The Voices of Older African Immigrants on How They Cope with Social Isolation and Loneliness in the United States.

Objectives: Up to 40% of older adults in the US, including older African immigrants, report experiencing social isolation and loneliness. Despite this prevalence, there is limited understanding of how they cope with these challenges. This study aims to contribute to a broader understanding of the coping mechanisms employed by older African immigrants in the face of loneliness and social isolation.

Methods: Using a qualitative approach, this study recruited and conducted semi-structured interviews with 11 participants aged 63-79.

Results: Four themes emerged from the data through a thematic analysis approach which includes a) Positive self-talk and adaptation: "I have to cope with it," b) Technology/social media: "if I cannot interact physically outside, I go through social media/watch TV," c) Intergenerational engagement beyond caregiving: "They [grandchildren] are my immediate constituency," and d) Digging deep through faith: "Interactions have been mostly within the church."

Conclusions: Older African immigrants may find strategies to cope with social isolation and loneliness, but additional support may be needed to strengthen their coping skills and enhance their social network with people outside of their families.

Clinical implications: Intervention should focus on regular assessment and strengthening of their social network outside the family unit.