Smoking-attributable low-back pain disability in China versus high income countries among adults aged 20–54 years, 1990–2023: A secondary dataset analysis of GBD 2023

Description

Yushan Zhu and co-authors present a 2026 secondary analysis comparing smoking-related low-back pain disability in China and high-income countries. Low-back pain is a leading cause of disability worldwide. The study covered working-age adults, 20 to 54 years, from 1990 to 2023, using Global Burden of Disease 2023 estimates.

In 2023, age-standardized incidence and disability rates were higher in high-income countries than in China. Rates declined in both settings, faster in China, where incidence fell by an average of 0.46 percent each year. Smoking's share of the disability burden moved in opposite directions. In high-income countries, the share fell from 24.05 percent down to 19.60 percent of the total. In China, the share rose slightly, from 16.61 percent up to 18.27 percent of the total. High body-mass index and workplace ergonomic exposures were tracked as context. The authors say these model-based patterns can inform prevention priorities in both settings.

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Source: https://europepmc.org/article/MED/PMC13261638