{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:49:51Z","timestamp":1791593391572,"version":"4.3.4"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 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, Media\n n\u202f=<\/jats:italic>\n \u202f16, IQR: 10\u201322; Attitude, Media\n n\u202f=<\/jats:italic>\n \u202f34, IQR: 29\u201337; and Practice, Media\n n\u202f=<\/jats:italic>\n \u202f40, IQR: 33\u201347. Significant positive correlations were found among the three domains: knowledge and attitude (r\u202f=\u202f0.456,\n p\u202f&lt;<\/jats:italic>\n \u202f0.001), knowledge and practice (r\u202f=\u202f0.539,\n p\u202f&lt;<\/jats:italic>\n \u202f0.001), and attitude and practice (r\u202f=\u202f0.477,\n p\u202f&lt;<\/jats:italic>\n \u202f0.001). Structural Equation Modeling demonstrated a good model fit (RMSEA\u202f=\u202f0.068, SRMR\u202f=\u202f0.069, TLI\u202f=\u202f0.839, CFI\u202f=\u202f0.851) and revealed that knowledge had a significant direct effect on practice (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.644,\n p\u202f&lt;<\/jats:italic>\n \u202f0.001), while the indirect effects through attitude were not statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Patients with gout demonstrated limited knowledge and moderately negative attitudes toward gout, yet relatively proactive self-management practices.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1786934","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:52:35Z","timestamp":1781675555000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Knowledge, attitudes, and practices regarding gout management among patients in Xiamen, China: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Yonglong","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Xiang\u2019an Hospital of Xiamen University","place":["Xiamen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yashuang","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hebei General Hospital","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Physical Examination Center, Xiang'an Hospital of Xiamen University","place":["Xiamen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinfei","family":"Lin","sequence":"additional","affiliation":[{"name":"Shitang Community Health Service Center","place":["Xiamen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Hebei General Hospital","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Xiang\u2019an Hospital of Xiamen University","place":["Xiamen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"5858","DOI":"10.1177\/11769343221095858","article-title":"Host-population microbial diversity scaling of Chinese gut microbiomes in gout patients","volume":"18","author":"Zhou","year":"2022","journal-title":"Evol Bdioinformatics 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