Altruistic Care for the Elderly in Thailand: Does the Social Gender Norm on Altruistic Behavior Matter?

Ageing society poses an increasing need for elderly care and the essential role of unpaid family care in developing countries where more care burdens are imposed on women. Literature on the driver of gender care gap is limited and its association with social gender norms is both understudied and hardly measured/quantified. Using time-use data in 2014-15 and Labor Force Survey data in 2013-15 from Thailand, we first construct an altruistic time ratio for the whole sample to measure the extent to which individuals spend time on unpaid activities for others than themselves. We found that significant gender gaps in providing eldercare are associated with gender differences in altruistic time ratio. To consider the non-random selection for the elderly care, we then estimate the Tobit model with propensity score matching (PSM) for both elderly carers and non-carers and found that the social gender norm, defined as the district-level gender difference in the modes of altruistic time ratio, explains why women are more burdened with elderly care than men. To examine the underlying mechanisms behind women's time burden, we estimate a simultaneous equation Tobit consisting of elderly care time, leisure time, and time for paid work. The results show that the social gender norm indirectly reduces elderly care time for women by significantly reducing leisure time and paid work time, while the direct effect is dominant for men. The trade-off between paid work time and elderly care time is similar for men and for women, while that between leisure time and elderly care time is greater for men. Associations between elderly care and altruism or peer pressure imply that behavioural changes with a focus on social norms and social policies inducing such changes are important to achieve more gender-equitable eldercare provision besides the state provision of long-term care.