In the 1970s, studies started showing to what extent public services can support parents when it comes to combining caring for their children with participation in employment. Only in the 1990s did researchers begin to focus on the impact adult children's caring for their elderly parents can have on their participation in the labour market. According to research, the need (or wish) to care for older parents can lead to adult children losing their jobs, more absence from work, increased use of part-time work or more difficulty concentrating at work (due to being worried) and negative effects on productivity, promotion and salary.
Adult children are important care providers, most of the non-professional care is provided by daughters of older people. In other words, a great many women "in their fifties and sixties are now both working and having to care for their parents", hence "more likely than men to withdraw completely from the labour market" or work fewer hours - either because they need the time to care for the parent(s) or because of health problems resulting from attempts to combine care work with job. "Public expenditures on eldercare appear to affect both intergenerational support and female labour market participation."
Gautun and Brett (2017) investigated the connection between adult children's attendance at work and public care services for older people.
We test the hypothesis that the detrimental effect on attendance at work of having an older parent in need of care is moderated (reduced) by the parent’s use of a public nursing homes, possibly also by home care services.
The study was carried out in Norway (n = 529, employees aged 45 to 65). A majority of respondents (80%) had provided support to their parent(s) in mostly practical form, e.g. purchases or transportation. 16% ha given nursing assistance. 58% of those reporting to have helped their parent(s) during the past year said that it was difficult to combine care and work.
The results are interesting and probably not extremely surprising:
Institutional care for older people in need of care (i.e. nursing homes) was associated with improved work attendance among their children—their daughters in particular. Data also indicated a moderating effect: the link between the parents’ reduced health and reduced work attendance among the children was weaker if the parent lived in a nursing home. However, the results were very different for home-based care: data indicated no positive effects on adult children’s work attendance when parents received non-institutionalised care of this kind. Overall, the results suggest that extending public care service to older people can improve their children’s ability to combine work with care for parents. However, this effect seems to require the high level of care commonly provided by nursing homes. Thus, the current trend towards de-institutionalising care in Europe (and Norway in particular) might hamper work attendance among care-giving adult children, women in particular. Home care services to older people probably need to be extended if they are intended as a real alternative to institutional care.
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- Gautun, H. & Brett, C. (2017). Caring too much? Lack of public services to older people reduces attendance at work among their children. European Journal of Ageing, 14, 155-166,, link
- photograph by Dorothea Lange (1938) via
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