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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: Non-Whites pursued CI surgery at a higher rate than Whites. Non-Whites pursued CI surgery at the same rate as Whites. Compared to White patients, non-Whites were half as likely to pursue surgery (OR 0.47) 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: 1.50 0.33 2 2.5

3.  During 2019 a total of 195 patients underwent CI evaluation in UTSW. Which of the following is true? 40% of Black patients qualified for a CI as compared to 80% of white patients. Same percentage of Black patients as compared to White patients qualified for a CI. Only 30% of White patients qualified for a CI. 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: Less White patients purchased a HA than pursued CI. 6% of patients were Hispanic who purchased HAs versus 15% who pursued CI More Black patients purchased a HA than pursued CI. 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? Insurance coverage for the procedure. Improved marketing resources. Healthcare provider conscious or subconscious bias. Outreach campaigns.