Academic Journal
Stroke care in indigenous populations: A World Stroke Organization (WSO) scientific statement.
| Title: | Stroke care in indigenous populations: A World Stroke Organization (WSO) scientific statement. |
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| Authors: | Ranta A; Department of Medicine, University of Otago, Wellington, New Zealand.; Department of Neurology, Wellington Hospital, Wellington, New Zealand., Hart M; Department of Occupational Therapy, University of Manitoba, Winnipeg, MB, Canada., Dos Santos A; Department of Medicine and Neurology, Melbourne Brain Centre at Royal Melbourne Hospital, Parkville, Melbourne, VIC, Australia.; University of New South Wales, South Western Sydney Clinical School, Liverpool, NSW, Australia., Balabanski AH; Department of Medicine and Neurology, Melbourne Brain Centre at Royal Melbourne Hospital, Parkville, Melbourne, VIC, Australia.; Department of Neuroscience, Melbourne, Alfred Brain, Alfred Health, Monash University, Melbourne, VIC, Australia., Siri SRA; Center for Sami Health Research, Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway., Zavaleta-Cortijo C; Intercultural Citizenship and Indigenous Health Unit (UCISI), School of Public Health and Administration, Cayetano Heredia Peruvian University, Lima, Peru., Duncan S; Social and Human Working Group, International Arctic Science Committee, Akureyri, Iceland., Yu AY; Department of Medicine (Neurology), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON, Canada., Thresia CU; Institute for Mental Health and Neuro Sciences, Kozhikode, India., Stewart T; Faculty of Education, Health, and Psychological Sciences, Victoria University of Wellington, Wellington, New Zealand., Kelliher A; Johns Hopkins University, School of Nursing and Bloomberg School of Public Health, Baltimore, MD, USA., Warne D; Johns Hopkins University, School of Nursing and Bloomberg School of Public Health, Baltimore, MD, USA., Jones B; Department of Medicine, University of Otago, Wellington, New Zealand. |
| Source: | International journal of stroke : official journal of the International Stroke Society [Int J Stroke] 2025 Oct; Vol. 20 (8), pp. 928-948. Date of Electronic Publication: 2025 May 26. |
| Publication Type: | Journal Article; Scoping Review |
| Language: | English |
| Journal Info: | Publisher: SAGE Publications Country of Publication: United States NLM ID: 101274068 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1747-4949 (Electronic) Linking ISSN: 17474930 NLM ISO Abbreviation: Int J Stroke Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2016- : Thousand Oaks, CA : SAGE Publications Original Publication: Oxford, UK : Blackwell Pub., c2005- |
| MeSH Terms: | Stroke*/therapy , Stroke*/ethnology , Health Services Accessibility* , Health Services, Indigenous* , Stroke Rehabilitation*, Humans ; Indigenous Peoples ; Population Groups |
| Abstract: | Background: Indigenous Peoples have been reported to experience higher rates of stroke, poorer access to high-quality acute and rehabilitation stroke services, and worse post-stroke outcomes compared to dominant cultures residing in the same countries. The aim of this statement is to summarize available evidence on access barriers contributing to these inequities, effective solutions that have been deployed and tested, and present key recommendations to advance the field. Methods: We conducted a scoping review searching Medline, Embase, CINHAL, PubMed, Scopus, and Informit Indigenous Collection using the broad search terms "stroke" and "Indigenous" without date restriction until 1 August 2024. We screened 673 unique titles, 96 abstracts, and 80 full-text papers of which we retained 41. We added 10 additional key references known to authors. Articles were analyzed to identify key cross-cutting themes. Results: We identified five key themes: (1) Historical context, colonization and racism; (2) wholistic strength-based approaches to health, well-being, and recovery; (3) communication, health literacy, and cultural safety; (4) Indigenous knowledge systems, research principles, and community-led action; (5) achieving local acceptance versus wide generalizability. Recommendations: Key priority areas, detailed in the form of 11 specific recommendations and based on six core values, include improving stroke service responsiveness, Indigenous Peoples empowerment, and Indigenous research support to better meet the needs of Indigenous Populations globally. The statement has been reviewed and approved by the WSO Executive Committee. |
| Competing Interests: | Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
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| Contributed Indexing: | Keywords: Indigenous; Stroke care; co-design; community; first nations; health equity; stroke outcomes; traditional |
| Entry Date(s): | Date Created: 20250526 Date Completed: 20250919 Latest Revision: 20260925 |
| Update Code: | 20260925 |
| PubMed Central ID: | PMC12446730 |
| DOI: | 10.1177/17474930251347394 |
| PMID: | 40415682 |
| Database: | MEDLINE |
| ISSN: | 1747-4949 |
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| DOI: | 10.1177/17474930251347394 |