The onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the organisation of daily life and social contact. This paper explores the changes that occur as a result of becoming a care recipient within the home and concludes that the transition into receiving care is characterised by discontinuity and upheaval which tends to reinforce social exclusion. We draw on the rites of passage framework, which highlights social processes of separation, liminality and reconnection, in analysing this transition to enhance understanding of the experience and gain insights to improve the policy and practice of home care. Separation from independent living leads to a state of liminality. The final stage in the rites of passage framework draws attention to reconnections, but reconnection is not inevitable. Reconnection is, however, an appropriate goal for the care sector when supporting frail or disabled older people through the transition into becoming a home-care recipient.

This article aims to examine patterns of innovation in older adults' tourism, and to explore whether innovation is associated with the benefits gained from the overall tourism experience. The study was based on a national mail survey of 298 retirees, who travelled abroad at least once in the year prior to the survey. Results indicated that participants' involvement in new experiences during their last travel abroad was quite high. Factor analysis of new experiences data identified two factors: ‘external innovation’, which included experiences that were associated with the external environment visited; and ‘internal innovation’, which consisted of experiences that were associated with some intrapersonal processes. Cluster analysis conducted on the new experiences' factors identified three groups of older tourists: non-innovators, external innovators and absolute innovators. These groups were differentiated in terms of travel patterns and destination activities. In addition, the absolute innovators reported a significantly higher level of agreement with various benefits statements than the other groups. Examining the findings through the lenses of the Innovation Theory of Successful Ageing helps to explain older adults' tourism experiences. Moreover, since the findings imply that experiencing ‘internal innovation’, rather than ‘external innovation’, amplified their overall tourism experience, this article suggests a new principle to the theory, which should be tested in future research.

Healthy ageing concepts have been extensively studied in Western societies but few studies have explored the perceptions of older people from other cultural backgrounds. The aim of the study was to explore the conceptualisations of healthy ageing and perceived influences on ageing well amongst relatively healthy older Malays, a major ethnic group in Malaysia. Eight focus groups were conducted, with 38 participants recruited via community groups and leaders. Six themes were identified: spirituality, physical health and function, peace of mind, financial independence, family, and living environment. In this paper, we focus on the role of spirituality in healthy ageing which was a core resource in participants' lives. Participants reported that good physical health was an important resource that facilitated commitment to their spiritual activities. Furthermore, deteriorating functional ability appeared to provide an opportunity to optimise their spirituality, rather than hinder it. Participants wished for a ‘peaceful life’ and experienced this by enhancing their spirituality. Other ingredients for a peaceful life were financial independence, living in a place they love and having family members who live in harmony. In this community where religious affiliation is a tradition, spirituality can be fundamental for healthy ageing and its inclusion in aged care policy is imperative. However, further exploration on the diversity of individual expression of spirituality is important.

This investigation examines how support from adult children is affected by their parents' involvement in grandchild care. Instead of focusing on dyadic interactions, we adopt a gendered extended family perspective to examine how financial and emotional support from children was influenced when their siblings received help with child care from their elder parents. The data were from a two-wave (2001, 2003) longitudinal study of 4,791 parent–child dyads with 1,162 parents, aged 60 and older, living in rural areas of Anhui Province, China. Random effects regression showed that emotional support from both sons and daughters was strengthened when parents provided more child care for their other adult children; in addition, daughters were more emotionally responsive than sons under this situation. Concerning dyadic parent–child relationships, daughter and sons increased their financial support, and sons increased their emotional support when they themselves received help with child care from parents. We suggest taking a gendered extended family perspective when studying intergenerational relationships in rural China.

Photovoice is a qualitative research technique in which participants record and reflect on their community through photography. The technique is gaining popularity as a participatory research methodology. Few studies, however, have described the use of photovoice with older adults. This paper examines the application of photovoice in a qualitative, participatory research study examining age-friendly community characteristics in four communities in Manitoba, Canada. Thirty older adults were provided with cameras and took photographs to illustrate how age-friendly their communities are and participated in group discussions to identify priorities in becoming more age-friendly. The research process and results were analysed in order to assess the application of the methodology with older adults. Photovoice is an effective tool for eliciting older persons’ perceptions of their communities, giving voice to the unique concerns of older adults, and identifying strategies for change. If adapted to accommodate the needs of seniors, this methodology provides an innovative approach to community-based gerontological research. On the other hand, there are a number of challenges to be overcome if photovoice is to be a truly effective research instrument, including recruitment, photography training, retrieving consent forms, and issues of time and distance.

In the welfare systems of East Asian countries, the income, care and other needs of older people have traditionally been met less by state social protection measures and more by the family, supported by what might be termed the first homeownership strategy: widening access to home ownership as a physical, emotional and financial basis of family wellbeing. Recent political, economic and demographic developments, however, have undermined this model. Examining policy responses in the three most advanced East Asian economies, Japan, Singapore and South Korea, but also with reference to Taiwan, the paper identifies common tendencies in the ways in which the ability to use home ownership has been strengthened. As a second strategy, home ownership has been used to reduce geographical constraints on family support, while, as a third strategy, governments have introduced mechanisms through which older people are able to realise some or all of the equity they have built up through the housing market. These mechanisms include, moving down market or even converting to a rental solution, as well as forms of reverse-mortgage products, some available through private financial institutions and some involving state-organised and state-operated devices.

Cross-national comparisons employed welfare state classifications to explain differences in care use in the European older population. Yet these classifications do not cover all care-related societal characteristics and limit our understanding of which specific societal characteristics are most important. Using the Survey of Health, Ageing and Retirement (second wave, 2006–07), the effect of societal determinants relating to culture, welfare state context and socio-economic and demographic composition on informal and formal care use of older adults in 11 European countries was studied. Multinomial multi-level regression analyses showed that, in addition to individual determinants, societal determinants are salient for understanding care use. In countries with fewer home-based services, less residential care, more informal care support and women working full time, older adults are more likely to receive informal care only. Older adults are more likely to receive only formal home care or a combination of formal and informal care in countries with more extensive welfare state arrangements (i.e. more home-based services, higher pension generosity), whereas the odds of receiving a combination of informal and formal care are also larger in countries that specify a legal obligation to care for parents. We tentatively conclude that the incorporation of societal determinants rather than commonly used welfare state classifications results in more understanding of the societal conditions that determine older adults’ care use.

This article reports on findings from a qualitative study, undertaken in England, which explored the experiences of 21 gay men and lesbian women who care, or cared, for a person with dementia. The aim of the study was to explore this experience through the lens of a person's gay or lesbian sexuality. The paper reports two related themes that emerged from the wider study – respondents' hopes, fears and plans for the future and, specifically, the way in which their caring experiences had coloured their views and expectations of how their own health and social care needs may be met. Respondents' narratives reflect a range of pervasive anxieties about the future. First, about the possibility that they might be diagnosed with a condition such as dementia and, consequently, the myriad ways in which their sexualities and lifestyle choices may be perceived and interpreted as they themselves age and, possibly, require health and/or social care and support. In light of these concerns, respondents reflected upon the need for specialist service provision for older gay and lesbian people – an idea that was, perhaps surprisingly, not universally welcomed.