Although often dismissed as trivial and fleeting, adolescent back pain is responsible for substantial health care use, school absence, and interference with day-to-day activities in some children.
The findings showed that the rising frequency of pain increasing the proportion of participants reporting smoking, drinking, and missing school rose.
For example, 14-15 year olds that experienced pain more than once a week were 2-3 times more likely to have drunk alcohol or smoked in the past month than those who rarely or never had pain.
Similarly, students that experienced pain more than once a week were around twice as likely to have missed school in the previous term.
"Findings like this provide an argument that we should be including pain in the broader conversation about adolescent health," said lead author Steven Kamper from the University of Sydney in Australia.
"Unfortunately our understanding of the causes and impacts of pain in this age group is quite limited, the area is badly in need of more research," Kamper added.
For the study, detailed in the Journal of Public Health, the team used data collected from approximately 6,500 teenagers.
The researchers believe this is of concern because the developing brain may be susceptible to negative influences of toxic substances, and use in early adolescence may increase the risk of substance abuse and mental health problems in later life.
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