The tradition of intergenerational care and support exchanges in Indian families is assumed to be disturbed because of changes in family structure brought on by modern life, which is mainly based on studies investigating experiences of older adults regarding the impact of socio-economic change on their care arrangement. However, there is a large gap in understanding the experiences of adult children from a larger relational perspective, more than just care provision to their older relatives. Drawing on 26 in-depth interviews with adult children living in modern and traditional living arrangements from South India, the study explores their experiences with their parents with regard to reciprocity of care and support, the challenges they experience and strategies they adopt to overcome those challenges. The analysis shows adult children perceive the increased demands of modern work life and their older kin's preferences to be heard, lack of flexibility and related extra domestic work and costs, do cause a bigger burden for them in both living arrangements. However, adult children strive to uphold the traditional values of caring for their older kin and sharing emotional bonding with them. This inspiration helps them to employ strategies to accept their older relatives as they are, focus their attention on the benefits they receive from them and distribute care tasks with other relatives to overcome the challenges.

Public health initiatives, including lockdowns to reduce the spread of COVID-19, have resulted in societal stressors like loneliness, job loss, and economic collapse linked to worsening mental health outcomes, such as depression, anxiety, and coping-related substance use. The various psychosocial stressors caused by the pandemic have potentially led to the increased use of substances across the globe, particularly among emerging adults. The current study summarises the literature on substance use among emerging adults during the COVID-19 pandemic. The terms “coronavirus”, “COVID-19”, “substance use”, “substance abuse”, “drug use”, drug abuse”, “emerging adults”, and “young adults” were all used in different combinations throughout the search, using the Scopus, PubMed, and JSTOR databases. Using this method, a total of 28 English-language citations published between 2020 and 2023 were obtained. Following a study of the articles mentioned above, 16 papers were removed. The remaining 12 papers were included in this review. Even though substance use dropped when COVID-19 lockdowns began, it rose when restrictions were removed, particularly among those with prior substance use. Studies related to mental health need to assess substance use, as many emerging adults use substances to cope with distress, including isolation and loneliness, which are part of the current mental health crisis among emerging adults.

Background WHO Southeast Asian Region (WHO SEARO) is home to 1.94 billion people accounting for one-fourth of the global population. Objective The primary objective of this scoping review is to describe the various policy interventions implemented in countries of the WHO SEARO to address the consequences of ageing. Design The Arksey and O’Malley framework for scoping review was used to explore existing policy interventions on aged care. Setting WHO SEARO. Methods Ten articles and 33 grey literature discussing the various aged care interventions adopted by WHO SEARO countries were identified through a comprehensive search performed across five databases, PubMed (NCBI), Embase (Elsevier), Web of Science (Clarivate) and Scopus (Elsevier) and Google Scholar. Results The review indicates that healthcare, long-term care and rehabilitation, maintenance and welfare, and old age social security are the critical domains of existing policy intervention. The grey literature, including policies, acts, legislations, agendas and plans of action adopted by WHO SEARO countries, concludes that existing interventions are spread across the differential aspects of ageing and aged care. The notable delimitations of the given policy interventions are ambiguity regarding the monitoring of the programmes, lack of benchmark standards for evaluation of progress, inadequate attention to rural poverty and lack of decentralisation. Conclusion WHO SEARO countries can respond better to ageing by reinforcing areas such as caregiver support and allowances, public financing in older care, old age health insurance, public-private partnership in mobile and institutional caring and social security systems including old age and disability pension.

The convergence of youth migration and the nuclearization of families has altered conventional living arrangements in India, indicating a sharp rise in the number of families in which older adults live alone due to the outmigration of their adult children. This study aims to explore the perceptions of left-behind older adults regarding long-distance care practices by their adult children and to describe the practical and functional care deficits that lead to vulnerability and unmet mental health care in migrant households. Twenty older adults above 65 years of age living alone or with a spouse for at least one year due to the out-migration of their adult children were selected purposively. The analysis revealed that distance from migrant children makes older adults feel anxious, miss their family togetherness, and experience increased loneliness and care gaps in later years, contributing to a multifaceted causality of vulnerability while aging alone. Narratives of distance care are often shaped by the bidirectional flow of care across generations through virtual and in-person means, where emotional and functional deprivations continue to challenge the quality of informal distant care among left-behind older adults. Mental health promotion among community-dwelling older adults is crucial for sustaining their functional capacity, thereby delaying psychological morbidities during aging.

Background: Postmortem examination is the gold standard for establishing the cause of death. Minimally Invasive Tissue Sampling (MITS) of organs is a novel approach that can be used as an alternative to postmortem examination. In this study, the community perceptions in two states in South India towards neonatal postmortem and the acceptance towards the MITS technique is studied. Methods: In-depth interviews were conducted among the participants from Kerala and Karnataka to understand the perception towards postmortem and the acceptance of the novel MITS technique. The interviews were audio recorded, and a thematic analysis was done to identify the overarching themes and codes. Results: The knowledge and attitude of participants on conventional and MITS postmortem techniques, reasons for refusal, and the need for raising awareness were identified in the study. Participants favored the MITS techniques as it was less disfiguring and less time-consuming. The major concerns for refusal of conventional postmortem were that the procedure was disfiguring, time-consuming, and caused emotional stress to the parents. Conclusions: Participants favored the MITS approach over conventional postmortem as it caused less disfigurement and was conducive to the religious practice of burial of the body.