Statistics · Updated November 2, 2026
Caregiver Statistics 2026
Includes AARP's October 2026 caregiving cost study and BLS May 2025 home care wage data
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Compiled by the BestRatedDocs research desk from AARP, the National Alliance for Caregiving, the Centers for Disease Control and Prevention (CDC), the Bureau of Labor Statistics (BLS), the Alzheimer's Association and Pew Research Center data.
About 63 million U.S. adults, 24% of all adults, are family caregivers, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey. Caregivers of adults average 27 hours of care a week, and 64% report moderate or high emotional stress. Each figure below names who measured it and what it counts.
Key findings
- 63 million
63 million U.S. adults, about 24% of all adults, gave ongoing care to an adult or child with a medical condition or disability, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 1 · 2024 data
- 27 hours
Family caregivers of adults spent an average of 27 hours a week providing care, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 22 · 2024 data
- 64%
In 2024, 64% of U.S. family caregivers of adults reported moderate or high emotional stress from caregiving (a 3, 4 or 5 on a 5-point scale), according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 3 and Figure 36, p. 42 · 2024 data
- 20.5%
In 2021-2022, 20.5% of adult caregivers reported frequent mental distress (14 or more days of poor mental health in the past 30 days), compared with 13.6% of noncaregivers, according to CDC's BRFSS data from 35 states and Puerto Rico.
CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Table 2 · 2021-2022 data
- $11,508
In 2026, family caregivers of adults spent an average of $11,508 a year of their own money on caregiving, up from $7,242 in 2021 (an inflation-adjusted increase of $2,408), according to AARP's Caregiving Out-of-Pocket Costs Study.
AARP, 2026 AARP Caregiving Out-of-Pocket Costs Study, p. 4 · 2026 data
- $1.01 trillion
Family caregivers of adults provided unpaid care worth an estimated $1.01 trillion in 2024, according to the AARP Public Policy Institute's Valuing the Invaluable 2026 report.
- 12.7 million
In 2025, 12.7 million family members and other unpaid caregivers looked after a person living with Alzheimer's or another dementia in the U.S., according to the Alzheimer's Association.
Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 52 · 2025 data
- 38.2 million
38.2 million people age 15 and older, 14% of the U.S. civilian noninstitutional population, provided unpaid care to someone age 65 or older in 2023-2024, according to the Bureau of Labor Statistics' American Time Use Survey.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey) · 2023-2024 data
- 4.3 million
Home health and personal care aides held 4.3 million jobs in May 2025, making it the largest occupation in the U.S., according to the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey (wage and salary workers).
U.S. Bureau of Labor Statistics, Occupational Employment and Wages news release, May 2025 data · 2025 data
How Many Family Caregivers Are There?
AARP and the National Alliance for Caregiving count every adult who gave ongoing unpaid or family care in the past year. Their 2025 wave is the newest national count.
Source: AARP and National Alliance for Caregiving, Caregiving in the US 2025, Table 1, p. 6. Chart: BestRatedDocs, free to reuse with a link to this page.
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| 2015 | 43.5M |
|---|---|
| 2020 | 53M |
| 2025 | 63M |
- 63 million
63 million U.S. adults, about 24% of all adults, gave ongoing care to an adult or child with a medical condition or disability, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 1 · 2024 data [1]
- 45%
The number of U.S. family caregivers rose 45% between the 2015 and 2025 waves of the Caregiving in the US survey by AARP and the National Alliance for Caregiving.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 1 · 2015-2024 data [1]
- 59 million
Of the 63 million family caregivers counted in Caregiving in the US 2025, 59 million cared for an adult age 18 or older and 4 million cared for a child under 18 with an illness or disability, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 1 · 2024 data [1]
- 51 million
More than 51 million U.S. adults, nearly one in five, cared for someone age 50 or older, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey. This group is part of the 63 million total, not in addition to it.
AARP and National Alliance for Caregiving, Family Caregivers of Adults Age 50-plus: The Caregiving in the US 2025 Series, p. 4 · 2024 data [2]
63 million counts caregivers of adults OR children. 59 million counts only caregivers of adults 18+, and about 51 million counts only caregivers of adults 50+. These are nested groups, not separate ones. The 2015 and 2020 waves counted unpaid caregivers only; the 2025 wave also includes family caregivers paid through Medicaid, VA or state programs (1.9 million of the 59 million were paid for all their care).
Who Family Caregivers Are
The typical caregiver of an adult is a woman around 51 caring for a parent, and almost a third have children or grandchildren under 18 at home.
Source: AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 2, p. 10. Chart: BestRatedDocs, free to reuse with a link to this page.
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| 18-34 | 18% |
|---|---|
| 35-49 | 26% |
| 50-64 | 33% |
| 65-74 | 14% |
| 75+ | 8% |
- 61%
61% of family caregivers of adults were women and 38% were men, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 9 · 2024 data [1]
- 50.6 years
The average family caregiver of an adult was 50.6 years old, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 9 · 2024 data [1]
- 61%
61% of family caregivers of adults were non-Hispanic white, 16% Hispanic or Latino, 13% Black and 6% Asian American, Native Hawaiian or Pacific Islander, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 9 · 2024 data [1]
- 47%
47% of family caregivers of adults were caring for a parent or parent-in-law and 15% for a spouse or partner, while 11% cared for a friend, neighbor or other nonrelative, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 11 · 2024 data [1]
- 24%
24% of family caregivers of adults were caring for more than one person, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 11 · 2024 data [1]
- 29%
29% of family caregivers of adults were sandwich generation caregivers with children or grandchildren under 18 at home, rising to 47% of caregivers under age 50, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 18 · 2024 data [1]
Figures in this section describe the 59 million caregivers of adults 18+ in Caregiving in the US 2025 (survey base n = 6,549).
