Unpaid long-term care is often provided by family and friends, acting both as complement to and a substitute for paid care. In 2019, around 13% of people over 50 years old provided some type of unpaid care at least weekly (OECD, 2021[13]), and around 7% provide care every day. This estimate includes all forms of unpaid care – including childcare, care for people with a disability, and care for elderly people. As with all caregiving activities, unpaid caregiving is gendered, with women representing over 62% of people aged 50 years or over (in a comparison of 25 OECD countries) providing daily unpaid care (Figure 2.7). Over half of those providing unpaid care are providing this care to their spouse or their parents (OECD, 2024[1]).
Gender differences in the impact of caregiving often stem from variations in both the intensity and nature of care tasks. Evidence from Canada shows that men are more likely to engage in flexible, irregular, and less time-demanding activities such as home maintenance or outdoor tasks, while women more often provide routine, time-intensive care involving personal support, managing appointments and medications, and offering emotional assistance (Statistics Canada, 2024[14]) (OECD, 2025[5]). These gendered patterns not only increase women’s overall care burden but also constrain their time, flexibility, and labour market participation, reinforcing gender inequalities in both paid and unpaid work (OECD, 2025[5]).
The paid caregiving workforce is also highly gendered. Approximately 87% of paid long-term caregivers are women, on average across the OECD (OECD, 2024[1]). Improving pay and working conditions in this field is critical both for enabling women’s economic empowerment and supporting healthy ageing.
Unfortunately, gender segregation in the care workforce reflects deeply segregated labour markets overall. Recent OECD work suggests that gender segregation is the norm in most occupations, with only 7 out of 42 occupations in EU‑27 countries in 2023 showing evidence of gender balance, defined as a workforce composed of between 40% women and 60% women (OECD, 2025[5]). Of the remaining 35 occupations that show a gender imbalance, 13 show extreme gender segregation, with less than 20% women or more than 80% women (OECD, 2025[5]). Extremely segregated occupations include many occupations related to the trades, which are men-dominated, and many occupations related to care, which are women-dominated. Since the occupations in which women are concentrated are more likely to be low paid and many have poor working conditions (OECD, 2019[15]; 2023[16]; World Economic Forum, 2023[17]), occupational segregation is an important factor contributing to the gender pay gap (see below) and to other gender inequities in the labour market.