Impact of Cochlear Implantation on Quality of Life in Chinese Americans.

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY Otology & Neurotology Pub Date : 2024-07-01 DOI:10.1097/MAO.0000000000004207

Caleb J Fan, Maria A Mavrommatis, George B Wanna, Maura K Cosetti

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Abstract

Objectives: To investigate the quality of life (QOL) of adult Mandarin-speaking Chinese Americans after cochlear implantation (CI) using the cross-culturally adapted Chinese Cochlear Implant Quality of Life-10 (CIQOL-10) Global.

Study design: Cross-sectional.

Setting: Tertiary care neurotology practice in New York City.

Patients: Thirty adult Mandarin-speaking Chinese Americans (22.8-89.4 yr, mean 48.9 yr) with prelingual (12) or postlingual (18) deafness who underwent CI between 1995 and 2020. All patients were at least 1 year from CI activation.

Intervention: CI.

Main outcomes measures: Chinese CIQOL-10 Global score.

Results: There were no detectable differences in mean Chinese CIQOL-10 Global scores between the prelingual (mean 51.9, SD 11.0) and postlingual (mean 44.0, SD 16.4) cohorts (p = 0.1; 95% CI, -2.3 to 18.1; Hedges' g = 0.5). Comparison of the overall cohort (mean 47.1, SD 14.8) with previously published CIQOL-10 Global scores of English-speaking American CI users (mean 51.5, SD 10.4) demonstrated a significant difference (p = 0.02; 95% CI, 0.4-8.4; Hedges' g = 0.4). For the overall cohort, multivariable analysis demonstrated that combined household income (p = 0.007, β = 7.4; 95% CI, 0.7-14.0) was positively associated with Chinese CIQOL-10 Global scores.

Conclusions: This study is the first to evaluate QOL after CI in Mandarin-speaking Chinese American adults. The CIQOL-10 Global scores of Mandarin-speaking Chinese Americans CI users are significantly worse than those of English-speaking American CI users. Combined household income may be positively associated with QOL in the Mandarin-speaking Chinese American CI population. More resources are needed to assess outcomes and support rehabilitation in this population.

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人工耳蜗植入对美籍华人生活质量的影响。

目的研究设计：横断面：横断面：患者：30 位讲普通话的成年华人：30 位讲普通话的成年美籍华人（22.8-89.4 岁，平均 48.9 岁），患有舌前（12 位）或舌后（18 位）耳聋，在 1995 年至 2020 年期间接受了人工耳蜗植入术。干预措施：CI：干预措施：CI：中文 CIQOL-10 全球评分：结果：舌前队列（平均 51.9，SD 11.0）和舌后队列（平均 44.0，SD 16.4）之间的中文 CIQOL-10 Global 平均得分没有发现差异（p = 0.1；95% CI，-2.3 至 18.1；Hedges' g = 0.5）。将总体队列（平均 47.1 分，标准差 14.8 分）与之前公布的讲英语的美国 CI 用户的 CIQOL-10 全球评分（平均 51.5 分，标准差 10.4 分）进行比较，结果显示两者之间存在显著差异（p = 0.02；95% CI，0.4-8.4；Hedges' g = 0.4）。对整个队列进行的多变量分析表明，综合家庭收入（p = 0.007，β = 7.4；95% CI，0.7-14.0）与中国人的 CIQOL-10 全球评分呈正相关：本研究首次评估了讲普通话的美国华裔成人 CI 后的 QOL。讲普通话的美籍华人 CI 用户的 CIQOL-10 Global 分数明显低于讲英语的美籍 CI 用户。在讲普通话的美籍华人 CI 群体中，家庭总收入可能与 QOL 呈正相关。需要更多的资源来评估该人群的康复效果并为其提供康复支持。

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来源期刊

Otology & Neurotology 医学-耳鼻喉科学

CiteScore

3.80

自引率

14.30%

发文量

509

审稿时长

3-6 weeks

期刊介绍： Otology & Neurotology publishes original articles relating to both clinical and basic science aspects of otology, neurotology, and cranial base surgery. As the foremost journal in its field, it has become the favored place for publishing the best of new science relating to the human ear and its diseases. The broadly international character of its contributing authors, editorial board, and readership provides the Journal its decidedly global perspective.