Cultural stigma and systemic gaps in dementia care for Korean migrants in Australia

Abstract In an era of increasing global mobility, migrant populations are not only expanding but also ageing, creating new challenges as first-generation migrants grow older in host societies. While Korean migration to Australia is relatively recent ( ABS 2021 ), the first generation is now entering old age, yet little research has examined their experiences of ageing. This study explores experiences of dementia among Korean migrants in Australia through 13 in-depth interviews with people living with dementia, family members, and Korean-speaking health and aged care professionals. Thematic analysis identified four interconnected themes: dementia stigma and concealment; emotional isolation and social withdrawal; family responsibility and caregiving; and language barriers and systemic exclusion. Participants described persistent dementia stigma, contributing to concealment, delayed help-seeking, and social withdrawal. Emotional isolation was particularly significant among older migrants whose social networks had been disrupted by migration and further constrained by cognitive decline. Strong expectations of filial responsibility shaped care decisions and placed considerable burdens on family carers. Language barriers affected communication with healthcare providers, access to services, and navigation of Australia’s health and aged care systems. As dementia progressed, older migrants became increasingly reliant on Korean language and culturally familiar environments for social connection and wellbeing. As the first study focusing specifically on dementia among Korean migrants in Australia, the findings demonstrate how migration, language, cultural values, and family expectations intersect to shape dementia experiences. The study highlights the need for culturally responsive dementia services, improved language support, and more inclusive care for Australia’s ageing migrant communities.