Social engagement is considered a relevant modifiable factor for older adults’ wellbeing. Theory and policies highlight its importance for ageing well. Empirical evidence shows that social activities are associated with positive psychological outcomes and might buffer wellbeing declines in late life. Despite growing research, social engagement lacks conceptual clarity, it is difficult to adopt standardised measures and findings are sometimes inconsistent. Previous systematic reviews either take a different approach to this topic or were published over a decade ago. Therefore, the present study aimed to review the literature systematically regarding the relationship between social engagement and wellbeing in community-dwelling older adults. Papers published from 2000 to 2021 were searched in five databases using a combination of terms. The reviewers screened the records according to predefined inclusion and exclusion criteria. After identifying eligible articles, the authors extracted data and produced a narrative synthesis covering conceptualisation, measurement and main findings. The review includes 42 papers. Despite great conceptual and methodological diversity, research supports that older adults with higher participation in social activities have improved wellbeing. Findings also suggest that these associations are stronger for individuals with disadvantages and have a cumulative nature whereby the greater the social engagement, the higher the wellbeing. Conversely, for more demanding activities, there might be optimal participation levels. Regardless of accumulating knowledge, social engagement remains diffuse and difficult to measure. This paper summarises the current state of research on this topic, showing encouraging evidence of social engagement benefits, but also questions that deserve further inquiry. Future studies should be anchored in a clear conceptual framework, use robust measures, and explore hedonic and eudaimonic wellbeing. Social engagement can be an important developmental resource for social interventions and policies aimed at improving people’s lives.

Research on social robots in dementia care has focused on their effects, for example in relation to the patients’ wellbeing or the care-givers’ working environment. Such approaches to social robots treat them as stable objects with a singular function. Combining social gerontology with social studies of science, the current study offers a new angle by asking: How do patients and care-givers in care homes for older people establish a shared definition of the situation in interactions involving robot animals? Drawing on ethnography and multimodal conversation analysis of 211 minutes of video recordings in two care homes in Sweden, we demonstrate the embodied work by which participants in interactions establish activities with robot animals. In contrast to the ideal of transparency in social robotics, we show that a central affordance of the robots is their vagueness, which allows for their inclusion in playful interactions. Playful framings of the robots highlight their social functions and downplay care-giver–patient asymmetries. However, situations where patients resist a playful frame actualise a dilemma of social inclusion, on the one hand, and the right to not participate in play, on the other. Showing this, the article contributes to knowledge on how people age with technology; in particular, it draws attention to the limits of an ideal of transparency when social robots are included in dementia care.

Late-life divorce is increasingly common in many Western countries, however, studies on this transition remain scarce. The purpose of this article is to study attributed reasons for late-life divorce, and if any life phase-typical aspects can be identified in these attributions. Qualitative interviews were carried out with Swedish men and women aged 62–82, who after the age of 60 had divorced from a cross-gender marital or non-marital co-habiting union (N = 37). The results, analysed using principles from Grounded Theory, revealed four different types of narratives: (a) incompatible goals for the third age, (b) personality change caused by age-related disease, (c) a last chance for romance, and (d) enough of inequality and abuse. A central insight and an original contribution generated by the study was the importance grey divorcees attributed to the existential conditions of later life in their divorce decisions. The results are discussed in relation to theories of late modern intimacy and the third age.

The aim of this paper is to review the social constructionist view of age and ageing that emerged in the late 1970s and early 1980s. It begins with a general consideration of social constructionism as an epistemological framing of the world, before turning to its use in social gerontology. It considers two distinct social constructionist approaches treating later life as a social reality: (a) as a structural consequence of the rise of the modern state and its organisation of the labour market and (b) as a consequence of shifting cultural and social representations. Arguing that the earlier more structuralist accounts have gradually become overshadowed by concerns over age as identity, socially constructivist approaches now place as much emphasis upon the social representation of age as on its social-structural organisation. The paper then reviews the costs and benefits of social constructionism in general and its becoming a key part in the study of ageing. Its benefits arise from drawing attention to the salience of the cultural and the social in fashioning age and ageing and thereby advancing the sociology of later life. At the same time, social constructionist approaches to old age risk neglecting an other personal and social reality arising from corporeal decline and fear of the body-to-come. The paper concludes by noting how, whether approaching ageing and old age as natural kinds or as human kinds, adopting biological or sociological methodologies, all such methods privilege the externality of age – whether as a social or a biological fact. What is not captured by either is the problematic internality of age. What might be called the subjectivity of age will remain a topic for cultural representation, beyond the methods of both biological and social science.

