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This qualitative study explores how these vulnerabilities accumulate across World Health Organization (WHO)- age groups (Young-Old, Old-Old, and Oldest-Old) using in-depth narratives from thirty diverse older adults in urban Assam, India. Moving beyond purely biological understandings, the study adopts an integrated framework synthesizing Lawton\u2019s Ecological Model, Cumulative Disadvantage (CAD) Theory, and Active Aging. While health shifts with age, socio-spatial contexts critically shape lived experiences. Rapid urbanization and inadequate planning often \u2018manufacture dependency\u2019, turning neighbourhood environments into spaces of confinement, particularly for older women facing cumulative lifelong inequalities. However, findings indicate advancing age need not lead to inevitable decline where accessible infrastructure exists. 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