Department of Family Medicine, Division of General Internal Medicine, Department of Medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, No.1 Shuaifuyuan, Dongcheng District, 100730, Beijing, China.
BMC Public Health. 2024 Apr 17;24(1):1074. doi: 10.1186/s12889-024-18513-x.
The prevalence of hyperuricemia in China has been consistently increasing, particularly among the younger generation. The excessive consumption of sugar-sweetened beverages is associated with hyperuricemia. This study examined the knowledge, attitudes, and practices (KAP) of Chinese young adults regarding sugar-sweetened beverage consumption and the correlation with hyperuricemia.
This cross-sectional investigation was conducted from June 28th, 2023, to July 21st, 2023, and enrolled Chinese young adults. Demographics and KAP were evaluated using a questionnaire (Cronbach's α = 0.787). Factors influencing KAP scores were analyzed using multivariable analyses.
A total of 1288 valid questionnaires were analyzed. The median knowledge, attitude, and practice scores were 16 (12,19)/22, 22 (20,24)/30, and 27.5 (23,31.75)/40. The multivariable analysis showed that bachelor's/associate education (OR = 1.912, 95%CI: 1.128-3.239), white collar/employee (OR = 0.147, 95%CI: 0.105-0.206), educator (OR = 0.300, 95%CI: 0.174-0.518), healthcare worker (OR = 0.277, 95%CI: 0.188-0.407), not suffering from hyperuricemia (OR = 0.386, 95%CI: 0.253-0.590), and not having gout (OR = 0.456, 95%CI: 0.282-0.736) were independently associated with knowledge. Age 26-30 (OR = 1.470, 95%CI: 1.052-2.052), age 31-35 (OR = 1.489, 95%CI: 1.097-2.022), age 36-40 (OR = 0.328, 95%CI: 1.010-1.746), age 41-44 (OR = 1.548, 95%CI: 1.091-2.198), and not having hyperuricemia (OR = 0.512, 95%CI: 0.345-0.760) were independently associated with attitude. White collar/employee (OR = 0.386, 95%CI: 0.285-0.521), educator (OR = 0.534, 95%CI: 0.317-0.899), healthcare worker (OR = 0.341, 95%CI: 0.236-0.493), having siblings (OR = 0.725, 95%CI: 0.573-0.917), and not suffering from hyperuricemia (OR = 0.442, 95%CI: 0.296-0.659), were independently associated with practice.
Chinese young adults display moderate KAP toward sugar-sweetened beverages. Notably, an association was observed between hyperuricemia and each KAP dimension.
中国高尿酸血症的患病率一直在持续上升,尤其是在年轻一代中。过量摄入含糖饮料与高尿酸血症有关。本研究旨在探讨中国年轻成年人对含糖饮料消费的知识、态度和行为(KAP),以及与高尿酸血症的相关性。
本横断面研究于 2023 年 6 月 28 日至 7 月 21 日进行,纳入中国年轻成年人。使用问卷评估人口统计学和 KAP(Cronbach's α=0.787)。使用多变量分析评估影响 KAP 评分的因素。
共分析了 1288 份有效问卷。知识、态度和行为得分的中位数分别为 16(12,19)/22,22(20,24)/30 和 27.5(23,31.75)/40。多变量分析显示,本科/大专学历(OR=1.912,95%CI:1.128-3.239)、白领/员工(OR=0.147,95%CI:0.105-0.206)、教育工作者(OR=0.300,95%CI:0.174-0.518)、医疗工作者(OR=0.277,95%CI:0.188-0.407)、未患高尿酸血症(OR=0.386,95%CI:0.253-0.590)和未患痛风(OR=0.456,95%CI:0.282-0.736)与知识独立相关。26-30 岁(OR=1.470,95%CI:1.052-2.052)、31-35 岁(OR=1.489,95%CI:1.097-2.022)、36-40 岁(OR=0.328,95%CI:1.010-1.746)、41-44 岁(OR=1.548,95%CI:1.091-2.198)和未患高尿酸血症(OR=0.512,95%CI:0.345-0.760)与态度独立相关。白领/员工(OR=0.386,95%CI:0.285-0.521)、教育工作者(OR=0.534,95%CI:0.317-0.899)、医疗工作者(OR=0.341,95%CI:0.236-0.493)、有兄弟姐妹(OR=0.725,95%CI:0.573-0.917)和未患高尿酸血症(OR=0.442,95%CI:0.296-0.659)与行为独立相关。
中国年轻成年人对含糖饮料的知识、态度和行为处于中等水平。值得注意的是,高尿酸血症与每个 KAP 维度均存在相关性。