Prevalence of Low Back Pain and Associated Risk Factors among Nursing and Midwifery Students in Indonesia: A Cross-Sectional Study
Keywords:
ergonomics, low back pain, nursing student, midwifery studentAbstract
Low Back Pain (LBP) commonly affects health science students due to academic and clinical demands, yet remains underreported and insufficiently addressed in educational settings. This study aims to analyze the risk factors associated with low back pain complaints among nursing and midwifery students. A cross-sectional study was conducted involving 126 students from the School of Health Science Al-Ma’arif Baturaja. Total sampling was used. Data were collected using validated questionnaires assessing sitting duration, sitting posture, body mass index (BMI), gender, and physical activity. Data analysis included univariate and bivariate tests. The prevalence of LBP complaints among students was 66.7%. Bivariate analysis showed that BMI (p = 0.029), sitting duration (p = 0.008), and sitting posture (p = 0.003) were significantly associated with LBP. In contrast, gender (p = 0.183) and physical activity (p = 0.117) were not significantly related. Modifiable risk factors such as abnormal BMI, prolonged sitting, and non-ergonomic posture contribute significantly to LBP among students. Gender and activity level were not major predictors in this study. Educational institutions should integrate ergonomic education and preventive health programs into nursing and midwifery curricula to mitigate LBP risks. Early intervention strategies focusing on behavior and posture may enhance student well-being and academic performance.
Downloads
References
Kabeer AS, Osmani HT, Patel J, Robinson P, Ahmed N. The adult with low back pain: causes, diagnosis, imaging features and management. British journal of hospital medicine (London, England : 2005). 2023;84(10):1-9.
Maharty DC, Hines SC, Brown RB. Chronic Low Back Pain in Adults: Evaluation and Management. American family physician. 2024;109(3):233-44.
WHO. Low Back Pain 2023 [Available from: https://www.who.int/news-room/fact-sheets/detail/low-back-pain.
Gilchrist A, Pokorná A. Prevalence of musculoskeletal low back pain among registered nurses: Results of an online survey. Journal of Clinical Nursing. 2021;30(11-12):1675-83.
Abdu S, Beda NS, Nencyani ML, Mentodo R. Analisis faktor determinan risiko low back pain (LBP) pada mahasiswa. Jurnal Keperawatan Florence Nightingale. 2022;5(1):5-13.
Taha YA, Al Swaidan HA, Alyami HS, Alwadany MM, Al-Swaidan MH, Alabbas YH, et al. The Prevalence of Low Back Pain Among Medical Students: A Cross-Sectional Study From Saudi Arabia. Cureus. 2023;15(5):e38997.
Wei LS, Sivapiragasam B, Ansari RM. Low Back Pain among Pre-clinical MBBS Students: An Inevitable Peril in the Age of Online Education. Malaysian Journal of Medicine & Health Sciences. 2022;18(4).
Kazeminia M, Rajati F, Rajati M. The effect of pelvic floor muscle-strengthening exercises on low back pain: a systematic review and meta-analysis on randomized clinical trials. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. 2023;44(3):859-72.
Gurbinder KJS, Rosnita H, Nurul Shafina MZ, Nur AA, Ahmad Farhan S, Mohd ZZ. The Incidence of Low Back Pain among Healthcare Students and Their Beliefs on Its Association with Physical Function. Medical and Health Journal. 2021;16(1):76-91.
Duffett-Leger L, Beck AJ, Siddons A, Bright KS, Alix Hayden K. What Do We Know About Interventions to Prevent Low Back Injury and Pain Among Nurses and Nursing Students? A Scoping Review. Canadian Journal of Nursing Research. 2021;54(4):392-439.
Shashi P, Atul S. Non-Specific Lower Back Pain in Healthcare Professionals and Students: Diagnosis, Management, and Prevention Strategies. Nursing. 2024;4(6):131-6.
