# A hidden cost of drinking: Alcohol use and gendered inequalities in unpaid care work

**Authors:** Teresa Perry

PMC · DOI: 10.1016/j.ssmph.2025.101817 · 2025-05-16

## TL;DR

The study finds that alcohol use in families increases gender inequality in unpaid care work, with wives taking on more responsibilities when husbands drink heavily.

## Contribution

This study is the first to analyze how alcohol use affects the gendered division of unpaid care work in families.

## Key findings

- Heavy drinking by husbands correlates with wives doing 10.59 more hours of childcare weekly.
- Wives' drinking has minimal impact on husbands' unpaid care work.
- Alcohol-affected families show higher gender inequality in household responsibilities.

## Abstract

The impact of alcohol use on families is an important, yet frequently understudied, avenue of research. Unpaid care work, which encompasses childcare, eldercare, cooking, and cleaning, and alcohol use, are both gendered. Men are more likely to consume alcohol, binge drink, and have alcohol use disorder and women do more unpaid care work in families. Given the gendered nature of both, this study aims to assess if alcohol consumption impacts the distribution of unpaid care work in families by gender. Using the Panel Study of Income Dynamics (PSID), a longitudinal dataset, this paper analyzes how alcohol use influences the husband and wife's distribution of unpaid care work. Data was analyzed using a fixed effects model with robust standard errors. The results indicate that alcohol use significantly impacts the distribution of unpaid care work in the family. Heavy drinking by the husband is associated with the wives completing an additional 10.59 hours of childcare a week and 2.120 more hours of housework a week. Heavy drinking by the wife is correlated with 2.384 fewer hours of housework. The wife's drinking behavior has a minimal effect on the husband's unpaid care burden. These results indicate that there are even higher levels of gender inequality in unpaid care work in alcohol-affected families (AAFs) which may lead to worse social, economic, and psychological outcomes for the women in those families. This further emphasizes the importance of incorporating spouses and families in interventions and policies about alcohol use.

•This study fills a gap in the literature by analyzing the relationship between alcohol use and unpaid care work.•The results indicate that alcohol consumption enhances existing gender inequalities in unpaid care work.•When husbands engage in certain drinking behaviors, wives have a larger share of household responsibilities.•Heavy drinking by husbands is associated with wives taking on 10.59 additional hours of childcare per week.•Wives' alcohol use had a minimal impact on the amount of unpaid care work performed by husbands.

This study fills a gap in the literature by analyzing the relationship between alcohol use and unpaid care work.

The results indicate that alcohol consumption enhances existing gender inequalities in unpaid care work.

When husbands engage in certain drinking behaviors, wives have a larger share of household responsibilities.

Heavy drinking by husbands is associated with wives taking on 10.59 additional hours of childcare per week.

Wives' alcohol use had a minimal impact on the amount of unpaid care work performed by husbands.

## Full-text entities

- **Diseases:** alcohol use disorder (MESH:D000437)
- **Chemicals:** Alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606]

---
Source: https://tomesphere.com/paper/PMC12169705