Ageing in Australia or Returning Home? Healthcare Experiences and Cultural Influences among Older Arab Migrants

Abstract Background Australia’s ageing population is increasingly shaped by cultural and linguistic diversity, yet the healthcare experiences and ageing preferences of specific subgroups remain underexplored. Older Arab migrants may face unique challenges linked to language, cultural expectations, and transnational ties. Aim This study examined healthcare experiences, cultural and religious needs, and ageing preferences among older Arab migrants in Australia, with a focus on predictors of their choices to remain in Australia or consider returning to their country of origin. Methods A cross-sectional survey was conducted with 134 Arab migrants aged 50 years and older in New South Wales, using a bilingual instrument (Arabic and English). Descriptive statistics summarised participant characteristics, exploratory factor analysis identified underlying domains, and logistic regression examined demographic predictors of healthcare perceptions and ageing preferences. Results Six key domains were identified: trust and satisfaction with healthcare, cultural and religious respect, healthcare communication, ageing preferences, family involvement, and community connectedness. Participants reported trust in the healthcare system and satisfaction with aged care in Australia but highlighted gaps in language support and cultural sensitivity. Many valued providers’ understanding of traditional and religious practices yet felt these needs were insufficiently addressed. Ageing preferences were shaped by family involvement, migration pathway, and community ties, with transnational attachments influencing decisions. Conclusion Older Arab migrants in Australia generally trust the healthcare system but face persistent communication and cultural barriers. Embedding cultural competence, strengthening interpreter use, and implementing inclusive aged care policies are essential to support equitable and dignified ageing for CALD populations.