Racial Disparities in the Development of Dysphagia After Stroke: Further Evidence From the Medicare Database
Our findings confirm previous research suggesting an association between Asian race and dysphagia after stroke while adding evidence for increased odds in other racial/ethnic minority groups.
Understanding communicatively impaired minority individuals may involve going beyond strictly linguistic and communicative domains. In particular, considering the psychoemotional aspects impacting these clients may be extremely helpful for treating them and enhancing their response to therapy. This article provides an overview of issues on minority bilingual individuals that are relevant to professionals in mental health and speech-language pathology. We use Hispanics, the fastest growing minority in the United States, for illustration. The material discussed in this article highlights some of the benefits of collaborative communication between mental health professionals and speech-language pathologists (SLPs). Such communication would enhance SLPs’ understanding of the interesting interconnections among emotions, culture, and language in immigrant and minority persons with valuable applications to therapeutic services with these individuals.
The objective of this study was to investigate trends in the referral process among pediatric cochlear implant candidates. Medical and audiologic charts between 2003 and 2005 were reviewed, and children five years and younger with moderately-severe or worse sensorineural hearing loss were included. Of the 105 audiograms meeting the inclusion criteria, 69% were referred for a cochlear implant, and 52% were considered as definite candidates for an implant by audiologists with expertise in cochlear implant technology. Children referred for an implant, compared to children who were not referred, were more likely to have married parents (91% vs. 70%, p=0.02) and more likely to have private insurance (56% vs. 29%, p=0.02). Multivariable regression results were consistent with the unadjusted findings regarding marital status, but not insurance status. Children with sensorineural hearing loss are inconsistently referred to cochlear implant teams despite similar audiologic findings. To reach the Healthy People 2010 goals, this disparity should be addressed. A further understanding of the population of children not referred is important in diminishing inconsistencies and understanding barriers to care.
from the International Journal of Audiology