This paper examines some demographic and medical factors associated with the likelihood of residing in a care home during the last month of life for persons aged 70 and over in France and, if so, of remaining in the care home throughout or being transferred to hospital. The data are from the Fin de vie en France (End of Life in France) survey undertaken in 2010. During the last month of life, very old people are more likely to be living in a care home but are not less likely to be transferred to hospital. Medical conditions and residential trajectories are closely related. People with dementia or mental disorders are more likely to live in a care home and, if so, to stay there until they die. Compared to care homes, a more technical and medication-based approach is taken in hospitals and care home residents who are transferred to hospital more often receive medication while those remaining in care homes more often receive support from a psychologist. In hospitals as in care homes, few older persons had recourse to advance directives and hospice programmes were not widespread. Promoting these two factors may help to increase the quality of end of life and facilitate an ethical approach to end-of-life care.

Passive monitoring technology is beginning to be reimbursed by third-party payers in the United States of America. Given the low voluntary uptake of these technologies on the market, it is important to understand the concerns and perspectives of users, former users and non-users. In this paper, the range of ways older adults relate to passive monitoring in low-income independent-living residences is presented. This includes experiences of adoption, non-adoption, discontinuation and creative ‘misuse’. The analysis of interviews reveals three key insights. First, assumptions built into the technology about how older adults live present a problem for many users who experience unwanted disruptions and threats to their behavioural autonomy. Second, resident response is varied and challenges the dominant image of residents as passive subjects of a passive monitoring system. Third, the priorities of older adults (e.g. safety, autonomy, privacy, control, contact) are more diverse and multi-faceted than those of the housing organisation staff and family members (e.g. safety, efficiency) who drive the passive monitoring intervention. The tension between needs, desires and the daily lives of older adults and the technological solutions offered to them is made visible by their active responses, including resistance to them. This exposes the active and meaningful qualities of older adults’ decisions and practices.

Translation of falls prevention evidence into practice is problematic. Understanding older adults’ views about falls prevention information could enhance delivery of falls prevention, resulting in better engagement and uptake of recommended activities. The aim of this study was to examine the views and preferences of community-dwelling older adults about seeking and receiving falls prevention information. A community forum using a modified World Café approach was conducted. Participants discussed five topic areas in small groups, under the guidance of table facilitators. Perspectives were captured on paper. Thematic analysis was conducted to identify factors that influence participants’ engagement and uptake of information. Seventy-three older adults participated in the forum covering wide-ranging preferences around falls prevention information. Personal experience was considered the key influence on an older adult's decision to initiate seeking information. While health professionals were often approached, alternative sources such as public libraries, peer educators and seniors’ organisations were also favoured as credible sources of information. Older adults proposed falls prevention information should be delivered with a positive tone, coupled with highly valued qualities of respect, empathy and time to listen to foster motivation to engage in recommended activities. Consumer-focused practical strategies were proposed to potentially improve future design, communication and dissemination of falls prevention information. This improvement could enhance engagement of messages and subsequent uptake of falls prevention recommended strategies.

China is experiencing rapid urbanisation and population ageing, alongside sometimes contentious rural land consolidation. These on-going social, economic, political and demographic changes are especially problematic for older people in rural areas. In these regions, social and institutional support arrangements are less developed than in urban areas; older people have few options for re-settlement but are resistant to or incapable of adjusting to high-rise apartment living. In 2012–13, we gathered rich qualitative and quantitative data on over 600 older residents in 12 villages under the jurisdiction of City L in north-east coastal China to analyse residents’ living arrangement choices during the village renovation process. We compared villages with and without senior centres to shed light on the correlates of co-residence and independent living. Senior centres play a role in balancing the burden on rural Chinese families resulting from population ageing, smaller families, widespread migration for work, and the rapid urbanisation that is restructuring land rights and social support arrangements.

