America's Health Rankings, United Health Foundation Logo
‌‌‌‌‌
‌
‌
‌‌‌
‌
‌
‌
‌
‌
‌‌‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌‌‌‌‌‌

Please tell us a little more about you

We appreciate you taking the time to help America’s Health Rankings better understand our audiences. Your feedback will allow us to optimize our website and provide you with additional resources in the future. Thank you.

Please select one option which best describes your profession or field of expertise

Journalist or media professional
Health Policy Professional
Public health professional (state, local, or community level)
Health care provider or administrator
Member of an advocacy group or trade organization
Academic, student, or researcher
Government administrator, legislator, or staffer
Concerned citizen
Other
Don't show me this again

Unpaid Older Adult Care in Alaska
search
Alaska
search

Explore national- and state-level data for hundreds of health, environmental and socioeconomic measures, including background information about each measure. Use features on this page to find measures; view subpopulations, trends and rankings; and download and share content.

Unpaid Older Adult Care in depth:

Explore Population Data:

Appears In:

Senior Report
chevron-right

Unpaid Older Adult Care by State

Percentage of the population age 15 and older that reported providing unpaid care or assistance to an adult age 65 or older who needed help because of a condition related to aging

Search by State
Search for a state or tap below
search

Unpaid Older Adult Care in

Explore Data:

Unpaid Older Adult Care Trends in
chevron-right
State Data
chevron-right
Compare States
chevron-right

Data from U.S. Department of Labor, Bureau of Labor Statistics, American Time Use Survey, 2023-2024

10.9% - 12.8%

12.9% - 14.8%

14.9% - 16.2%

16.3% - 18.5%

18.6% - 23.6%

No Data

• Data Unavailable
Top StatesRankValue
Oregon
chevron-right
110.9%
Georgia
chevron-right
211.0%
Iowa
chevron-right
311.5%
Texas
chevron-right
411.7%
New Jersey
chevron-right
New York
chevron-right
511.8%
Bottom StatesRankValue
Colorado
chevron-right
3719.7%
Mississippi
chevron-right
3819.8%
Missouri
chevron-right
3921.1%
Kentucky
chevron-right
4023.5%
Maine
chevron-right
4123.6%

Unpaid Older Adult Care

Oregon
chevron-right
110.9%
Georgia
chevron-right
211.0%
Iowa
chevron-right
311.5%
Texas
chevron-right
411.7%
New Jersey
chevron-right
511.8%
New York
chevron-right
511.8%
California
chevron-right
712.0%
Illinois
chevron-right
812.8%
Michigan
chevron-right
812.8%
Washington
chevron-right
812.8%
Oklahoma
chevron-right
1113.4%
Maryland
chevron-right
1214.0%
Virginia
chevron-right
1214.0%
Florida
chevron-right
1414.2%
North Carolina
chevron-right
1514.3%
Utah
chevron-right
1614.7%
Massachusetts
chevron-right
1714.8%
Idaho
chevron-right
1814.9%
Indiana
chevron-right
1814.9%
Pennsylvania
chevron-right
2015.0%
Minnesota
chevron-right
2115.1%
Louisiana
chevron-right
2215.4%
Arizona
chevron-right
2315.8%
Nebraska
chevron-right
2315.8%
South Carolina
chevron-right
2516.2%
Tennessee
chevron-right
2617.2%
West Virginia
chevron-right
2717.5%
Arkansas
chevron-right
2817.6%
Nevada
chevron-right
2917.7%
Alabama
chevron-right
3017.9%
New Hampshire
chevron-right
3118.3%
New Mexico
chevron-right
3118.3%
Kansas
chevron-right
3318.5%
Wisconsin
chevron-right
3418.7%
Connecticut
chevron-right
3519.0%
Ohio
chevron-right
3619.4%
Colorado
chevron-right
3719.7%
Mississippi
chevron-right
3819.8%
Missouri
chevron-right
3921.1%
Kentucky
chevron-right
4023.5%
Maine
chevron-right
4123.6%
Alaska
chevron-right
[2]
••
United States
chevron-right
•14.4%
District of Columbia
chevron-right
[2]
••
Delaware
chevron-right
[2]
••
Hawaii
chevron-right
[2]
••
Montana
chevron-right
[2]
••
North Dakota
chevron-right
[2]
••
Rhode Island
chevron-right
[2]
••
South Dakota
chevron-right
[2]
••
Vermont
chevron-right
[2]
••
Wyoming
chevron-right
[2]
••
• Data Unavailable
[2] Results are suppressed due to inadequate sample size and/or to protect identity
Source:
  • U.S. Department of Labor, Bureau of Labor Statistics, American Time Use Survey, 2023-2024

