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Peer-reviewedCC BY-NC 4.0Ewha Medical Journal

The burden of neck pain across US states, 1990–2021: a systematic analysis of Global Burden of Disease Study 2021 data

  1. 1Department of Medicine, Ewha Womans University College of Medicine, Seoul, Korea
  2. 2Department of Neurology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea
  3. 3Department of Neurology, Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea

Abstract

Purpose: Neck pain is a leading musculoskeletal cause of disability in the United States. This study aimed to assess temporal, geographic, and demographic disparities in its burden across US states from 1990 to 2021.

Methods: Global Burden of Disease 2021 data for all 50 US states and the District of Columbia were analyzed for 1990–2021. Counts and age-standardized rates per 100,000 population for prevalence, incidence, and years lived with disability (YLD) were compared by region, state, sex, age group, and sociodemographic index (SDI) level.

Results: In 2021, neck pain accounted for 9,430,000 (95% uncertainty interval [UI], 7,400,000–11,590,000) prevalent cases, 1,900,000 (95% UI, 1,490,000–2,320,000) incident cases, and 920,000 (95% UI, 620,000–1,300,000) YLD, increases of 41.17%, 37.44%, and 38.72%, respectively, from 1990. Although age-standardized incidence increased globally by 1.18% (0.07%–2.39%) over 1990–2021, the United States had small declines in age-standardized incidence (−0.11%; 95% UI, −0.18% to −0.06%), prevalence (−0.20%; 95% UI, −0.32% to −0.10%), and YLD (−1.12%; 95% UI, −2.02% to −0.22%). Neck pain rates were highest in the District of Columbia, Georgia, and Delaware and lowest in North Carolina, Alaska, and Wyoming. The burden peaked at ages 40–49 years and was higher in females. Age-standardized YLD rates for neck pain were significantly positively correlated with the SDI (Spearman’s ρ=0.601, P<0.001).

Conclusion: The geographic and demographic disparities in neck pain burden across US states indicate a need for targeted interventions.

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BibTeX
@article{park2026burden,
  title = {{The burden of neck pain across US states, 1990–2021: a systematic analysis of Global Burden of Disease Study 2021 data}},
  author = {Somin Park and Dong Woo Shin and Jung-Hyun Park and Yoonkyung Chang and Moo-Seok Park and Hyun Kyung Kim and Tae-Jin Song},
  journal = {Ewha Medical Journal},
  year = {2026},
  month = oct,
  doi = {10.12771/emj.2026.01270},
  url = {https://doi.org/10.12771/emj.2026.01270},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - The burden of neck pain across US states, 1990–2021: a systematic analysis of Global Burden of Disease Study 2021 data
AU  - Somin Park
AU  - Dong Woo Shin
AU  - Jung-Hyun Park
AU  - Yoonkyung Chang
AU  - Moo-Seok Park
AU  - Hyun Kyung Kim
AU  - Tae-Jin Song
PY  - 2026
DA  - 2026/10/02
JO  - Ewha Medical Journal
DO  - 10.12771/emj.2026.01270
UR  - https://doi.org/10.12771/emj.2026.01270
AB  - Purpose: Neck pain is a leading musculoskeletal cause of disability in the United States. This study aimed to assess temporal, geographic, and demographic disparities in its burden across US states from 1990 to 2021.  Methods: Global Burden of Disease 2021 data for all 50 US states and the District of Columbia were analyzed for 1990–2021. Counts and age-standardized rates per 100,000 population for prevalence, incidence, and years lived with disability (YLD) were compared by region, state, sex, age group, and sociodemographic index (SDI) level.  Results: In 2021, neck pain accounted for 9,430,000 (95% uncertainty interval [UI], 7,400,000–11,590,000) prevalent cases, 1,900,000 (95% UI, 1,490,000–2,320,000) incident cases, and 920,000 (95% UI, 620,000–1,300,000) YLD, increases of 41.17%, 37.44%, and 38.72%, respectively, from 1990. Although age-standardized incidence increased globally by 1.18% (0.07%–2.39%) over 1990–2021, the United States had small declines in age-standardized incidence (−0.11%; 95% UI, −0.18% to −0.06%), prevalence (−0.20%; 95% UI, −0.32% to −0.10%), and YLD (−1.12%; 95% UI, −2.02% to −0.22%). Neck pain rates were highest in the District of Columbia, Georgia, and Delaware and lowest in North Carolina, Alaska, and Wyoming. The burden peaked at ages 40–49 years and was higher in females. Age-standardized YLD rates for neck pain were significantly positively correlated with the SDI (Spearman’s ρ=0.601, P<0.001).  Conclusion: The geographic and demographic disparities in neck pain burden across US states indicate a need for targeted interventions.
SN  - 2234-3180
SN  - 2234-2591
ER  -