The prevalence of the disease worldwide, and the incidence of the disease in the whole world is 0.3%, and the proportion varies from state to state, and these differences are due to environmental factors, food and genetic in America 5-13 cases per 1000 men and 1-6 infected Per 1,000 women, with a rate of up to 0.27% in the general population with an incidence rate of up to 20% in people with a family history of the disease.
In the United Kingdom, there are 16 cases per 1000 men and 3 cases per 1000 women. The Maori population in New Zealand has a 10% increase in men and 4% in women.
It is worth mentioning that race plays a role in the spread of the disease, gout affects the Chamorros (chamorros) and the Maori and the tribes of Pima, and may be the food factor that spreads in each race is causing the difference in the spread of the disease.
Given the figures above, it is certain that gout affects men more than females, and this is because estrogen, which prevails in females before the age of Elias, reduces uric acid in the blood. Studies show that the peak of the disease occurs at the age of 30-60, and as a rule, uric acid rises for 20 years before the occurrence of gout, in males begins to rise in uric acid at puberty and the height of the disease begins from the fourth decade to the sixth decade of age, Gan uric acid begins to rise at the age of Elias and the height of the disease begins from the sixth decade to the eighth decade of life. Gout increases the incidence of gout, as gout affects 1.3% of the elderly (more than 55 years). One of the reasons for this is increased metabolic syndrome, From taking drugs that increase uric acid such as diuretics and aspirin.