Volume 23, Number 3—March 2017
Research
Epidemiology of Nontuberculous Mycobacterial Lung Disease and Tuberculosis, Hawaii, USA
Jennifer Adjemian
, Timothy B. Frankland, Yihe G. Daida, Jennifer R. Honda, Kenneth N. Olivier, Adrian Zelazny, Stacey Honda, and D. Rebecca Prevots
, Timothy B. Frankland, Yihe G. Daida, Jennifer R. Honda, Kenneth N. Olivier, Adrian Zelazny, Stacey Honda, and D. Rebecca Prevots
Table 1
Demographic characteristics of study population for investigation of mycobacterial infection prevalence, by mycobacterial testing status and culture result, Hawaii, 2005–2013*
| Characteristic | KPH population | NTM isolated |
TB isolated | Culture negative | ||
|---|---|---|---|---|---|---|
| Total | 1 positive culture | >2 positive cultures | ||||
| Total |
373,168 (100) |
455 (0.1) |
201 (0.05) |
254 (0.07) |
40 (0.01) |
1,707 (0.5) |
| Female sex |
184,292 (49) |
245 (54) |
100 (50) |
145 (57) |
12 (30) |
797 (47) |
| Age, mean ± SD, y |
36 ± 22 |
66 ± 16 |
65.2 ± 6.3 |
66 ± 16 |
55 ± 16 |
62 ± 17 |
| Island of residence† | ||||||
| Oahu | 196,391 (69) | 300 (79) | 135 (81) | 165 (78) | 21 (58) | 1,061 (78) |
| Maui | 61,427 (21) | 56 (15) | 22 (13) | 34 (16) | 13 (36) | 220 (16) |
| The Big Island | 26,052 (9) | 22 (6) | 10 (6) | 12 (6) | 2 (6) | 74 (5) |
| Kauai |
2,452 (1) |
0 |
0 |
0 |
0 |
0 |
| Years in KPH | ||||||
| 1 | 72,661 (19) | 12 (3) | 6 (3) | 6 (2) | 3 (8) | 89 (5) |
| 2–4 | 118,403 (32) | 59 (13) | 32 (16) | 27 (11) | 10 (25) | 321 (19) |
| >5 |
182,104 (49) |
384 (84) |
163 (81) |
221 (87) |
27 (68) |
1,297 (76) |
| Race/ethnicity‡ | ||||||
| White | 124,966 (43) | 172 (38) | 76 (38) | 96 (38) | 4 (10) | 685 (40) |
| Black | 6,260 (2) | 2 (0.4) | 2 (1) | 0 | 0 | 31 (2) |
| NHOPI | 90,785 (24) | 81 (18) | 46 (23) | 35 (14) | 5 (13) | 415 (24) |
| Asian | 142,931 (38) | 265 (58) | 110 (55) | 155 (61) | 30 (75) | 908 (53) |
| Filipino | 60,314 (21) | 90 (20) | 34 (17) | 56 (22) | 22 (55) | 306 (18) |
| Japanese | 38,571 (13) | 92 (20) | 40 (20) | 52 (20) | 0 | 325 (19) |
| Chinese | 23,932 (8) | 50 (11) | 20 (10) | 30 (12) | 2 (5) | 190 (9) |
| Korean | 5,967 (2) | 19 (4) | 9 (4) | 10 (4) | 2 (5) | 39 (2) |
| Vietnamese | 2,030 (0.7) | 5 (1) | 2 (1) | 3 (1) | 1 (3) | 13 (0.8) |
| Other | 22,801 (8) | 20 (4) | 9 (4) | 11 (4) | 3 (8) | 83 (5) |
| >1 Race/ethnicity | 105,159 (36) | 111 (24) | 58 (29) | 53 (21) | 6 (15) | 476 (28) |
*Values are no. (%) patients unless otherwise indicated. A total of 2,197 patients had pulmonary mycobacterial culture results (see Table 2). KPH, Kaiser Permanente Hawaii; NHOPI, Native Hawaiian and Other Pacific Islander; NTM, nontuberculous mycobacteria; NTMPD, nontuberculous mycobacterial pulmonary disease; TB, tuberculosis.
†Only includes KPH patients residing in a single ZIP code throughout the study period (n = 286,322).
‡Some patients self-reported >1 racial/ethnic category; percentage calculated out of total patients reporting race/ethnicity (n = 292,336).
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