Naturally Occurring Retirement Community Supportive Service Programs (NORC Programs) constitute a national model in the United States of America that aims to benefit older adults ageing in place in their own homes and communities. One central aspect of NORC Programs is the provision of community activities to facilitate older adults’ connections with others. Guided by ecological systems theory, we explored from older adults’ perspectives what influences their participation in the community activities offered by NORC Programs, as well as the meaning of the social contact that such participation affords. We used data from an in-depth interview study with 41 older residents across seven NORC Program sites in the greater New York City area. Themes regarding influences on participation included individual circumstances (personal desire for social activity and health status), programmatic factors (relationships with staff and appeal of the activities) and community contexts (appeal of the other attendees). Perceptions of other attendees also emerged as an influence on the social effects of participation, which ranged from experiencing social contact alone to creating independent friendships. Overall, findings indicate that programme features combine with individual and community contexts to influence diverse experiences of community activities. In addition to implications for organisational practice, we interpret the results in terms of directions for future research regarding how community-based organisations can influence social integration in later life.

The present study aims to determine how family size affects psycho-social, economic and health wellbeing in old age differently across two cohorts with declining fertility. The data are from the 2012 Mexican Health and Ageing Study (MHAS) including respondents aged 50+ (N = 13,102). Poisson (standard and zero-inflated) and logistic regressions are used to model determinants of wellbeing in old age: psycho-social (depressive symptoms), economic (consumer durables and insurance) and health (chronic conditions). In the younger cohort, having fewer children is associated with fewer depressive symptoms and chronic conditions, and better economic wellbeing. For the older cohort, having fewer children is associated with lower economic wellbeing and higher odds of being uninsured. Lower fertility benefited the younger cohort (born after 1937), whereas the older cohort (born in 1937 or earlier) benefited from lower fertility only in chronic conditions. Further research is needed to continue exploring the old-age effects of the fertility transition.

The purpose of this paper is to examine the causal impact of the duration of retirement on the cognitive functioning of male elderly workers in Japan using data from the National Survey of Japanese Elderly. We explore how the complexity of a worker's longest served job affects cognitive functioning after retirement. In particular, we investigate eight dimensions of the longest served job using information listed in the United States Dictionary of Occupational Titles, namely physical demands, mathematical development, reasoning development, language development, the job's relationship to data, the job's relationship to people, the job's relationship to things and the specific vocational preparation required. Our estimator takes account of the potential endogeneity of the duration of retirement and the left-censoring of the duration of retirement. Our empirical evidence suggests that the duration of retirement has a negative and significant impact on cognitive functioning. Moreover, among the eight dimensions of job characteristics, high complexity in the job's relation to data is found to be an important job characteristic in delaying the deterioration of cognitive functioning after retirement.

Older adults and baby boomers have been more opposed than supportive of the Affordable Care Act (ACA), but what about older adults living in aged communities? The aged community is a social context that is important for understanding individuals' political attitudes and behaviours. We know that social contexts often constrain the information available within the community. Also recent work indicates that this happens with the aged social context as well. Older adults living among concentrations of their peers are more politically knowledgeable than older adults without the same neighbourhood context. I hypothesise that older adults living in aged communities will be more supportive of the ACA than their peers without the same context because they know more about the ACA and its age-related benefits. To test this hypothesis, I use data from the Cooperative Congressional Election Studies for the years 2009–2012 and assess whether the aged context has had an impact on residents' attitudes towards health-care reform, the ACA, specifically. I find that older residents of aged communities are more likely to report supportive attitudes in 2010 and 2012 than older residents of communities without a significant older adult presence. There is no statistically significant aged context effect in 2009 and 2011.

The concept of épreuve, literally translated as ‘challenge’, was developed by the French sociologist Danilo Martuccelli, who was inspired by Sartre's existential philosophy, phenomenological sociology and its concern for analysing modern experiences, and Charles Wright Mills’ conviction that it is necessary to relate personal problems to the social structures that generate or amplify them. The concept has been used in the sociology of ageing in France to characterise the épreuve of ageing and four domains of épreuve have been identified: activities, identity, autonomy and relationship to the world. This paper applies this template to a corpus of 27 interviews with people at mild to moderate stages of Alzheimer's disease, in order to characterise the épreuve of ageing with the disease. The épreuve of ageing during the earlier stages of the disease is similar to the experience of people who age without a cognitive disorder. However, as the disease progresses the analysis reveals that it tends to exacerbate issues: identity seems especially threatened, simultaneously raising the question of self-presentation and self-definition; although most interviewees strive to retain autonomy, a few delegate it to a close confidante with whom they build a relationship of strong dependence; and weakened communication accentuates the feeling that the world is foreign and strange.

