961801)

3526.15(2439.83 to 4833.20)

31262886(21738588 to 42798228)

3455.93(2381.02 to 4763.86)

−0.63(−0.67 to −0.58)

56107998(39955974 to 76098904)

8125.47(5861.68 to 10921.62)

71737362(51716562 to 96683286)

Eastern Europe

8760256(6127502 to 11931222)

3872(2667.86 to 5337.34)

8331610(5841544 to 11321574)

3742.97(2568.38 to 5158.27)

−0.10(−0.10 to −0.09)

21105700(15366990 to 28015849)

9015.21(6458.16 to 12207.15)

19997331(14568950 to 26570220)

Eastern Sub-Saharan Africa

3036652(2088958 to 4170944)

3203.98(2199.76 to 4426.73)

7272284(4996304 to 10035640)

3176.15(2169.21 to 4364.85)

−0.12(−0.13 to −0.11)

6991696(5032759 to 9404430)

7388.76(5260.68 to 10001.61)

16718989(12008068 to 22526836)

High-income Asia Pacific

6865578(4801616 to 9341969)

4301.16(3020.36 to 5845.58)

6616781(4615567 to 9015050)

4196.95(2893.73 to 5756.15)

−0.30(−0.38 to −0.23)

16672536(12109033 to 22162508)

10370.17(7633.70 to 13728.31)

16030957(11581002 to 21474373)

High-income North America

10999385(7810364 to 14831262)

3318.51(2291.65 to 4564.46)

13781072(10424484 to 17533208)

3165.84(2178.92 to 4355.81)

−0.28(−0.33 to −0.23)

26478416(19646880 to 34549504)

7625.27(5473.40 to 10297.93)

33164835(27035294 to 40447087)

North Africa and Middle East

7376602(5177808 to 10022480)

4554.67(3138.30 to 6251.17)

16809500(11598307 to 23073766)

4569.79(3163.13 to 6269.40)

−0.08(−0.09 to −0.06)

17716053(13039690 to 23431481)

10957.53(7880.39 to 14737.98)

40340535(29102857 to 54118941)

Oceania

102670(70401 to 142293)

4873.64(3457.96 to 6564.54)

245452(167332 to 337938)

4690.28(3255.50 to 6414.85)

−0.03(−0.04 to −0.02)

234275(166874 to 316932)

11619.51(8613.51 to 15261.70)

563433(400515 to 763915)

South Asia

21481714(14785843 to 29571432)

5397.21(3777.18 to 7364.94)

40315604(27644486 to 55764381)

5227.55(3652.63 to 7126.17)

−0.31(−0.33 to −0.28)

50035142(35872880 to 67251932)

12962.08(9429.98 to 17214.43)

93413074(66617610 to 126303904)

Southeast Asia

7229000(4982187 to 9939229)

5052.73(3514.85 to 6879.39)

14012052(9593895 to 19337440)

5009.77(3489.66 to 6842.56)

−0.05(−0.06 to −0.04)

16557288(11949773 to 22279064)

11917.65(8647.11 to 15887.97)

32662570(23304570 to 44205634)

Southern Latin America

1517508(1055478 to 2066344)

4493.67(3133.27 to 6150.59)

2321978(1617674 to 3170624)

4471.61(3101.44 to 6124.53)

−0.08(−0.19 to 0.03)

3572163(2591771 to 4762739)

10462.28(7601.75 to 13968.93)

5507152(3981218 to 7358567)

Southern Sub-Saharan Africa

824736(567621 to 1137008)

2936.47(2026.73 to 4032.27)

1539763(1058908 to 2121892)

2891.39(1979.05 to 3991.07)

−0.15(−0.17 to −0.13)

1878427(1347408 to 2537203)

6794.66(4901.20 to 9149.99)

3525900(2514867 to 4762265)

Tropical Latin America

3874493(2665869 to 5320599)

3132.59(2143.38 to 4312.13)

7297263(5053407 to 10012452)

3087.22(2153.37 to 4217.86)

0.01(0 to 0.02)

9255776(6656614 to 12447624)

7249.11(5188.30 to 9765.05)

17761409(12793784 to 23887660)

Western Europe

13054611(9258096 to 17573161)

6243.65(4414.83 to 8412.80)

14664075(10187235 to 20015546)

5797.57(4045.11 to 7884.31)

−0.13(−0.15 to −0.11)

31201039(23130783 to 40998981)

15311.40(11303.92 to 20142.97)

35040339(25334206 to 46899586)

Western Sub-Saharan Africa

2992087(2065043 to 4109687)

2956.53(2038.30 to 4070.28)

7650770(5257615 to 10576423)

2960.96(2051.98 to 4063.38)

−0.07(−0.08 to −0.05)

6833199(4930867 to 9179879)

