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. 2019 Jan 21;18(1):15.
doi: 10.1186/s12939-019-0918-1.

Socioeconomic inequalities in low back pain among older people: the JAGES cross-sectional study

Takaaki Ikeda  1   2 , Kemmyo Sugiyama  3 , Jun Aida  2 , Toru Tsuboya  2 , Nanae Watabiki  4 , Katsunori Kondo  5   6 , Ken Osaka  2
Affiliations

Socioeconomic inequalities in low back pain among older people: the JAGES cross-sectional study

Takaaki Ikeda et al. Int J Equity Health. .

Abstract

Background: Low back pain is an important public health issue across the world. However, it is unclear whether socioeconomic status (SES) is associated with low back pain. This study determines an association between SES and low back pain among older people.

Methods: We used cross-sectional data derived from the year 2013 across 30 Japanese municipalities. The survey was conducted between October 2013 to December 2013. Functionally independent community-dwelling older adults aged 65 and above (n = 26,037) were eligible for the study. Multilevel Poisson regression analysis with a robust variance estimator was used to examine the association between SES and low back pain. Self-reported low back pain in the past year was used as a dependent variable. Educational attainment, past occupation, equivalized household income, wealth, and subjective economic situation represented SES and were separately analyzed as independent variables, adjusted for covariates including age and sex.

Results: The prevalence of low back pain was 63.4%. Overall, lower SES were more likely to suffer from low back pain compared with that for the highest. First, as for the educational attainment, the prevalence ratio (PR) (95% credible interval (CI)) for the lowest level was 1.07 (1.02-1.12). Second, as for the past occupation, the PR (95% CI) for the blue-collared workers compared with professionals was 1.06 (1.01-1.11). Third, as for the equalized household income, the PRs (95% CI) for lower middle and the lowest income levels were 1.08 (1.02-1.13) and 1.16 (1.10-1.23), respectively. Fourth, as for the wealth, the PRs (95% CI) for lower middle and the lowest wealth levels were 1.11 (1.04-1.19) and 1.18 (1.11-1.27), respectively. Fifth, as for the subjective economic situation, the PRs (95% CI) for lower middle and the lowest financial conditions were 1.18 (1.10-1.26) and 1.32 (1.22-1.44), respectively.

Conclusions: Significant socioeconomic inequalities were observed in low back pain among older individuals in Japan. Policymakers and clinicians must understand the nature of these inequalities.

Keywords: Educational attainment; Health inequalities; Income; Low back pain; Occupation; Socioeconomic status; Subjective economic situation.

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Conflict of interest statement

Ethics approval and consent to participate

The JAGES protocols were approved by the ethics committee of Tohoku University and Nihon Fukushi University. We considered that individuals who responded to our survey had consented to participate.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Recruitment diagram of the complete data
See this image and copyright information in PMC

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