Hours, Duration and Care Tasks
Family caregiving has become longer and more intensive since 2015. Many caregivers now do medical and nursing tasks with little or no training.
Source: AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 15, p. 23. Chart: BestRatedDocs, free to reuse with a link to this page.
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| Under 1 hour | 10% |
|---|---|
| 1 to 8 hours | 33% |
| 9 to 20 hours | 22% |
| 21 to 40 hours | 11% |
| 41+ hours | 24% |
- 27 hours
Family caregivers of adults spent an average of 27 hours a week providing care, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 22 · 2024 data [1]
- 24%
24% of family caregivers of adults gave more than 40 hours of care a week, the equivalent of a full-time job, and 35% gave more than 20 hours, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 22 · 2024 data [1]
- 5.5 years
Family caregivers of adults had been caregiving for an average of 5.5 years, and nearly 30% had done so for 5 years or more, up from 24% in 2015, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 22 · 2015-2024 data [1]
- Almost two-thirds
Almost two-thirds of family caregivers of adults helped with at least one activity of daily living such as bathing, dressing or toileting; the most common was getting the person in and out of beds and chairs (45%), according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 23 · 2024 data [1]
- 84%
84% of family caregivers of adults helped with three or more everyday tasks such as shopping, transportation, meals or finances, up from 77% in 2015, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 24 · 2015-2024 data [1]
- 55%
55% of family caregivers of adults performed medical or nursing tasks such as injections or catheter care, but only 22% had received training for them, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 28 · 2024 data [1]
- 56%
56% of family caregivers of adults said they had no choice in taking on the caregiving role, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 44 · 2024 data [1]
All figures describe caregivers of adults 18+ in Caregiving in the US 2025. Weekly hours above 98 were capped at 98 by the researchers, and hours for caregivers who reported constant care without a number were imputed.
Caregiver burnout and stress statistics
No national survey measures "burnout" directly. The closest measures are self-rated emotional stress and physical strain (AARP and NAC), frequent mental distress and diagnosed depression (CDC BRFSS), and feeling alone.
Source: CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Table 2. Chart: BestRatedDocs, free to reuse with a link to this page.
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| Caregivers 2015-16 | 17.2% |
|---|---|
| Caregivers 2021-22 | 20.5% |
| Noncaregivers 2015-16 | 10% |
| Noncaregivers 2021-22 | 13.6% |
- 64%
In 2024, 64% of U.S. family caregivers of adults reported moderate or high emotional stress from caregiving (a 3, 4 or 5 on a 5-point scale), according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 3 and Figure 36, p. 42 · 2024 data [1]
- 38%
38% of U.S. family caregivers of adults rated caregiving a 4 or 5 on a 5-point emotional stress scale, the report's "high emotional stress" group, in AARP and NAC's 2024 survey for Caregiving in the US 2025.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 36, p. 42 · 2024 data [1]
- 45%
45% of U.S. family caregivers of adults reported moderate or high physical strain from caregiving in 2024, and 19% rated it high (4 or 5 on a 5-point scale), according to AARP and the National Alliance for Caregiving.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 35 and p. 42 · 2024 data [1]
- 24%
24% of U.S. family caregivers of adults said they feel alone in their caregiving role in 2024, up from 21% in the 2020 survey, according to AARP and the National Alliance for Caregiving.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 37, p. 43 · 2024 data [1]
- 20.5%
In 2021-2022, 20.5% of adult caregivers reported frequent mental distress (14 or more days of poor mental health in the past 30 days), compared with 13.6% of noncaregivers, according to CDC's BRFSS data from 35 states and Puerto Rico.
CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Table 2 · 2021-2022 data [3]
- 25.6%
25.6% of adult caregivers had ever been diagnosed with depression in 2021-2022, compared with 18.6% of noncaregivers, according to CDC's Behavioral Risk Factor Surveillance System (35 states and Puerto Rico).
CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Abstract · 2021-2022 data [3]
- 59%
59% of family caregivers of people living with Alzheimer's or other dementias rated the emotional stress of caregiving as high or very high, according to an Alzheimer's Association poll conducted in 2014 and reported in its 2026 Facts and Figures.
Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 53 (data: 2014 Alzheimer's Association Women and Alzheimer's Poll) · 2014 data [4]
AARP/NAC's 64% is moderate or high emotional stress (3 to 5 on a 5-point scale); its 38% is high only (4 or 5). CDC frequent mental distress means 14 or more poor mental health days in the past 30. The Alzheimer's Association 59% comes from a 2014 poll of dementia caregivers and is not comparable with the AARP/NAC figures.
Caregivers' own health
Caregivers report worse health than people who are not caregivers on most measures CDC tracks, and about one in five rate their health fair or poor.
