The decision of whether to grow old in one's home (also referred to as ageing in place (AIP)) or relocating to an institution is an ongoing negotiation process, which involves residential decisions and adaptation. This research aims to explore how childless older adults in rural China choose between AIP and institutionalisation. Through a qualitative study conducted in rural China among childless older adults, we explored the reasons why they make certain residential choices and how they adapted during the decision process. Twenty-five childless participants (aged 60–83) were interviewed. Findings suggested that they referred to the term ku (literally meaning ‘bitterness’; and a metaphor referring to ‘conducting farming and farm-related activities’) to explain their residential decisions. If a person could endure ku – sustain food and basic living through farming and farm-related activities, they tended to choose to age in place; otherwise, they chose to relocate to institutions. Ku represents a sense of mastery, encompassing the stressfulness and suffering aspect that requires adaptation. Three adaptive strategies were identified: (a) positive reappraising of the negative aspect of ku, (b) routinising ku, and (c) transcending the narrative of ku into a toughness identity. Our findings suggest that childless older adults struggled to achieve residential mastery while making residential decisions, even though a sense of mastery was shaped by the individual and structural constrictions.

This paper explores aspects of kinship and geographical distance in terms of the social context of older people in the South Island of New Zealand, and with particular reference to the long-term epidemiological study of ageing in the community of Mosgiel. Comparisons between the numbers of relatives reported in the social networks of the older participants at baseline and in the six-year follow-up study indicate both losses and gains over time. A local qualitative study carried out within the Mosgiel study interprets meanings of closeness and distance from the ways that older people talk about family and friends. In discussing definitions of family, aspects of genealogical and generational connection are described, along with processes which allow for ‘proxies’ and ‘substitution’ in the light of geographical proximity. These role definitions within families, and the wider social networks within which they operate, provide continuity and reliable social support together with flexibility and adaptability to change. The Mosgiel study illustrates some aspects of the combined effects of low population density in the region, rural-to-urban migration, and recent health and social service restructuring on older people and on their families.

India, like many other developing countries in the world, is presently witnessing rapid ageing of its population. Almost eight out of 10 older people in India live in rural areas. Urbanisation, modernisation and globalisation have led to changes in economic structure, erosion of societal values and the weakening of social institutions such as the joint family. In this changing economic and social milieu, the younger generation is searching for new identities encompassing economic independence and redefined social roles within, as well as outside, the family. The changing economic structure has reduced the dependence of rural families on land, which had provided strength to bonds between generations. The traditional sense of duty and obligation of the younger generation towards their older generation is being eroded. The older generation is caught between the decline in traditional values on the one hand and the absence of an adequate social security system, on the other. This paper explores the nature and extent of the social and economic pressures that are impinging on intergenerational relationships and discusses the implications for policy towards improving the wellbeing of India’s senior citizens.