Unilateral hearing loss significantly increases the risk of poor adherence to bone conduction hearing device (BCHD) use among pediatric microtia patients.
Older children (≥7 years), particularly those aged 11 years and above, exhibit substantially lower follow-up adherence compared to younger patients.
Children with public or no insurance have decreased adherence compared to those with private insurance, highlighting potential socioeconomic disparities.
Reduced daily device wear, objectively measured by datalogging showing less than four hours per day, is a strong independent predictor of poor adherence and should be routinely monitored to guide interventions.