- 20%
20% of U.S. family caregivers of adults rated their own health as fair or poor in 2024, rising to 26% among those who live with the person they care for, according to AARP and the National Alliance for Caregiving.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 32, p. 40 · 2024 data [1]
- 23%
23% of U.S. family caregivers of adults said caregiving makes it difficult to take care of their own health in 2024, rising to 31% of lower-income caregivers, according to AARP and NAC's Caregiving in the US 2025.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 34, p. 41 · 2024 data [1]
- 7.0 days
U.S. family caregivers of adults averaged 7.0 days of poor mental health and 5.4 days of poor physical health in the past 30 days, measured with CDC's Healthy Days questions in AARP and NAC's 2024 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 33, p. 41 · 2024 data [1]
- 19.6%
19.6% of adult caregivers rated their health fair or poor in 2021-2022, compared with 16.9% of noncaregivers, according to CDC's Behavioral Risk Factor Surveillance System (35 states and Puerto Rico).
CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Table 2 · 2021-2022 data [3]
- 65.7%
65.7% of adult caregivers had at least one chronic physical condition in 2021-2022, versus 54.9% of noncaregivers, and 32.5% had multiple conditions versus 24.2%, according to CDC's BRFSS data from 35 states and Puerto Rico.
CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Table 2 · 2021-2022 data [3]
- 13 of 19
Adult caregivers fared worse than noncaregivers on 13 of 19 health indicators in 2021-2022, after adjusting for age, according to a CDC analysis of Behavioral Risk Factor Surveillance System data from 35 states and Puerto Rico.
CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Summary · 2021-2022 data [3]
CDC BRFSS caregivers are adults who gave regular care to a friend or family member with a health problem or disability in the past 30 days; AARP/NAC counts adults who gave ongoing care in the past year.
The Financial Cost of Caregiving
Nearly half of caregivers report a negative financial impact, and AARP's October 2026 study puts average out-of-pocket spending at $11,508 a year.
Source: AARP and National Alliance for Caregiving, Caregiving in the US 2025, Table 5, p. 37. Chart: BestRatedDocs, free to reuse with a link to this page.
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| Stopped saving | 31% |
|---|---|
| Used short-term funds | 24% |
| Took on more debt | 23% |
| Left bills unpaid | 20% |
| Borrowed from family | 17% |
| Can't afford basics | 14% |
| Used long-term funds | 13% |
| Took on more work | 11% |
| Delayed retirement | 9% |
- 47%
47% of family caregivers of adults reported at least one negative financial impact from caregiving, and they averaged 1.8 such impacts, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 37 · 2024 data [1]
- 31%
31% of family caregivers of adults had stopped saving and 24% had used up their personal short-term savings because of caregiving, up from 28% and 22% in 2020, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Table 5, p. 37 · 2020-2024 data [1]
- 23%
23% of family caregivers of adults took on more debt and 20% left bills unpaid or paid them late because of caregiving, while 14% could not afford basic expenses like food, up from 11% in 2020, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 37 · 2020-2024 data [1]
- $11,508
In 2026, family caregivers of adults spent an average of $11,508 a year of their own money on caregiving, up from $7,242 in 2021 (an inflation-adjusted increase of $2,408), according to AARP's Caregiving Out-of-Pocket Costs Study.
AARP, 2026 AARP Caregiving Out-of-Pocket Costs Study, p. 4 · 2026 data [5]
- 76%
In 2026, family caregivers with household incomes under $40,000 a year spent an average of 76% of that income on caregiving costs, according to AARP's Caregiving Out-of-Pocket Costs Study.
AARP, 2026 AARP Caregiving Out-of-Pocket Costs Study, p. 7 · 2026 data [5]
| Expense category | Average per year | Share of spending |
|---|---|---|
| Household and housing | $4,797 | 42% |
| Medical | $3,313 | 29% |
| Caregiver personal expenses | $1,283 | 11% |
| Care recipient personal care | $1,163 | 10% |
| Recreation and other | $953 | 8% |
| Total | $11,508 | 100% |
Source: AARP, 2026 AARP Caregiving Out-of-Pocket Costs Study, p. 11
Two different AARP studies: Caregiving in the US 2025 measures financial impacts (stopped saving, debt, unpaid bills) among caregivers of adults 18+. The 2026 AARP Caregiving Out-of-Pocket Costs Study measures money spent, using a one-week expense diary from 2,538 caregivers of adults 18+. AARP says part of the rise from $7,242 in 2021 reflects a longer list of expense categories and pandemic-suppressed spending in 2021, so the two cost figures are not a pure like-for-like trend.
Working While Caregiving
Most working-age caregivers also hold a job, and over half of them have had to come in late, leave early or take time off to give care.
Source: AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 29, p. 35. Chart: BestRatedDocs, free to reuse with a link to this page.
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| Late/early/time off | 56% |
|---|---|
| Cut work hours | 18% |
| Leave of absence | 16% |
| Performance warning | 9% |
| Quit working | 9% |
| Turned down promotion | 8% |
| Retired early | 7% |
| Lost job benefits | 6% |
- 70%
70% of family caregivers of adults aged 18 to 64 held a paid job while caregiving, and 60% of all caregivers of adults were employed, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey. Of those employed, 53% were paid hourly and 40% were salaried.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 32 · 2024 data [1]
- 56%
56% of employed family caregivers of adults had gone in late, left early or taken time off work to provide care, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 29, p. 35 · 2024 data [1]
- 18%
18% of employed family caregivers of adults had cut back to part time or reduced their hours because of caregiving, 16% took a leave of absence and 9% gave up working entirely, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 29, p. 35 · 2024 data [1]
- 50%
50% of employed family caregivers of adults said their employer offered paid family leave, up from 32% in 2015, but access was 60% for salaried workers against 35% for hourly workers, according to AARP and the National Alliance for Caregiving's Caregiving in the US 2025 survey.
AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 28 and text, p. 34 · 2015-2024 data [1]
- $12,606
In 2026, working family caregivers of adults spent an average of $12,606 a year out of pocket on caregiving, according to AARP's Caregiving Out-of-Pocket Costs Study.
AARP, 2026 AARP Caregiving Out-of-Pocket Costs Study, p. 8 · 2026 data [5]
| Benefit | 2015 | 2020 | 2025 |
|---|---|---|---|
| Paid sick days | 52% | 58% | 68% |
| Unpaid family leave | Not asked | 53% | 65% |
| Flexible work hours | 53% | 56% | 61% |
| Paid family leave | 32% | 39% | 50% |
| Caregiver programs or EAP | 23% | 26% | 39% |
| Telecommuting | 22% | 25% | 37% |
Source: AARP and National Alliance for Caregiving, Caregiving in the US 2025, Figure 28, p. 34
The 70% figure is the share of working-age caregivers (18 to 64) who were employed; the 60% figure is the share of all caregivers of adults. Work impacts and benefits were asked only of employed caregivers who are not self-employed.
The economic value of family caregiving
AARP's Valuing the Invaluable series puts a dollar figure on the unpaid care families give to adults. The 2026 edition, built on 2024 survey data, is the first to pass $1 trillion.
Source: AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, Table 1, p. 3. Chart: BestRatedDocs, free to reuse with a link to this page.
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| 2006 | 350B |
|---|---|
| 2007 | 375B |
| 2009 | 450B |
| 2013 | 470B |
| 2017 | 470B |
| 2021 | 600B |
| 2024 | 1,010B |
- $1.01 trillion
Family caregivers of adults provided unpaid care worth an estimated $1.01 trillion in 2024, according to the AARP Public Policy Institute's Valuing the Invaluable 2026 report.
AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, p. 1 · 2024 data [6]
- 49.5 billion hours
An estimated 59 million family caregivers of adults age 18 and older provided 49.5 billion hours of care in 2024, according to AARP's Valuing the Invaluable 2026 report, which is built on the Caregiving in the US 2025 survey.
AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, p. 1 · 2024 data [6]
- $20.41 per hour
AARP valued each hour of family care at an average of $20.41 in 2024, ranging from $14.12 an hour in Louisiana to $27.05 in Washington, reflecting differences in state wages and the cost of home care.
AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, p. 1 · 2024 data [6]
- $1.01 trillion vs. $932 billion
The $1.01 trillion value of family caregiving in 2024 was more than all federal, state and local Medicaid spending that year ($932 billion), AARP's Public Policy Institute found.
AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, p. 1 · 2024 data [6]
- 23.8 million full-time workers
The 49.5 billion hours of family care given in 2024 equal the work of 23.8 million full-time employees, about 17 percent of all full-time workers in the U.S., according to AARP.
AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, p. 2 · 2024 data [6]
- Two-thirds
AARP's estimate of the value of family care rose by two-thirds between its 2021 and 2024 estimates, from $600 billion to $1.01 trillion. AARP attributes most of the rise to more hours and higher home care costs and wages, not more caregivers, and says its estimates are not directly comparable across years.
AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, pp. 4-5 · 2021-2024 data [6]
| State | Family caregivers | Care hours (millions) | Economic value ($ millions) |
|---|---|---|---|
| Alabama | 1,040,000 | 830 | $12,800 |
| Alaska* | 96,000 | 90 | $2,000 |
| Arizona | 1,190,000 | 1,220 | $27,000 |
| Arkansas* | 630,000 | 540 | $9,100 |
| California | 6,400,000 | 6,100 | $149,000 |
| Colorado | 910,000 | 650 | $16,000 |
| Connecticut | 710,000 | 460 | $10,700 |
| Delaware* | 164,000 | 122 | $2,600 |
| District of Columbia* | 89,000 | 66 | $1,640 |
| Florida | 4,300,000 | 4,100 | $81,000 |
| Georgia | 2,500,000 | 2,400 | $41,000 |
| Hawaii* | 210,000 | 200 | $4,900 |
| Idaho* | 400,000 | 350 | $6,600 |
| Illinois | 2,100,000 | 1,490 | $33,000 |
| Indiana | 1,110,000 | 860 | $16,100 |
| Iowa | 610,000 | 310 | $6,400 |
| Kansas | 610,000 | 590 | $10,900 |
| Kentucky | 910,000 | 780 | $15,500 |
| Louisiana | 900,000 | 920 | $12,900 |
| Maine* | 310,000 | 220 | $5,500 |
| Maryland | 1,150,000 | 1,040 | $24,000 |
| Massachusetts | 1,390,000 | 920 | $22,000 |
| Michigan | 1,520,000 | 1,330 | $27,000 |
| Minnesota | 840,000 | 480 | $11,100 |
| Mississippi* | 690,000 | 620 | $9,400 |
| Missouri | 1,130,000 | 870 | $17,500 |
| Montana* | 151,000 | 132 | $2,800 |
| Nebraska* | 300,000 | 210 | $4,500 |
| Nevada* | 560,000 | 490 | $10,600 |
| New Hampshire* | 280,000 | 200 | $4,400 |
| New Jersey | 1,760,000 | 1,190 | $28,000 |
| New Mexico* | 390,000 | 340 | $6,200 |
| New York | 3,900,000 | 2,600 | $58,000 |
