Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Musculoskelet Disord. 2023 Jan 23;24(1):59. doi: 10.1186/s12891-023-06178-3.
BACKGROUND: Low back pain (LBP) is the most common musculoskeletal disorder globally. Providing region- and national-specific information on the burden of low back pain is critical for local healthcare policy makers. The present study aimed to report, compare, and contextualize the prevalence, incidence and years lived with disability (YLDs) of low back pain in the Middle East and North Africa (MENA) region by age, sex and sociodemographic index (SDI), from 1990 to 2019. METHODS: Publicly available data were obtained from the Global Burden of Disease (GBD) study 2019. The burden of LBP was reported for the 21 countries located in the MENA region, from 1990 to 2019. All estimates were reported as counts and age-standardised rates per 100,000 population, together with their corresponding 95% uncertainty intervals (UIs). RESULTS: In 2019, the age-standardised point prevalence and incidence rate per 100,000 in MENA were 7668.2 (95% UI 6798.0 to 8363.3) and 3215.9 (95%CI 2838.8 to 3638.3), which were 5.8% (4.3 to 7.4) and 4.4% (3.4 to 5.5) lower than in 1990, respectively. Furthermore, the regional age-standardised YLD rate in 2019 was 862.0 (605.5 to 1153.3) per 100,000, which was 6.0% (4.2 to 7.7) lower than in 1990. In 2019, Turkey [953.6 (671.3 to 1283.5)] and Lebanon [727.2 (511.5 to 966.0)] had the highest and lowest age-standardised YLD rates, respectively. There was no country in the MENA region that showed increases in the age-standardised prevalence, incidence or YLD rates of LBP over the measurement period. Furthermore, in 2019 the number of prevalent cases were highest in the 35-39 age group, with males having a higher number of cases in all age groups. In addition, the age-standardised YLD rates for males in the MENA region were higher than the global estimates in almost all age groups, in both 1990 and 2019. Furthermore, the burden of LBP was not associated with the level of socio-economic development during the measurement period. CONCLUSION: The burden attributable to LBP in the MENA region decreased slightly from 1990 to 2019. Furthermore, the burden among males was higher than the global average. Consequently, more integrated healthcare interventions are needed to more effectively alleviate the burden of low back pain in this region.
背景：下背痛（LBP）是全球最常见的肌肉骨骼疾病。提供特定于地区和国家的下背痛负担信息对当地医疗保健政策制定者至关重要。本研究旨在报告、比较和阐述中东和北非（MENA）地区下背痛的患病率、发病率和残疾年数（YLDs），按年龄、性别和社会人口指数（SDI）进行分层，数据来源于 1990 年至 2019 年全球疾病负担（GBD）研究。
方法：从全球疾病负担（GBD）研究 2019 年获得公开可得的数据。报告了位于 MENA 地区的 21 个国家的 LBP 负担情况，时间跨度为 1990 年至 2019 年。所有估计值均以每 10 万人中的病例数和年龄标准化率报告，同时报告了相应的 95%置信区间（UI）。
结果：2019 年，MENA 地区的年龄标准化点患病率和发病率分别为 7668.2（95%UI 6798.0 至 8363.3）和 3215.9（95%CI 2838.8 至 3638.3），分别比 1990 年低 5.8%（4.3 至 7.4）和 4.4%（3.4 至 5.5）。此外，2019 年 MENA 地区的年龄标准化 YLD 率为 862.0（605.5 至 1153.3）/10 万，比 1990 年低 6.0%（4.2 至 7.7）。2019 年，土耳其[953.6（671.3 至 1283.5）]和黎巴嫩[727.2（511.5 至 966.0）]的年龄标准化 YLD 率最高和最低。在 MENA 地区，没有一个国家的 LBP 年龄标准化患病率、发病率或 YLD 率在测量期间呈上升趋势。此外，2019 年，35-39 岁年龄组的现患病例数最高，各年龄组男性病例数均较多。此外，2019 年，MENA 地区男性的年龄标准化 YLD 率在几乎所有年龄组均高于全球估计值，无论是 1990 年还是 2019 年。此外，在测量期间，LBP 负担与社会经济发展水平无关。
结论：1990 年至 2019 年期间，MENA 地区归因于 LBP 的负担略有下降。此外，男性的负担高于全球平均水平。因此，需要更综合的医疗保健干预措施，以更有效地减轻该地区的下背痛负担。
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