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Uric acid is the end product of purine metabolism in the human body. At least allantonin causes the human body susceptible to hyperuricemia. Hyperuricemia can cause gout arthritis. According to Bali Province Basic Health Research in 2013, Karangasem Regency occupies the first position of prevalence of arthritis incidence in Bali Province. Puskesmas Kubu 2 occupies the fourth position of arthritis incident in Karangasem and most patients from Kertabuana Sub District. This study aims to determine the risk factors of hyperuricemia occurrence in people aged over 24 years in Banjar Kertabuana. The method used cross sectional with Systematic Random Sampling technique. The instruments of this study were questionnaires, measurements of uric acid, and calculation of Body Mass Index. Data were analyzed by Chi Square bivariate test and multivariate test of Binary Logistic Regression with Backward Conditional method. The result was 102 (60%) respondents had hyperuricemia and 68 (40%) of respondents did not have hyperuricemia. Chi Square test showed that age, sex, family history, high purine consumption pattern, alcohol consumption, obesity were hyperuricemia risk factor and significant (p <0,005). Multivariate analysis with Binary Logistic Regression Test, high purine consumption pattern was risk factor with highest OR (odd ratio) of 12,179 (95% CI: 4,978-29,798) and family history did not pass multivariate test with p equal to 0,104. This study is expected to be used as a guidance counseling to the community to prevent the incidence of hyperuricemia and provide scientific information to researchers about risk factors that affect the incidence of hyperuricemia.