Previous studies show a decline in parent–child co-residence among the elderly. This study examined the effect of living away from adult children on upward intergenerational monetary transfers by analysing a 2006 survey of 19,947 persons aged 60 and above and selected from 20 provinces in China. Results indicate that elderly who were not co-residing but had at least one adult child living in another community/village within the city/county were likely to receive more intergenerational monetary transfers than those who were living with children. Living close to children, rather than co-residing with them, might be the primary living arrangement for older Chinese people in the foreseeable future. The findings have important programme and policy implications for countries such as China, which has the largest elderly population in the world. There is a strong need for the development of specific public care support systems focused on the elderly population, in general, and elderly in rural areas, in particular.

Old age is often characterised as being associated with neglect, isolation and loneliness, not least since established risks factors for loneliness include widowhood, living alone, depression and being female. Cross-sectional data have challenged the notion that loneliness is especially an old-age phenomenon but longitudinal data on loneliness is scarce. Moreover, an under-represented group in prior studies are the oldest old, those aged 85 years and more. This paper addresses these knowledge gaps using data from the Newcastle 85+ Study, a large population-based cohort aged 85 years at first interview with follow-up interviews at 18 months and three years. At baseline over half (55%) reported being always or often alone, and 41 per cent reported feeling more lonely than ten years previously, although only 2 per cent reported always feeling lonely. Women spent more time alone than men and reported more loneliness both currently and compared to the past. Length of widowhood was a key factor, with those recently widowed having twice the risk of feeling lonely and those widowed for five or more years having a lower risk of reporting increased loneliness. Overall, the findings show that loneliness is a minority experience in the oldest old but is strongly driven by length of widowhood, challenging the notion that loneliness in later life is a static experience.

It is a perennial issue in the public and the scientific debate whether increased pressures to reform due to the financial crisis or population ageing erode welfare state support. Surprisingly, our knowledge of how individuals change their attitudes in hard times is still limited – both theoretically and empirically. We rely on newly available data from a survey experiment in a representative German online survey and exogenously manipulate the perceived pressure to reform (due to an ageing society). We show that people indeed change their reform preferences when faced with an ageing society: the strong opposition to increasing the retirement age decreases. Further analyses reveal that not all groups within society react to increased reform pressures in the same way: political knowledge but also political partisanship do moderate the strength and the direction of the attitude change.

Using four-wave panel data of 1,327 older adults in rural China, this study examined potential gender and marital status differences in the relationships between three forms of intergenerational support (monetary, instrumental and emotional support) and the level of depression of the older adults. Results from a pooled time-series fixed-effects model showed that receiving and providing monetary support had a comparable beneficial effect on mothers and fathers, but mothers benefited more psychologically than fathers from closer relationships with their children. Exchanges in instrumental support was not related to either mothers' or fathers' level of depression. Widowhood further affected the gendered relationships between support and depression in that recently widowed fathers had a significantly higher level of depression when they received more monetary support from their children. In contrast, providing monetary support to children was associated with a significantly higher level of depression among recently widowed mothers. We explained the findings in the context of familial and gender norms in the Chinese culture and temporal needs for family support that link with bereavement coping stages among older adults. We argued that the gender and marital status patterns observed in this study are attributive to more fundamental differences in men's and women's social positions in the Chinese society.

Population ageing is a key challenge confronting European policy makers. Ageing is a complex issue, requiring a value-driven approach to law and policy. However, there has been limited consideration of what values are driving ageing law and policy in the European Union, or if these values are appropriate. Drawing on an empirical study of United Kingdom (UK) legal policy documents, this paper identifies and critiques the primary values and objectives driving ageing law and policy in the field of employment. It is argued that the values driving UK law and policy are often contested, contradictory and under-defined, and there has been limited thought given to how they should be prioritised in the event they conflict. Thus, there is a serious need to reconsider the approach to age and employment taken by policy makers, and to clarify better the key values on which law and policy rest.

Life satisfaction is an important indicator of wellbeing and successful ageing, while boosting life satisfaction in later life has long been a policy and service challenge. Based on a questionnaire survey with 415 Chinese older adults aged 60 years and over in Hong Kong, this study examined how older adults' travel motivations influenced their travel actions and how the travel affected their life satisfaction using structural equation modelling. A proposed ‘travel motivation–action–life satisfaction’ model showed an acceptable fit with the data. It was found that travel motivations stimulated older adults' travel actions, while their travels further contributed to greater life satisfaction. The findings of this study indicated the need for improved knowledge and understanding of older adults' travel preferences and requirements, and highlight the importance of enhancing awareness among professionals and service providers about the benefit of travelling in enhancing life satisfaction of older adults.

