Feeding the family, a primary component of housework, has traditionally been the responsibility of women in the USA( Reference DeVault 1 ). Feeding the family is an integral part of caring for family members and entails a considerable amount of labour. Both DeVault( Reference DeVault 1 ) and Carrington( Reference Carrington 2 ) have outlined the many and varied activities that are involved in the unpaid work of feeding the family. These include: learning individual family member's food preferences; learning about food, nutrition and preparation techniques; planning meals; food shopping, which includes learning where to buy food, deciding where to shop, scheduling shopping trips, financing food purchases, making the purchases, developing a stockpile of food and monitoring those supplies; preparing the meals; serving meals; actually feeding members of the family; and cleaning up after meals( Reference DeVault 1 , Reference Carrington 2 ).
In addition to physical work, caretaking and feeding the family can also involve a lot of emotion work( Reference DeVault 1 ). For example, Locher and colleagues have described the additional burden and stress involved with feeding the family when one of its members has cancer( Reference Locher, Robinson and Bailey 3 ). Furthermore, the amount of food choices individuals must make within increasingly complex food systems with a multitude of options, all of which may have important health consequences, highlights the effort involved and the significance of meal planning and shopping( Reference Bove, Sobal and Rauschenbach 4 , Reference Wansink 5 ). On the other hand, feeding the family can also be an expression of love and caring and, thus, can be a positive experience for caretakers relative to other household tasks( Reference DeVault 6 ).
Gender
The wide range of activities and important responsibilities involved with feeding the family has historically been delegated to the women of the household( Reference DeVault 1 ). Recent evidence, however, suggests that the gendered division of labour has declined, especially over the past two decades( Reference Cunningham 7 ). Beginning in the 1980s, women decreased their time spent on unpaid household work as men's contributions rose, particularly in cooking, cleaning and child care. The decreased time women spend on housework has also been attributed to compositional factors, including increased female labour force participation, delay of marriage and lower fertility( Reference Bianchi, Milkie and Sayer 8 , Reference Waite, Goldscheider and Witsberger 9 ).
Marital status
The pattern of greater commitment of time and effort towards household responsibilities among women holds true regardless of marital status, but the gap in household work is greatest among married persons( Reference South and Spitze 10 ). However, married persons who cohabit prior to marriage are more likely to have a more equal division of housework( Reference Batalova and Cohen 11 ). This pattern is likely due to these couples having less traditional ideologies that extend to gender roles. Overall, divorced and widowed men do more housework, particularly more cleaning and cooking, than married men( Reference South and Spitze 10 ). Time spent on housework among never married, cohabiting and married men is more similar( Reference South and Spitze 10 ), although married men may have to take on more caretaking roles, such as meal preparation, if their partner becomes ill( Reference Locher, Robinson and Bailey 3 ).
Age/cohort
One would also expect that age is associated with decreased sharing of household tasks between partners. This trend is seen as a function of cohort, rather than age, as cohort succession is more important in changing gender attitudes than individual changes in attitudes( Reference Brewster and Padavic 12 ). Cohort effects are attributable to younger and more egalitarian cohorts ageing into adulthood and replacing earlier and more traditional cohorts( Reference Davis and Greenstein 13 ). Therefore, it would be expected that older women compared with younger women would be more likely to be primarily responsible for household tasks, including feeding the family. Even though gender-role attitudes tend to be stable over time for individuals, one longitudinal study found both men and women became more egalitarian in their attitudes over time. These gender-role attitude changes were influenced by experiences of continuing education, movement in and out of the workforce, marriage and parenthood( Reference Fan and Marini 14 ). Another study also found that women's employment may be behind the change in attitudes over the life course( Reference Cunningham 7 ).
