The Epidemiology of Back Pain in American Children and Adolescents

STUDY DESIGN.Cross-sectional survey. OBJECTIVE.To determine the prevalence of back pain in American children and adolescents, with a focus on anatomic region, duration, severity, and treatment patterns, and to investigate for any predictive variables. SUMMARY OF BACKGROUND DATA.No study has examined...

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Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2020-08, Vol.45 (16), p.1135-1142
Main Authors: Fabricant, Peter D., Heath, Madison R., Schachne, Jonathan M., Doyle, Shevaun M., Green, Daniel W., Widmann, Roger F.
Format: Article
Language:English
Subjects:
Adolescent
Back Pain - epidemiology
Child
Cross-Sectional Studies
Female
Humans
Insurance Coverage
Low Back Pain - epidemiology
Male
Prevalence
United States - epidemiology
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Summary:STUDY DESIGN.Cross-sectional survey. OBJECTIVE.To determine the prevalence of back pain in American children and adolescents, with a focus on anatomic region, duration, severity, and treatment patterns, and to investigate for any predictive variables. SUMMARY OF BACKGROUND DATA.No study has examined the prevalence of back pain in American children and adolescents in the last 15 years. Because the prevalence of back pain varies greatly by country and year of investigation, previous studies are not generalizable. METHODS.A United States epidemiologic cross-sectional survey-based investigation was performed in children and adolescents ages 10 and 18 years old, equally split by age and sex, and representing census-weighted distributions of state of residence, race/ethnicity, and health insurance status. Prevalence of back pain was evaluated and described. RESULTS.In total, 1236 (33.7%) participants reported experiencing back pain within the last year and 325 (8.9%) reported severe back pain within the last year. Prevalence of back pain increased with age and was significantly more common in females, P 
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000003461