{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:17:06Z","timestamp":1787926626311,"version":"build-2784847793"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low back pain (LBP) is a common health issue worldwide, affecting many people, and is expected to increase due to the aging population. This study explores the relationship between driving habits and LBP to inform interventions for driver well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the prevalence of lower back pain among adult drivers in Saudi Arabia and examine the association between driving postures and the occurrence of lower back pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted in Saudi Arabia using a questionnaire distributed via social media to assess LBP prevalence and its relationship with driving habits and posture. Data were analyzed using IBM SPSS 28.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants who lacked awareness of proper driving position were significantly more likely to experience lower back pain compared to those who were aware of proper driving posture (OR\u2009=\u20092.77, 95% CI: 1.22\u20136.27, p\u2009=\u20090.015). Use of lumbar support was associated with lower odds of lower back pain (OR\u2009=\u20091.59 (95% CI: 1.01\u20132.51), p\u2009=\u20090.046). Drivers who reported frequent lower back discomfort had markedly lower odds compared with those reporting rare discomfort (OR\u2009=\u20090.05; 95% CI: 0.01\u20130.16; p\u2009&lt;\u20090.001), while those reporting occasional discomfort also showed reduced odds (OR\u2009=\u20090.31; 95% CI: 0.20\u20130.47; p\u2009&lt;\u20090.001). Modification of driving position was associated with increased odds of lower back pain (OR\u2009=\u20091.93; 95% CI: 1.23\u20133.04; p\u2009=\u20090.005). Age, gender, prolonged driving without breaks were not significantly associated with LBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lower back pain among drivers was primarily associated with ergonomic factors rather than demographic characteristics. Poor awareness of proper driving posture and lack of position adjustment were linked to higher odds of pain, while lumbar support use was associated with lower odds.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261479075","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:20:23Z","timestamp":1787584823000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of lower back pain among adults who drive in Saudi Arabia: Examining the influence of driving postures \u2013 A cross-sectional study"],"prefix":"10.1177","author":[{"given":"Mahmoud Mohammed","family":"Hassaan","sequence":"first","affiliation":[{"name":"Division of Orthopedic, Department of Surgery, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Fageeh","sequence":"additional","affiliation":[{"name":"Orthopedic Consultant Subspecialized in Spine and, King Fahad Hospital, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhassan H","family":"Hobani","sequence":"additional","affiliation":[{"name":"King Fahad Central Hospital in Jizan, Orthopedic Department, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Alamer","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhanouf H","family":"Zuqayl","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huda Khudaish","family":"Muqri","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatoon Yahya","family":"Zakari","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryof M","family":"Madkhali","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakan S","family":"Hazazi","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fawaz M","family":"Hakami","sequence":"additional","affiliation":[{"name":"College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naif","family":"Abualghaith","sequence":"additional","affiliation":[{"name":"Orthopedic Consultant Subspecialized in Spine and, King Fahad Hospital, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maamon","family":"Aljonaid","sequence":"additional","affiliation":[{"name":"Consultant Orthopaedic, King Faisal Speciality Hospital &amp; Research Center, Madina, Saudia Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zenat A","family":"Khired","sequence":"additional","affiliation":[{"name":"Surgical Department College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31678-6"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31815e7f94"},{"key":"e_1_3_2_4_2","article-title":"Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021","volume":"5","author":"GBD 2021 Low Back Pain Collaborators","year":"2023","unstructured":"GBD 2021 Low Back Pain Collaborators. 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