Ageing-in-place has become an internationally favoured policy and practice response to population ageing. However, limited literature has sought to understand this concept from Chinese older adults' perspectives, especially in rural China. The purpose of this study is to explore how older adults in rural China conceptualise ageing-in-place. This study took a qualitative approach by carrying out in-depth interviews with snowball-sampled older adults from a rural village in Shandong Province, China (N = 30). Participants conceptualised their ageing-in-place as consisting of two phases: first, when they felt self-reliant, these older adults preferred to live independently in the village; and second, when their capability declined, they would expect care-giving from their children. Autonomy was essential to participants' decision to age in place. The village offered both a physical and social environment in which participants could sustain their self-identity. This decision to age in place independently also related to participants' proactive adaptation to their children's evolving practices of filial piety. Still, had their capabilities declined, they reported they would expect their children's care-giving and move in with their children. Our findings suggest that older adults in rural China conceptualise ageing-in-place as a dynamic process that evolves as they age and experience changes in their needs and capabilities. This perception expands critical notions of ageing-in-place by highlighting rural older adults' flexible conceptualisation of the ‘place’ in which they plan to age. This study sheds light on socioculturally nuanced understandings of ageing-in-place while providing evidence to inform tailored policy and practice development in rural China.

Companion animals, or ‘pets’, are integral to many people's lives and to their sense of home. However, older people living with companion animals are vulnerable to separation from their animals when moving to a care home. Such separation is often a highly significant loss which, combined with other losses, may reinforce experiences of dislocation. Existing research draws attention to the importance of developing a sense of ‘home’ in a care home through reinforcing and preserving personal connections. However, there is a paucity of research examining the preservation of connections between older people resident in care homes and their animal/s. This study draws on thematic analysis of 29 qualitative interviews with older people living in care homes, relatives, care home staff and other relevant stakeholders. It highlights that retaining existing, often long-term, bonds with companion animals represent important continuities and connections which may contribute to positive adjustment to life in a care home and creating a sense of home. However, participants highlighted that supporting an older person to move into a care home with their companion animal may be challenged by real or perceived constraints such as use of shared space, concerns about the risks posed by animals and staff implications. While our study found examples of good practice of how shared residence between an older person and companion animal can be achieved in a care home, other examples highlighted that the time, complexity of planning and structures required to accommodate animals were prohibitive to merit a change of policy and practice. Our research concludes that more attention should be given to the older person–animal bond as an important source of continuity and connection.

In the United Kingdom, people living with dementia admitted to National Health Service (NHS) psychiatric/mental health inpatient dementia assessment wards (dementia assessment wards) are nearly always compulsorily detained under a section of the Mental Health Act 1983 owing to the risk and complexity of the presenting condition. As such, dementia assessment wards admit some of the most vulnerable patients in society, yet these environments of care are under-researched and under-reported in the literature. Using care aesthetics as an overarching explanatory lens, this article focuses on the care of one patient (Charlotte – not her real name) resident on a dementia assessment ward and uses a range of qualitative methods to illuminate that experience, including ethnographic observations and a care record review. To further develop the reach of the case study, interviews were also conducted with Charlotte's husband as her main family carer and key ward staff involved in Charlotte's care. Data were analysed using a sensory and narrative-based method to provide a sequential, embodied, individually positioned and storied account of Charlotte's care and interpreted experience on the ward. The analysis revealed that Charlotte's presentation of dementia was complex insofar as she resisted any attempt by the ward staff to offer her food or drink or to help with washing and dressing. Charlotte also swore frequently and loudly and spent time actively ‘watching’ and ‘looking’ at people and the environment in which she was now living. The findings contribute to the fields of critical dementia studies, dementia education, health-care practice and policy making, and may be used to highlight the value of sensory and embodied approaches to capturing a caring dynamic.