Some older adults handle the pitfalls of ageing better than others. One explanation emerges from the concept of resilience, the ability to bounce back from the adversities of later life. In this study, we approached resilience from the narrative perspective. This study is a part of a project based on the DIPEx qualitative methodology, focused on different aspects of ageing. A combination of narrative and semi-structured interviews was conducted with 50 older adults (aged 75 and over). From the total number of interviews, a sub-group of 11 resilient participants was selected on the basis of the criteria set for resilience: (a) past exposure to adversity; and (b) positive adaptation to this adversity in terms of quality of life, happiness and activity. The results of the analysis are presented in the framework of five categories: (a) thematic lines, (b) agency and positioning; (c) values and beliefs; (d) reflections and perspectives; and (e) plot and genre. Both agency and reflections point to actively resisting old age as an important characteristic of resilient older adults in the Czech Republic. This resistance is often allied with irony, but we have also found genres of heroic coping and affirmation of lucky moments. Key thematic lines were love of life, emphasis on the importance of movement and positive social relationships; key values expressed by the participants were relational, existential and spiritual.

Guided by Sörensen and Pinquart's model of preparation for future care, this study investigated the relationship between familism and intended care arrangements. Ordinal logistic regression was performed on a sample of 516 urban Chinese one-child parents aged 45–65 with an equal gender ratio to examine the associations between five care expectations, familism (filial obligation and child gender) and future care planning constructs (awareness, information gathering and avoidance). Awareness and information gathering were positively associated with service-focused care arrangements. Avoidant planners were more inclined to rely on adult children. Participants with a stronger filial obligation had greater expectations for ageing at home with the aid of a spouse, siblings or helper. Child gender was not significantly associated with intended care arrangements. The model of preparation for future care was useful when predicting service-focused care arrangements. Familism was a powerful predictor of family-focused care arrangements. Females were more likely to rely on children regardless of child gender but less likely to rely on spouses and siblings. The study enriches researchers' understanding of urban Chinese older adults' intended care arrangements in the context of fading familism and single-child families.

Research suggests that adult children are less likely to provide care to community-dwelling parents when beds in residential care settings are more widely available. The underlying mechanisms are not well understood. Drawing on data from the Survey of Health, Ageing and Retirement in Europe (SHARE) on 1,214 impaired parent–child dyads from 12 countries, we find that adult children are less likely to provide care in countries where beds in residential care settings are more widely available because (a) parents’ care needs are less severe in such countries (out-selection hypothesis) and (b) adult children and impaired parents are less likely to share a household in such countries (in-selection hypothesis). Finally (c), after taking these two factors into account, adult children remain less likely to provide care in countries where beds in residential care settings are more widely available (diffusion of responsibility hypothesis). Plausibly, being able to rely on residential care undermines adult children's sense of urgency to step in and provide care to their parents.

Work occupies a central place in identity formation. Consequently, retirement places retirees in a new reality that compels them to redefine themselves and adopt a new identity. The present article examines how retirees shape their identity in the absence of work. An interpretive analysis of in-depth interviews conducted with retirees in Israel shows that although retirement and old age are not necessarily equivalent or interconnected, the retirees themselves draw parallels between them, and at the same time also deny this linkage, preferring to draw a distinction between them. The findings reinforce the argument presented in the literature, namely that in contemporary society it is difficult to identify with old age. They also propose a new perspective that reveals the negotiation retirees conduct with old age, age and body, and how identity is shaped by way of denial. In this negotiation the retirees construct their identity around two central, parallel axes: retirement and old age. It further emerges that it is precisely the efforts to mask and repress old age, which are usually made in the body domain, that attest to the existence and presence of old age in their identity. Denial of old age creates a dynamic, hybrid identity that enables retirees to simultaneously accept and reject old age.

