What ATUS Data Tells Us About Gender and Family Eldercare
A recent report by the Government Accountability Office (GAO) highlights the value that unpaid caregiving adds to the economy. The provision of unpaid care is highly gendered, with women spending two to 10 times more time on care work than men globally (Ferrant et al., 2014). This blog post reports how gender is associated with both providing and receiving family eldercare in the U.S., using data from the American Time Use Survey (ATUS) from IPUMS ATUS. In the ATUS, the Bureau of Labor Statistics defines eldercare providers in the context of the ATUS as “individuals who provide unpaid care to someone age 65 or older who needs help because of a condition related to aging.” This blog focuses on eldercare provided to members of one’s own family, including to one’s spouse or partner, parent, parent-in-law, sibling, grandparent, or other relative.
The American Time Use Survey (ATUS) collects information on eldercare beyond what is observed directly in time diaries of ATUS respondents. From 2011-onward, information has been recorded on eldercare provision within the last three months for all ATUS respondents. Those who had provided care within the last three months gave additional information about the frequency of eldercare and their relationship with the recipient of the care. This blog post includes ATUS data from 2011-2024.
Though the BLS defines eldercare recipients as being age 65 and older, in ATUS data, eldercare recipients can be younger. More than 98 percent of eldercare recipients in 2011-2024 ATUS data are age 50 and older, and more than 92 percent are age 60 and older.
Women perform more family eldercare than men
Women bear the brunt of family eldercare, but gender gaps have shrunk over time. Between 2011 and 2024, 57 percent of family eldercare providers were women. The graph below (Figure 1) shows the share of men and women who provided eldercare to a family member by year. Each year, a larger share of women than men are eldercare providers within their families. Over the pooled time period, 15.6 percent of women provided eldercare to a family member, compared to 12.6 of men, meaning women were 23 percent more likely than men to provide family eldercare.
The share of women who provide eldercare to a family member declined from 16 percent in 2011 to 14 percent in 2024. The share of men who provide eldercare to a family member also declined between 2011 and 2022, before increasing in 2023 and 2024. The simultaneous decline in women’s eldercare provision and the rise in men’s eldercare provision in the last two years of data have led to a near gender convergence in the rate at which U.S. adults provide eldercare to family members.
Figure 1. Share of women and men that provide family eldercare over time
Women also provide family eldercare more frequently than men. The graph below (Figure 3) shows the percentage of male and female family eldercare providers who take care of their family member(s) daily; several times a week; about once a week; several times a month; once a month; or some other frequency that was not stated. Women are more likely than men to report providing care daily or several times a week. Women are less likely than men to report providing care at all lower frequencies.
Figure 2. Frequency of family eldercaregiving by sex of caregiver
Caregivers are more likely to take care of women
Family eldercare providers of both sexes are about twice as likely to care for a woman as they are to care for a man. The graph below (Figure 3) shows who male and female caregivers take care of in terms of the sex of the recipient family member(s).
Slightly over half of family eldercare providers care for a woman (or women) only, shown by the pink bars. This is true for both male and female eldercare providers. Both men and women are much less likely to care for a man (or men) only than they are to care for a woman (or women) only. One in five male eldercare providers and 17 percent of female eldercare providers care for a man (or men) only, shown by the green bars. One in five male caregivers and one in four female caregivers care for at least one person of each sex, shown by the blue bars.
This means that 80 percent of male caregivers and 83 percent of female caregivers take care of at least one female family member. In contrast, 40 percent of male caregivers and 43 percent of female caregivers take care of at least one male family member. In total, a family eldercare provider is roughly twice as likely to be caring for a woman as they are to be caring for a man.
These sex disparities in who family eldercare providers take care of could reflect differences in need for eldercare by sex (i.e., women may be more likely to need care), differences in receipt of needed care (i.e., men and women need care at the same rates but women are more likely to receive it), or differences in where older adults receive care (i.e., men and women are equally likely to need and to receive care, but women are more likely than men to receive it from family members).
Analytical consideration: While ATUS data on eldercare provision can tell us a lot about caregivers themselves, these data do not allow us to identify all older adults with met and unmet need for caregiving. This means it is not possible to determine—using ATUS data alone—which of the three scenarios described above is most accurate. ATUS data should be paired with other data sources to understand the need for eldercare and identify populations that are potential recipients of eldercare. Also note that when working with ATUS data on eldercare, weights are only available for the ATUS respondent themselves—that is, the caregiver. When weights are applied, ATUS respondents are representative of the U.S. population, but their care recipients are not necessarily representative. Therefore, analyses must be conducted at the level of the ATUS respondent—the caregiver—rather than at the level of the care recipient.
Figure 3. Sex of care recipient by sex of caregiver
Studies of eldercare and gender using IPUMS ATUS data
Reproduce these figures and analysis in Stata
Suggested citation
Pastoor, Isabel. 2026. “What ATUS Data Tells Us About Gender and Family Eldercare.” University of Minnesota Life Course Center, September 22, 2026. https://lcc.umn.edu/node/2161.