As the population of Aotearoa New Zealand ages, informal family carers will play an increasingly important role in caring for older adults at home. Multi-generational living arrangements are a growing trend, particularly among Māori communities, where caring for older relatives within the family home is widespread. This article uses in-depth, semi-structured interviews with Māori whānau (extended family members) caring for kaumātua (older family members) at home to explore how carers experienced care coordination in the broader care collective. The findings centred on three interconnected factors that described the collective organisation of care: (1) whānau care as normal; (2) whānau care as collective coordination; and (3) whānau carer knowledge and needs as unseen. The findings show that although whānau care of kaumātua is highly valued, ‘structural holes’ within care systems contribute to challenges in care coordination. Despite extensive whānau support for kaumātua, primary carers often felt that their knowledge, preferences and self-care needs remained unseen and not translatable to those outside the everyday care situation. Rather than assuming an artificial binary difference between ‘collective’ and ‘individually oriented’ care contexts and cultures, analysing the cultural norms surrounding whānau care-giving confirms that collective care system members face similar and different challenges to carers with smaller caring capacities.

Extant literature shows that small conversations with strangers can help improve individuals’ wellbeing while reducing feelings of loneliness. Nevertheless, previous studies on talking to strangers tend to focus on young participants in controlled experimental settings, leaving a gap in understanding older adults’ experiences and their likelihood of adopting talking to strangers as part of their daily healthy ageing practices. Considering the problem of worsened social isolation and loneliness among older people during the Covid-19 pandemic, it is even more important to include them in the promotion of social inclusion through micro-conversations with strangers. To understand older adults’ attitudes and experiences of talking to strangers, this study interviewed 19 older people based on their trial of talking to strangers over a three-month period. Findings reveal that their willingness and confidence varied by age and gender, with retired individuals being more active in engaging with strangers. Time constraints and lack of self-efficacy were identified as barriers, particularly among those still working or with caregiving responsibilities. Rather than personal gains, the act of kindness towards others was emphasised as the key motive. These insights are valuable for policy makers and organisations supporting older people’s wellbeing, highlighting the potential for older individuals to serve as conversation initiators, promoting mutual kindness and wellbeing in communities.

The traditional model of family relationships is undergoing significant changes in contemporary China. Nevertheless, little research has delved into the dynamic evolution of intergenerational relationships. To address this research gap, we utilise data from the Chinese Longitudinal Aging Social Survey (CLASS) conducted between 2016 and 2018 (N = 7,009) to analyse the transitions in intergenerational relationships over a two-year period, alongside the predictive factors. Employing Latent Transition Analysis, we unveil three distinct typologies: ‘Tight-Knit’, ‘Intimate-Distant’ and ‘Ambivalent-Distant’, which undergo changes over time. Our study captures the tendency of the integration of tradition and modernity within intergenerational relationship patterns in China, as well as the intricate dynamics of these relationships. Furthermore, we identify the predictive roles of age, gender, household registration, health conditions, life events, family composition and filial piety on relationship transitions. This study expands upon previous typological research on intergenerational relationships and enriches our comprehension of their intricate and dynamic nature.

Little is known regarding the ways in which practitioners’ views and approaches impact support for persons with a migration background (PwM) caring for individuals with dementia. This paper responds to this knowledge gap by identifying how practitioners frame dementia care in families with a migration background, and how these frames can be understood in light of the experiences of PwM caring for a family member with dementia. A total of 41 participants were included: ten practitioners (i.e. health and social care workers) and 31 PwM caring for a family member with dementia. All participants were part of a qualitative research project on dementia care in Dutch families with a migration background. Practitioners’ expressed frames were identified through Hochschild’s interpretive framework of ‘framing and feeling rules’. Thereafter, practitioners’ identified frames were related to the care experiences of PwM caring for a family member with dementia. Findings indicate that practitioners operate within an approach that does not sufficiently take into account the uniqueness of each family carer. This leads to frictions within the practitioner–client relationship. We thus highlight the need for discussions about the tenability of practitioners’ views and approaches in an increasingly globalised and diverse society.

