This study examines the relationship between age and the injury outcomes for belted drivers in road vehicle crashes in the United Kingdom. The sample of 1,541 drivers was divided into three age groups: 889 drivers were aged 17–39 years (young drivers); 515 were 40–64 years (middle-aged), and 137 aged 65–84 years (older drivers). Both frontal and side impact crashes in which the vehicles sustained sufficient damage to be towed away from the scene are considered. In-depth information obtained from examinations of the crashed vehicles was combined with clinical data obtained from hospitals to throw light on the mechanisms that led to the injuries. Results show that in crashes of approximately equal severity, older drivers were significantly more likely than middle-aged and young drivers to be fatally injured in both frontal (p<0.001) and side (p<0.05) impact crashes. The results also show that older drivers sustained more injuries to the chest (p<0.0001) and that this body region is particularly problematic. The main sources of the chest injuries were found to be the seat belt in frontal crashes and the door in side impact crashes. As the number of older car users will increase rapidly in most OECD countries in the coming decades, the results suggest that vehicle re-designs are required, including in-vehicle crashworthiness systems, to take into account older people's relatively low tolerance of crash impacts.

This editorial introduces Julia Johnson and Joanna Bornat as the new Review Editors of the journal. They are both full-time academic staff at the School of Health and Social Welfare at The Open University (OU) in Milton Keynes to the north of London. They are very well known among British social gerontology and social welfare researchers and have exceptional writing and editorial experience – even more than the high average for Open University ‘distance teachers’. Joanna has been joint editor of Oral History for twenty-five years and, with Julia, has been a co-editor of Generations Review, the other journal of the British Society of Gerontology.

This research focuses on cognitive representations of the personal future during the second half of life. To investigate the developmental perspectives of people growing older, the anticipation of possible gains is studied. The participants of this study took part in the German Aging Survey and the sample comprises 2,934 subjects aged 40–85 years. To assess their anticipated ‘gains’, we selected the future-related items from the SELE-questionnaire, a sentence completion instrument administered for the Survey. We assumed that many would anticipate further enrichment by new social and societal activities in retirement, but the most frequently-mentioned gains referred to changes in life style and leisure activities, especially travelling. Plans and wishes feature a predominantly leisure-oriented life style. Among the anticipations, those concerned with generativity – caring for others, societal commitment, vocational ambitions – substantially decrease at about the age of 50 years. It was hypothesised that age, gender, living in the former East or West Germany, health, education, income, and perceived control would influence the cognitive representation of the future. To examine the effects of these personal and situational factors on gain anticipations, multiple regression analyses were performed. With respect to all independent variables, differences in the kinds of expected gains were found. The outcomes are discussed with reference to lifespan developmental theory and the role of older people in society.

This review paper has two major aims, first to synthesise recent research findings and conceptual developments in the field of psychological gerontology in Germany and in German language publications, and secondly, to argue that the field's research findings deserve greater attention, for both their substance and their relevance to social policy. The review focuses on three major fields of psychological gerontology: (1) cognitive development in old age; (2) personality development in old age; and (3) social relationships in old age. It highlights the major findings generated by German scholars since the 1990s. Although numerous and diverse, a common thread is the move away from a focus on the limitations and decrements of later life, and increased attention to the continuing capacities and developmental achievements of older people. The discussion elaborates the view that there is considerable merit in considering the broader social implications of these results. In conclusion, and from a general rather than disciplinary perspective, it is argued that there is a strong need for geropsychological research to be designed and interpreted with explicit attention to the cultural and social contexts in which the subjects live.

Researchers and international organisations frequently suggest that older women are disadvantaged in comparison with older men. This analysis of census and survey data from Thailand, however, indicates a far more complex association between gender and various aspects of ageing. Through an examination of various demographic, economic, psychosocial and health variables, it is found that older Thai women do face certain disadvantages compared to their male counterparts, including lower education and literacy, far higher levels of widowhood and living alone, and a lower likelihood of receiving formal retirement benefits. Older Thai men, however, also face relative disadvantages, including worse survivorship, a lower likelihood of receiving money from adult children, a greater probability of debt and other financial problems, and lower satisfaction with their financial situation. Many other demographic, psychosocial and economic measures are not significantly associated with gender. Our analysis provides some support for a lifecourse perspective, that relates gender differences in old age to differences in earlier life experiences, roles and reward structures, particularly access to retirement pensions and the type of support older men and women provide for their co-resident children. Marital status often mediates gender differences in wellbeing among older people. The study concludes with research and policy recommendations.