Education
Similar to results found in the longitudinal study by Fan and Marini( Reference Fan and Marini 14 ), it has also been found that higher levels of education are associated with more egalitarian attitudes about gender( Reference Cunningham 7 , Reference Davis and Greenstein 13 ). Education provides an avenue for exposure to more egalitarian ideas and can debunk many gender stereotypes( Reference Davis and Greenstein 13 ). One study has shown that spouse's egalitarianism and spouse's education are positively associated with one's own egalitarianism( Reference Kroska and Elman 15 ). Furthermore, those who are highly educated may tend to have higher status jobs and work more hours, leading an increase in the likelihood of sharing responsibility for household tasks( Reference Jacobs and Gerson 16 , Reference Presser 17 ). Therefore, it would be expected that those couples with more education are more likely to share household tasks. At the same time, the association between education and attitudes towards women's work and family roles appears weaker among cohorts born after 1945 with educational convergence of attitudes in the late 1970s to the early 1990s( Reference Cunningham 7 , Reference Brewster and Padavic 12 ). This suggests that, among recent cohorts in particular, education may no longer be a strong predictor of the division of household tasks.
Children and family size
Working wives still continue to spend more time maintaining the home than working husbands, even in the absence of children. But when the family does have children, women spend even more time doing household chores( Reference Hochschild 18 ), despite the fact that the presence of a young child is associated with women's egalitarianism (while the number of children in the home is inversely related to men's egalitarianism)( Reference Kroska and Elman 15 ). Nevertheless, one study found that children are negatively associated with gender egalitarianism for both men and women( Reference Corrigall and Konrad 19 ). Even when couples begin their lives together both working in the public sphere, the advent of children tends to contribute to an imbalance in the symmetry of household work that the couple had previously established( Reference Lopata 20 ). In general, working women use their earnings to outsource domestic tasks and reduce their burden( Reference Treas and De Ruijter 21 ). The competing demands of employed parents’ time may be leading to fewer meals eaten at home and lower nutritional value of meals( Reference Devine, Jastran and Jabs 22 ). Furthermore, children of larger families tend to be at the greatest nutritional risk( Reference Kucera and McIntosh 23 ).
Research questions and hypotheses
Overall, it is expected that trends in women's decreased and men's increased housework hours will continue and there may be more sharing of the household tasks between men and women( Reference Pyke and Coltrane 24 ). Yet despite historical shifts in who does what regarding household work, it has been estimated that women continue to do at least twice as much work in the home as men( Reference Pyke and Coltrane 24 – Reference Shelton and John 27 ). Furthermore, there appears to be a division within housework along feminine and masculine lines with women doing more of the feminine housework and men doing more of the masculine housework( Reference Kroska 28 ). This is the focus of our work.
Specifically, we hypothesize that:
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1. Women are more likely to assume primary responsibility for meal planning/preparing and food shopping in the home, whereas men are more likely to assume no responsibility for these tasks.
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2. Age will increase women's likelihood of assuming primary responsibility for meal planning/preparing and food shopping and increase men's likelihood of assuming no responsibility.
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3. Education will decrease women's likelihood of assuming primary responsibility for meal planning/preparing and food shopping in the home, as well as decrease men's likelihood of assuming no responsibility.
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4. The number of children in the household will increase women's likelihood of reporting primary responsibility for meal planning/preparing and food shopping and also increase men's likelihood of reporting no responsibility for these tasks.
Methods
Study design and data collection
Beginning in the 1960s, the Division of Health and Nutrition Examination Surveys of the National Center for Health Statistics, which is a part of the Centers for Disease Control and Prevention, has conducted a series of health and nutrition examination surveys. The National Health and Nutrition Examination Survey (NHANES) began in 1971 and were collected periodically until 1994. Beginning in 1999, NHANES became a biennial survey. Each year, approximately 5000 persons are interviewed in their homes and undergo a health examination( 29 ).
NHANES uses a stratified, multistage probability sample of its target population of civilian non-institutionalized persons in the USA. In total, the 2007–2008 NHANES cycle collected data from 10 149 individuals of all ages between January 2007 and December 2008( 29 ).
