AUTHOR=Zhao Yonghui , Wang Jiqing , Zhao Boya , Zhang Yingang TITLE=Global trends in low back pain and neck pain in the working population: implications for occupational health JOURNAL=Frontiers in Public Health VOLUME=Volume 13 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1605072 DOI=10.3389/fpubh.2025.1605072 ISSN=2296-2565 ABSTRACT=This study systematically evaluated the global burden of low back pain (LBP) and neck pain (NP) among individuals aged 20–65 from 1990 to 2021, utilizing data from the Global Burden of Disease (GBD) database. We analyzed incidence, prevalence, years lived with disability (YLDs), and age-standardized rates across 204 countries and regions, stratified by socio-demographic index (SDI). Key findings indicate a slight decline in LBP metrics but a mild increase in NP trends, with higher growth rates observed in females. Socioeconomic status significantly influenced these patterns, with developed countries showing lower YLDs increasing rate. The study highlights the need for gender-specific and region-tailored public health strategies, particularly focusing on women in lower SDI countries. These findings underscore the importance of targeted interventions to mitigate the growing burden of LBP and NP in an aging workforce increasingly engaged in office work.