Growing Old as a Member of an Ethnic Minority in Hong Kong: Implications for an Inclusive Long-Term Care Policy Framework

Cheryl Hiu-kwan CHUI, Gizem ARAT, Karrie CHAN, Paul Wai Ching WONG

Research output: Journal PublicationsJournal Article (refereed)peer-review

9 Citations (Scopus)


Hong Kong is experiencing significant demographic changes as a result of rapid population aging and immigration. Anecdotal evidence suggests that ethnic minorities, in particular aged members of South Asian ethnic minorities, face significant and diverse obstacles in accessing services important to their general welfare. This study is the first systematic attempt to explore the long-term care needs of Nepalese older adults in Hong Kong and the barriers they face in accessing long-term care services. Data were obtained through semi-structured interviews with 30 Nepalese older adults. We found that Nepalese older adults have similar physical and psychosocial needs as those of their local Chinese counterparts. However, participants face a range of structural, knowledge, and attitudinal barriers that together deter them from accessing long-term care services, despite their right to do so. Policy recommendations to mitigate these barriers are given, with reference to the World Health Organization’s Age-Friendly Cities Framework.
Original languageEnglish
Article number073346481987350
Pages (from-to)463-471
Number of pages9
JournalJournal of Applied Gerontology
Issue number5
Early online date9 Sep 2019
Publication statusPublished - May 2020
Externally publishedYes

Bibliographical note

This study was approved by the Human Research Ethics Committee (HREC) of the University of Hong Kong (HREC No. EA1710005). Gizem Arat is now affiliated with Lingnan University, Hong Kong.


  • age-friendly city
  • diversity and ethnicity
  • long-term services and support
  • minority
  • policy
  • qualitative methods
  • social inclusion


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