Scholarlink

Background <p>The 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.</p> Methods <p>A 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).</p> Results <p>A 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.</p> Conclusion <p>Sociodemographic 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.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

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

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月23日

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

摘要

Background

The 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.

Methods

A 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).

Results

A 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.

Conclusion

Sociodemographic 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.