Older people's dialogue about loneliness and social support: a cross-cultural qualitative study conducted in Spain and South Africa (Dialogo entre las personas mayores sobre la soledad y el apoyo social: un estudio cualitativo transcultural en Espana y Sudafrica)

This study aimed to explore and gain insight from the dialogue and subjective perception of older people about loneliness and social support using a cross-cultural approach. A total of six focus groups with 43 community-dwelling older adults were conducted in two different cultural contexts: the Spanish and the South African. Data were analysed around two key topics - loneliness and social support - using methods of thematic analysis. Findings around the topic of loneliness showed that participants from both countries agreed that loneliness was a subjective feeling and a negative experience. Besides, solitude emerged in the focus groups discussions as a pleasant and desired experience. As for social support, the lack of it was seen as the most frequent risk factor for loneliness. Differences among both countries were found on the key sources of social support. Spanish participants identified the family as the major source of social support, while among South African participants the community was presented as a main source of social support. We concluded that considering these cultural aspects and social support perceptions when developing programmes and strategies aimed at alleviating loneliness may lead to an increase in the effectiveness of these kinds of interventions, and thus to more positive outcomes.