6783.28(4847.10 to 9201.32)

17514020(12576483 to 23620977)

Location

Prevalence

DALYs

 

ASPR(2021)

AAPC

1990–2021

DALYs cases (1990)

ASDR

(1990)

DALYs cases(2021)

ASDR

(2021)

AAPC

1990–2021

Global

8631.8(6295.99 to 11517.12)

−0.39(−0.42 to −0.36)

33774033(20852535 to 50306970)

1108.27(685.54 to 1650.01)

51510153(31892638 to 76590376)

981.79(607.53 to 1460.21)

−0.39(−0.41 to −0.37)

Sex

Female

10742.51(7838.24 to 14263.67)

−0.36(−0.38 to −0.35)

20561461(12731279 to 30601305)

1360.81(844.13 to 2024.69)

31774138(19714694 to 47167005)

1212.77(751.83 to 1800.97)

−0.37(−0.38 to −0.35)

Male

6528.2(4737.02 to 8763.88)

−0.44(−0.50 to −0.38)

13212572(8113814 to 19753220)

860.15(529.13 to 1285.73)

19736015(12181688 to 29520121)

751.57(463.75 to 1124.25)

−0.44(−0.49 to −0.39)

Sociodemographic Index

High SDI

11662.1(8953.30 to 14956.28)

−0.31(−0.33 to −0.29)

8829101(5518929 to 13072804)

1466.26(916.52 to 2171.67)

10497420(6753939 to 15249470)

1326.75(851.47 to 1927.61)

−0.33(−0.34 to −0.31)

High-middle SDI

8690.66(6282.42 to 11633.22)

−0.46(−0.48 to −0.44)

7906269(4888223 to 11755339)

1148.57(710.88 to 1708.12)

9903186(6109710 to 14795755)

993.9(611.71 to 1486.47)

−0.45(−0.47 to −0.43)

Middle SDI

7480.41(5344.98 to 10095.9)

−0.27(−0.29 to −0.25)

8851163(5394085 to 13267367)

929.84(568.39 to 1392.81)

14767555(9043438 to 22110951)

852.95(521.89 to 1277.42)

−0.27(−0.29 to −0.25)

Low-middle SDI

8548.07(6113.64 to 11548.96)

−0.19(−0.21 to −0.17)

5892534(3625718 to 8802658)

1022.25(631.09 to 1525.7)

11200732(6832626 to 16825861)

966.03(590.51 to 1450.43)

−0.18(−0.2 to −0.16)

Low SDI

8508.7(6113.34 to 11450.33)

−0.19(−0.21 to −0.18)

2255601(1388544 to 3367474)

1016.14(627.77 to 1515.38)

5093147(3119142 to 7613299)

961.41(591.31 to 1435.42)

−0.18(−0.2 to −0.16)

Region

Andean Latin America

12785.06(10424.11 to 15587.74)

−0.01(−0.03 to 0.01)

148355(90463 to 223531)

1607.06(1011.20 to 2368.23)

324878(198942 to 485611)

1439.98(962.58 to 2012.81)

−0.02(−0.04,0)

Australasia

9208.33(6629.87 to 12397.47)

−0.29(−0.33 to −0.26)

234269(146185 to 347022)

1028.51(628.56 to 1542.01)

342010(212337 to 511963)

1046.02(642.98 to 1563.09)

−0.29(−0.32,−0.25)

Caribbean

15227.76(11096.56 to 20107.97)

−0.06(−0.07 to −0.05)

164502(100238 to 247134)

1784.85(1114.60 to 2647.30)

258135(160206 to 383823)

1740.57(1082.22 to 2583.67)

−0.07(−0.09,−0.05)

Central Asia

8563.98(6146.19 to 11554.81)

−0.01(−0.01 to 0)

446427(273835 to 665486)

1004.78(619.82 to 1498.56)

753992(465989 to 1122242)

970.88(596.43 to 1450.79)

−0.01(−0.01,0)

Central Europe

8087.09(5770.04 to 10931.36)

−0.09(−0.09 to −0.09)

1540921(962984 to 2283177)

1012.44(625.04 to 1512.91)

1490925(929268 to 2212244)

910.35(557.05 to 1368.62)

−0.08(−0.09,−0.07)

Central Latin America

12186.32(8805.16 to 16296.18)

0.06(0.05 to 0.07)

864199(526570 to 1296362)

1546.51(953.70 to 2311.50)

1764319(1084620 to 2636778)

1405.17(865.81 to 2100.93)

0.05(0.04,0.07)

Central Sub-Saharan Africa

6162.11(4438.82 to 8301.64)

−0.12(−0.15 to −0.09)

240224(147050 to 362449)

875.13(532.15 to 1317.52)

626611(383324 to 944565)

712.00(436.87 to 1070.32)

−0.09(−0.11,−0.07)

