{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T03:14:37Z","timestamp":1788146077661,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate whether neighborhood\u2010level sociodemographic deprivation, measured by the Area Deprivation Index (ADI), is associated with speech recognition and hearing\u2010related quality of life (QoL) prior to and following cochlear implant (CI) surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of 515 adult CI recipients (2017\u20132022) was conducted. Home addresses were geocoded to ADI percentiles representing neighborhood\u2010level sociodemographic deprivation. Assessments collected pre\u2010CI and at 6\u2010 and\/or 12\u2010months post\u2010CI included speech recognition (CNC words, AzBio sentences in quiet\u2014AzBioQ, and in noise\u2014AzBioN) and patient\u2010reported outcome measures (Speech, Spatial and Qualities\u201012\u2014SSQ, Cochlear Implant Quality of Life\u201010\u2014CIQOL). Bivariate Spearman correlations and multivariable linear regressions controlling for age, sociodemographic variables, duration of deafness, and electrode type evaluated associations between ADI and assessment measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants from more deprived neighborhoods (i.e., with larger ADIs) demonstrated significantly poorer pre\u2010CI CNC (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u2009\u22120.11), AzBioQ (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u2009\u22120.12), AzBioN (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u2009\u22120.18), SSQ (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u2009\u22120.13), and CIQOL (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>s<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u2009\u22120.30) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In multivariable models, larger ADI remained an independent predictor of poorer pre\u2010CI speech recognition and worse CIQOL (\n                      <jats:italic>p<\/jats:italic>\n                      's\u2009&lt;\u20090.05). However, ADI was not associated with any post\u2010CI outcomes (\n                      <jats:italic>p<\/jats:italic>\n                      's\u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Greater neighborhood\u2010level deprivation is associated with poorer speech recognition and patient\u2010reported outcome measures at CI evaluation but not with postimplantation benefit. These findings suggest that socioeconomic disparities primarily influence access to intervention rather than outcomes following implantation. Incorporating ADI into clinical workflows may help identify patients at risk for delayed CI access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70804","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T02:45:18Z","timestamp":1788144318000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Area Deprivation Index With Cochlear Implant Candidacy and Outcomes"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4098-1784","authenticated-orcid":false,"given":"Barak M.","family":"Spector","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Sackler School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Christmann","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Cote","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine East Tennessee State University  Johnson City Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Haynes","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9022-6916","authenticated-orcid":false,"given":"Aaron C.","family":"Moberly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrin N.","family":"Tamati","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Science The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","article-title":"Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2012","volume":"260","author":"Blackwell D. 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