Aphasia management in growing multiethnic populations

Abstract

Aphasia management in growing multiethnic populations Multiethnic aphasia caseloads in post-stroke services are estimated to grow extensively. The convergence of a larger prevalence of chronic neurogenic complications in a rapidly aging world population with the exponential growth of global ethno-racial diversity is estimated to considerably expand ethno-geriatric caseloads in neurorehabilitation services worldwide (Cummings-Vaughn, 2017; Kristiansen et al., 2016; Prince et al., 2015). A global demographic transition into larger multiethnic older groups, while having a tremendous impact on local social and healthcare services in many world regions, will particularly require increased research and workforce to meet the clinical demands of burgeoning multiethnic adult groups in post-stroke caseloads (Centeno, 2017; Centeno & Harris, in press; Dwolatzky et al., 2017; Yeo et al., 2017). As the number of people aged 60 years or over continuously grows from 901 million to 1.4 billion between 2015 and 2030 worldwide (United Nations, Department of Economic and Social Affairs, Population Division, 2017), a parallel steady growth in international migration has steadily expanded numerous local multiethnic scenarios, consisting of multiple ethno-racial groups including Indigenous populations, across the world. Global migration has progressively grown from 173 to 258 million individuals between 2000 and 2017 (United Nations, Department of Economic and Social Affairs, Population Division, 2016). Continuous worldwide increase in ethno-geriatric populations already constitutes a global healthcare priority, especially in high-migration regions (Centeno & Harris, in press; Kristiansen et al., 2016; Sheets & Gallagher, 2013; Yeo, 2009). With increased vulnerability to cardiovascular complications in an aging population, including stroke (Prince et al., 2015), stroke survivors are anticipated to number 73 million by 2030, consistent with global geriatric growth (Feigin et al., 2014). A large minority representation in adult stroke caseloads is expected. Minority elders in ethno-racially diverse environments have been reported to have a high incidence and prevalence of cardiovascular disease from the multifactorial interaction of social, economic, political, cultural, and institutional elements (Australian Institute of Health and Welfare, 2016; Mozaffarian et al., 2016). Many of these stroke survivors will have aphasia, a frequent poststroke disability that has been ranked to occur from 21% to 38% among stroke patients (Engelter et al., 2006). This innovative issue is an international effort to advance the evidential and clinical foundations needed to support aphasia services for the growing ethno-racially diverse adult populations. With expanded stroke ethno-geriatric groups, linguistic and sociocultural heterogeneity in neurorehabilitation programs, including aphasia services, will grow considerably (Centeno et al., 2017). Particularly, language diversity has crucial impact on aphasia management. Because there are about 7,111 langu...

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