Low back pain (LBP) is one of the most common health problems all over the world. The lifetime prevalence of low back pain is reported to be over 70% in European countries and the peak prevalence occurred between ages 35 and 55 in the working population 1) . Despite its benign nature, LBP is the leading cause of disability and the highest cost for workers' compensation in industrialized countries [2][3][4][5][6] . In Thailand as well, high prevalence of LBP is reported. The six month prevalence of LBP was more than 50% in the study population over 50 yr old 7) .Risk factors for LBP have not been completely elucidated. The most frequently reported risk factor for LBP is heavy physical workload such as lifting, awkward posture, and whole body vibration [8][9][10] . Life style is also considered a risk factor of LBP. Smoking behavior 8,11,12) , lack of physical exercise 8) , and short sleep hours 13) increase the risk of LBP. A systematic review showed that there was no evident relationship between alcohol consumption and LBP 14) . An association between LBP and psychosocial factors has also been reported 8,15,16) . Food processing workers are known to be a high risk population for LBP because they work in awkward postures, with lifting and manual handling of heavy Received October 30, 2009 and accepted March 12, 2010 Abstract: This study assessed the prevalence of low back pain (LBP) and investigated risk factors for LBP among seafood processing factory workers in Thailand including migrant workers. The subjects were Thai and Myanmar workers in the typical seafood processing factory. A cross-sectional study was carried out with a self-administered questionnaire. Prevalence of LBP, general characteristics, life style, and working condition were investigated. The associations between LBP and risk factors were estimated by multiple logistic regression models. Of 254 workers, 165 completed the questionnaire. Half of these workers were Thai, the others were from Myanmar. The point prevalence of LBP was 28.5%. Risk factors for LBP were age over 40 yr, poor health status, history of back injury, twisting posture at work, and slipping on wet floors. The results suggest that health promotion should focus on working conditions rather than individual life style in order to prevent LBP. Furthermore, greater attention to other risk factors such as history of back injury and perception of health status after regular health check up, especially in older age groups may be needed.