| North Carolina | 2,100,000 | 1,790 | $33,000 |
| North Dakota* | 82,000 | 58 | $1,270 |
| Ohio | 2,100,000 | 1,610 | $32,000 |
| Oklahoma | 770,000 | 680 | $12,200 |
| Oregon | 740,000 | 600 | $15,400 |
| Pennsylvania | 2,200,000 | 2,100 | $40,000 |
| Rhode Island* | 155,000 | 111 | $2,800 |
| South Carolina | 1,050,000 | 990 | $17,200 |
| South Dakota* | 150,000 | 106 | $2,500 |
| Tennessee | 1,400,000 | 1,430 | $26,000 |
| Texas | 4,900,000 | 4,000 | $65,000 |
| Utah | 600,000 | 490 | $9,900 |
| Vermont* | 118,000 | 85 | $2,100 |
| Virginia | 1,520,000 | 1,370 | $27,000 |
| Washington | 1,250,000 | 930 | $25,000 |
| West Virginia* | 350,000 | 260 | $4,400 |
| Wisconsin | 1,030,000 | 560 | $11,100 |
| Wyoming* | 64,000 | 56 | $1,060 |
| United States | 59,000,000 | 49,500 | $1,010,000 |
The 59 million here are caregivers of adults age 18+ during 2024 (Caregiving in the US 2025). Earlier editions counted caregivers in a given month (37 million in 2024), so compare across editions only with that monthly count, and treat dollar trends as approximate because methods changed.
Dementia caregivers
People living with Alzheimer's and other dementias need more hours of help for more years than most care recipients. These figures come from the Alzheimer's Association's 2026 Facts and Figures.
- 12.7 million
In 2025, 12.7 million family members and other unpaid caregivers looked after a person living with Alzheimer's or another dementia in the U.S., according to the Alzheimer's Association.
Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 52 · 2025 data [4]
- 19.6 billion hours
Unpaid dementia caregivers provided an estimated 19.6 billion hours of help in 2025, nearly 30 hours per caregiver per week or 1,543 hours a year, the Alzheimer's Association estimates.
Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 52 · 2025 data [4]
- $446.3 billion
The unpaid care given to people living with dementia was worth an estimated $446.3 billion in 2025, valued at the average of each state's minimum wage and the median hourly cost of a home health aide, according to the Alzheimer's Association.
Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 52 · 2025 data [4]
- $405,262
The total lifetime cost of care for a person with dementia was estimated at $405,262 in 2024 dollars, and 70% of it falls on family caregivers through unpaid care and out-of-pocket spending, the Alzheimer's Association reports.
Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 52 · 2024 data [4]
The 12.7 million caregivers, 19.6 billion hours and $446.3 billion are the Alzheimer's Association's 2025 estimates, built from CDC BRFSS caregiver data. The lifetime cost figure comes from a published study the report cites, adjusted to 2024 dollars.
Unpaid eldercare: who provides it and how much time it takes
The Bureau of Labor Statistics measures unpaid care for people 65 and older through the American Time Use Survey, which counts anyone age 15 and older and records time from a one-day diary.
Source: U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey), Table 1. Chart: BestRatedDocs, free to reuse with a link to this page.
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| 15 to 24 | 5.6% |
|---|---|
| 25 to 34 | 7.6% |
| 35 to 44 | 11.4% |
| 45 to 54 | 18.8% |
| 55 to 64 | 24.1% |
| 65 and over | 16.8% |
- 38.2 million
38.2 million people age 15 and older, 14% of the U.S. civilian noninstitutional population, provided unpaid care to someone age 65 or older in 2023-2024, according to the Bureau of Labor Statistics' American Time Use Survey.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey) · 2023-2024 data [7]
- 55%
Women made up 55% of the 38.2 million unpaid eldercare providers age 15 and older in 2023-2024, according to the Bureau of Labor Statistics' American Time Use Survey.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey), Table 1 · 2023-2024 data [7]
- 24%
24% of Americans ages 55 to 64 provided unpaid eldercare in 2023-2024, the highest rate of any age group, followed by 19% of those ages 45 to 54, according to the Bureau of Labor Statistics.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey) · 2023-2024 data [7]
- 3.9 hours
On a given day in 2023-2024, 28% of unpaid eldercare providers gave care, spending an average of 3.9 hours on it on those days, according to the Bureau of Labor Statistics' American Time Use Survey.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey) · 2023-2024 data [7]
- 47%
47% of unpaid eldercare providers cared for a parent in 2023-2024, according to the Bureau of Labor Statistics' American Time Use Survey.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey), Table 3 · 2023-2024 data [7]
- 62%
About 62% of unpaid eldercare providers (23.6 million of 38.2 million) were employed in 2023-2024 (BestRatedDocs calculation from Bureau of Labor Statistics Table 1).
