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Updated: Jul 2, 2026

Performing Intracochlear Electrocochleography During Cochlear Implantation
Published on: March 8, 2022
Does Childhood Cochlear Implantation Spill Over to Carers' Employment Status?
Rajan Sharma1,2,3, Massimiliano Tani4,5,6, Zhiming Cheng7,8
1Macquarie University Centre for the Health Economy (MUCHE), Macquarie University, Sydney, New South Wales, Australia.
Cochlear implants (CI) in children with hearing impairment may improve primary carers' employment. This effect is more pronounced for carers from lower socioeconomic backgrounds, potentially easing time constraints and reducing stress.
Area of Science:
- Pediatric audiology
- Labor economics
- Disability studies
Background:
- Primary carers of children with disabilities often face employment disadvantages.
- Limited research exists on the employment impact of disability interventions on carers.
- This study addresses the gap in understanding intervention spillover effects on carer labor market outcomes.
Purpose of the Study:
- To investigate if interventions for children with hearing impairment influence their primary carers' employment.
- To examine the relationship between cochlear implant (CI) use in deaf or hard-of-hearing (DHH) children and carer employment.
- To assess socioeconomic factors moderating this relationship.
Main Methods:
- Analysis of the Longitudinal Outcomes of Children with Hearing Impairment study (Australia).
- Inclusion of 449 DHH children across three waves (ages 0-3, 5-7, 8-10) from 2005-2018.
- Application of a panel random-effects model with a Hausman specification test for controlling heterogeneity.
Main Results:
- Primary carers of DHH children with cochlear implants (CI) showed higher employment rates compared to those without CI.
- The positive association between CI and carer employment was stronger for carers from lower socioeconomic backgrounds.
- Findings suggest a potential link between CI intervention and improved carer labor market participation.
Conclusions:
- Childhood CI may enhance carer employment by potentially reducing time constraints, increasing self-efficacy, and lowering stress.
- Further large-scale, longitudinal research is recommended to confirm these findings.
- Interventions for childhood hearing impairment may have positive socioeconomic spillover effects for families.
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