East Asia

7985.19(5736.27 to 10774.41)

−0.65(−0.7 to −0.60)

6471913(3924938 to 9746738)

918.64(568.21 to 1367.27)

8289483(5099856 to 12445169)

907.23(556.72 to 1359.03)

−0.65(−0.70,−0.60)

Eastern Europe

8692.87(6208.44 to 11765.93)

−0.12(−0.12 to −0.11)

2386881(1482552 to 3554559)

1007.72(618.73 to 1521.20)

2260500(1411454 to 3357021)

980.15(602.58 to 1473.80)

−0.12(−0.13,−0.11)

Eastern Sub-Saharan Africa

7335.42(5213.45 to 9949.60)

−0.13(−0.14 to −0.11)

788361(483789 to 1177574)

842.39(513.83 to 1263.90)

1895082(1158297 to 2835843)

836.26(507.57 to 1254.44)

−0.11(−0.12,−0.10)

High-income Asia Pacific

10073.40(7260.21 to 13526.63)

−0.34(−0.40 to −0.27)

1920757(1185510 to 2869983)

1178.56(735.66 to 1739.58)

1850364(1143256 to 2766942)

1140.42(700.57 to 1706.47)

−0.32(−0.42,−0.23)

High-income North America

7275.10(5189.33 to 9831.34)

−0.31(−0.34 to −0.28)

3013766(1894926 to 4439691)

862.38(531.88 to 1285.76)

3731787(2501266 to 5212688)

811.72(498.85 to 1214.54)

−0.35(−0.38,−0.33)

North Africa and Middle East

11103.58(7996.39 to 14932.18)

−0.09(−0.12 to −0.07)

2009988(1251401 to 2968344)

1234.45(757.17 to 1852.26)

4571384(2806526 to 6841897)

1249.75(769.96 to 1866.82)

−0.10(−0.13,−0.08)

Oceania

11146.53(8064.98 to 14895.34)

−0.03(−0.04 to −0.01)

26704(16243 to 40154)

1325.21(830.47 to 1954.78)

64292(38915 to 96481)

1270.85(783.65 to 1892.75)

−0.03(−0.04,−0.01)

South Asia

12472.83(9071.65 to 16602.91)

−0.35(−0.38 to −0.32)

5625074(3460446 to 8415807)

1467.87(911.09 to 2187.78)

10522771(6426627 to 15827222)

1412.61(878.29 to 2100.92)

−0.34(−0.37,−0.31)

Southeast Asia

11845.21(8563.53 to 15826.19)

−0.03(−0.04 to −0.02)

1898468(1161224 to 2826889)

1357.56(832.58 to 2029.96)

3756883(2287241 to 5644606)

1346.29(827.59 to 2010.32)

−0.02(−0.03,−0.01)

Southern Latin America

10433.68(7521.68 to 13964.35)

−0.08(−0.21 to 0.05)

406761(249398 to 608336)

1196.27(735.69 to 1780.77)

626033(385018 to 934908)

1192.54(737.13 to 1775.11)

−0.08(−0.21,0.05)

Southern Sub-Saharan Africa

6727.57(4800.70 to 9104.43)

−0.15(−0.17 to −0.13)

212365(130591 to 316868)

779.40(478.29 to 1160.06)

393811(241651 to 589625)

773.62(470.78 to 1162.43)

−0.19(−0.21,−0.17)

Tropical Latin America

7120.73(5172.78 to 9490.37)

0.04(0.03 to 0.05)

1042945(638459 to 1565086)

825.99(504.04 to 1240.21)

1999829(1232711 to 2986297)

808.00(501.11 to 1201.51)

0.04(0.03,0.05)

Western Europe

14022.97(10158.57 to 18713.02)

−0.14(−0.15 to −0.13)

3559397(2232481 to 5246740)

1735.23(1083.65 to 2570.67)

3998066(2471532 to 5946859)

1592.48(988.17 to 2384.24)

−0.14(−0.16,−0.13)

Western Sub-Saharan Africa

6769.81(4868.75 to 9120.79)

−0.06(−0.07 to −0.05)

771757(475726 to 1149716)

775.05(473.94 to 1167.22)

1988999(1214258 to 2985207)

772.19(473.19 to 1153.65)

−0.04(−0.05,−0.03)

  1. Rates are reported per 100,000 person-years. Data in parentheses are 95% uncertainty intervals for cases and age-standardized rates of incident, prevalence and DALYs, and 95% confidence intervals for AAPCs
  2. Abbreviations: WAP working-age population, DALYs disability-adjusted life-years, ASIR age-standardized incidence rate, ASPR age-standardized prevalence rate, ASDR age-standardized DALYs rate, AAPC average annual percent change, SDI socio-demographic index, UI uncertainty interval, CI confidence interval