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Updated: Aug 1, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

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Published on: March 24, 2023

426

Socioeconomic Status and Cochlear Implant Usage: A Datalogging Study.

Daniel R Awad1, Johnathan E Castaño2, Jennifer L McCoy3,4

  • 1University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

The Annals of Otology, Rhinology, and Laryngology
|April 25, 2023
PubMed
Summary

Children with cochlear implants using private insurance showed increased daily usage time compared to those with public insurance. Older age at implantation was linked to less device use, impacting binaural hearing access.

Keywords:
cochlear implantdisparitiesimplant usagepediatric otolaryngologysocioeconomic factors

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Area of Science:

  • Audiology
  • Biomedical Engineering
  • Public Health

Background:

  • Socioeconomic status (SES) significantly influences healthcare access and outcomes.
  • Cochlear implant (CI) usage is crucial for maximizing auditory rehabilitation benefits.
  • Understanding SES associations with CI usage can identify disparities and inform interventions.

Purpose of the Study:

  • To evaluate the associations between proxy measures of socioeconomic status (SES) and cochlear implant (CI) usage.
  • To identify demographic factors correlating with CI device utilization in pediatric patients.

Main Methods:

  • Retrospective case series analysis of 142 pediatric patients with CIs and data logging capabilities.
  • Extracted daily CI usage data (on air time, coil off, speech in noise/quiet) from audiology records (2002-2017).
  • Assessed associations between CI usage metrics and SES proxies like insurance type and zip code-based income.

Main Results:

  • Patients with private insurance demonstrated significantly higher daily 'on air' time (1.2 hours more) and 'quiet time' (0.9 hours more) compared to those with public insurance.
  • Younger age at last visit correlated with increased speech in quiet and coil off time.
  • Younger age at implantation was associated with longer duration since last data logging, more daily 'on air' use, and increased speech in noise listening time.

Conclusions:

  • Lack of private insurance and older age at implantation were associated with reduced binaural hearing access in pediatric CI users.
  • Findings highlight potential SES-related disparities in CI device utilization and auditory rehabilitation.
  • Interventions may be needed to ensure equitable CI usage and outcomes across different socioeconomic groups.