TY - JOUR AU - Adjemian, Jennifer AU - Frankland, Timothy AU - Daida, Yihe AU - Honda, Jennifer AU - Olivier, Kenneth AU - Zelazny, Adrian AU - Honda, Stacey AU - Prevots, D. Rebecca T1 - Epidemiology of Nontuberculous Mycobacterial Lung Disease and Tuberculosis, Hawaii, USA T2 - Emerging Infectious Disease journal PY - 2017 VL - 23 IS - 3 SP - 439 SN - 1080-6059 AB - Previous studies found Hawaiians and Asian-Americans/Pacific Islanders to be independently at increased risk for nontuberculous mycobacterial pulmonary disease (NTMPD) and tuberculosis (TB). To better understand NTM infection and TB risk patterns in Hawaii, USA, we evaluated data on a cohort of patients in Hawaii for 2005–2013. Period prevalence of NTMPD was highest among Japanese, Chinese, and Vietnamese patients (>300/100,000 persons) and lowest among Native Hawaiians and Other Pacific Islanders (50/100,000). Japanese patients were twice as likely as all other racial/ethnic groups to have Mycobacterium abscessus isolated (adjusted odds ratio 2.0, 95% CI 1.2–3.2) but were not at increased risk for infection with other mycobacteria species. In contrast, incidence of TB was stable and was lowest among Japanese patients (no cases) and highest among Filipino, Korean, and Vietnamese patients (>50/100,000). Substantial differences exist in the epidemiology of NTMPD by race/ethnicity, suggesting behavioral and biologic factors that affect disease susceptibility. KW - pulmonary KW - nontuberculous mycobacteria KW - bacterial infections KW - tuberculosis KW - epidemiology KW - Hawai’i KW - Hawaii KW - tuberculosis and other mycobacteria KW - TB KW - United States DO - 10.3201/eid2303.161827 UR - https://wwwnc.cdc.gov/eid/article/23/3/16-1827_article ER - End of Reference