| Autor: |
Liu, Xinliang, Rosa-Lugo, Linda I., Cosby, Janel L., Pritchett, Cedric V. |
| Zdroj: |
Otolaryngology-Head & Neck Surgery; Mar2021, Vol. 164 Issue 3, p667-674, 8p |
| Abstrakt: |
Objective: To evaluate the association between race/ethnicity and insurance status on the access to early cochlear implantation. Study Design: Population-based retrospective analysis of pediatric cochlear implantation procedures. Setting: State Ambulatory Surgery and Services Databases of Florida from 2005 to 2017. Methods: All children aged 18 years or younger in the state of Florida undergoing cochlear implantation were identified. The outcome measures were access to early cochlear implantation (before 1 and 2 years of age). Descriptive and multivariate logistic regression analyses were conducted. Results: Among 1511 pediatric cochlear implantation procedures with complete data, 65 (4.3%) procedures were performed by 1 year of age and 348 (23.0%) by 2 years of age. Black children (odds ratio [OR], 0.44; 95% CI, 0.28-0.70), Hispanic children (OR, 0.70; 95% CI, 0.52-0.94), and children with Medicaid (OR, 0.64; 95% CI, 0.48-0.84) were significantly less likely to be implanted before 2 years of age. Even when insured by private insurance, black and Hispanic children were still less likely to be implanted before 2 years of age compared to white children with private insurance. Greater racial and insurance disparities existed in access to cochlear implantation before 1 year of age compared to implantation before 2 years of age. Conclusion: Racial/ethnic and insurance disparities in pediatric cochlear implantation can be observed at the population level. To address these racial and insurance inequalities, a multidisciplinary care team is needed and priorities should be given to research endeavors and policy interventions that target these disparities. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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