{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:31Z","timestamp":1792787791303,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Natural Science Foundation of China","award":["82560433"],"award-info":[{"award-number":["82560433"]}],"id":[{"id":"https:\/\/ror.org\/01h0zpd94","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Gansu Provincial Youth Talent Project in the Health Industry","award":["GSWSQNPY2025-02"],"award-info":[{"award-number":["GSWSQNPY2025-02"]}]},{"name":"Lanzhou Science and Technology Development Plan Project","award":["2025-2-205"],"award-info":[{"award-number":["2025-2-205"]}]},{"name":"Cuiying Scientific and Technological Innovation Program of the Second Hospital & Clinical Medical School, Lanzhou University","award":["CY2024-YB-A02"],"award-info":[{"award-number":["CY2024-YB-A02"]}]},{"name":"Natural Science Foundation of Gansu Province","award":["24JRRA380"],"award-info":[{"award-number":["24JRRA380"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Pain"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low back pain (LBP) is a leading cause of global disability, with a heavier burden in low and low-middle Socio-Demographic Index (SDI) regions. Women aged \u226555\u00a0years are vulnerable due to dual labor loads, yet LBP burden attributed to occupational ergonomic factors, smoking, and high Body Mass Index (BMI) in this subgroup remains understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study analyzed the 30-year LBP burden and its drivers in this population to inform targeted prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using Global Burden of Diseases (GBD) 2023 data (1992\u20132023), we employed Joinpoint regression, decomposition, and frontier analyses to assess LBP-related disability-adjusted life years (DALYs) across low\/low-middle SDI regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>Absolute DALYs increased consistently across all risk factors; age-standardized DALY rates (ASDR) declined with age, peaking at 55\u201359\u00a0years. Population growth was the primary driver which contributed &gt;100%. High BMI-associated LBP grew most prominently with 579% in low-middle SDI regions, and ASDR rises in low SDI regions. Decomposition and frontier analyses revealed unique regional contribution patterns and intercountry disparities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study indicates that the burden of LBP attributable to three factors may be increasing in low and low-middle SDI regions, with population growth and aging likely acting as primary drivers. Occupational ergonomic factors emerge as the most pressing risk factors, while high BMI is potentially the fastest-growing contributor. Notable intercountry disparities within each SDI tier underscore both challenges and opportunities for targeted prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20494637261459558","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T11:42:33Z","timestamp":1781005353000},"page":"326-336","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disease burden of low back pain in middle-aged and older women (\u226555\u00a0years) attributable to three factors: A comparative analysis from GBD 2023"],"prefix":"10.1177","volume":"20","author":[{"given":"Jingwen","family":"Jia","sequence":"first","affiliation":[{"name":"Lanzhou University Second Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxuan","family":"Bai","sequence":"additional","affiliation":[{"name":"Lanzhou University Second Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingtao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Lanzhou University Second Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingdong","family":"Ma","sequence":"additional","affiliation":[{"name":"Lanzhou University Second Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuanhu","family":"Lei","sequence":"additional","affiliation":[{"name":"Lanzhou University Second Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuewen","family":"Kang","sequence":"additional","affiliation":[{"name":"Lanzhou University Second Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01403-9"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.943"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12998-022-00434-4"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jot.2021.07.005"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000005265"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003198"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpain.2022.1000170"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102873"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1772"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fdata.2025.1590551"},{"issue":"1","key":"e_1_3_5_12_2","first-page":"1440783","article-title":"Health equity assessment toolkit plus (HEAT plus): software for exploring and comparing health inequalities using uploaded datasets","volume":"11","author":"Hosseinpoor AR","year":"2018","unstructured":"Hosseinpoor AR, Schlotheuber A, Nambiar D, et al. Health equity assessment toolkit plus (HEAT plus): software for exploring and comparing health inequalities using uploaded datasets. Glob Health Act 2018; 11(sup1): 1440783. https:\/\/doi.org\/10.1080\/16549716.2018.1440783","journal-title":"Glob Health Act"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/liv.16199"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1593055"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pbio.3000349"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2018.09.053"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd11120378"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2025.1589250"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-025-08704-x"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2009.09.008"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1590\/0104-1169.3389.2449"},{"key":"e_1_3_5_22_2","first-page":"105381272513692","article-title":"Low back pain in aging populations: a global analysis of disability and healthcare burden over three decades","volume":"39","author":"Huang S","year":"2025","unstructured":"Huang S, Lu Z, Xie S, et al. Low back pain in aging populations: a global analysis of disability and healthcare burden over three decades. 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