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Gender inequalities in care across long-term care public spending systems in Europe: evidence from the European Health Interview Survey

Almeida-Meza, Pamela; Di Gessa, Giorgio; Lacey, Rebecca; Xue, Baowen; McMunn, Anne; (2025) Gender inequalities in care across long-term care public spending systems in Europe: evidence from the European Health Interview Survey. International Journal of Care and Caring , 9 (3) pp. 490-503. 10.1332/23978821y2025d000000133. Green open access

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Abstract

This article investigates gender inequalities in care provision across European long-term care (LTC) public spending systems using data from the European Health Interview Survey (2013–19). Women are more likely than men to provide care (OR = 1.41) and intensive care (OR = 1.50), particularly in countries with lower LTC public spending. Higher LTC expenditure appears to reduce intensive care but does not eliminate gender disparities, suggesting persistent inequalities despite greater state support. The findings highlight the need for policies addressing structural barriers to equitable care provision and expanding LTC resources to reduce gendered care burdens and promote fairness in care responsibilities across Europe.

Type: Article
Title: Gender inequalities in care across long-term care public spending systems in Europe: evidence from the European Health Interview Survey
Open access status: An open access version is available from UCL Discovery
DOI: 10.1332/23978821y2025d000000133
Publisher version: https://doi.org/10.1332/23978821y2025d000000133
Language: English
Additional information: Copyright © Authors 2025. This article is distributed under the terms of the Creative Commons Attribution 4.0 International license (http://creativecommons.org/licenses/by/4.0/).
Keywords: gender inequalities in care; care intensity; long-term care public spending; European Health Interview Survey
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10213089
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