Sample selection
Because the focus of our study was on determining who was primarily responsible for meal planning/preparing and food shopping, we restricted our sample to adults aged 20 years and over. Additionally, we restricted our sample to those respondents who reported having a spouse or living with a partner, and there were two or more adult persons in the household (thus excluding those who reported having a spouse/partner but did not currently reside with them). This created a sample of 3517 adults. Due to missing data on the dependent variables and key covariates, the final analytic sample consisted of 3195 adults (91 %).
Measurements
In 2007, NHANES added a Flexible Consumer Behavior Survey (FCBS) module to the Diet Behavior and Nutrition Questionnaire. This module has two components: (i) a core set of questions asked in the in-home interview and (ii) a set of supplementary questions asked in the follow-up telephone interview. The FCBS core set of questions collects information on individuals’ food choices, including meal planning/preparing and food shopping status in the home( 30 ).
Dependent variables
Our dependent variables of interest were the respondents’ status at home regarding meal planning/preparing duties and food shopping duties.
Meal planning and preparing status in the home
This variable was measured by asking respondents, ‘Are you the person who does most of the planning or preparing of meals in your family?’ Those who answered ‘yes’, ‘sometimes’ or ‘50/50’ were all coded as ‘yes’ by NHANES. Respondents were also asked, ‘Do you share in the planning or preparing of meals with someone else?’ with ‘yes’ and ‘no’ as response options. We combined responses from these questions to create our categories of ‘duty’. Specifically, those who reported that they did most of the planning/preparing and did not share this responsibility with another person were coded as having ‘main meal planning/preparing duty’. Those who reported that they did most of the planning/preparing and that they shared this responsibility (i.e. responded ‘yes’ to the second question) were coded as ‘shared meal planning/preparing duty’. Lastly, those who responded ‘no’ to both questions were coded as ‘no meal planning/preparing duty’.
Food shopping status in the home
Survey participants were also asked questions about food shopping. The first question asked, ‘Are you the person who does most of the shopping for food in your family?’ Those who answered ‘yes’, ‘sometimes’ or ‘50/50’ were coded as ‘yes’ by NHANES. The second question was ‘Do you share in the shopping for food with someone else?’ with response options consisting of ‘yes’ and ‘no’. The same coding scheme for meal planning/preparing status was used for food shopping, and individuals were coded into three categories: ‘main food shopping duty’, ‘shared food shopping duty’ and ‘no food shopping duty’.
Covariates
We included demographic factors, socio-economic factors, and household and family structure factors in our analyses.
Demographic factors
Gender was measured nominally with men being the reference category. Respondent's age at screening was reported in years. Race was coded into four categories: White, Black, Hispanic and other.
Socio-economic factors
Education was coded into two categories: high school or less (diploma, GED (General Education Development) or equivalent, or less) v. some college or more (some college, associate's degree, or above). To measure economic status, consistent with other studies using NHANES data( Reference Sanders 31 ), we used the income-to-poverty ratio, which is defined as the ratio of the family income to the appropriate poverty threshold. To define poverty status, income criteria used by the US Census Bureau take into account family size and composition. This variable is then calculated as the ratio of the family's total income before taxes (excluding capital gains and non-cash benefits) to their corresponding poverty threshold( 32 ).
Household and family structure
Marital status was broken down into two categories: living with partner and married. Those who were married composed the reference category. Number of children is not available in NHANES data, but household size was used as a proxy for this variable. In most cases, in households with greater than two persons, the additional members are likely to be dependant children. We acknowledge that there may be some cases where subsequent members may be other adult relatives, or other adults residing temporarily with the household. Household size ranged from two to seven. Those with seven or more members in the household were top-coded as seven in the NHANES data.