Nutritious and enjoyable eating experiences are important for the health and wellbeing of older adults. Social gerontology has usefully engaged with the role of time in older adults’ eating lives, considering how routines and other temporal patterns shape experiences of food, meals and eating. Building on this foundation, the paper details one set of findings from qualitative doctoral research into older adults’ experiences of food, meals and eating. Informed by phenomenological ethnography, it engages with one of four dimensions of the human lifeworld – the temporal dimension. The research involved repeated in-depth interviews, walking interviews and observation with 21 participants aged 72–90 years, living in rural Tasmania, Australia. The temporal elements of older adults’ experiences are detailed in terms of the past, present and future. The findings show that older adults have vivid memories of eating in uncertain and austere times, and these experiences have informed their food values and behaviours into old age. In the present, older adults employ several strategies for living and eating well. Simultaneously, they are oriented towards their uncertain eating futures. These findings reveal the implicit meanings in older adults’ temporal experiences of food, meals and eating, highlighting the importance of understanding older adults’ lifeworlds, and their orientation towards the future, for developing effective responses to concerns about food and eating in this age group.

Older people consider moving home when there is a discrepancy between actual and desired living conditions. This study builds on the classic push and pull framework described in the early work of Lee and Wiseman by identifying whether or not individual differences among older people can be predictive for certain push and pull reasons (such as housing, health, neighbourhood and social contact). On the basis of data from the Belgian Ageing Studies (N = 35,402), it was found that 13.9 per cent of older respondents had moved in the last ten years (N = 4,823). An analysis of the movers revealed inequalities in the reasons for moving in later life and raises the question of whether a relocation is voluntary (being able to move) or involuntary (being forced to move). Respondents with lower household incomes and poor mental health were significantly more likely to have moved because of stressors pushing them out of their previous dwelling, whereas older people with higher household incomes or home-owners were mainly pulled towards a more attractive environment.

Using data from the European Social Survey fielded in 2010/11, this study presents new evidence on retirement preferences in Europe. It investigates retirees' preferred and actual ages of retirement, focusing on the retirement window 1995–2011. Moreover, it reports on the prevalence of mismatch in the form of involuntary retirement (retiring earlier than preferred) and involuntary work (retiring later than preferred). The study identifies substantial shares of retirees who are affected by a mismatch between their preferred and actual ages of retirement. In the majority of the countries analysed, at least 30 per cent of retirees would have preferred to continue working past the age at which they retired, while in a number of countries sizeable shares of retirees report involuntary work. The risk factors for involuntary retirement include the experience of late-career job loss, unemployment, job exits for health reasons and, in the case of women, working in higher-status occupations. The risk factors for involuntary work include fatherhood and, in the case of women, part-time work. As a result of rising actual ages of retirement, the risk of involuntary retirement has decreased for more recent retirement cohorts, while due to pension reforms that have tightened eligibility rules for early retirement, men's risk of involuntary work has increased. However, involuntary retirement is still more prevalent than involuntary work.

As population demographics shift towards an older population structure in the Western world, concerns about the future costs of pensions are apparent in politics, media and everyday conversations. In New Zealand, the universal state-funded pension paid to all citizens over the age of 65 years is often considered to be unsustainable in the context of population ageing. To examine the arguments surrounding universal superannuation, rhetorical analysis was undertaken on two New Zealand newspaper articles that discussed the future cost of pensions, and the 233 public responses these articles generated. The cost of superannuation was used to emphasise the different characteristics of each generational cohort and the ways that this produced inequity across generations. Claims of intergenerational inequity generated antagonism and widened divisions between generational groups. Foregrounding generational inequity in the discussion of superannuation has profound implications for state-funded income support for older people which relies upon widespread public support. Intergenerational inequity ignores the significant inequity in health and social circumstances in retirement among older New Zealanders and overlooks the significant impact of universal superannuation on protecting older New Zealanders from poverty in later life.

