Besides North America, dialects of ASL and ASL-based creoles are used in many countries around the world, including much of West Africa and parts of Southeast Asia.
Disamping Amerika Utara, dialek-dialek ASL dan bahasa-bahasa kreol berbasis ASL digunakan di beberapa negara di seluruh dunia, termasuk sebagian besar Afrika Barat dan bagian-bagian Asia Tenggara.