Women and Caregiving: The Unseen Backbone of Care Economies 

Written by Dr. Beth Janser.

Caregiving is a cornerstone of societal wellbeing, yet it remains one of the most undervalued and gendered roles in modern economies. Women disproportionately shoulder the burden of caregiving, whether for aging parents, children, spouses, or individuals with disabilities. This unpaid labor, often invisible in economic metrics, has profound implications for women’s mental health, financial stability, and career trajectories. 

The Scope of Women’s Caregiving Roles 

The National Center on Caregiving (2015) reports that in the United States, approximately 66% of all caregivers are women, with the average caregiver being a 49-year-old woman who works outside the home and provides 20 hours of unpaid care per week. These women often juggle multiple roles– employee, mother, spouse, and caregiver–leading to what researchers call the “mental load” of caregiving. This cognitive burden includes not only the physical tasks of care but also the emotional labor of managing appointments, medications, and the well-being of loved ones. 

Despite some shifts in gender norms, caregiving remains deeply feminized (Sauer, 2022). Cultural expectations that women are naturally nurturing reinforce their role as default caregivers. Research shows that even when men participate in caregiving, women tend to perform more time-intensive and emotionally demanding tasks, such as household chores and personal care (Pacheco Barzallo et al., 2024). 

Economic Consequences 

The economic toll of caregiving on women is staggering. According to the TIAA Institute, nearly 30% of family caregivers stop saving, and over 20% use up their short-term savings due to caregiving responsibilities (Cothran & Heinz, 2022). Many women reduce work hours, take unpaid leave, or exit the workforce entirely, leading to lost income, diminished retirement savings, and long-term financial insecurity. 

This financial strain is exacerbated by the persistent gender wage gap. Women earn less on average than men, so any interruption in employment due to caregiving has a more severe impact. Moreover, caregiving responsibilities often coincide with peak earning years, compounding the economic disadvantage. 

Mental Health and Wellbeing 

The emotional and psychological effects of caregiving are equally significant.  According to Shuman (2025), women caregivers report higher levels of stress, anxiety, and depression compared to their male counterparts. The constant balancing act between caregiving and other responsibilities can lead to burnout, sleep disturbances, and feelings of isolation. 

A study by the Family Caregiver Alliance found that 43% of women caregivers experience sleep difficulties, and 36% report symptoms of depression (Shuman, 2025). These mental health challenges are often overlooked, as caregivers prioritize the needs of others over their own well-being. 

Intersectionality and Caregiving 

Caregiving burdens are not distributed equally among all women. Women of color, LGBTQ+ women, and those in lower-income brackets face compounded challenges. For example, 66% of African American caregivers and 61% of Hispanic caregivers are women, often providing care with fewer resources and support (Cothran & Heinz, 2022).

These disparities highlight the need for intersectional approaches to caregiving policy. Solutions must account for the unique experiences of marginalized groups, who often navigate caregiving alongside systemic barriers such as racism, economic inequality, and limited access to healthcare. 

Policy and Societal Implications 

Despite the critical role caregivers play in sustaining families and communities, public policy has been slow to respond. Most caregiving in the U.S. is unpaid, and formal support systems–such as respite care, financial assistance, and caregiver training– are often limited or inaccessible to many. 

The COVID-19 pandemic exposed and intensified the caregiving crisis. With healthcare systems overwhelmed and eldercare needs rising, women were forced to absorb even more unpaid labor. This shift has prompted renewed calls for caregiver support, including paid family leave, tax credits, and workplace accommodations. 

Experts argue that caregiving must be recognized as essential labor, deserving of compensation, training, and institutional support. Addressing the gendered nature of caregiving is also crucial for achieving broader gender equity in the workplace and society (Shuman, 2025). 

Toward a More Equitable Future 

To build a more resilient and equitable care economy, several steps are necessary: 

  1. Policy Reform: Implement paid family leave, caregiver tax credits, and expanded access to respite care. 
  1. Workplace Flexibility: Encourage employers to adopt caregiver-friendly policies, such as flexible hours and remote work options. 
  1. Public Awareness: Shift cultural narratives to value caregiving as skilled labor, not just a familial duty. 
  1. Intersectional Support: Design programs that address the specific needs of caregivers from diverse backgrounds. 

Conclusion 

Women’s caregiving labor is the invisible scaffolding of families, communities, and economies. However, without recognition, support, and systemic change, this labor continues to exact a heavy toll on women’s health, finances, and futures. To truly honor the essential role of caregiving, we must dismantle the invisibility that surrounds women’s labor and replace it with visibility, value, and viable support. 

This means enacting policies that provide paid family leave, affordable childcare, and caregiver tax credits; expanding access to mental health services and respite care; and ensuring that caregiving is no longer treated as a private burden but as a public responsibility. It also means shifting cultural narratives to celebrate caregiving as skilled, essential work–not just a moral obligation or a personal sacrifice. 

We must listen to caregivers, elevate their voices in policy-making, and invest in infrastructure that supports care across the lifespan. Whether through legislation, philanthropy, workplace reform, or community initiatives, every sector has a role to play in building a care economy that is just, inclusive, and sustainable. 

Let us commit–individually and collectively– to recognizing caregiving as the foundation of a thriving society. Let us advocate for change, support caregivers in our lives, and demand systems that recognize and value their labor. The future of care depends on what we do today. 

References 

Cothran, F. A., & Heinz, P. A. (2022). The economic effects of family caregiving on women. TIAA Institute & National Alliance for Caregiving. Retrieved from https://www.tiaa.org/content/dam/tiaa/institute/pdf/insights-report/2022-07/tiaa-institute-nac-the-economic-effects-of-family-caregiving-on-women-wvoee-cothran-july-2022-0.pdf 

Family Caregiver Alliance. (2015). Women and caregiving: Facts and figures. National Center on Caregiving. Retrieved from https://www.caregiver.org/resource/women-and-caregiving-facts-and-figures/ 

Pacheco Barzallo, D., Schnyder, A., Zanini, C., & Gemperli, A. (2024). Gender Differences in Family Caregiving. Do female caregivers do more or undertake different tasks?. BMC Health Serv Res 24, 730. Retrieved from https://doi.org/10.1186/s12913-024-11191-w 

Sauer, E. (2022, March 9). The gender gap in caregiving and why women carry it. UMKC Women’s Center. Retrieved from https://info.umkc.edu/womenc/2022/03/09/the-gender-gap-in-caregiving-and-why-women-carry-it/ 

Shuman, T. (2025, February 14). Family caregiver annual report and statistics. SeniorLiving.org. Retrieved from https://www.seniorliving.org/research/family-caregiver-report-statistics/ 

Author Bio:

Dr. Beth Janser has been a dedicated member of the Junior League for over 30 years, committed to advancing women’s leadership and community engagement. Currently, she serves as a Faculty Member and Research Supervisor at Palm Beach Atlantic University, where her academic work centers on gender issues and the evolving challenges women face both in the workforce and at home. Her passion lies in empowering women through education, advocacy, and research that highlights the complexities of modern womanhood.