Unpaid Older Adult Care Trends

Percentage of the population age 15 and older that reported providing unpaid care or assistance to an adult age 65 or older who needed help because of a condition related to aging

Compare States
plus

About Unpaid Older Adult Care

US Value: 14.4%

Top State(s): Oregon: 10.9%

Bottom State(s): Maine: 23.6%

Definition: Percentage of the population age 15 and older that reported providing unpaid care or assistance to an adult age 65 or older who needed help because of a condition related to aging

Data Source and Years(s): U.S. Department of Labor, Bureau of Labor Statistics, American Time Use Survey, 2023-2024

Suggested Citation: America's Health Rankings analysis of U.S. Department of Labor, Bureau of Labor Statistics, American Time Use Survey, United Health Foundation, AmericasHealthRankings.org, accessed 2026.

While many older adults receive the additional care they need in assisted living facilities or from home health services, unpaid elder care is also often provided by family members, friends or volunteers. Caregiving may involve assistance with personal care, cooking, cleaning and transportation, as well as providing companionship. 

Family caregivers in the United States — more than half of whom work other jobs — dedicate an average of 22.8 hours a week to caregiving. In the two-year period of 2023-2024, there were 38.2 million unpaid elder care providers in the United States, 55% of whom were women. Studies have found that lacking adequate care options for loved ones hinders many women from fully participating in the workforce. 

As the U.S. population ages, the demand for elder care will also increase. By 2030, 20% of the population will have reached retirement age, increasing the need for elder care. 

Unpaid caregivers face various challenges, including financial strain, worse health outcomes, caregiver burnout and higher rates of anxiety and depression. According to AARP, the value of care provided by unpaid family caregivers in the U.S. was $600 billion in 2021 — a $130 billion increase from 2019. In 2025, nearly 48 million adult caregivers were unpaid for the care they provided.

The prevalence of unpaid elder care work is higher among:

  • Women compared with men. Women age 55 and older account for more than one-third of unpaid caregivers for older adults in the U.S.
  • Adults age 45 and older compared with younger adults. 
  • Family members compared with friends or volunteers. 
  • Adults living in nonmetropolitan areas compared with those living in metropolitan areas. Caregiving in rural areas comes with unique challenges, such as limited access to health services, longer travel distances to reach care recipients and fewer available resources. 

Providing training and education programs for caregivers is essential to improving their skills and mitigating their stress. The American College of Physicians has a tool kit for physicians and caregivers on informal caregiving. This tool kit offers training, best practices and additional resources to help physicians connect with their patients’ caregivers to share knowledge and support. 

The National Family Caregiver Support Program allocates funds to states and territories to assist family members and other informal caregivers in caring for older adults at home for as long as possible. Services include individual counseling, caregiver training, respite care and supplemental services. Research indicates that these services strengthen the health and well-being of caregivers and enable them to provide care for longer.

AARP also offers a variety of resources to support individuals caring for their loved ones, including coping strategies, caregiving tool kits and tips for dealing with unique challenges such as dementia. The Family Caregivers Alliance provides educational resources and caregiver training as well.

In addition, the proposed Credit for Caring Act offers a nonrefundable federal tax credit of up to $5,000 for eligible working family caregivers, reducing the financial burden they may face due to caregiving expenses. 