This paper discusses filial norms, personal preferences for care, and policy opinions about the proper role of the family and the welfare state in elder care, by drawing from a comparative study of urban populations in Norway, England, Germany, Spain and Israel. Support for filial norms has a north-south dimension in Europe, and is highest in Spain and Israel and lowest – but still substantial – in Norway, England and Germany. National differences in preferences and policy opinions are more substantial, and more or less congruent with national family and social policy traditions. Filial solidarity is, however, not incompatible with generous welfare state arrangements, nor do filial obligations necessarily imply that the family is seen as the ‘natural’ care provider. In fact, many in the countries with the highest scores for filial responsibility still find the welfare state to be the main source of care provision. Normative familism is correlated with expressed familism in individuals' preferences and in policy opinions, but the correlations are weak, implying that while filial solidarity may be resilient, as circumstances alter its expressions change.

Set against the backdrop of an ageing population and the discourse surrounding old age, risk and the welfare state, this paper draws on 51 semi-structured life-history interviews to examine how mid- and late-life Canadians discuss and allocate responsibility for the provision of social, financial and medical supports in later life. Whatever their personal circumstances, most individuals articulated sentiments of personal responsibility for later life. Individual planning and preparation were defined as necessary to secure against the perceived individual and collective risks associated with becoming and being old. The role of the state was intimately connected to individual responsibility, as ‘deserving’ citizens were understood to have legitimate claims to state-supported pensions, health care and social programmes. Although some participants cited the provision of pensions, the least consensus concerned employers' responsibilities. Meanwhile, with the exception of emotional support, most participants had minimal expectations of their relatives or family members. Most rejected the notion that family members should provide housing, financial support or personal care. It is concluded that individual perceptions of risk and responsibility have profound connections to state support, public policy and normative patterns of familial and employer assistance in later life.

This paper elucidates and champions a spatiality perspective in social gerontology, by arguing that relationships between older people and the spaces and places they inhabit illuminate deeply-ingrained societal attitudes and values. The trilogy of society, image and place is explored through an interpretive reading of images and scripts in ‘successful ageing’ and ‘anti-ageing’ created and promoted by the booming ‘retirement industry’ in the United States. Six tropes are revealed in an interpretation of prevalent images of ‘Sunbelt Retirement Land’: geographic cornucopia, ageless selves, near perfection, the right stuff, down home living, and nomads of desire. This reading serves as a springboard in elaborating Cole's (1992) notion of bipolar ageism, as we vacillate between negative stereotypes of old age and positive elixirs, such as anti-ageing and agelessness, that are cloaked denials of decline, disease and death. The paper concludes with a series of troubling questions about the perpetuation and depth of ageism in society and culture.

Every present day is determined by the images that are synchronic with it: each ‘now’ is the now of a particular recognizability. (Walter Benjamin, The Arcades Project, 1999: 462–63)

Social commentators in countries such as the United Kingdom and the United States are beginning to recognise that encouraging older adults' use of information and communication technologies (ICTs) is essential for the creation of bona fide information societies. To date, however, few studies have examined in detail older adults' access to and use of ICTs. This important aspect of the interaction between population ageing and societal change is more complex than the published literature's portrayal of a dichotomy between ‘successful users’ and ‘unsuccessful non-users’. The paper examines the extent and nature of ICT access and use by older adults in their everyday lives. Information was collected from a sub-sample of 352 adults aged 60 or more years taken from a large household survey of ICT use in England and Wales among 1,001 people. The findings suggest that using a computer is not only a minority activity amongst older adults but also highly stratified by gender, age, marital status and educational background. Conversely, non-use of computers can be attributed to their low relevance and ‘relative advantage’ to older people. The paper concludes by considering how political and academic assumptions about older people and ICTs might be refocused, away from trying to ‘change’ older adults, and towards involving them in changing ICT.

Substitution among the providers of old-age care has usually meant a process whereby the state ‘takes over’ what families used to do, but during the 1980s and 1990s, both home help and institutional care were cut back substantially in Sweden as elsewhere. Comparable, nationally representative surveys in Sweden of the provision of care for older people living in the community enable analysis of the effects of these cutbacks on the sources and patterns of care. It emerges that increased inputs from families match the decline of public services, that is, a ‘reverse’ substitution has recently been taking place. Local studies, of older people who have been followed over time as the provision of home help has changed, support these conclusions. Of the increased informal care, most has been provided by daughters, but sons have also contributed. A problematic aspect of these shifting patterns of care is that an increasing number of family carers with increasingly heavy care commitments are now without formal or informal support, whereas in the recent past many could expect their responsibilities to be shared with the state. The evidence from this study also calls into question common metaphors and assumptions about the assumed interdependence between informal care and public services for older people, and challenges the so-called substitution thesis.

