Return migration to Mexico is increasing, but we know little about the lives of returning migrants after resettlement. Using 2001–12 longitudinal data from the Mexican Health and Aging Study, we investigate differences in household composition for older migrants who returned from the United States compared with nonmigrants. The results indicate that return migrants with long-duration US stays have smaller households and include fewer females who may offer assistance to older adults than nonmigrants and short-term migrants. Households with middle-aged females have better health and functional trajectories than other households.

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