Analytic strategy
Prior to running any regression analyses, descriptive statistics as well as χ 2 tests were run to test for differences in prevalences of the two dependent variables between genders. To test the study's hypotheses, separate regression analyses were run for the two dependent variables. For each dependent variable, multinomial logistic regression was run on the entire sample and then on men and women separately. Multinomial logistic regression is a widely used method that is an extension of the standard binary logistic model, and is designed to handle cases where the dependent variable can belong to more than two categories rather than a dichotomous variable as in the case of the standard binary logistic model( Reference Hosmer and Lemeshow 33 ). They are sometimes also referred to as ‘polychotomous’ or ‘polytomous’ logistic regression models. One of the categories is chosen to be the ‘reference category’ or ‘base category’, and the regression model then simultaneously estimates the odds of belonging to each of the other categories relative to the reference category. For this analysis, shared meal planning/preparing and shared food shopping were used as the reference categories. The other categories consisted of main meal planning/preparing or food shopping and no meal planning/preparing or food shopping. Therefore, in our full sample analyses, the ith respondent's odds of belonging to any other category j relative to sharing meal planning/preparing or food shopping responsibility is:
And the log-odds of belonging to any other category j relative to that of shared responsibility for meal planning/preparing or food shopping is derived as:
where FEMALE is a binary variable with male as the reference category. Xi refers to the vector of additional control variables that were previously described. We then estimated multinomial logistic models separately for men and women. This helps inform on gender differences in how Xi is associated with the odds of belonging to any other category j relative to sharing meal planning/preparing or food shopping responsibility. The models were estimated using the statistical software package Stata SE Version 10 for Windows.
Results
Descriptive statistics for the sample are presented in Table 1 for both men and women. Fifty-four per cent of the sample consisted of men (1914/3517) and 46 % of the sample consisted of women (1603/3517). Only 6 % and 7 % of men reported main responsibility for meal planning/preparing and food shopping, respectively. In contrast, 40 % and 36 % of women reported main responsibility for these duties. Similar patterns, but in the opposite direction, were seen for men and women who reported no responsibility for these tasks. A majority of men and women (between 54 % and 60 %) reported sharing the meal planning/preparing and food shopping.
The rest of the descriptive statistics for the sample were very similar between men and women. Overall, the sample had a mean age of approximately 50 years, a mean household size of about 3·4 people, and a mean family income-to-poverty ratio of about 2·8. The sample was predominantly white, married and had a high school education or less, although a large percentage had at least some college education (44 % of men, 47 % of women). There was a strong relationship between meal planning/preparing status and food shopping status (χ 2 = 2800, P < 0·001), with 68 % of those who reported main meal planning/preparing status also reporting main food shopping status and 84 % of those who reported shared meal planning/preparing status also reporting shared food shopping status.
Results from the first multinomial logistic regression analysis, which uses the pooled sample of men and women, are presented in Table 2. Women had a higher likelihood than men of reporting main responsibility and a lower likelihood of reporting no responsibility compared with the reference category shared meal planning/preparing. Older individuals were more likely to report no responsibility than shared responsibility. In addition, compared with Whites, Hispanics were more likely to report no meal planning/preparing duty than shared duty. Those who cohabited appeared to be more likely than those who were married to share responsibility for meal planning/preparation. Lastly, those in larger households were more likely to report having no responsibility for meal planning/preparing than shared responsibility.
n 3196. Base category is shared meal planning/preparing.
*P < 0·05, **P < 0·01, ***P < 0·001.
†Compared with male.
‡Compared with White.
§Compared with married.
||Compared with high school or less.
Table 3 shows the results from separate regression analyses for women and men. For women, none of the predictor variables in the model showed a significant relationship with the likelihood of having the main responsibility or no responsibility compared with shared responsibility. But for men, age was highly statistically significant, indicating that older men were more likely to report having no responsibility for meal planning/preparing than to share this responsibility. Compared with White men, Black men were more likely to report main meal planning/preparing duty than shared, as well as less likely to report no meal planning/preparing duty than shared. Men of other races were more likely to report main responsibility for these tasks than shared responsibility. In addition, men who cohabited were less likely to report no responsibility compared with sharing responsibility. Men in larger sized households were less likely to report being the main meal planner/preparer than to share this responsibility and were more likely to report that they have no responsibility than share these tasks. Education was not significant at the 0·05 level for women or men.
n 1452 and 1744, respectively. Base category is shared meal planning/preparing.
*P < 0·05, **P < 0·01, ***P < 0·001.
†Compared with White.
