Fibromyalgia & musculoskeletal pain

Racial and Ethnic Disparities in the Incidence and Prevalence of Low Back Pain in the United States: A Systematic Review

Arthritis Care Res (Hoboken)Published Systematic review

Authors' conclusion

This review highlights persistent race-based differences in LBP, with critical gaps in research on acute LBP incidence and community-based prevalence.

Study context

Population
US adults; studies reporting low back pain (LBP) incidence or prevalence by race and ethnicity (MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science through January 7, 2025)10 incidence, 13 prevalence studies
Participants
23 studies
Comparison
LBP incidence and prevalence by race and ethnicity
Outcome
Racial and ethnic disparities in LBP incidence and prevalence across stages of chronicity (acute, subacute, chronic)
Methodological detailsPRISMA guidelines, ROBINS-E risk of bias assessment
  • PRISMA guidelines
  • ROBINS-E risk of bias assessment

Pooled result

As reported in the abstract

LBP incidence and prevalence by race and ethnicity
  • Some incidence studies found higher risk of chronic LBP among Black vs White adults; data on Hispanic and Latino adults limited
  • Prevalence higher in White and American Indian and Alaska Native adults, lower in Black, Hispanic and Latino, and Asian adults
  • Military studies consistently reported higher LBP incidence in Black service members vs other races
  • No studies examined the subacute state
  • 8,145 citations screened

Original publication

Racial and Ethnic Disparities in the Incidence and Prevalence of Low Back Pain in the United States: A Systematic Review. Arthritis Care Res (Hoboken). Published 30 October 2025. doi:10.1002/acr.25665

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