This study examined the relationship between suicide rates among men since 1975 and rates of unemployment and labour force participation in 20 countries. Previous research has found statistically significant correlations between suicide and unemployment rates over time among young people in a number of countries. This study has extended this research to include different age groups of men. The findings for younger workers largely confirm the findings of previous studies. Among older workers, however, unemployment and suicide rates are largely unrelated, notable exceptions including Japan and the USA. The implications of this finding for policy making towards older workers are discussed.

One of the key objectives of the community care reforms of 1990 in the United Kingdom was the development of a flourishing independent sector alongside good quality public services. The aims of the reforms were to increase the available range of options, widen consumer choice and promote independence. The purpose of the study reported here was to examine – from the perspective of older service users, their carers and care managers – experiences at the operational level of arranging, delivering and receiving care services. The findings are based on data gathered in seven local authorities including reviews of case files, policy documents and face-to-face, in-depth interviews with 55 users, 37 carers and 28 care managers. There is evidence of a pronounced emphasis on procedure-based systems of care management. Potentially this has two significant consequences. First, the fostering of personal relationships may be subordinated to the organisation of short-term tasks and thereby may threaten patterns of trust and accountability. Second, the associated fragmentation of the assessment and care management process which in turn can lead to discontinuities of care for users and their carers. The paper concludes that there is still some way to go before care managers as micro-commissioners have sufficient and reliable information or available service capacity to match providers' capabilities with users' and carers' needs.

Secure, full-time jobs that last until the statutory retirement age have dwindled. Meanwhile, flexible forms of work have grown and are increasingly promoted as promising solutions to the ‘problem’ of economic inactivity in later life. Government committees, campaigning groups and management authors have warmly embraced the possibilities of self-employment, contract work, freelancing, consultancy and part-time work for those who need or want to work beyond the age of 50 years. Portfolio-type jobs appear to offer choice, opportunity and control for individuals in the final stages of a career. Working for a range of clients, so the argument goes, allows older people to bypass age-discriminatory barriers to employment and negotiate their own transition into retirement, but very little research has examined the viability of portfolio work in later life. This paper draws on a three-year study of freelance employment in the British media industry. The aim was to understand the conflicts, barriers and opportunities involved in portfolio careers in later life. It applies a critical realist perspective. The study found that older individuals were vulnerable to job insecurity and financial risk because of their diminishing networks and skills. They experienced a reduced flow of commissions, which hampered their ability to exert choice and control in the labour market.

This paper uses data from the European Community Household Panel surveys of 1994 and 1996 to study the association between changes in care-giving and changes in weekly work hours. Our sample comprises women aged 45–59 years who participated in the labour force in at least one of the two years studied. Controlling for country variation, we find significant relationships between starting or increasing informal care-giving and changes in weekly work hours. No such association is found however among women terminating a care-giving commitment or reducing their care hours. Starting care-giving significantly reduces work hours for women in northern European countries (except Ireland). By contrast, women in southern Europe and Ireland respond to an increase in care-giving hours by a smaller increase or a higher decrease in work hours than non care-givers. In summary, our results show that the impact of care-giving on adjustments of weekly work hours is asymmetrical and that it differs in southern and northern Europe.

Despite the growing awareness of the significance of helping a relative to relocate to a care home as a key phase in the care-giving career, relatively few British studies have explored this experience in depth. Informed by a constructivist perspective, this study sought a better understanding of nursing home placements from the viewpoint of relatives. Data were collected in 37 semi-structured interviews involving 48 people who had assisted a close relative to move into a nursing home. Analysis revealed three perceived phases to the transition: ‘making the best of it’, ‘making the move’ and ‘making it better’. The relatives' experiences through these phases had five perceived elements, all of which were continua, from absent to very strong, reflecting the extent to which they were felt. They were: operating ‘under pressure’ or not; ‘in the know’ or ‘working in the dark’; ‘working together’ or ‘working alone’; ‘in control of events’ or not, and ‘supported’ or ‘unsupported’ both practically and emotionally. This paper reports findings about the first phase of the transition, ‘making the best of it’, and documents the experiences of decision-making about nursing home placements. It is argued that health and social care practitioners have enormous potential to influence whether or not helping a relative to move into a nursing home is perceived as a positive choice.