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey), Table 1 (BestRatedDocs calculation) · 2023-2024 data [8]
BLS eldercare providers (38.2 million, age 15+, caring for someone 65+ in the previous 3 to 4 months) are a different population from AARP/NAC's family caregivers (adults 18+ caring for an adult or child of any age).
Sandwich generation, young and military caregivers
Some caregivers carry the role alongside raising children, before adulthood, or for a service member or veteran. Each group is measured by a different study with its own definition.
Source: Pew Research Center, 54% of Americans in their 40s have both an aging parent and own child. Chart: BestRatedDocs, free to reuse with a link to this page.
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| All adults | 25% |
|---|---|
| 18 to 29 | 8% |
| 30 to 39 | 25% |
| 40 to 49 | 54% |
| 50 to 59 | 45% |
| 60 and over | 10% |
- 25%
25% of U.S. adults were in the sandwich generation in September 2025 (a living parent age 65 or older plus a minor child or a financially supported adult child), up from 23% in 2021, according to Pew Research Center.
Pew Research Center, 54% of Americans in their 40s have both an aging parent and own child · 2025 data [9]
- 54%
54% of Americans in their 40s were sandwiched between an aging parent and their own children in 2025, the highest of any age group, according to Pew Research Center.
Pew Research Center, 54% of Americans in their 40s have both an aging parent and own child · 2025 data [9]
- 7.6 million
7.6 million unpaid eldercare providers were also parents of children under 18 living at home in 2023-2024, and 55% of them cared for their own parent, according to the Bureau of Labor Statistics.
U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey), Table 9 · 2023-2024 data [7]
- 1.6 million
About 1.6 million youths ages 15 to 18 (9.2% of that age group) provided care to adults each year in 2013-2019, according to a Demography study of American Time Use Survey data; estimates range from 364,000 to 2.8 million depending on the definition.
Miller, Hart, Useche Rosania and Coe, Youth Caregivers of Adults in the United States, Demography 61(3), 2024 · 2013-2019 data [10]
- 14.3 million
14.3 million Americans, 5.5% of U.S. adults, were caregivers for a military service member or veteran in 2023, according to RAND's survey for the Elizabeth Dole Foundation.
RAND, America's Military and Veteran Caregivers: Hidden Heroes (RR-A3212-1) · 2023 data [11]
- 42%
42% of military and veteran caregivers looking after someone age 60 or under met criteria for depression in 2023, almost four times the rate of non-caregivers, and 20% had thought about taking their own lives, according to RAND.
RAND, America's Military and Veteran Caregivers: Hidden Heroes (RR-A3212-1) · 2023 data [11]
Pew's sandwich generation is defined by family structure (a parent 65+ and a minor or financially supported adult child), not by caregiving. BLS's 7.6 million counts parents who actually provide eldercare. RAND's caregiver definition is broad (91.3 million civilian caregivers, 35% of adults), so its 14.3 million is not a subset of AARP/NAC's 63 million.
Paid caregivers: the home care workforce
Home health and personal care aides are the paid side of care at home, and they are now the largest occupation in the country. Pay remains low and demand keeps rising.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2019 to May 2025 (occupation profiles for 2019-2023, news release Table 1 for 2024 and 2025). Chart: BestRatedDocs, free to reuse with a link to this page.
Show chart data
| 2019 | 3.2M |
|---|---|
| 2020 | 3.2M |
| 2021 | 3.4M |
| 2022 | 3.5M |
| 2023 | 3.7M |
| 2024 | 4M |
| 2025 | 4.3M |
- 4.3 million
Home health and personal care aides held 4.3 million jobs in May 2025, making it the largest occupation in the U.S., according to the Bureau of Labor Statistics Occupational Employment and Wage Statistics survey (wage and salary workers).
U.S. Bureau of Labor Statistics, Occupational Employment and Wages news release, May 2025 data · 2025 data [12]
- $17.21 per hour
The median wage for home health and personal care aides was $17.21 an hour in May 2025 (mean $17.36 an hour, or $36,120 a year), according to the Bureau of Labor Statistics.
U.S. Bureau of Labor Statistics, OEWS Table 1, National employment and wage data by occupation, May 2025 · 2025 data [13]
- 18%
Employment of home health and personal care aides is projected to grow 18% from 2025 to 2035, from 4,677,100 to 5,524,400 jobs, much faster than the average for all occupations, according to Bureau of Labor Statistics projections (which include self-employed workers).
U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, Home Health and Personal Care Aides (Job Outlook) · 2025-35 projection data [14]
- 760,500
About 760,500 openings for home health and personal care aides are projected each year on average from 2025 to 2035, mostly to replace workers who change occupations or leave the labor force, according to the Bureau of Labor Statistics.
U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, Home Health and Personal Care Aides (Job Outlook) · 2025-35 projection data [14]
- 42%
The median hourly wage of home health and personal care aides rose 42% before inflation, from $12.15 in May 2019 to $17.21 in May 2025, according to Bureau of Labor Statistics OEWS data (BestRatedDocs calculation).
U.S. Bureau of Labor Statistics, OEWS May 2019 occupation profile and May 2025 Table 1 (BestRatedDocs calculation) · 2019-2025 data [13]
OEWS (4.3 million in May 2025) counts wage and salary jobs and excludes the self-employed and some private-household workers. The Occupational Outlook Handbook (4.7 million in 2025) uses the Employment Projections count, which includes self-employed workers. Do not mix the two in one comparison.
