What is it about?
This study examines the influence of family structure, living arrangements, and demographic factors on the pediatric cochlear implant experience. Medical records of 103 children who received cochlear implants at a tertiary care center in Central Florida were analyzed. The findings revealed that children from single-parent households or single-adult living arrangements faced significant delays in obtaining their first implant. Additionally, racial disparities were identified, with White children receiving implants earlier than Black or Asian children. These delays critically affect speech, language development, and overall communication skills. This study highlights factors useful in characterizing children who should be considered at high risk for delayed hearing intervention and the need for early intervention to address barriers to timely care. It advocates for stronger support systems, greater awareness, and policy reforms to ensure equitable access to hearing healthcare for all children, irrespective of their family or demographic background.
Featured Image
Photo by Trust "Tru" Katsande on Unsplash
Why is it important?
This study is important because it sheds light on often-overlooked factors—family structure and living arrangements—that significantly influence access to timely pediatric cochlear implantation. By identifying these barriers, along with demographic disparities, the research contributes to a broader understanding of inequalities in hearing healthcare. Additionally, it provides actionable insights to improve outcomes for children by advocating for stronger support systems, increased awareness, and policy reforms. These efforts aim to ensure that all children, regardless of their family dynamics or demographic background, have equitable access to early intervention, which is crucial for speech, language development, and overall communication skills. In essence, this work not only fills a gap in existing research but also offers a roadmap for creating a more inclusive and supportive hearing healthcare system.
Perspectives
As a medical student, collaborating with professionals from diverse backgrounds on this project was an enriching experience. I gained invaluable insights from each team member, learning from their expertise and unique perspectives. Presenting our research at an international conference was a defining moment in my academic journey. Engaging with researchers from around the world and discussing applications of our work reinforced the importance of multidisciplinary collaboration in advancing medical care. I hope our research will promote stronger advocacy for children facing barriers to receiving cochlear implants and ultimately lead to more equitable healthcare outcomes.
Ariana Johnson
University of Central Florida College of Medicine
Read the Original
This page is a summary of: The Effect of Family Structure on the Cochlear Implant Experience of Children, Perspectives of the ASHA Special Interest Groups, March 2025, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2024_persp-24-00243.
You can read the full text:
Contributors
The following have contributed to this page







