Black Clouds and Silver Linings: Exploring the Psychosocial Consequences of the COVID-19 Pandemic on Expatriates Living in Hong Kong

: Background: While global media, international and local health organisations, epidemiologists, and opinion makers disseminate regular updates on the spread and mortality of COVID-19, the psychosocial effect of the pandemic is often neglected. This is amplified for expatriates living outside their native country as stringent quarantine measures make travelling to their home countries prohibitive, if not impossible, in terms of time and money. Objective: The aim of this study was to understand the psychosocial consequences of the COVID-19 pandemic on expatriates living in Hong Kong. Method: An exploratory qualitative research design was employed. Qualitative data from semi-structured interviews and surveys were analysed using template analysis. Findings: Data revealed that COVID-19 adversely affected the mental and social wellbeing of most of the respondents. There were silver linings in finding new ways to connect, appreciating a slower pace of life and the opportunity to reassess priorities, although the black clouds of separation from family, concern for youth, missing milestones and mental & financial concerns dominated most of the data. These negative consequences were exacerbated by the lack of reasonableness, inclusivity, openness and transparency of the COVID-19 restrictions and regulations. Conclusion: As the psychosocial consequences of the pandemic are expected to continue for some time, this study has implications for public health policy and practice in HK, and internationally, in planning how to mitigate the negative effects of the pandemic.