This paper examines the consequences of repartnering upon the social embeddedness of older adults' lives. The starting hypotheses, that repartnering is a stressful life event and is incompletely institutionalised, are examined using the NESTOR longitudinal survey data from The Netherlands on 4,449 respondents aged 55–89 years, together with in-depth interviews of 46 adults aged 50 or more years who had repartnered in later life. The results indicate that more repartnered older adults choose unmarried cohabitation and to ‘live apart together’ than remarriage. It was also found that when two partners come together, while not surprisingly their social networks become larger than those of separated older adults who do not enter a new relationship, less positively the quality of the subjects' relationships with their children was negatively affected. The older adults who opted for unmarried cohabitation and ‘living apart together’ relationships tended to have the weakest bonds with their children, principally for reasons associated with stress and (financial) insecurity.

The context of this paper is the changing nature of later life in the United Kingdom. It examines some of the broader issues of early retirement. While there has been considerable debate about the restructuring of employment during the latter part of the 20th century which led to a shake-out of older workers from the labour force, less attention has been given to those who take voluntary early retirement. Given the importance of early retirement to the economy and to social policy, it is important to find out how individuals make retirement decisions. The paper examines the results of a semi-structured interview study of the decisions made by a purposively drawn sample of British civil servants who are participants in the Whitehall II study. The sample included participants who chose early retirement and those who did not. From the interview data, ideal types of possible routes into retirement have been constructed. Illustrating these ideal types, individual life histories are drawn upon to show how responses to the issues surrounding retirement feature in people's lives. It is argued that decisions about early retirement are not made in a vacuum, neither are they free from pressures or inducements. Some are to do with organisational restructuring, some are about financial offers, and some are influenced by the opportunities for leisure and self-fulfilment that early retirement offers. The paper concludes by arguing that early retirement needs to be studied as a process involving the interplay between structure and agency.

This paper uses work and caring history information from the British Family and Working Lives Survey (1994/5) to examine the provision of family care and its impact upon the employment and the subsequent state and private pension entitlement among mid-life men and women. Combining paid employment with care-giving was not an option for a significant minority of women with caring responsibilities in mid-life. One-in-five mid-life women who have ever had caring responsibilities reported that, upon starting caring, they stopped work altogether, and another one-in-five reported that they worked fewer hours, earned less money or could only work restricted hours. Fewer men and women who stopped work as a result of caring were members of an occupational pension scheme than other groups; and they had accumulated fewer years of contributions than their counterparts who continued working, with direct implications for their level of pension income in later life. The extension of employers' schemes to help workers balance paid work and family responsibilities would facilitate more carers remaining in the labour market, as would an explicit carers' dimension within the new ‘Working Tax Credit’. Consideration should also be given to extending credits for second tier pensions to working carers who provide care for over 16 hours a week and who earn below the lower earnings limit. This will ensure that carers who juggle low paid work and care are not penalised for working, and that their unpaid contribution to society is recognised.

While the majority of households in England have become homeowners at the turn of the 21st century, some older people still struggle on low incomes in the less privileged sector of private renting. This article first explores the intertwining of the history of housing policy and provision with the lifecourse histories of individuals, seeking to describe the reasons why some older people are in the private rented sector. It then presents research findings that revealed how some older private tenants experienced different types and degrees of harassment and abuse by their landlords, from verbal and financial abuse to disrepair of property and illegal evictions. Both strands are brought together in looking beyond individual responsibility or culpability to the structural and lifecourse causes of the problems. People's housing choices and destinations are often shaped by a combination of their lifecourse circumstances and external (both economic and institutional) barriers. Where abuse is concerned, a two-tier tenancy system has made ‘regulated tenants’ vulnerable to their landlords; the legal remedies are endemically inappropriate; the housing benefit system is a major source of tension between landlords and tenants; and the modernised private rented sector has allowed no place for those who want secure long-term homes. In summary, this article examines how the law, housing policy and the housing market combine to produce particular problems for older private tenants.

This paper reports the findings of research funded by The Nuffield Foundation on older people paying the full cost of their long-term residential or nursing home care in England. The research had three stages; a national postal survey directed at the senior finance officer in social services departments, follow-up telephone interviews with a sample of them, and interviews in five case study areas. Those interviewed included social services staff (including a legal adviser), care home providers, self-funding residents and relatives. These self-funding residents were commonly relatively physically independent on admission to the care home. Despite central government directives that needs assessments should be available regardless of a person's means, it is a common policy to encourage older people in this situation to admit themselves directly to care homes without a needs assessment. Wide variation was found in local authority practice in respect to being prepared to make a contract with a care-home provider for older people able to meet the full costs of care.