Evidence map›Paper›PMID 41437055›Full record

ArticleBMC health services research2025

Health and social services utilisation of adults with a cochlear implant: evidence from a national person-level integrated data asset in Australia.

Tolesa Okuba, Reidar P Lystad, Isabelle Boisvert, Anne McMaugh, Robyn Cantle Moore, Peter Wolnizer, Cassidy Chow, Ramya Walsan, Rebecca J Mitchell

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Tolesa OkubaAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia. tolesa.okuba@mq.edu.au.
Reidar P LystadAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Isabelle BoisvertSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Anne McMaughMacquarie School of Education, Faculty of Arts, Macquarie University, Sydney, Australia.
Robyn Cantle MooreNextSense Institute, Sydney, Australia.
Peter WolnizerThe University of Sydney Business School, University of Sydney, Sydney, Australia.
Cassidy ChowDepartment of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Ramya WalsanAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Rebecca J MitchellAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe frequency and type of health and social services use following cochlear implantation are unclear. This study aimed to examine health and social services utilisation among adult cochlear implant users.

methodsA retrospective cohort study was conducted among adults aged ≥ 18 years who received a cochlear implant between 2011 and 2021 in Australia. Linked data from the Person-level Integrated Data Asset (PLIDA) were utilised. A negative binomial regression was used to examine factors associated with health and social service use in younger (18-64 years) and older adults (≥ 65 years).

resultsA total of 6,305 adults received a cochlear implant: 2,715 (43·1%) younger and 3,590 (56·9%) older adults. Older adults had a higher mean number of general practitioner (GP) visits (48.0) compared with younger adults (34.2), but younger adults visited specialists more often (7.1 vs. 4.7). Audiologists visit numbers were similar for both groups, with mean of 7.1 for younger and 7.5 for older adults. Factors associated with primary care (i.e. general practitioner visits) for both younger and older adults included being female, a culturally and linguistically diverse (CALD) background, comorbidities, needing assistance for activities of daily living (ADL), living in areas of socioeconomic disadvantage and having had ≥ 2 implants. Factors associated with specialist visits for younger adults included being female, a CALD background, being employed, or having a mental health condition, while for older adults these factors included needing assistance with ADLs, and long-term health or mental health conditions. Younger adults from CALD backgrounds, living in socioeconomically disadvantaged areas, with low income and experiencing mental health condition were more likely to receive government benefits.

conclusionSociodemographic factors and comorbidities influence utilisation to both healthcare and social services for adults with a cochlear implant. This underscores the need for integrated care, considering psychological and health needs of the implant users.

Indexed as

Cochlear ImplantationCochlear ImplantsPatient Acceptance of Health CareSocial WorkAdolescentAdultAgedAge FactorsAustraliaFemaleHumansMaleMiddle AgedRetrospective StudiesSocioeconomic FactorsYoung AdultAdultsCochlear implantHealthServices useSocial

Identifiers

PMID41437055
PMCPMC12729206

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