Population ageing and rural–urban transformation are reshaping the living arrangements of older adults in China, with important implications for health equity, later-life well-being, and the social sustainability of rural–urban development. Using the China Longitudinal Aging Social Survey (CLASS), this study examines how changing living arrangements affect the multidimensional well-being of rural older adults. Four living arrangements—rural–urban mobility co-residence, left-behind living, urban co-residence with children, and rural co-residence with children—are identified, and a double machine learning approach is employed to address nonlinearities and high-dimensional confounding. The results show that, compared with left-behind living, rural–urban mobility co-residence significantly improves the well-being of rural older adults. However, this mobility dividend is accompanied by multidimensional trade-offs: it improves mental health, living conditions, and health behaviors while negatively affecting physical health, social participation, and economic security. Rural co-residence also generates significant well-being gains, suggesting that relocation to urban areas is not the only pathway to improving later-life well-being. Moreover, the benefits of rural–urban mobility co-residence vary substantially with family characteristics, particularly children’s gender composition and educational attainment. Mechanism analyses further reveal a dual effect of mobility: it enhances well-being by strengthening intergenerational support and facilitating self-development, but may simultaneously increase intergenerational contribution and weaken social identification. These findings highlight the importance of social integration of mobile older adults, local elderly-care services, and family support in reducing inequalities in later-life well-being among mobile older adults.
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Ouyang et al. (2026) studied this question.
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