Editing Gout (section)

==Epidemiology==
Gout affects around 1–2% of people in the [[Western world]] at some point in their lifetimes and is becoming more common.<ref name=Lancet2010/><ref name=Review08/> Some 5.8 million people were affected in 2013.<ref name=GBD2015>{{cite journal |title=Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013 |journal=Lancet |volume=386 |issue=9995 |pages=743–800 |date=August 2015 |pmid=26063472 |pmc=4561509 |doi=10.1016/S0140-6736(15)60692-4 |url=|last1=Vos |first1=Theo |last2=Barber |first2=Ryan M. |last3=Bell |first3=Brad |last4=Bertozzi-Villa |first4=Amelia |last5=Biryukov |first5=Stan |last6=Bolliger |first6=Ian |last7=Charlson |first7=Fiona |last8=Davis |first8=Adrian |last9=Degenhardt |first9=Louisa |last10=Dicker |first10=Daniel |last11=Duan |first11=Leilei |last12=Erskine |first12=Holly |last13=Feigin |first13=Valery L. |last14=Ferrari |first14=Alize J. |last15=Fitzmaurice |first15=Christina |last16=Fleming |first16=Thomas |last17=Graetz |first17=Nicholas |last18=Guinovart |first18=Caterina |last19=Haagsma |first19=Juanita |last20=Hansen |first20=Gillian M. |last21=Hanson |first21=Sarah Wulf |last22=Heuton |first22=Kyle R. |last23=Higashi |first23=Hideki |last24=Kassebaum |first24=Nicholas |last25=Kyu |first25=Hmwe |last26=Laurie |first26=Evan |last27=Liang |first27=Xiofeng |last28=Lofgren |first28=Katherine |last29=Lozano |first29=Rafael |last30=MacIntyre |first30=Michael F. }}</ref> Rates of gout approximately doubled between 1990 and 2010.<ref name=Nature2009>{{cite journal |author=Terkeltaub R |title=Update on gout: new therapeutic strategies and options |journal=Nature Reviews Rheumatology |volume=6 |issue=1 |pages=30–38 |date=January 2010 |pmid=20046204 |doi=10.1038/nrrheum.2009.236 |s2cid=19235998 }}</ref> This rise is believed to be due to increasing life expectancy, changes in diet and an increase in diseases associated with gout, such as metabolic syndrome and [[high blood pressure]].<ref name=Epi2008>{{cite journal |last=Weaver |first=AL |s2cid=40262260 |title=Epidemiology of gout |journal=Cleveland Clinic Journal of Medicine |date=July 2008 |volume=75 |issue=Suppl 5 |pages=S9–S12 |pmid=18819329 |doi=10.3949/ccjm.75.Suppl_5.S9|doi-broken-date=20 March 2025 }}</ref> Factors that influence rates of gout include age, race, and the season of the year. In men over 30 and women over 50, rates are 2%.<ref name=JFP09>{{cite journal |vauthors=Winzenberg T, Buchbinder R |title=Cochrane Musculoskeletal Group review: acute gout. Steroids or NSAIDs? Let this overview from the Cochrane Group help you decide what's best for your patient |journal=J Fam Pract |volume=58 |issue=7 |pages=E1–E4 |year=2009 |pmid=19607767 }}</ref>

In the [[United States]], gout is twice as likely in males of African descent than those of European descent.<ref>{{cite web | author=Rheumatology Therapeutics Medical Center | title=What Are the Risk Factors for Gout? | url=http://www.arthritisconsult.com/gout.html#risk | access-date=26 January 2007 | url-status=dead | archive-url=https://web.archive.org/web/20070325104830/http://www.arthritisconsult.com/gout.html#risk | archive-date=25 March 2007 }}</ref> Rates are high among [[Polynesians]], but the disease is rare in [[aboriginal Australians]], despite a higher mean uric acid serum concentration in the latter group.<ref name="pmid10225809">{{cite journal |last1=Roberts-Thomson |first1=R. A |last2=Roberts-Thomson |first2=P J |title=Rheumatic disease and the Australian Aborigine |journal=Annals of the Rheumatic Diseases |date=1 May 1999 |volume=58 |issue=5 |pages=266–270 |doi=10.1136/ard.58.5.266 |pmid=10225809 |pmc=1752880 }}</ref> It has become common in [[China]], [[Polynesia]], and urban [[Sub-Saharan Africa]].<ref name=Lancet2010/> Some studies found that attacks of gout occur more frequently in the spring. This has been attributed to seasonal changes in diet, alcohol consumption, physical activity, and temperature.<ref>{{cite journal |author=Fam AG |title=What is new about crystals other than monosodium urate? |journal=Curr Opin Rheumatol |volume=12 |issue=3 |pages=228–234 |date=May 2000 |pmid=10803754 |doi= 10.1097/00002281-200005000-00013}}</ref>

Taiwan, Hong Kong and Singapore have relatively higher prevalence of gout. A study based on the National Health Insurance Research Database (NHIRD) estimated that 4.92% of Taiwanese residents have gout in 2004. A survey hold by the Hong Kong government found that 5.1% of Hong Kong resident between 45–59 years and 6.1% of those older than 60 years have gout. A study hold in Singapore found that 2,117 in 52,322 people between 45–74 years have gout, roughly equals to 4.1%.<ref>{{cite journal | last1=Kuo | first1=Chang-Fu | last2=Grainge | first2=Matthew J. | last3=Zhang | first3=Weiya | last4=Doherty | first4=Michael | title=Global epidemiology of gout: prevalence, incidence and risk factors | journal=Nature Reviews Rheumatology | volume=11 | issue=11 | date=2015-07-07 | issn=1759-4790 | doi=10.1038/nrrheum.2015.91 | pages=649–662| pmid=26150127 }}</ref>