Every
day, Bureau of Labor Statistics interviewers
ask Americans to detail how they spent the
previous 24 hours, how many minutes and
hours they devoted to everything from
shopping to child care to phone calls. The
results, culled from 12,500 respondents,
make up the American Time Use Survey.
It began in 2003, but only last
year did the bureau start asking about a key
activity for millions of people — elder
care. The recently released 2011 results
reveal how many millions of us are involved:
In the past three months, 39.8 million
people over age 15 have provided unpaid care
to someone over 65 “because of a condition
related to aging.”
I was about to hail this new
category as a milestone, evidence of federal
officials’ recognizing and finally
quantifying the massive economic and social
contributions of unpaid family (and
sometimes non-family) caregivers. Not so,
Stephanie Denton, an economist with the
bureau, told me: The agency wanted to
include elder care in the survey from the
start and made earlier attempts, but “it was
a slow process and a small staff.”
Still,
knowledge is power, right? So what do we
learn?
That this task remains concentrated
in the midlife years, for one thing. Between
22 and 23 percent of those ages 45 to 64
identify themselves as elder care providers,
along with 16 percent of those over age 65.
Almost a third of them are taking care of
two older people or more. And 23 percent
also had a minor child in their households.
In a great majority of cases, 85 percent,
caregivers and their elders maintained
separate households.
A majority of those providing care
are women — 56 percent — but that’s a
smaller majority than past research has
found. Are sons and husbands catching up to
daughters, daughters-in-law and wives, who
in other studies make up closer to
two-thirds of caregivers? Maybe future
time-use surveys will show whether this is a
trend or a blip.
We learn more
about the job from this survey, too. It’s a
frequent task: About 20 percent provide care
daily, about 24 percent several times a
week, and 20 percent once a week. On those
days they’re on the job, they devote more
than three hours, on average, to their
elders. Sex differences show up here: Women
spend an hour more on elder care on those
days than men do.
The survey, we should note, uses a
very broad definition of “caregiver.” You
qualify if you provided unpaid care of any
kind (including simple companionship or
“being available to assist when help is
needed”) more than once in the past three
months, regardless of how long you spent at
it.
So a
17-year-old who paid two 20-minute visits to
her grandmother since mid-April is, to the
Bureau of Labor Statistics, an elder care
provider. Helping old people encompasses
such a variety of responsibilities under so
many circumstances that it probably makes
sense to view it expansively, but the
caregiver who emerges from this survey may
also be a somewhat different species from
the ones described in others.
We also know that caregivers often
don’t identify themselves that way. That
could help explain why the survey shows most
people caring for a parent (42 percent), a
grandparent (19 percent) or another relative
(21 percent) – and so few caring for a
spouse or unmarried partner (only 4
percent). Could that be right?
If spouses are just doing what they
think of as normal household chores —
shopping for groceries, preparing meals,
doing laundry — they won’t necessarily
categorize this as providing unpaid help to
someone over age 65. “It’s hard to
distinguish what you’ve always done for
someone from elder care,” Ms. Denton
acknowledged.
Elder care has been a subterranean
activity for a long time, unpaid and largely
unmeasured and, as a consequence, often
unappreciated. Now, Ms. Denton says,
“there’s a wide interest in elder care, in
how competing demands on our time impact our
lives. How do elder care responsibilities
influence our work? Or our child care?”
Researchers can now use this annual trove of
data to help answer such questions.