International migrants face barriers when accessing health-care in their destination countries. For older migrants, there are additional difficulties due to their age and associated health conditions. Chinese migrants are an understudied group with culture-specific barriers in addition to those shared with other migrant groups. This review aims to understand the barriers and facilitators to health-care access faced by older Chinese migrants in high-income countries. Literature from MEDLINE, Web of Science, EMBASE, Scopus, CINAHL Plus and ProQuest (1 January 2000 to 6 October 2021) were retrieved. Quantitative, qualitative and mixed-methods studies focusing on older Chinese migrants’ access to, utilisation of and satisfaction with health-care services in high-income countries were included. Studies were appraised using checklists from the Joanna Briggs Institute and the Critical Appraisal Skills Programme. Qualitative and quantitative data were extracted and analysed narratively to identify barriers and facilitators to accessing health-care, then applied to Levesque’s five-step health-care access journey framework. We included 33 studies in the analysis. Qualitative evidence identified barriers and facilitators to health-care access in four categories: health-care system, social factors, personal factors and health-care interactions. Quantitative studies found that health status and having insurance were positively associated with using non-preventive care, while time of residence and physician’s recommendations were positively associated with using preventive care. Factors that influence older Chinese migrants’ access to health care include practical barriers (communication, time and cost), social support (family and community), perceptions of health and care needs (beliefs and knowledge) and interactions with health-care professionals (patient–physician trust and support from physicians). Efforts to overcome universal barriers, acknowledgement of cultural contexts, improvements in translation services, and involvement of Chinese families and communities in health-care outreach will benefit this population.

Late-life divorce is a growing phenomenon in the Western world, likely to expand due to increasing expectancy and changes in marital and family values. However, existing research on divorce and its consequences for offspring focuses on young and middle-aged adults, analysing individual rather than familial/dyadic perspectives. Accordingly, our study employs a holistic perspective on the family unit following late-life divorce which is especially relevant to societies that value familism as an essential element in individuals' lives. Coincidingly, the term familyhood expresses an atmosphere of closeness and unity among family members and is a commonly used expression in Israel. Using family systems as a framework, our aim was to examine how, if at all, familyhood is experienced after divorce considering how it was experienced prior to divorce from a long-term marriage in Israel. Semi-structured, in-depth qualitative interviews (N = 72) were conducted separately with divorcees aged 60–81 who divorced at age 56–68 (N = 44), and with their adult children aged 19–40 at the time of their parents' divorce (N = 28). Interviews were given thematic analysis and dyadic qualitative analysis. The findings reveal the meaningfulness of familyhood following late-life divorce via a fourfold typology of familyhood continuity/change experienced as present or lacking, before or after divorce. The typology addresses key elements of when, where, by whom and how familyhood is reconstructed, along with strategies to maintain familyhood. Paradoxes inherent in the intersection of divorce and familyhood, discussed within the Israeli sociocultural context, are located between self-determination and familism. Implications are presented.

There is a lack of comparative and quantitative research on how poverty manifests itself in the economic wellbeing of older people across European countries. In this study, we focus in on two central dimensions of economic wellbeing: the ability to pay for usual expenses and unexpected expenses. Our aim is to find out how often older people living at risk of poverty experience hardship on these dimensions, how these dimensions overlap, and whether the incidence of hardship differs between the poor and the non-poor. The study is based on the cross-sectional component of the European Union Statistics on Income and Living Conditions (EU-SILC) 2018 survey, involving 29 countries and 148,432 respondents aged 65+ years. The analysis builds on both descriptive statistics and multinomial logistic regression, which takes into account differences in household characteristics between the poor and the non-poor. The results reveal that for the poor, meeting unexpected expenses is a more common problem than meeting usual expenses, although they typically experience hardship on both dimensions. Hardship among the poor is more frequent in Central Eastern and some Southern European countries, while poor people living in Continental and Nordic countries tend to fare better, even though relatively large numbers in these countries lack cash margin. The non-poor do also experience hardship, but to a lesser extent. The poor experience combined hardship relatively often in Continental European countries. Based on the results, we conclude that studies should pay closer attention to the different dimensions of economic wellbeing in old age.

