High Prevalence of Hyperuricemia and Associated Factors among Zhuang Adults: A Cross-Sectional Study Based on the Ethnic Minority Population Cohort in the Southwestern China

Lixian Zhong, Shun Liu, Xiaoqiang Qiu, Xiaoyun Zeng, Li Su, Dongping Huang, Xiaojing Guo, Jun Liang, Yu Yang, Xiaofen Tang and Yihong Xie ()
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Lixian Zhong: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Shun Liu: Department of Maternal, Child and Adolescent Health, School of Public Health, Guangxi Medical University, Nanning 530021, China
Xiaoqiang Qiu: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Xiaoyun Zeng: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Li Su: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Dongping Huang: Department of Sanitary Chemistry, School of Public Health, Guangxi Medical University, Nanning 530021, China
Xiaojing Guo: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Jun Liang: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Yu Yang: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Xiaofen Tang: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
Yihong Xie: Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China

IJERPH, 2022, vol. 19, issue 23, 1-14

Abstract: The highest prevalence of hyperuricemia was found in Zhuang minority adults in two national surveys in China, with only 1% Zhuang study subjects. However, the prevalence of hyperuricemia and the associated factors in Zhuang adults have not been well-addressed. A cross-sectional study was conducted to explore the prevalence of hyperuricemia and the common comorbidities, and the associated factors in Zhuang adults based on the Guangxi Ethnic Minority Population Cohort. Among 11,175 Zhuang adults aged 35–74 years, the age- and sex-standardized prevalence rate was 18.1% for hyperuricemia and 1.1% for gout. The standardized prevalence rate and awareness rate were 31.6% and 32.3%, respectively, for hypertension, and were 5.1% and 48.2%, respectively, for diabetes. High education level, history of coronary heart disease (CHD), hypertension, being a current drinker, high body mass index (BMI), central obesity, hyper-triglyceride (hyper-TG), hyper-total cholesterol (hyper-TC), hypo-high density lipoprotein cholesterol (hypo-HDL-C), and abnormal aspartate aminotransferase (AST) were risk factors, while smoking and diabetes were protective factors of hyperuricemia in males. Older age, being single/divorced, having a high education level, hypertension, drinking tea, high BMI, central obesity, hyper-TG, hyper-TC, hypo-HDL-C, and abnormal alanine aminotransferase (ALT) were risk factors in females. The high prevalence of hyperuricemia but low prevalence of gout and common comorbidities in Zhuang adults may be due to a lag effect of lifestyle changes. Health education and health management should be strengthened to prevent the progression of comorbidities, considering the lag effect and low awareness rate.

Keywords: Zhuang minority; hyperuricemia; gout; prevalence; risk factors; comorbidity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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