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Professionals Who Care discrimination with caretakers

#8 of 12

Discrimination Against Caregivers Affects Disadvantaged Groups 

When the workplace does not create an inclusive place for caregivers, it reinforces the difficulties for certain disadvantaged groups.

Intersectionality can be found with:

​Women

People of Color

Military Families

Single Parent Homes

Disabled in Rural Settings

Those Facing Financial Insecurity

Professionals Who Care affected disadvantaged groups
Women

There are higher rates of women who have caregiving roles. Discriminating against caregivers is often a form of discrimination against women, leaving themselves exposed to lost wages, stymied careers, forced part-time status, termination, or early retirement. Additionally, women who take time off to provide non-paid caregiving services have a difficult time re-entering the workforce - and re-entering the workforce at their previous level.

The following article demonstrated the increased strain on women during the covid-19 pandemic because of the caregiving role, published in 2021, showing the continual vulnerabilities caregiving women have and the importance of inclusive policies.

The disproportionate caregiving burden shouldered by women is, of course, a major factor in the past year of job losses and gender inequality overall, as is the concentration of women of color in hard-hit sectors and in industries with few job protections. But these phenomena do not fully account for the ways women continue to be marginalized and stymied at work, leaving them stretched thin, stressed out and inadequately rewarded for their contributions. Women were already burned out before the pandemic hit. Although many organizations have the best intentions when it comes to hiring, advancing and retaining women, the reality is they too often foster environments that leave female employees feeling diminished, disengaged and pessimistic about their prospects.

 

The truth is, the pandemic and the financial hits that resulted have merely revealed the extent to which our workplaces still don't work for women. As bleak as this realization may be, it points us toward a brighter future: If companies do the work now to cure the underlying disease, they can emerge stronger than they were before the pandemic roiled the world. (1)

People of Color

People of color have higher rates of poverty and lower income jobs in the United States, and caregiver bias and the resulting loss wages and costs can cause devastating effects to the economic stability of families. The intersectionality of race and caregiving status creates an elevated level of financial stress.

A final key point about caregivers’ financial strain is that in this sample, and consistent with other work in this area, race/ethnicity is strongly related to the experience of financial strain. Wealth in the United States is disproportionately higher among Whites, and the disparities extend into later life, with people of color being far more likely to experience poverty at older ages.” (6)

Military Families

Members of military families can be thrown into a caregiving role due to physical and mental injuries occurred due to their loved one's service. Some injuries are visible, such as a loss of limb or paralysis, while others are harder to see, such as traumatic brain injury or post-traumatic stress disorder (PTSD). The latter injuries can cause the caregiver to experience stigma by association, increasing the risk that the caregiver will experience isolation and shame. The caregiving needed for a wounded veteran can especially be detrimental to the partner, as a lack of workplace flexibility can cause loss of income.

 

Of note, there is another nonprofit that focuses on military families called to caregiving duty, called Blue Star Families. They work to increase the care for the caregivers themselves.

Single Parent Homes

Another sector especially vulnerable to the consequences of caregiving and who would especially benefit from an inclusive workplace are single parent families. Single parent families can consist of a biological parent, a relative, a guardian, or a foster parent who are responsible for minor-aged children or adults who are disabled. The single parent - especially when there are limited external supports - must fulfill the wide range of family responsibilities while simultaneously be the primary provider for the family. Becoming a caregiver puts additional stress on the weight that the single parent is carrying. Caregiving increases time demands, financial pressures, and stress, thus increasing the importance of inclusivity of caregivers in the workplace.

"Single parents often find themselves in untenable situations when employers demand long hours of overtime work. A leading example is Tenneco Packaging Burlington Container Plant, which involved a janitor who was the divorced mother of a 17-year-old son with the mentality of an 18-month-old child. She was fired, after working 27 years for her employer, for failing to report one Saturday in August when her son’s caregiver could not work because the caregiver’s child was sick. The janitor had been working 60-hour weeks, including every Saturday except one for the prior four months." (10)

Disabled in Rural Settings
Caregivers in rural settings experience difficulties. Not only do some rural areas have high rates of poverty, but they also can be great distances from medical resources and caregiving supports. A trip to a doctor visit can require an entire day off from work because of the hours-long drive to get there, and there might be very limited supports to draw from in the area. These challenges can be found across rural America, including mountain regions such as Appalachia or the Rockies, to farming regions found in the Midwest and West, to remote small towns, to indigenous reservations. The lack of nearby resources and support can cause a caregiver to be forced into quitting or significantly reducing their hours, thereby putting the caregiver at greater risk for financial hardship and isolation. A workplace inclusive of caregivers will allow for remote and flex time when possible to manage the dual roles of professional and caregiver.

