Language is brain: Improving neurologic health equity for linguistically diverse populations

Ortega, Pilar; Butler, Mitchell; Cooper, Joseph J.

doi:10.1016/j.jocn.2022.04.022

Cited by 2 publications

(1 citation statement)

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“…This could facilitate community‐centred and multi‐stakeholder approaches at a fine‐grained level adapted to each local situation (Vandebroek et al., 2011; Zandlová et al., 2023). Moreover, the use of minority languages and dialects may improve the psycho‐social welfare of communities (Betley et al., 2021; Blasi et al., 2022; Fernandez‐Duque et al., 2023; Ortega et al., 2022), which in turn should contribute to enhancing citizen engagement, local empowerment and larger‐scale co‐partnerships for designing and implementing environmental policies (Molnár et al., 2023). Alternately, depending on the existence of adequate academic and political channels that could take into account language diversity (Copete et al., 2023; Konno et al., 2020; Lynch et al., 2021), the environmental policies of minority communities at the local level could be integrated into the discussion of global policies on climate change (Ruggiero, 2021).…”

Section: Linguistic Diversity For Local Empowerment Of Environmental ...mentioning

confidence: 99%

The importance of worldwide linguistic and cultural diversity for climate change resilience

Couée

2024

Ecology Letters

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Local minority languages and dialects, through the local knowledge and expertise associated with them, can play major roles in analysing climate change and biodiversity loss, in facilitating community awareness of environmental crises and in setting up locally‐adapted resilience and sustainability strategies. While the situation and contribution of Indigenous and Tribal Peoples are of emblematic importance, the issue of the relationships between cultural and linguistic diversity and environmental awareness and protection does not solely concern peripheral highly‐specialized communities in specific ecosystems of the Global South, but constitutes a worldwide challenge, throughout all of the countries, whatever their geographical location, their economical development, or their political status. Environmental emergency and climate change resilience should therefore raise international awareness on the need to promote the survival and development of minority languages and dialects and to take into account their creativity and expertise in relation to the dynamics of their local environments.

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Section: Linguistic Diversity For Local Empowerment Of Environmental ...mentioning

confidence: 99%

The importance of worldwide linguistic and cultural diversity for climate change resilience

Couée

2024

Ecology Letters

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Enhancing Patient-Physician Communication: Simulating African American Vernacular English in Medical Diagnostics with Large Language Models (Preprint)

Lee,

Chang,

Yang

2024

Preprint

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BACKGROUND Communication barriers in healthcare, particularly between physicians and patients with different linguistic and cultural backgrounds, negatively impact patient care. Studies show that language and cultural disparities contribute to health outcome disparities, particularly in the African American community. Patient-physician language concordance is linked to better health outcomes, highlighting the need for healthcare systems to consider patients' unique linguistic and cultural backgrounds. OBJECTIVE This study aims to investigate Large Language Models (LLMs), specifically GPT-4, in simulating patients who speak African American Vernacular English (AAVE). By assessing GPT-4's capability to mimic AAVE, the study seeks to bridge the linguistic and cultural communication gaps in healthcare, leading to a more culturally sensitive and inclusive healthcare system. METHODS The study involved simulating patient-physician interactions using GPT-4. We crafted prompts incorporating medical cases, demographic variables, and linguistic features, progressively increasing complexity. The prompts were based on scenarios from the United States Medical Licensing Examination (USMLE) Computer-Based Case Simulations (CCS). Diagnostic questions formulated by healthcare professionals were posed to the simulated patients, and responses were analyzed for AAVE linguistic features. RESULTS Our research indicates that GPT-4 consistently exhibits AAVE characteristics in response to various prompts. Notably, the most comprehensive prompt (CompP) – which integrates the medical case, demographic variable, and linguistic features – is particularly effective in eliciting AAVE features in the GPT-4's responses. Interestingly, prompt that solely include a demographic variable (DemoP) is more effective than the one with explicit linguistic feature details (LingP) in eliciting phonological features. This suggests an inherent association in GPT-4 between the African American demographic and specific phonological attributes. Furthermore, GPT-4 can generate 'out-of-list features', which are linguistic behaviors not explicitly requested in the prompts. However, the GPT-4 exhibits limitations in simulating certain AAVE features. These limitations are particularly evident in constructing questions involving specific inversion rules, existential and locative constructions, and in the use of unique AAVE lexical items. CONCLUSIONS This study underscores GPT-4's proficiency in simulating linguistic behaviors associated with specific demographic groups, particularly AAVE. Such capability is vital for bridging linguistic gaps in healthcare and enhancing communication. Our findings suggest the potential of AI systems, like GPT-4, to serve as practical training tools for medical professionals, improving their interaction with diverse patient populations. Future research should include a broader range of demographic and sociolect factors, and focus on adapting medical terminology to various levels of patient health literacy. Developing customized language models, sensitive to linguistic and cultural nuances, could play a pivotal role in reducing communication barriers, leading to better patient outcomes and a more equitable healthcare system.

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Language is brain: Improving neurologic health equity for linguistically diverse populations

Cited by 2 publications

References 38 publications

The importance of worldwide linguistic and cultural diversity for climate change resilience

The importance of worldwide linguistic and cultural diversity for climate change resilience

Enhancing Patient-Physician Communication: Simulating African American Vernacular English in Medical Diagnostics with Large Language Models (Preprint)

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