The onset of disability is a natural part of the ageing process. However, this can often lead to the need for care. In India, it has been a traditional practice that older adults obtain socio-economic support and health care from a family caregiver, usually from their children, spouse or immediate family members (Ugargol et al, 2016). Hence, the household living arrangements of older people in India are seen as important for the availability of family support. Kerala is one of the states in India that has undergone rapid demographic transition (Liebig and Rajan, 2003; Guilmoto and Rajan, 2005).