This article reports on findings from a qualitative research study on natural disaster preparedness in ‘at risk’ population groups in regional Australia, and in particular on findings highlighting the key, and often unrecognised, role played by many older people in developing and maintaining local informal networks, activated repeatedly before, during and after natural disasters. The article outlines major themes in recent literature on community resilience and social capital in disaster preparedness, response and recovery, the design and implementation of the current study in which, 17 focus groups were held with ‘at risk’ groups across three communities and findings in relation to the role of older people. The implications from these findings are discussed in the context of community-based disaster preparedness strategies. Findings point to older people as critical, community assets in local neighbourhoods, contributing both their experience and relationship-building capacity to prepare themselves for natural disasters. In addition, there was clear evidence of older people sharing resources and experience in support of others of all ages in responding to and recovering from natural disasters. Older people in the research were found both to generate and mobilise social capital at a local level in disaster preparedness, response and recovery.

Anticipated driving cessation required due to health or cognitive decline often evokes concerns about practical aspects of retaining mobility and quality of life as well as personal and social identity changes in older persons. While driving cessation is often perceived as stressful because it disrupts peoples' lives and poses practical hurdles, we argue that part of the stress associated with driving cessation can be attributed to identity change with regard to thinking of oneself as ‘no longer a driver’ as well as the perception of ‘getting old’. In an exploratory study, 208 older adults who had either ceased driving or had a plan to stop driving in the near future completed a ‘Driver Identity Survey’ with multiple questions about how they thought they would feel before and after stopping driving, as well as worries about practical hassles, life changes and changed relationships. Participants reported driving cessation as a significant life event associated with subjectively feeling older. Irrespective of current driving status, older participants identified the state of having ceased driving as associated with feeling older than their chronological age. Participants' expectations about practicalities and social identity changes were both significant predictors of stress associated with driving cessation. Discussion focuses on how expectations of anticipated changes in functionality and identity may influence driving cessation decisions and adjustment in later life.

This paper studies the 2004 Spanish fictional novel by Andrés Barba, Ahora tocad música de baile, one of the first cultural texts dealing entirely with Alzheimer's disease to appear in Spain. It argues that the significance of Barba's fictional novel rests on two important issues: the ethics of representation of violence against vulnerable subjects and the ethics of care. The paper analyses how these two issues allow Barba to create a story in which the verbal and physical abuse to which the person living with Alzheimer's disease is subjected places the reader, on the one hand, as voyeur/witness of the abuse; and, on the other, as interpreter, and ultimately judge, of the fine line that separates euthanasia, assisted suicide and murder. The open ending of the novel defers all ethical and moral judgement to the reader. It examines how the novel offers a monolithic perspective about Alzheimer's disease, in which care is presented as a burden. In fact, this study shows that the novel's multi-layered structure and polyphonic nature places the emphasis on stigmas, stereotypes and negative metaphors around Alzheimer's disease, as found in contemporary social discourses.

Western countries currently face pressing demands to transform the labour market participation of older workers, in order to address the pressing economic and social challenges of an ageing population. However, in this article we argue that our understanding of older workers is limited by a dominant discourse that emphasises individuals rather than organisations; and valorises youth as the performative aspiration for all workers, regardless of age. To see things differently, and to see different things, we offer a novel analytical synthesis that combines insights from post-foundational feminist theory, the 2007 film No Country for Old Men and an empirical study of older nurses working in the Norwegian public health-care system. Our aim is to provide the foundations for alternative interventions in the world of work that might underpin a more sustainable future for older workers.

Older adults’ vulnerability and resilience are a result of processes constructed throughout the lifecycle. In Uganda, older people almost always rely exclusively on their social networks for care and economic support when in need. These support systems are mainly family based, and play a role of safety net for their older members. However, localised in-depth studies have pointed out the limitations of family-based support systems, especially in the context of the HIV/AIDS epidemic. This paper uses 83 in-depth interviews conducted in various settings across Uganda with older people and their family members on the subject of their support systems. Over and above the lack of immediate/personal resources characterising most older people, our results highlight the importance of the extent of support systems and resource diversity. Most of the people in our case studies had lost descendants due to the civil war, the HIV/AIDS epidemic, or simply family break-ups, events which often create large breaches and gaps in support systems. Few older people can be resilient in this situation, primarily because there are often not enough resources available in their support networks to cover the needs of all, especially education for the young and health-care access for the old.