This paper considers how a diagnosis of dementia affects people's planning for future social care needs and associated costs. It addresses the gap in knowledge about how people recently diagnosed with dementia, and their family carers, engage with planning for social care needs that are uncertain in timing and scale. The paper also considers people's attitudes to planning for care that they may need to pay for privately, and what facilitates or hinders acting on such plans. We conducted and undertook thematic qualitative analysis of 39 in-depth interviews with 27 people newly diagnosed with dementia and/or their carers over a two-year period. Topics included current care and support, planning and co-ordinating care, paying for care, and expectations and planning for the future. The research took place in England. Our findings indicate that whilst people recognised they would have future care needs, with associated financial implications, this knowledge did not necessarily translate into actively planning for care or its cost. A key reason that recognition did not translate into action was uncertainty, manifested in three areas: the timescales and trajectory of their dementia and thus need for care; the potential for care needs to change and so negate care planning efforts; and uncertainty over their own capabilities to plan for and access paid-for care, given the perceived complexity of social care and associated financial arrangements. The paper discusses how anticipated regret may affect decision-making and contributes to debates about appropriate professional support for older self-funders with dementia. It suggests the task for those involved in the care of people with dementia is to identify the points and places in the care system where worries about future self-funded care can be addressed, and carers and the people they care for can be prompted and supported to act.

The COVID-19 global pandemic had a major impact on older people's mental health and resulted in changes in alcohol use, with more older adults increasing than decreasing consumption levels among the general population. So far, no studies have focused on older people who were already experiencing problem alcohol use. This qualitative research is the first to provide a nuanced understanding of changes to drinking patterns among older adults engaged in alcohol treatment during the COVID-19 pandemic, and the implications of these for practice. We conducted 30 semi-structured interviews with people in alcohol treatment aged 55+ living in urban and rural areas across the UK. Data were analysed using thematic analysis. We found that changes in alcohol use varied depending on the social, economic and health impacts of the pandemic on older adults. Boredom, lack of adequate medical or emotional support, and key life changes experienced during the pandemic (such as bereavement or retirement) increased the risk of increased drinking. Moreover, some people in longer-term alcohol treatment were struggling to maintain abstinence due to lack of face-to-face peer support. For others, decreased drinking levels were a side-effect of lockdown policies and restrictions, such as alcohol-related hospitalisations, closure of social spaces or inability to source alcohol; these also supported those who decided to cut down on drinking shortly before the pandemic. Generally, older adults who developed home-based interests and self-care practices managed lockdown best, maintaining abstinence or lower risk drinking levels. Based on these results, we argue that multilevel interventions aimed at strengthening resilience are required to reduce drinking or maintain abstinence among older adults. Such interventions should address three domains: individual (coping strategies and mindset), social (support networks), and structural (access to resources). In preparation for supporting older alcohol users through prospective future pandemics, building digital literacy and inclusion are essential.

Rapid demographic changes and heavy reliance on informal care pose significant challenges to meeting long-term care (LTC) needs in China. Understanding changes in unmet LTC needs across different times and places can inform future LTC system planning and care resource allocation, identifying emerging care needs and services gaps in different regions. Drawing on data from 6,030 urban and 5,070 rural residents in the Chinese Longitudinal Health Longevity Survey 2005–2017/18, this study investigates variations in unmet LTC needs across different age groups, periods and birth cohorts among Chinese older adults and their place-based rural–urban differences. We applied the age-period-cohort interaction model to disentangle the three temporal processes, and found that, overall, rural older adults experienced higher risk of unmet LTC needs and had larger variation in age effects, yet the age, period and cohort effects on unmet needs among rural older people differed from their urban counterparts. Although ‘younger’ older adults (aged below 85) had fewer care needs than older adults, they had a higher risk of experiencing unmet needs. The risk of having unmet needs did not change significantly over the 12 years, though unmet LTC needs were more pronounced among more-recent cohorts than previous generations, especially in urban areas. The findings contribute to the social gerontology debate regarding changing patterns in unmet LTC needs, and provide crucial policy insights, underscoring the necessity of targeted interventions to address ‘younger’ older adults’ care needs and increased investmed in the formal LTC system to tackle the escalating care gap.