An aging population and future care demand
The number of older Americans, and especially of those 85 and older, is growing much faster than the number of working-age adults who could care for them.
- 64.6 million
The U.S. population age 65 and older reached 64.6 million on July 1, 2025, up 16.2% from April 2020, while the number of children under 18 fell 2.4%, according to the U.S. Census Bureau's Vintage 2025 estimates.
U.S. Census Bureau, Vintage 2025 Population Estimates press release, Table 1 · 2025 data [15]
- 2029
Adults 65 and older are projected to make up a larger share of the U.S. population than children under 18 starting in 2029, in the Census Bureau's 2023 National Population Projections (middle series).
U.S. Census Bureau, 2023 National Population Projections press release · Projections released 2023 data [16]
- 13.7 million
The U.S. population age 85 and older is projected to nearly double from 7.0 million in 2025 to 13.7 million in 2040, the ages at which daily care needs are highest, according to the Census Bureau's 2023 projections (BestRatedDocs calculation from the table, which reports thousands).
U.S. Census Bureau, 2023 National Population Projections, Main Series, Table 2 (BestRatedDocs calculation) · Projections released 2023 data [17]
- 7 to 1
In 2010 there were more than 7 potential caregivers age 45 to 64 for every person age 80 and older, a ratio AARP's Public Policy Institute projected in 2013 would fall to 4 to 1 by 2030.
AARP Public Policy Institute, The Aging of the Baby Boom and the Growing Care Gap (2013), p. 1 · 2010 data [18]
- 5.5 to 3.2
Applying AARP's caregiver support ratio to the Census Bureau's 2023 projections, there are about 5.5 people age 45 to 64 for each person 80 and older in 2025, falling to 3.2 by 2040 (BestRatedDocs calculation).
U.S. Census Bureau, 2023 National Population Projections, Main Series, Tables 2 and 3 (BestRatedDocs calculation) · Projections released 2023 data [19]
Population counts for 2025 come from the Vintage 2025 estimates; anything after 2025 is from the 2023 National Population Projections main series. The two are produced separately and do not match exactly (the projection for 2025 is 63.3 million age 65+, the estimate is 64.6 million).
Methodology
Caregivers are counted several ways, and the totals differ. AARP and the National Alliance for Caregiving (NAC) count adults who gave ongoing care in the past 12 months to an adult or child with a complex medical condition or disability. CDC's Behavioral Risk Factor Surveillance System (BRFSS) counts adults who gave regular care in the past 30 days to a friend or family member with a health problem or disability. The Bureau of Labor Statistics' American Time Use Survey counts people age 15 and older who gave unpaid care to someone 65 or older in the previous 3 to 4 months. Each figure on this page names its source and population, and we never add figures from different surveys together.
Caregiving in the US 2025 (AARP and NAC, released July 2025) is a nationally representative online survey of 6,858 family caregivers on the Ipsos KnowledgePanel, fielded August to October 2024, so its figures are labelled with 2024 as the data year. Most of its detailed percentages describe the 59 million caregivers of adults 18 and older, not all 63 million. The 2025 wave also counts family caregivers paid through Medicaid, VA or state programs, which the 2015 and 2020 waves did not, so part of the rise since 2015 reflects that wider definition. Where the report's summary and its tables disagree (for example 40% or 44% in high-intensity care, a third or 31% who stopped saving), we use the tables and figures.
Out-of-pocket costs come from AARP's 2026 Caregiving Out-of-Pocket Costs Study (October 2026), a June 2026 survey and one-week expense diary from 2,538 caregivers of adults. AARP notes that part of the rise from $7,242 in 2021 reflects a longer list of expense categories and pandemic-suppressed spending in 2021. The economic value of care is from AARP's Valuing the Invaluable 2026 (March 2026), which values each hour of care by state and by task. AARP says its editions used different data and methods, so the trend chart is approximate, and its state figures should not be compared with earlier editions.
Stress, mental distress and health figures for caregivers compared with noncaregivers come from CDC's MMWR report of August 2024, which analysed BRFSS data from the 35 states and Puerto Rico that asked the caregiver questions in both 2015-2016 and 2021-2022. They are not strictly national. 'Burnout' has no standard national measure; we report what each source measured, such as self-rated emotional stress on a 5-point scale or 14 or more poor mental health days in the past 30.
Dementia caregiver counts, hours and value are the Alzheimer's Association's 2025 estimates in its 2026 Facts and Figures report, built from BRFSS caregiver data. Its stress figures come from a 2014 poll of dementia caregivers and are labelled with that year. Sandwich generation figures are from Pew Research Center's September 2025 survey of 8,750 adults, which defines the group by family structure (a parent 65 or older and a minor or financially supported adult child), not by caregiving. Military and veteran caregiver figures are from RAND's 2023 survey for the Elizabeth Dole Foundation.
Paid caregiver employment and wages come from BLS Occupational Employment and Wage Statistics (May 2025), which counts wage and salary jobs and excludes the self-employed. Projections come from the BLS Occupational Outlook Handbook, which includes self-employed workers and so starts from a higher count. Population figures are Census Bureau Vintage 2025 estimates and the 2023 National Population Projections. Figures marked as a BestRatedDocs calculation were worked out by us from the cited source, and the arithmetic is in the CSV.
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Frequently asked questions
How many caregivers are there in the U.S.?
