OTRNSystematic ReviewJournal of advanced nursing2026

Social Isolation and Loneliness Among Older Asian Immigrants Through the Lens of Sense of Coherence: Systematic Review of Qualitative Studies.

Della Maneze, Brandon W Smith, Hadwan Aldahmashi and 5 others

PMID 41891501

WHAT IT FOUND

Older Asian immigrants linked loneliness to language barriers, reversed family roles and lost cultural connection.

Ask about these when assessing older adults, not only mood.

Key findings

01Across 10 qualitative studies with 228 older Asian immigrants, language barriers, cultural displacement and reversed family roles were recurring experiences linked to social isolation and loneliness.

02Family, church and ethnic community could both reduce and deepen loneliness, depending on whether support was respectful, reciprocal and accessible.

03Meaningfulness came from caregiving, housework, volunteering, faith and independence, but unmet expectations, physical limits and inability to perform cultural rituals undermined it.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

The review included only qualitative studies, so it describes experiences and themes rather than measuring how common they are or testing whether interventions help. It searched only English-language studies published between 2014 and 2024, so non-English research and older evidence were not included. Older Chinese immigrants were over-represented (70% of included papers), so the themes may not reflect other Asian immigrant groups. The review excluded people in institutional settings and studies focused on cognitive impairment, chronic disease, disability, recent widowhood, refugee status, homelessness, LGBTQIA+ status or pandemic isolation, so it may not apply to those groups. Many studies did not report duration of residence, health status or geographic context clearly, limiting how these factors can be linked to isolation and loneliness. The included studies did not examine government policy or service provision in depth, so the review says little about how systems shape access to support.

Declared interests

This work was supported by an internal University of Wollongong start-up grant (M0869). No external funding was received. The authors declared no conflicts of interest.

The easy way to misread this

Do not read these themes as evidence that any intervention reduces social isolation or loneliness. The review analysed qualitative reports from 10 studies and did not test treatments.

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