背景:痛风性关节炎的知识有助于疾病发展的一级预防,并在发生时导致早期诊断。这项研究调查了知识,态度,和实践(KAP)对痛风性关节炎在一般人群>30岁。
方法:这项基于网络的横断面研究是在2023年1月至3月在成都30岁以上的普通人群中进行的,四川。调查问卷是由研究人员根据现有指南(Cronbach'sα=0.846)设计的。70%以上的分数表明知识很好,积极的态度,积极的实践。进行了多变量和结构方程模型(SEM)分析,以分析影响KAP的因素。
结果:共纳入537份问卷。知识,态度,和实践得分分别为13.12±6.41、25.28±3.97和45.25±5.77。女性(OR=0.47,95CI:0.31-0.71,P<0.001),郊区生活(OR=0.18,95CI:0.04-0.78,P=0.022),机构/组织负责人和专业技术人员(OR=2.04,95CI:1.23-3.39,P=0.006),收入<2,000元(OR=0.35,95CI:0.14~0.85,P=0.021)与知识独立相关。女性(OR=2.17,95CI:1.43-3.30,P<0.001),年龄(OR=1.03,95CI:1.01-1.05,P=0.001),大专及以上学历(OR=2.26,95CI:1.16-4.41,P=0.017),收入5000-10000元(OR=2.05,95CI:1.27-3.31,P=0.003),收入>1万元(OR=2.07,95CI:1.12~3.81,P=0.020)与态度独立相关。态度(OR=1.31,95CI:1.23-1.40,P<0.001),女性(OR=1.62,95CI:1.01-2.58,P=0.044),年龄(OR=1.02,95CI:1.00-1.04,P=0.016)与实践独立相关。结构方程模型分析表明,知识直接影响态度(β=-0.10,P<0.001),间接影响实践(β=-0.07,P<0.001)。和态度直接影响实践(β=0.68,P<0.001)。
结论:30岁以上的一般人群知识不足,不利的态度,和对痛风性关节炎不那么主动的做法。有针对性的干预措施应着重于增强对痛风的了解并促进对痛风管理的积极态度。
BACKGROUND: A knowledge of gouty arthritis could help in the primary prevention of the disease development and lead to an early diagnosis if it occurs. This study investigated the knowledge, attitudes, and practices (KAP) toward gouty arthritis in the general population > 30 years old.
METHODS: This web-based cross-sectional study was conducted among the general population > 30 years old between January and March 2023 in Chengdu, Sichuan. The questionnaire was designed by the investigators based on the available guidelines (Cronbach\'s α = 0.846). A score above 70% indicated good knowledge, a positive attitude, and proactive practice. Multivariable and structural equation modeling (SEM) analyses were performed to analyze the factors influencing KAP.
RESULTS: A total of 537 questionnaires were included. The knowledge, attitudes, and practices scores were 13.12 ± 6.41, 25.28 ± 3.97, and 45.25 ± 5.77, respectively. Female (OR = 0.47, 95%CI: 0.31-0.71, P < 0.001), suburban living (OR = 0.18, 95%CI: 0.04-0.78, P = 0.022), heads of institution/organization and professional and technical staff (OR = 2.04, 95%CI: 1.23-3.39, P = 0.006), and an income of < 2,000 yuan (OR = 0.35, 95%CI: 0.14-0.85, P = 0.021) were independently associated with knowledge. Female (OR = 2.17, 95%CI: 1.43-3.30, P < 0.001), age (OR = 1.03, 95%CI: 1.01-1.05, P = 0.001), college and above education (OR = 2.26, 95%CI: 1.16-4.41, P = 0.017), an income of 5,000-10,000 yuan (OR = 2.05, 95%CI: 1.27-3.31, P = 0.003), and an income of > 10,000 yuan (OR = 2.07, 95%CI: 1.12-3.81, P = 0.020) were independently associated with attitudes. Attitude (OR = 1.31, 95%CI: 1.23-1.40, P < 0.001), female (OR = 1.62, 95%CI: 1.01-2.58, P = 0.044), and age (OR = 1.02, 95%CI: 1.00-1.04, P = 0.016) were independently associated with practices. The structural equation modeling analysis showed that knowledge directly influenced attitude (β=-0.10, P < 0.001) and indirectly influenced practice (β=-0.07, P < 0.001), and attitude directly influenced practice (β = 0.68, P < 0.001).
CONCLUSIONS: The general population over 30 years old had inadequate knowledge, unfavorable attitudes, and less proactive practices toward gouty arthritis. Targeted interventions should focus on enhancing knowledge about gout and promoting positive attitudes toward its management.