Extra-care housing has been an important and growing element of housing and care for older people in the United Kingdom since the 1990s. Previous studies have examined specific features and programmes within extra-care locations, but few have studied how residents negotiate social life and identity. Those that have, have noted that while extra care brings many health-related and social benefits, extra-care communities can also be difficult affective terrain. Given that many residents are now ‘ageing in place’ in extra care, it is timely to revisit these questions of identity and affect. Here we draw on the qualitative element of a three-year, mixed-method study of 14 extra-care villages and schemes run by the ExtraCare Charitable Trust. We follow Alemàn in regarding residents' ambivalent accounts of life in ExtraCare as important windows on the way in which liminal residents negotiate the dialectics of dependence and independence. However, we suggest that the dialectic of interest here is that of the third and fourth age, as described by Gilleard and Higgs. We set that dialectic within a post-structuralist/Lacanian framework in order to examine the different modes of enjoyment that liminal residents procure in ExtraCare's third age public spaces and ideals, and suggest that their complaints can be read in three ways: as statements about altered material conditions; as inter-subjective bolstering of group identity; and as fantasmatic support for liminal identities. Finally, we examine the implications that this latter psycho-social reading of residents' complaints has for enhancing and supporting residents' wellbeing.

Many couples want to retire together even if spouses differ in age. Drawing on theories of leisure complementarity, gender roles and social status, this article uses comprehensive Swedish register data from 2002 to 2010 to explore synchronised retirement and its association with spousal age differences and other socio-demographic factors. Synchronisation rates in dual-earner couples (N = 83,986) were 10 per cent for retirement the same calendar year and 25 per cent for retirement the same or the following year. Contrary to theoretical expectations, synchronisation was more common in women-older couples than in men-older couples, although this was largely a consequence of the skewed distribution of age differences. Moreover, spouses' education, incomes, assets, employment and health were differently associated with synchronisation in same-age, men-older and women-older couples. In the total population, average retirement age differed very little between synchronising couples and other couples. Yet women who synchronised retired at an earlier age than other women, whereas men who synchronised retired later than other men. This was partly an effect of the predominance of men-older couples, but men in men-older couples were also more likely than women in women-older couples to delay retirement in order to synchronise.

This article presents an analysis of long-term care-workers' work motivation that examines the way this is shaped by the social contexts in which they operate. We conducted a thematic analysis of 19 in-depth interviews with care-workers. Three core themes were identified as underpinning their motivation: those of ‘fulfilment’, ‘belonging’ and ‘valuing’, and together these contributed to a central theme of ‘pride’. We also found an overarching theme of ‘shared experience’ to be integral to the way in which care-workers made sense of their motivation and work experience. We draw on the social identity approach to provide a conceptual framework through which to understand how this shared experience shapes care-workers' motivation and the quality of care they deliver. In particular, we note the importance that care-workers' attach to their relationships with clients/patients and highlight the way in which this relational identification shapes their collective identification with their occupation and organisation and, through this, their motivation.

This study explored aged care support workers’ perceptions of how their health was influenced by their job, highlighting similarities and differences of those working in community-based and institution-based care. Support workers working in two institution-based and three community-based aged care organisations were invited to participate. Semi-structured interviews were undertaken with ten participants. Open-ended questions probed participants’ perceptions of their health as it related to their work. Data were analysed with the General Inductive Approach. Four central themes were identified, many of which related to mental, as opposed to physical health. ‘Love of the job’ described various sources of satisfaction for participants. These factors commonly overrode the negative aspects. ‘Stress’ encompassed the negative influences on all aspects of health. ‘Support’ described the positive influences on health, which supported participants in their job. ‘Physicality’ described the physical nature of the job and the positive and negative impact this had on participants’ health. Support workers perform numerous tasks, which often impact upon their health. Aspects of the job that may impact the health of the worker are improved communication and support from management, as well as recognition for support workers’ contribution to society. These could be targeted to enhance support worker health. Additional training and reduced time pressure may also represent aspects for improvement, to optimise support workers’ physical health.

