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Description
Gout is a treatable disease in the U.S. however, data indicates that incidence gout is on the rise. Given the cost and co-morbidities associated with gout, it is important to examine those affected by gout to discern the most effective methods of treatment. This study analyzes the NHANES 2011-2012 survey. The NHANES 2011-2012 captured 9,756 U.S. residents. The sample for this study consisted of Americans aged 20 years and over who responded to question, "Has your doctor ever told you that you have gout?" This reduced the study sample population to 1,364. Univariate statistics, and bivariate analysis were conducted to describe the characteristics of the study population. Bivariate analysis was used to evaluate the data, and multiple logistic regression models were used to assess association of Gout and other risk factors through the odds ratio. In the unadjusted logistic regression model, age, hypertension, diabetes, being Non-Hispanic White, hyperurecemia and subjects with BMI (30kg/m2) were positively associated with gout P<05. No association was found between gout, gender and household income. After adjusting for history of gout, compared to being Non-Hispanic White, being Mexican American, or of mixed race was not significantly associated with gout. (OR <0.001;CI <0.001-<0.001 and OR 0.407; CI 0.183-0.903, respectively) Hyperurecemia (serum uric acid levels at 6.8mg/dL) was positively associated with gout compared to serum uric acid levels of < 6.8 mg/dL , where OR is 2.35 and CI is 1.27-4.35. Age (those aged 65+) was positively associated with gout compared to those aged 20-34 and 35-64, where OR is 0.001; CI 1<0.001-<0.001 and OR 0.114 ; CI 0.015-0.875 respectively. Subjects who indicated a history of hypertension were positively associated with gout compared to those without a history of hypertension, where OR is 1.96 and CI is 0.998-43.849. Similarly subjects who indicated a history of diabetes were positively associated with gout compared those without a history of diabetes, where OR is 1.58 and CI is 0.804-2.830. Finally, obese subjects (BMI 30 kg/m2) were positively associated with gout compared to those where were not obese, where OR is 1.481 and CI is 0.774-2.833.
