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Racial/Ethnic Disparities in Hearing Aid vs Cochlear Implant Patient Evaluations

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1.  The demographic analysis from UTSW CI Diversity from 2010 to 2018 showed Non-Whites qualified for cochlear implantation more commonly than Whites, but pursued surgery at which of the following:
  1. Non-Whites pursued CI surgery at a higher rate than Whites.
  2. Non-Whites pursued CI surgery at the same rate as Whites.
  3. Compared to White patients, non-Whites were half as likely to pursue surgery (OR 0.47)
  4. Whites patients were 3 times more likely to pursue surgery as compared to non-White patients.
2.  When controlling for insurance coverage in 2019, the odds ratio for purchasing a hearing aid in Black patients relative to White patients was:
  1. 1.50
  2. 0.33
  3. 2
  4. 2.5
3.  During 2019 a total of 195 patients underwent CI evaluation in UTSW. Which of the following is true?
  1. 40% of Black patients qualified for a CI as compared to 80% of white patients.
  2. Same percentage of Black patients as compared to White patients qualified for a CI.
  3. Only 30% of White patients qualified for a CI.
  4. 85% of Black patients qualified for a CI as compared to 69% of White patients.
4.  Comparing HA and CI diversity in 2019, select the right statement:
  1. Less White patients purchased a HA than pursued CI.
  2. 6% of patients were Hispanic who purchased HAs versus 15% who pursued CI
  3. More Black patients purchased a HA than pursued CI.
  4. 15% of patients were Hispanic who purchased HAs versus 6% who pursued CI.
5.  What could be potential reasons associated with the greater diversity observed in those pursuing CI in 2019 vs. 2010-2018?
  1. Insurance coverage for the procedure.
  2. Improved marketing resources.
  3. Healthcare provider conscious or subconscious bias.
  4. Outreach campaigns.

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