Abstract This study examined the underlying types of intergenerational relationship and social support network among impaired older adults in China and explained how they may influence the home- and community-based service (HCBS) purchase intentions of these individuals. Based on the 2018 and 2020 waves of the Chinese Longitudinal Aging and Social Survey, a total of 3,397 older adults (aged ≥ 60 years, with at least one child) were selected. First, we used K-means cluster analysis to identify five types of intergenerational relationship among Chinese families: ‘tight-knit and proximal’, ‘parent-oriented and intimate’, ‘distant but intimate’, ‘independent-intimate’ and ‘child-oriented but emotionally detached’. Second, we examined the sizes of three distinct types of social support network among older Chinese adults: contact, instrumental and emotional. Subsequently, binary logistic regression was conducted to examine the relative impact of intergenerational relationships and social support networks on impaired older adults’ HCBS purchase intentions. Our findings revealed that under the moderation of social support networks, reciprocal intergenerational relationships exhibited fewer HCBS purchase intentions, while imbalanced intergenerational relationships exhibited diverse HCBS purchase intentions. The findings also underscore the ‘bridge’ function of older adults’ social support networks and the importance of community participation in promoting older adults’ utilization of support services.

Abstract Next of kin play a vital role in the informal care of older relatives in long-term-care facilities (LTCFs). However, finding a sustainable balance between everyday commitments and caring for their loved ones can be demanding, and there is a need to explore new ways to support their caregiving efforts while prioritising their wellbeing. Digital communication technologies have shown promise in enabling meaningful social interactions between older adults and their families, yet their potential to foster connections in LTCFs remains understudied. This study explores the efficacy of a communication technology called Komp in facilitating meaningful connections between next of kin and older relatives in LTCFs. It utilises Norwegian data from all public nursing homes in Oslo municipality to assess whether Komp can facilitate social contact between nursing home residents and their next of kin, and if the use of Komp impacts the next of kin’s experience of satisfaction with this contact. Based on 238 next of kin, this study uses two data sources: (1) survey data collected from all next of kin, in three waves, and (2) a highly detailed weekly data stream from each Komp device. These sources are combined and analysed using multiple regression analysis. The results generally show a positive and significant relationship between use of Komp and increased social satisfaction, indicating that Komp can serve as a valuable tool to help next of kin maintain social bonds with older relatives in LTCFs.

Abstract Despite the universal social policies of Sweden’s welfare state, recent decades have seen decreasing public benefits and increasing socio-economic disparities, affecting the financial wellbeing of older adults and their younger family members. This repeated cross-sectional study explores the development of intergenerational financial transfers in Sweden over the past two decades, examining transfers involving older parents and their children and grandchildren, and patterns related to gender and social class. It utilises data from the Swedish Panel Study of Living Conditions of the Oldest Old, from 2002 to 2021, along with descriptive statistics and logistic regression models, to study shifts in donor–receiver proportions and gender/social-class disparities. The findings revealed that approximately one in four parents provided financial support to younger generations, while very few received such support. Downward financial transfers increased over time, with growing focus on grandchildren. No significant gender differences in providing were identified; however, women’s contributions increased in frequency and amount, compared to previous cohorts of women. Men’s contributions remained relatively stable over time. Parents in higher social classes were more inclined to provide financial support than parents in lower classes; this difference grew over time. Additionally, parents in higher social classes more frequently provided higher amounts than their counterparts. In conclusion, this study underscores changing gender and social-class patterns in financial contributions made by parents to their children and grandchildren in contemporary Sweden. Understanding these levels and subgroup differences is crucial for shaping policies and mitigating the potential growth of socio-economic inequality in future generations.

Abstract Considering the demographic shift towards an ageing population, the financial threats that arise after retirement and the ongoing debates about extending working life, it is crucial to thoroughly understand the impact of retirement on the health of older individuals. This article presents a systematic review conducted according to the standards established by PRISMA statement CINAHL and APA PsycArticles databases by EBSCOhost, Pubmed, Scopus and Web of Science, for longitudinal studies published between 2013 and 2023. The aim of the review was to synthesise evidence of the effects of retirement on health, for example physical functioning, morbidity or mortality. From 1,757 records, 19 papers were included. Twelve longitudinal studies consistently linked retirement to declining physical function, increased disease prevalence and higher all-cause mortality risk. The evidence did not show a clear conclusion on biomarkers as health outcomes. The article identifies five explanatory mechanisms behind the retirement–health relationship: working conditions, retirement types, financial security, lifestyle changes and social participation. Retirement can have some adverse effects on health; however, the health consequences of withdrawal are likely to vary by pre-retirement factors. These findings carry implications for the current debate of extending working life and the social security system for older people.

Abstract 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.

Abstract Public health crises like Covid-19 profoundly influence informal care-givers of older adults with functional health limitations. This study deepens existing understanding of care-giving processes during the pandemic to uncover insights useful for developing effective care-giving interventions for the post-pandemic era and future public health crises. Specifically, it examined (1) how care-giving activities during the pandemic impacted care-giver psychological wellbeing by affecting caregiving burden and the positive aspects of caregiving and (2) the moderating effect of pandemic-specific factors (i.e., care recipients’ unmet health-care needs due to the pandemic). Multiple-group analyses were conducted on data on 906 informal care-givers of older adults with functional health limitations, obtained from the Covid-19 Supplement and Round 10 Survey of the National Health and Aging Trends Study conducted in the United States. The mean age of participants was approximately 60 years, and most were white women. Positive aspects of care-giving significantly mediated the relationships between providing assistance in activities of daily living (ADL), instrumental ADL, and emotional support and positive affect. Care-giving burden significantly mediated the relationship between assistance in ADL and positive and negative affect. Care recipients’ unmet health-care needs moderated the relationships between assistance in ADL and burden, assistance in ADL and negative affect, and emotional support and positive affect. In sum, this study underscores the positive aspects of care-giving as well as care-giving burden and demonstrates that greater attention should be paid to care-givers caring for individuals with unmet health-care needs during public health crises. The results suggest that more-effective responses to public health crises must be developed, especially within health-care systems.

Care Homes in a Turbulent Era: Do They Have a Future? is part of the In a Turbulent Era series investigating best practices, research and new ways of operating in the postpandemic era.Edited by Canadian professors Pat Armstrong and Susan Braedley, the book analyses the multifaceted care home challenges and offers alternative approaches focussing on four main themes: approaches to care, financing and ownership, work organisation, and accountability structures.Drawing on more than 15 years of traditional and site-switching ethnographic research in Canada, Germany, Norway, Sweden, the United Kingdom and the United States, each chapter concludes with concrete insights or recommendations to improve care home operations and confront the underlying structural challenges in a post-pandemic world.'The research indicates that we need nursing homes now and in the future and that there is no single best way to construct and organize care homes' (p.14).The opening chapter, 'Care homes in crisis: Promising ways forward' , sets forth general assumptions by recognising: (1) the complexity of care home communities, which involves all who live and work in, visit and manage care homes; (2) the care relationship, which may involve inequalities of power, gender and race; and (3) the challenges of for-profit models, as a solution to which it advocates for public ownership and transparency, supported by a feminist political economy framework.Armstrong and Braedley address the immediate challenges faced by care homes during Covid-19, calling for a fundamental shift in how care homes are structured and managed.The editors illustrate eight lessons learnt, including government leadership, (non-)profit care, working conditions, community building in and outside the nursing home, physical environments and diversity, among others.In Chapter 2, 'Piercing the corporate veil: Nursing home ownership in turbulent times' , Hugh Armstrong acknowledges the growing number of for-profit nursing homes and highlights the ethical and practical issues of profit-driven care, advocating for public or municipal ownership to ensure transparency and accountability.

Abstract 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.