AARP and the National Alliance for Caregiving count 63 million U.S. adults, 24% of all adults, who gave ongoing care to an adult or child with a medical condition or disability in their Caregiving in the US 2025 survey (fielded in 2024). Of those, 59 million cared for an adult and more than 51 million cared for someone 50 or older. Using a different definition, the Bureau of Labor Statistics counts 38.2 million people age 15 and older who gave unpaid care to someone 65 or older in 2023-2024.
What percentage of caregivers experience burnout?
No national survey measures burnout by name, so the closest measures are stress and mental distress. In Caregiving in the US 2025, 64% of family caregivers of adults reported moderate or high emotional stress and 38% reported high emotional stress. CDC survey data for 2021-2022 found 20.5% of caregivers had frequent mental distress (14 or more poor mental health days in the past 30), compared with 13.6% of noncaregivers.
How stressful is caregiving?
In AARP and the National Alliance for Caregiving's 2025 report, 64% of caregivers of adults reported moderate or high emotional stress, 45% reported moderate or high physical strain and 24% said they feel alone in the role. Among dementia caregivers, 59% rated the emotional stress of caregiving high or very high in a 2014 Alzheimer's Association poll. CDC data show 25.6% of caregivers had ever been diagnosed with depression, against 18.6% of noncaregivers, in 2021-2022.
How many hours a week do family caregivers spend caregiving?
Family caregivers of adults averaged 27 hours a week in Caregiving in the US 2025, and 24% gave more than 40 hours a week. Unpaid dementia caregivers averaged nearly 30 hours a week in 2025, according to the Alzheimer's Association. BLS time diaries show eldercare providers who gave care on a given day spent 3.9 hours on it in 2023-2024.
How much does family caregiving cost caregivers?
AARP's 2026 Caregiving Out-of-Pocket Costs Study found family caregivers of adults spent an average of $11,508 a year of their own money on caregiving, 31% of household income. Caregivers with household incomes under $40,000 spent an average of 76% of their income. In Caregiving in the US 2025, 47% of caregivers of adults reported at least one negative financial impact, such as stopping saving or taking on debt.
What is the economic value of unpaid family caregiving?
AARP's Valuing the Invaluable 2026 estimates that 59 million family caregivers of adults provided 49.5 billion hours of unpaid care in 2024, worth about $1.01 trillion. That is more than total Medicaid spending in 2024. Unpaid care for people living with dementia alone was worth an estimated $446.3 billion in 2025, according to the Alzheimer's Association.
What percentage of caregivers are women?
Women made up 61% of family caregivers of adults in Caregiving in the US 2025, and men 38%. In BLS's American Time Use Survey, women were 55% of the 38.2 million unpaid eldercare providers in 2023-2024.
How many paid caregivers are there?
Home health and personal care aides held 4.3 million jobs in May 2025, the largest occupation in the U.S., according to the Bureau of Labor Statistics. Their median wage was $17.21 an hour. BLS projects employment in the occupation to grow 18% from 2025 to 2035.
Sources
- AARP and National Alliance for Caregiving, Caregiving in the US 2025, p. 1 aarp.org
- AARP and National Alliance for Caregiving, Family Caregivers of Adults Age 50-plus: The Caregiving in the US 2025 Series, p. 4 aarp.org
- CDC, MMWR 73(34): Changes in Health Indicators Among Caregivers, United States, 2015-2016 to 2021-2022, Table 2 cdc.gov
- Alzheimer's Association, 2026 Alzheimer's Disease Facts and Figures, p. 53 (data: 2014 Alzheimer's Association Women and Alzheimer's Poll) alz.org
- AARP, 2026 AARP Caregiving Out-of-Pocket Costs Study, p. 4 aarp.org
- AARP Public Policy Institute, Valuing the Invaluable 2026: Family Caregivers' Contribution Reaches $1 Trillion, p. 1 aarp.org
- U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey) bls.gov
- U.S. Bureau of Labor Statistics, Unpaid Eldercare in the United States, 2023-2024 (American Time Use Survey), Table 1 (BestRatedDocs calculation) bls.gov
- Pew Research Center, 54% of Americans in their 40s have both an aging parent and own child pewresearch.org
- Miller, Hart, Useche Rosania and Coe, Youth Caregivers of Adults in the United States, Demography 61(3), 2024 pmc.ncbi.nlm.nih.gov
- RAND, America's Military and Veteran Caregivers: Hidden Heroes (RR-A3212-1) rand.org
- U.S. Bureau of Labor Statistics, Occupational Employment and Wages news release, May 2025 data bls.gov
- U.S. Bureau of Labor Statistics, OEWS Table 1, National employment and wage data by occupation, May 2025 bls.gov
- U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, Home Health and Personal Care Aides (Job Outlook) bls.gov
- U.S. Census Bureau, Vintage 2025 Population Estimates press release, Table 1 census.gov
- U.S. Census Bureau, 2023 National Population Projections press release census.gov
- U.S. Census Bureau, 2023 National Population Projections, Main Series, Table 2 (BestRatedDocs calculation) www2.census.gov
- AARP Public Policy Institute, The Aging of the Baby Boom and the Growing Care Gap (2013), p. 1 aarp.org
- U.S. Census Bureau, 2023 National Population Projections, Main Series, Tables 2 and 3 (BestRatedDocs calculation) www2.census.gov