Mahendra IGBS, Purnaning D, Rosyidi RM. Analysis Factors That Affect Low Back Pain in Medical Students During the Study From Home. Biomedical and Pharmacology Journal. 2023;16(1):355-64.
Astuti MS, Qomaruddin MB, Soedirham O. Analisis Faktor Risiko Low Back Pain Pada Perawat Di Tempat Kerja Menurut Ecological Models (Literature Review). Jurnal Keperawatan Muhammadiyah. 2022;7(3):22-31.
Akbar MA, Sahar J, Rekawati E, Sartika RAD, Gupta P. The Effect of Community Based Intervention on People with Type 2 Diabetes Mellitus: Systematic Review. Public Health of Indonesia. 2025;11(S1):39-51.
Kasih BAT. Hubungan usia, beban kerja, posisi tubuh, dan aktivitas fisik terhadap kejadian low back pain pada perawat pelaksana di RS EMC Sentul Tahun 2023. Jurnal Pengabdian Ilmu Kesehatan. 2023;3(2):160-74.
Sudiono S, Gowi A, Indrawati E, Rosmaitaliza R, Anisa N. Hubungan usia, lama kerja, dan postur kerja terhadap kejadian low back pain pada perawat rawat inap. Holistik Jurnal Kesehatan. 2025;19(2):342-8.
Andini F, Handiyani H. Comparison of knowledge and behavior in preventing low back pain (LBP) in nursing students. Enfermería Clínica. 2021;31:S199-S204.
Mahmoud NA, Abu Raddaha AH, Zaghamir DE. Impact of Digital Device Use on Neck and Low Back Pain Intensity among Nursing Students at a Saudi Government University: A Cross-Sectional Study. Healthcare. 2022;10(12):2424.
Amare TG, Tariku TT, Berhe G, and Gebreagziabher TT. Exposure to Occupational Health Hazards Among Nursing and Midwifery Students During Clinical Practice. Risk Management and Healthcare Policy. 2021;14(21):2211-20.
Mankelow J, Ryan CG, Taylor PC, Casey M-B, Naisby J, Thompson K, et al. International, multi-disciplinary, cross-section study of pain knowledge and attitudes in nursing, midwifery and allied health professions students. BMC Medical Education. 2022;22(1):547.
Bryndal A, Glowinski S, Grochulska A. Influence of Occupation on the Prevalence of Spinal Pain among Physiotherapists and Nurses. Journal of Clinical Medicine. 2022;11(19):5600.
Zaitoon RA, Said NB, Snober RH, Hussein RF, Abdoon AH, Shehadeh AMA, et al. Low back pain prevalence and associated factors among nurses: cross sectional study from Palestine. BMC public health. 2024;24(1):3076.
Ijabadeniyi OA, Fasae JK. Prevalence of low back pain among nurses and the effects on job performance in tertiary health institutions in Ondo State, Nigeria. International Journal of Africa Nursing Sciences. 2023;18:100560.
Ayane D, Takele A, Feleke Z, Mesfin T, Mohammed S, Dido A. Low Back Pain and Its Risk Factors Among Nurses Working in East Bale, Bale, and West Arsi Zone Government Hospitals, Oromia Region, South East Ethiopia, 2021–Multicenter Cross-Sectional Study. Journal of Pain Research. 2023;23(16):3005-17.
Kahere M, Ginindza T. The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study. BMC musculoskeletal disorders. 2021;22(955):1-10.
Situmeang IF, Ilmidin NS, Sarasnita N. The Prevalence and Risk Factors of Low Back Pain Among Healthcare Workers in Asia. The Indonesian Journal of Occupational Safety and Health. 2023;12(3):449-56.
Liya J, Ya Z, Miaoye H, Chunmei Z. Prevalence and risk factors of low back pain among nursing students. medRxiv. 2023;23(2):23-32.
