TY - JOUR AU - Blakney, Rebekah AU - Ricotta, Emily AU - Frankland, Timothy AU - Honda, Stacey AU - Zelazny, Adrian AU - Mayer-Barber, Katrin AU - Dean, Samantha AU - Follmann, Dean AU - Olivier, Kenneth AU - Daida, Yihe AU - Prevots, D. Rebecca T1 - Incidence of Nontuberculous Mycobacterial Pulmonary Infection, by Ethnic Group, Hawaii, USA, 2005–2019 T2 - Emerging Infectious Disease journal PY - 2022 VL - 28 IS - 8 SP - 1543 SN - 1080-6059 AB - To further clarify differences in the risk for nontuberculous mycobacterial pulmonary infection (NTM-PI) among ethnic populations in Hawaii, USA, we conducted a retrospective cohort study among beneficiaries of Kaiser Permanente Hawaii (KPH). We abstracted demographic, socioeconomic, clinical, and microbiological data from KPH electronic health records for 2005–2019. An NTM-PI case-patient was defined as a person from whom >1 NTM pulmonary isolate was obtained. We performed Cox proportional hazards regression to estimate incidence of NTM-PI while controlling for confounders. Across ethnic groups, risk for NTM-PI was higher among persons who were underweight (body mass index [BMI] <18.5 kg/m2). Among beneficiaries who self-identified as any Asian ethnicity, risk for incident NTM-PI was increased by 30%. Low BMI may increase susceptibility to NTM-PI, and risk may be higher for persons who self-identify as Asian, independent of BMI. KW - Nontuberculous mycobacteria KW - Mycobacterium infections KW - nontuberculous KW - Mycobacterium avium complex KW - tuberculosis and other mycobacteria KW - ethnic group KW - Hawaii KW - United States KW - NTM KW - bacteria KW - respiratory infections DO - 10.3201/eid2808.212375 UR - https://wwwnc.cdc.gov/eid/article/28/8/21-2375_article ER - End of Reference