A national snapshot of family caregivers in the United States: characterizing demographics and health among caregivers over age 50.

INTRODUCTION: As modern households diversify, many family caregivers face multi-generational demands, such as simultaneously caring for grandchildren and aging parents. Despite being the backbone of the care system, caregivers navigate highly varied needs and family dynamics. It is thus crucial to understand who family caregivers are and how they fare in terms of health and wellbeing. This descriptive study provides a profile of U.S. intergenerational caregivers over age 50.

METHODS: Using data from 2022 RAND Health and Retirement Study (HRS) and HRS core files, we focus on four primary caregiver types-parent caregivers, spousal caregivers, parents of minor children, and grandchild caregivers. We first estimate the percentage of 15 total caregiver configurations, including those caring for single or multiple categories of family members. We then describe and compare the sociodemographic characteristics across the four primary caregiver types, looking specifically at those caring for parents only, spouses only, children only, or grandchildren only. We also compare self-reported health indicators of these same four groups caring for one generation only after adjusting for age differences.

RESULTS: Approximately 85% of caregivers provided care solely to one generation of care recipients (i.e., parents, spouses, children, or grandchildren), while the remaining 15% provided simultaneous care for multiple generations of recipients. Sociodemographic and health indicators varied by specific caregiver types. Spousal caregivers had worse self-reported health and higher depression scores compared to other caregiver types, even adjusting for age differences.

DISCUSSION: While family caregiving is common among adults over 50, their demographics and experiences vary significantly. This study underscores a critical need to move beyond a "one-size-fits all" support model. Notably, spousal caregivers remain uniquely vulnerable, requiring targeted clinical interventions. Additionally, the prevalence of multi-generational caregiving requires policy expansions-such as inclusive leave policies-to address overlapping role strains.