title: [Study on the factors impacting on early cochlear implantation between the eastern and western region of China].
abstract: OBJECTIVE
  To describe tne regional different factors which impact on early cochlear implantation in prelingual deaf children between eastern and western regions of China.
  
  
  METHODS
  The charts of 113 children who received the cochlear implantation after 24 months old were reviewed and analyzed. Forty-five of them came from the eastern region (Jiangsu, Zhejiang or Shanghai) while 68 of them came from the western region (Ningxia or Guizhou). Parental interviews were conducted to collect information regarding the factors that impact on early cochlear implantation. Result:Based on the univariate logistic regression analysis, the odds ratio (OR) value of universal newborn hearing screening (UNHS) was 5. 481, which indicated the correlation of UNHS with early cochlear implantation is significant. There was statistical difference between the 2 groups (P<0. 01). For the financial burden, the OR value was 3. 521(strong correlation) and there was statistical difference between the 2 groups (P<0. 01). For the communication barriers and community location, the OR value was 0. 566 and 1. 128 respectively, and there was no statistical difference between the 2 groups (P>0. 05). The multivariate analysis indicated that the UNHS and financial burden are statistically different between the eastern and western regions (P=0. 00 and 0. 040 respectively).
  
  
  CONCLUSIONS
  The UNHS and financial burden are statistically different between the eastern reinforced in the western region. In addition, the government and society should provide powerful policy and more financial support in the western region of China. The innovation of management system is also helpful to the early cochlear implantation.
authors.forename: Hanqiong
authors.initials: H
authors.lastname: Xiao
authors.forename: Wei
authors.initials: W
authors.lastname: Li
authors.forename: Ruixia
authors.initials: R
authors.lastname: Ma
authors.forename: Zhengpeng
authors.initials: Z
authors.lastname: Gong
authors.forename: Haibo
authors.initials: H
authors.lastname: Shi
authors.forename: Huawei
authors.initials: H
authors.lastname: Li
authors.forename: Bing
authors.initials: B
authors.lastname: Chen
authors.forename: Ye
authors.initials: Y
authors.lastname: Jiang
authors.forename: Chunfu
authors.initials: C
authors.lastname: Dai
mesh_terms: D002648:Child; D002681:China; D019929:Cochlear Implantation / Q000706:statistics & numerical data*; D005843:Geography; D006320:Hearing Tests / Q000706:statistics & numerical data*; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening