{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:20:39Z","timestamp":1792477239227,"version":"4.5.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>For the first time in human history, older adults will outnumber children and a substantial and growing proportion will live alone and lack one or more nuclear family ties. Such unprecedented shifts require a reevaluation of existing models of \u201csuccessful aging,\u201d particularly in terms of long-term care policies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>This paper draws on country-level data from multiple publicly available sources (e.g., World Bank, Organization for Economic Cooperation and Development, Our World in Data, and the World Values Survey) to examine cross-national patterns of development, health, demography, resources and policies, and cultural values in low-, middle-, and high-income countries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Although there exists substantial heterogeneity across countries, country-level patterns illustrate the economic privilege of living alone and the dominance of \u201csuccessful aging\u201d opportunities in high-income countries. Cultural values about family reflect standard patterns of economic development, yet friendship emerges as a particularly consistent global value. At the country-level, living alone and health are associated with higher-income countries with lower within-country inequality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>Aging \u201calone\u201d is a risk factor in some contexts, yet a marker of privilege in others. Models of \u201csuccessful aging\u201d are largely unobtainable in lower-income countries or high-inequality countries, and therefore require a thorough incorporation of global realities or final abandonment in favor of more nuanced structural perspectives. Long-term care policies that assume the presence of family will yield increasing risk over time across all global contexts and represent a key vulnerability in the future of healthy aging policy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnae104","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T16:07:38Z","timestamp":1723219658000},"source":"Crossref","is-referenced-by-count":9,"title":["\u201cSuccessfully\u201d Aging \u201cAlone?\u201d: Unequal Global Opportunities and Rising Risks in Family-Based Models of Care Cross-Nationally"],"prefix":"10.1093","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8813-6532","authenticated-orcid":false,"given":"Christine A","family":"Mair","sequence":"first","affiliation":[{"name":"Department of Sociology, Anthropology, and Public Health, University of Maryland Baltimore County , Baltimore, Maryland ,","place":["USA"]},{"name":"Center for Health, Equity, and Aging, University of Maryland Baltimore County , Baltimore, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,10]]},"reference":[{"issue":"5","key":"2024121311301641100_CIT0001","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1093\/geronb\/gbab239","article-title":"Sole family survivors: Older adults lacking family of origin kin","volume":"77","author":"Brown","year":"2022","journal-title":"Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"},{"issue":"8","key":"2024121311301641100_CIT0002","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1093\/geronb\/gbz095","article-title":"Aging alone? 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