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Knowledge, attitudes, and practices regarding gout management among patients in Xiamen, China: a cross-sectional
Yonglong Yan1, Yashuang Su2, Wenhui Li3
1Department of Rheumatology, Xiang'an Hospital of Xiamen University, Xiamen, China.
Background:
This study aimed to investigate the knowledge, attitude, and practice (KAP) of gout among patients with gout in the Xiamen region and identify factors influencing these domains to inform targeted interventions.
Methods:
A cross-sectional study was conducted in Xiamen, China. From November 2023 to January 2024, questionnaires were distributed via Questionnaire Star to collect demographic information and KAP scores. Structural Equation Modeling (SEM) was employed to explore the interrelationships among knowledge, attitudes, and practices.
Results:
A total of 622 questionnaires were collected, of which 462 were valid, with an effective rate of 74.3%. The median scores (IQR) were as follows: Knowledge, Median = 16, IQR: 10-22; Attitude, Median = 34, IQR: 29-37; and Practice, Median = 40, IQR: 33-47. Significant positive correlations were found among the three domains: knowledge and attitude (r = 0.456, p < 0.001), knowledge and practice (r = 0.539, p < 0.001), and attitude and practice (r = 0.477, p < 0.001). Structural Equation Modeling demonstrated a good model fit (RMSEA = 0.068, SRMR = 0.069, TLI = 0.839, CFI = 0.851) and revealed that knowledge had a significant direct effect on practice (β = 0.644, p < 0.001), while the indirect effects through attitude were not statistically significant.
Conclusion:
Patients with gout demonstrated limited knowledge and moderately negative attitudes toward gout, yet relatively proactive self-management practices.