Until now, the body image literature has largely ignored older men. In particular, little is known about how older men perceive and experience their ageing bodies, despite the importance of the body to men's practice of masculinity and their position within gendered hierarchies. Addressing this gap in the research, we conducted 15 in-depth interviews and ten focus group discussions (N = 60) with older men aged 60–82 years. Drawing upon the intersectionality approach and Bourdieu's theory of practice, we examined how older men with low socio-economic status give meaning to their ageing bodies in relation to ideals of masculinity. The findings suggest that body strength is vital capital for older men with low socio-economic status, and that changes in their bodies as they age affect their ability to actualise themselves as ‘real’ men and undermine their sense of masculinity. The inability to live up to masculine ideals left most of these men feeling inadequate and ashamed. The findings further reveal that stress caused by ageing bodies, exacerbated by older men's socio-economic conditions, constituted a threat to their survival and overall wellbeing. Interventions should take older men's perceptions of and adaptations to the ageing body into account. In addition, when designing interventions for older men, practitioners should consider the socio-economic and cultural context in which older men are embedded. Particularly important is a gender-transformative intervention that raises awareness of negative masculine norms.

Although many positive social changes have been achieved over the past 30 years, members of LGBT, Sistergirl and Brotherboy communities continue to encounter negative experiences with health and ageing service provision. In this article, 232 responses from a survey exploring ageing and care concerns and preferences among LGBT, Sistergirl and Brotherboy communities in Australia were analysed using chi square analysis. The largest proportion of participants were aged 55–64 years (26.4%, n = 61), with the majority residing in metropolitan regions (67.7%, n = 154). The three most frequently selected gender identities were cisgender woman (40.1%, n = 93), cisgender man (39.7%, n = 92) and non-binary (11.6%, n = 28). The three most frequently selected sexual orientations were gay (39.2%, n = 91), lesbian (32.0%, n = 77) and queer (17.7%, n = 41). While many concerns demonstrated no age-related differences, concerns regarding physical differences, respect and inclusion, finances and standard of care reflected higher levels of concern among younger participants compared with older participants. Preferences for receiving information reflected a desire for LGBT, Sistergirl and Brotherboy communities-specific resources for options for support from participants approaching retirement, that is, aged 55–64 (x2 (5, n = 178) = 11.08, p = 0.050); less desire for information provided through public health service services among participants aged 65+ (x2 (5, n = 178) = 15.58, p = 0.008); and variation in preferences regarding supports provided by LGBT, Sistergirl and Brotherboy communities. Results suggest that different generations of LGBT, Sistergirl and Brotherboy members may prefer to receive services and information in different ways. Further research is needed to understand how concerns, expectations and preferences are influenced across generations.

Discourses and how they construct policy ‘problems’ delimit ‘solutions’, including the scale, shape and structure of services. This article discusses how the adult social care sector in England is presented as a policy problem, with the greater use of technology the associated ‘common-sense’ solution – both to the ‘crisis of care’ in a society with an ageing population and as a means to stimulate the national economy. It draws upon critical discourse analysis to examine English policy documents and other government texts published between 2020 and 2022. In doing so, it de-objectivises and de-universalises semiotic claims around care and technology and explores omitted alternatives. In discourse, ageing and care are framed as both problems to be solved and opportunities for entrepreneurship. Technologies are bound together with efficiency, with limited exploration of how use of the former necessarily entails the latter. Technology is, in addition, presented as agentic, inevitable and unassailable, closing off debates as to whether other, less seemingly ‘innovative’ options for reform and change could entail more favourable outcomes. Discourse thus limits the role of the state to stimulating the environment required for technological advancement.