INTRODUCTION: The potential consequences of back pain (BP) are poorly described in adolescents. This study evaluated the association between BP sites (neck, thoracic and low back) and number of painful sites with missed school classes, interference in physical activities, seeking healthcare, and medication use among school adolescents. METHODS: This cross-sectional study included 350 students (5th to 9th grade) of a public school in Brazil. Information on BP site and outcomes were self-reported. Logistic regression analyses were performed. RESULTS: Participants reporting at least one painful site in spine were 74.9% ( CONCLUSION: Thoracic and low BP were associated with daily activities, seeking healthcare, and medication use in early adolescence.