 "On average, rural caregivers report having access to fewer workplace supportive programs, such as paid leave, employee assistance programs, and the opportunity to telecommute or work from home. For all caregivers, having more negative workplace impacts was associated with more caregiver strain, which, in turn, can have detrimental impacts on health. These findings should concern anyone interested in caregiver health and well-being and are especially relevant for rural areas, which are aging at a faster rate and have higher disability rates than urban areas, putting more strain on informal caregivers who provide the bulk of all long-term care. Expanding access to workplace supports and supporting caregivers in balancing multiple roles would help to improve the health and well-being of all caregivers, and attention is especially needed in rural areas, where workplace benefits are scarcer." (7)

 

Those Facing Financial Insecurity

Caregivers experience significant financial loss because of their caregiving role. Those who are already facing economic insecurity have limited resistance to manage the costs and lost income from caregiving. Additionally, many lower paying jobs have fewer benefits that specifically benefit caregivers, such as paid leave, remote work, or flexible schedules.

 

Having a loved one need caregiving can create seemingly impossible choices at times, such as accepting devastating financial outcomes or having to risk the health of the one needing care, such as leaving them alone when it is not always safe or accessing sub-par care when the caregiver is not available. Improving inclusivity for all in the workplace is necessary for improving the outcomes of caregivers.

Resources for Intersectionality

1. Ammerman, C., & Groysberg, B. (2021, May 26). Pandemic's uneven toll shows most 'workplaces still don't work for women'. Newsweek. Retrieved April 28, 2022, from https://www.newsweek.com/2021/06/11/pandemics-uneven-toll-shows-most-workplaces-still-dont-work-women-1594721.html 2. Anderson, S. N. R., Falkowski, B., Story, J., Grandjean, B., & Leveque, K. (2020). Confronting the Caregiver Bias COVID-19’s Impact on Women in the Workplace. Risk Management (00355593), 67(8), 18–22. 3. Bell, J. F., Whitney, R. L., & Young, H. M. (2019). Family Caregiving in Serious Illness in the United States: Recommendations to Support an Invisible Workforce. Journal of the American Geriatrics Society, 67, S451–S456. https://doi.org/10.1111/jgs.15820 4. Bornstein, S., Williams, J. C., & Painter, G. R. (2012). Discrimination against Mothers Is the Strongest Form of Workplace Gender Discrimination: Lessons from US Caregiver Discrimination Law. International Journal of Comparative Labour Law & Industrial Relations, 28(1), 45–62. 5. Greene, R., & Hunt, G. G. (2017). Who Is My Brother’s Keeper Now? Caregiving: Yours, Mine, and Ours. Generations, 41(2), 71–78. 6. Greenfield, J. C., Hasche, L., Bell, L. M., & Johnson, H. (2018). Exploring how workplace and social policies relate to caregivers’ financial strain. Journal of Gerontological Social Work, 61(8), 849–866. https://doi.org/10.1080/01634372.2018.1487895 7. Henning, S. C., & Lahr, M. (2019). Rural‐Urban Difference in Workplace Supports and Impacts for Employed Caregivers. Journal of Rural Health, 35(1), 49–57. 8. Phelan, S. M., Griffin, J. M., Hellerstedt, W. L., Sayer, N. A., Jensen, A. C., Burgess, D. J., & van Ryn, M. (2011). Perceived stigma, strain, and mental health among caregivers of veterans with traumatic brain injury. Disability and Health Journal, 4(3), 177–184. https://doi.org/10.1016/j.dhjo.2011.03.003 9. Porter, E. (2019, August 29). Why aren't more women working? they're caring for parents. The New York Times. Retrieved April 15, 2022, from https://www.nytimes.com/2019/08/29/business/economy/labor-family-care.html 10. Williams, J. C. (2006). One sick child away from being fired: When 'opting out' is not an option. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.2126303

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