Where is the Care Sector? Education and Health Employment Across U.S. Counties During a Time of Slow Growth, 2001–2014
摘要
Care work supports the health, well-being, and development of human beings across the life course. Increasingly in the United States and in many societies, formal organizations deliver care alongside the care work done within families and communities. Even market-based care organizations depend on major public investments, however. The care sector is therefore integral to population policy and science. Investment in the care sector may be particularly widespread geographically and occur during economic recession and expansion. Yet there has been relatively little attention to the distribution and growth of care employment across the full diversity of places where the U.S. population lives. Where is care sector employment? In this article, we used unique detailed employment data for industries across U.S. counties and compared the distribution of care sector employment to the distribution of other sectors often targeted by economic policy. Our measure of the care sector included significant geographic detail on educational and health services, large industries in care provision. We studied the beginning of the twenty-first century through the slow growth years before, during and after the Great Recession as important for understanding the care sector during a period of fiscal austerity in the public sector and sluggish employment growth particularly in manufacturing. We found that the care sector grew more and in a significantly less concentrated pattern than other sectors during the slow growth and recession years from 2001–2014. Our results should guide researchers and policymakers in developing policies that support population health and well-being.