Healthy People 2030 has multiple objectives aimed at supporting caregivers, including: 

  • Reducing anxiety and depression in family caregivers of people with disabilities.
  • Reducing the impact of chronic pain that frequently limits life or work activities on loved ones.
  • Increasing the proportion of older adults with dementia, or their caregivers, who know they have it.

2026 Caregiver Statistics: Family Caregiving in the U.S. A Place for Mom, 2026. https://www.aplaceformom.com/senior-living-data/caregiver-statistics.

AARP and National Alliance for Caregiving. Caregiving in the US 2025. Washington, D.C.: AARP Public Policy Institute, July 24, 2025. https://doi.org/10.26419/ppi.00373.001.

Cohen, Steven A., Zachary J. Kunicki, Caitlin C. Nash, Megan M. Drohan, and Mary L. Greaney. “Rural-Urban Differences in Caregiver Burden Due to the COVID-19 Pandemic Among a National Sample of Informal Caregivers.” Gerontology and Geriatric Medicine 7 (January 2021): 233372142110251. https://doi.org/10.1177/23337214211025124.

Fields, Beth, Juleen Rodakowski, Vanessa D. Jewell, Sajay Arthanat, Melissa Park, Catherine Verrier Piersol, Stacey L. Schepens Niemiec, Jennifer Womack, and Tracy M. Mroz. “Unpaid Caregiving and Aging in Place in the United States: Advancing the Value of Occupational Therapy.” The American Journal of Occupational Therapy 75, no. 5 (September 1, 2021): 7505347010. https://doi.org/10.5014/ajot.2021.044735.

Henning-Smith, Carrie, and Megan Lahr. Perspectives on Rural Caregiving Challenges and Interventions. Policy Brief. Minneapolis, MN: University of Minnesota Rural Health Research Center, August 2018. https://rhrc.umn.edu/wp-content/files_mf/1535129278UMNpolicybriefcaregivingchallenges.pdf.

Livingston, Gretchen. Older Women and Unpaid Caregiving in the U.S. Issue Brief. Washington, D.C.: U.S. Department of Labor, Women’s Bureau, November 2023. https://www.dol.gov/sites/dolgov/files/WB/WBIssueBrief-OlderWomenAndUnpaidCaregiving.pdf.

Schulz, Richard, and Paula R. Sherwood. “Physical and Mental Health Effects of Family Caregiving.” The American Journal of Nursing 108, no. 9 (September 2008): 23–27. https://doi.org/10.1097/01.NAJ.0000336406.45248.4c.

Unpaid Eldercare in the United States — 2023-2024 Data from the American Time Use Survey. News Release. U.S. Department of Labor, Bureau of Labor Statistics, September 25, 2025. https://www.bls.gov/news.release/pdf/elcare.pdf.

Related Measures

Community Support Expenditures
chevron-right
Dependency (Ages <18 or >64)
chevron-right
Functional Disability - Age 65+
chevron-right
Gender Pay Gap
chevron-right
Home Health Care Workers
chevron-right
Multiple Chronic Conditions - Ages 65-74
chevron-right
Poverty - Age 65+
chevron-right

Current Reports

America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.

We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.

increase

Annual Report

Published January 2026

Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

report

Senior Report

Published May 2026

A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

women-children

Health of Women and Children Report

Published December 2025

Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

veteran

Health of Those Who Have Served Report

Published July 2022

A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

health

Maternal and Infant Health Disparities Data Brief

Published August 2024

Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

  • increase

    Annual Report

    Published January 2026

    Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

  • report

    Senior Report

    Published May 2026

    A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

  • women-children

    Health of Women and Children Report

    Published December 2025

    Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

  • veteran

    Health of Those Who Have Served Report

    Published July 2022

    A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

  • health

    Maternal and Infant Health Disparities Data Brief

    Published August 2024

    Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

America's Health Rankings, United Health Foundation Logo

Reports

Partner With Us

Explore the Data and Stay Tuned for New Insights

Want to be notified of our latest updates? Sign up now

America's Health Rankings, United Health Foundation Logo