In recent years, the employment rates of people of pension age have increased considerably. However, longitudinal evidence on the effects of this employment on wellbeing which might contribute to an evaluation of this late-life work is scarce. Based on empirical findings so far and on theoretical approaches to wellbeing, work and retirement, both negative and positive effects of post-retirement work on life satisfaction are plausible. In this paper, we investigate the effects of taking up work again between the ages of 65 and 75 on life satisfaction in different occupational classes in Germany and the United Kingdom. We expect that not only the heterogeneous conditions and experiences of working are crucial for the consequences that post-retirement work has for life satisfaction, but also the institutional arrangements surrounding this form of work. We use data from the German Socio-Economic Panel and the British Household Panel Survey, covering the 1990s and 2000s. Based on fixed-effects regression modelling, we find positive effects of working in both countries, although not all effects are significant. Differentiating by the class of the job in which the older person works, we find mainly positive effects and no significant differences between those who work in a lower-class job and all others. In addition, we find that the positive effect of working on life satisfaction is partly explained by increased satisfaction with household income for those working in a lower-class job in the United Kingdom. We conclude that many of the pessimistic assumptions about people working after pension age cannot be confirmed for our time of observation. However, there are several reasons for believing that the results will be different in the future or for differently defined populations of people working past pension age.

Direct payments – cash for people eligible for adult social care and spent by them on care and support – are claimed to enable care to better reflect user preferences and goals which improve outcomes. This paper compares outcomes of older direct payment users and those receiving care via a managed personal budget (where the budget is spent on the recipients behalf by a third party). The study adopted a retrospective, comparative design using a postal questionnaire in three English councils with adult social care responsibilities in 2012–13. Included in the study were 1,341 budget users aged 75+, living in ordinary community settings. The overall response rate was 27.1 per cent (339 respondents). Three validated scales measured outcomes: EQ-5D-3L (health status), the Sheldon–Cohen Perceived Stress Scale and the Adult Social Care Outcomes Toolkit (social care-related quality of life). The study found that direct payment users appreciated the control conferred by budget ownership, but in practice, for many it did not ‘translate’ into improved living arrangements. It also found no statistically significant difference in outcomes between direct payment and managed personal budget users. The paper argues that despite policy and other guidance and research evidence about effective implementation of direct payments for older people, the absence of evidence for better outcomes may at least in part be attributable to values underpinning policies relating to personalisation and personal budgets.

Building on the pioneering research of a small number of gerontologists, this paper explores the rarely trodden common ground between the academic domains of social gerontology and modern history. Through empirical research it illustrates the complex networking that exists through space and time in the relational making of people and places. Indeed, the study focuses specifically on the lived reality and ongoing significance of life on the small-town British coastal homefront during World War II. Seventeen interviews with older residents of Teignmouth, Devon, United Kingdom, investigate two points in their lives: the ‘then’ (their historical experiences during this period) and the ‘then and now’ (how they continue to reverberate). In particular, their stories illustrate the relationalities that make each of these points. The first involves residents’ unique interactions during the war with structures and technologies (such as rules, bombs and barriers) and other people (such as soldiers and outsiders) which themselves were connected to wider historical, social, political and military networks. The second involves residents’ perceptions of their own and their town's wartime histories, how this gels or conflicts with public awareness, and how this history connects to their current lives. The paper closes with some thoughts on bringing together the past, present and older people in the same scholarship.

Loneliness and social isolation are recognised, conceptually distinct threats to health and wellbeing in older age but limited evidence is available on their predictors in rural populations. This study performed logistical regression modelling to explore the predictors of loneliness, isolation from one's family and isolation from one's community in 884 British rural-living older adults (57.9% female; mean age = 71.5, standard deviation = 8.1 years) within the Grey and Pleasant Land data-set. While 13 per cent of participants reported feeling lonely, 49 per cent reported isolation from their family and 9 per cent reported isolation from their community. Minimal cross-over between groups was observed. Widowhood, financial difficulties, area deprivation, and self-reported impairments in physical and mental health predicted loneliness. Greater financial difficulty gave lower odds of isolation from one's family, and higher levels of community engagement gave lower odds of isolation from the community. Ageing in place (longer residency) was the only common predictor for all three dependent variables. Initiatives aimed at tackling loneliness and social isolation in rural-living older people must recognise that the two concepts are distinct, affecting different population sub-groups with mostly different risk factor profiles. Future interventions and policies should clearly identify whether their target is loneliness or social isolation and tailor their interventions appropriately.