Stevans JM, Delitto A, Khoja SS, Patterson CG, Smith CN, Schneider MJ, et al. Risk Factors Associated With Transition From Acute to Chronic Low Back Pain in US Patients Seeking Primary Care. JAMA Network Open. 2021;4(2):e2037371-e.
Ferreira ML, de Luca K, Haile LM, Steinmetz JD, Culbreth GT, Cross M, et al. Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology. 2023;5(6):e316-e29.
Rahmawati A. Risk factor of low back pain. Jurnal Medika Hutama. 2021;3(1):1601-7.
Baradaran Mahdavi S, Riahi R, Vahdatpour B, Kelishadi R. Association between sedentary behavior and low back pain; A systematic review and meta-analysis. Health promotion perspectives. 2021;11(4):393-410.
Saes-Silva E, Vieira YP, Saes MdO, Meucci RD, Aikawa P, Cousin E, et al. Epidemiology of chronic back pain among adults and elderly from Southern Brazil: a cross-sectional study. Brazilian Journal of Physical Therapy. 2021;25(3):344-51.
Wong CKW, Mak RYW, Kwok TSY, Tsang JSH, Leung MYC, Funabashi M, et al. Prevalence, Incidence, and Factors Associated With Non-Specific Chronic Low Back Pain in Community-Dwelling Older Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis. The Journal of Pain. 2022;23(4):509-34.
Wilson F, Ardern CL, Hartvigsen J, Dane K, Trompeter K, Trease L, et al. Prevalence and risk factors for back pain in sports: a systematic review with meta-analysis. British Journal of Sports Medicine. 2021;55(11):601.
Ilic I, Milicic V, Grujicic S, Macuzic IZ, Kocic S, Ilic MD. Prevalence and correlates of low back pain among undergraduate medical students in Serbia, a cross-sectional study. PeerJ. 2021;9:e11055.
Lahagu EJP. Hubungan Posisi dan Lama Duduk dengan Keluhan Low Back Pain Selama Kuliah pada Mahasiswa Tingkat II Prodi Ners di STIKES Santa Elisabeth Medan. Medan: Sekolah Tinggi Ilmu Kesehatan Santa Elisabeth; 2022.
Wahyuni F. Analisis Faktor-Faktor Resiko yang Mempengaruhi Keluhan Low Back Pain pada Perawat. Depok: Universitas Indonesia; 2016.
Paganini MADR, Murni NS, Wahyudi A. Analisis Risiko Low Back Pain Selama Pembelajaran Daring Di Stikes Dona Palembang. Health Care: Jurnal Kesehatan. 2023;12(2):318-29.
Viyanti AN, Oktaviani YE, Fauziah E, Hamzah A. Description Of Low Back Pain Functional Activities In Students Politeknik Unggulan Kalimantan. JEMPOL: Jurnal Elektronik Mahasiswa Polanka. 2024;1(2):213-9.
Kusumaningrum D, Samara D, Widyatama HG, Parwanto MLE, Rahmayanti D, Widyasyifa SA. Postur tubuh dan waktu duduk dengan keluhan nyeri punggung bawah (LBP). Jurnal Ilmiah Kesehatan Sandi Husada. 2021;10(1):74-81.
Amin NA, Muchsin AH, Khalid NF, Sam ADP. Hubungan Lama dan Posisi Duduk dengan Kejadian Low Back Pain (LBP) pada Mahasiswa di Fakultas Kedokteran Universitas Muslim Indonesia Angkatan 2019. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran. 2023;3(4):269-77.
Nikmah K, Lumbantobing LA. Hubungan Durasi Duduk dan Faktor yang Berpengaruh terhadap Kejadian Low Back Pain pada Mahasiswa Fakultas Kedokteran Universitas Tarumanagara Angkatan 2020. Jurnal Syntax Admiration. 2025;6(1):327-37.

Published
How to Cite
Issue
Section
Copyright (c) 2025 Toto Harto, Roni Ferdi, M. Agung Akbar

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.