This study explores the social construction of agency and wellbeing among 20 Chinese urban retirees aged between 50 and 82 years old (averaging 67), with a special focus on the impact of earlier life experiences in shaping later-life pathways. Today's retirees in urban China have experienced the communist collectivist ideology during the Mao era as well as the changes to everyday life brought about by the economic transformation from centrally planned socialism to a market-orientated economy. Thereby, life in retirement for Chinese elders becomes more than just an issue of dealing with increases in discretionary time after exit from full-time work, but also one of making sense of their earlier life experiences in the midst of dramatic social changes. A grounded theory approach with semi-structured, in-depth, face-to-face interviews was used for data collection and analysis. Three interrelated themes emerged: (a) reminiscence as a mechanism of meaning-making, (b) discovery and exercise of agency in later life in contrast to a rigidly structured earlier life, and (c) varying pathways to constructing the life-stage of retirement. The findings have refuted gerontological literature and public discourse that often portray Chinese elders as passive care recipients or helpless dependants. Further, the present study has practical implications for developing policies, designing programmes and providing services to improve the quality of life for today's older Chinese people.

Building upon earlier studies on ageism in the media and the polarised ageism framework, this contribution compares the prevalence of three forms of ageism – intergenerational, compassionate and new ageism – in four Canadian and American newspapers. The analysis has three objectives. First, it adapts the polarised ageism framework to a comparative case study to assess its usefulness beyond Canada. Second, it analyses which form of ageism occurs more frequently in the coverage of ageing-related stories in Canadian or American newspapers. Third, it studies the importance of the political orientation of news media across both countries by comparing the portrayal of ageing-related stories in conservative and liberal newspapers. Core findings include the presence of a stronger focus on intergenerational ageism in American and conservative newspapers and more frequent prevalence of compassionate ageism in Canada and liberal newspapers. American newspapers also typically employ more pejorative and sensational language.

This article comprises a sociological analysis of how architects imagine the ageing body when designing residential care homes for later life and the extent to which they engage empathetically with users. Drawing on interviews with architectural professionals based in the United Kingdom, we offer insight into the ways in which architects envisage the bodies of those who they anticipate will populate their buildings. Deploying the notions of ‘body work’ and ‘the body multiple’, our analysis reveals how architects imagined a variety of bodies in nuanced ways. These imagined bodies emerge as they talked through the practicalities of the design process. Moreover, their conceptions of bodies were also permeated by prevailing ideologies of caring: although we found that they sought to resist dominant discourses of ageing, they nevertheless reproduced these discourses. Architects’ constructions of bodies are complicated by the collaborative nature of the design process, where we find an incessant juggling between the competing demands of multiple stakeholders, each of whom anticipate other imagined bodies and seek to shape the design of buildings to meet their requirements. Our findings extend a nascent sociological literature on architecture and social care by revealing how architects participate in the shaping of care for later life as ‘body workers’, but also how their empathic aspirations can be muted by other imperatives driving the marketisation of care.

This study focuses on the social wellbeing of older migrants in Italy, an important yet neglected topic in the Italian political and scholarly debate. Knowledge about the lived experience of loneliness and its perceived causes was gathered by means of 34 in-depth interviews with Albanian and Moroccan migrants aged 50 and above living in the Marche region. Our findings show that the participants are surrounded by family and are largely satisfied with the contact they have with relatives; this protects them from social isolation but not from loneliness. Although they rarely express this to their spouse and friends (men) or their children (men and women), feelings of loneliness are widely experienced among the participants. The root of their loneliness largely relates to a lack of meaningful relationships with non-related age peers – having a chat, remembering old times, socialising with others when family members are busy, talking about intimate matters they cannot or will not share with relatives – which supports the argument of loneliness scholars that different types of relationships serve different functions and fulfil different needs. Having more contact with people outside the family circle, especially with co-ethnic peers, could reduce these feelings of loneliness substantially, but factors such as discrimination and lack of Italian language proficiency, free time, financial resources and nearby contact facilities are hindrances. These factors offer clues for public loneliness interventions.