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Article

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

by
Lixian Zhong
1,†,
Shun Liu
2,†,
Xiaoqiang Qiu
1,
Xiaoyun Zeng
1,3,
Li Su
1,
Dongping Huang
4,
Xiaojing Guo
1,
Jun Liang
1,
Yu Yang
1,
Xiaofen Tang
1 and
Yihong Xie
1,*
1
Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China
2
Department of Maternal, Child and Adolescent Health, School of Public Health, Guangxi Medical University, Nanning 530021, China
3
Key Laboratory of High-Incidence-Tumor Prevention and Treatment, Guangxi Medical University, Ministry of Education, Nanning 530021, China
4
Department of Sanitary Chemistry, School of Public Health, Guangxi Medical University, Nanning 530021, China
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to the work.
Int. J. Environ. Res. Public Health 2022, 19(23), 16040; https://doi.org/10.3390/ijerph192316040
Submission received: 13 October 2022 / Revised: 25 November 2022 / Accepted: 27 November 2022 / Published: 30 November 2022
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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 Zhuang minority; hyperuricemia; gout; prevalence; risk factors; comorbidity

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MDPI and ACS Style

Zhong, L.; Liu, S.; Qiu, X.; Zeng, X.; Su, L.; Huang, D.; Guo, X.; Liang, J.; Yang, Y.; Tang, X.; et al. 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. Int. J. Environ. Res. Public Health 2022, 19, 16040. https://doi.org/10.3390/ijerph192316040

AMA Style

Zhong L, Liu S, Qiu X, Zeng X, Su L, Huang D, Guo X, Liang J, Yang Y, Tang X, et al. 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. International Journal of Environmental Research and Public Health. 2022; 19(23):16040. https://doi.org/10.3390/ijerph192316040

Chicago/Turabian Style

Zhong, Lixian, Shun Liu, Xiaoqiang Qiu, Xiaoyun Zeng, Li Su, Dongping Huang, Xiaojing Guo, Jun Liang, Yu Yang, Xiaofen Tang, and et al. 2022. "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" International Journal of Environmental Research and Public Health 19, no. 23: 16040. https://doi.org/10.3390/ijerph192316040

APA Style

Zhong, L., Liu, S., Qiu, X., Zeng, X., Su, L., Huang, D., Guo, X., Liang, J., Yang, Y., Tang, X., & Xie, Y. (2022). 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. International Journal of Environmental Research and Public Health, 19(23), 16040. https://doi.org/10.3390/ijerph192316040

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