‡Compared with married.
§Compared with high school or less.
Results from the regression analysis for the second dependent variable, food shopping, are reported for the full sample in Table 4 and by gender in Table 5. Consistent with the previous analysis, women were more likely to report main food shopping duty and less likely to report no food shopping duty, compared with men. Older individuals were more likely to report no food shopping duty than shared food shopping duty. Other races were less likely to report no food shopping than shared food shopping. It appeared that those who cohabited were less likely to have the main responsibility as compared with shared responsibility. Individuals in larger households were more likely to report having no food shopping responsibility than shared food shopping responsibility. Those with some college education were less likely to take no responsibility as compared with shared responsibility.
n 3195. Base category is shared food shopping.
*P < 0·05, **P < 0·01, ***P < 0·001.
†Compared with male.
‡Compared with White.
§Compared with married.
||Compared with high school or less.
n 1452 and 1743, respectively. Base category is shared food shopping.
*P < 0·05, **P < 0·01, ***P < 0·001.
†Compared with White.
‡Compared with married.
§Compared with high school or less.
In Table 5, the results indicate that older women were more likely to report no food shopping duty. Women who cohabited were less likely to claim they are the main food shopper over shared food shopping. In addition, the results in Table 5 indicate that older men were more likely to report no food shopping than shared food shopping. Compared with White men, men of other races were less likely to report that they do no food shopping than share food shopping. In larger sized households, men were less likely to report being the main food shopper and more likely to report doing no food shopping as compared with sharing this responsibility. Men with at least some college education were less likely to report no food shopping duty in comparison to sharing food shopping duty.
Discussion
Regardless of gender, the majority of participants reported that they shared responsibility for both meal planning/preparing and food shopping (Table 1). Compared with men, however, women were more likely to report main responsibility for both meal planning/preparing and food shopping than shared responsibility. Conversely, compared with men, women were also less likely to report no responsibility for these tasks. Thus, the first hypothesis was supported.
In addition, these relationships varied according to different characteristics. For instance, our findings revealed that older men were more likely to report no responsibility for meal planning/preparing than shared responsibility, which partially supports the second hypothesis. But older women were also more likely to report that they have no food shopping responsibilities, which is in the opposite direction to that hypothesized. Because both older men and women were more likely to report no responsibility for food shopping, we speculate that this result may be driven by the older adults in our sample, for whom some other household or family member is doing the food shopping( Reference Locher, Ritchie and Roth 34 ). These results may also be related to the increase in adult children moving back home or the increasing time before adult children leave home in recent decades( Reference Settersten and Ray 35 ).
Education was not statistically significant for either women or men in the meal planning/preparing analysis (Table 3). But for food shopping, men with at least some college education were less likely to report no responsibility and more likely to share this responsibility, providing some support for the third hypothesis. These mixed results may be due to the fact that education has become less important in influencing gender-role attitudes in recent cohorts.
Although household size did not appear to matter for women, for men, those in larger households (which may serve as a proxy for more children in the household) were more likely to report no responsibility for meal planning/preparing and food shopping. They were also less likely to report main responsibility for these tasks than shared responsibility. This provides some support for the fourth hypothesis, even though we cannot directly measure the number of children. It is interesting that almost none of the covariates of interest were significant for the women-only sample, but many of them were for men.
The major strengths of the present study include: (i) the nationally representative sample and the sample size; (ii) the most recent report of such data in more than a decade; and (iii) the reporting of who assumes primary v. shared v. no responsibility for meal planning/preparing and food shopping in contrast to the absolute amount of time spent on such activities.
Nevertheless, there are also some limitations to the study. NHANES data are cross-sectional and these types of data have inherent limitations, namely the inability to infer causation. Additionally, NHANES data do not include the actual amount of time respondents spend on such activities. To the best of our knowledge, we are unaware of any longitudinal data sets that can make these kinds of comparisons. There are other repeated cross-sectional data sets that measure time use, such as the American Time Use Survey, but its data are based on a single 24 h recall, which may or may not reflect typical time use. In addition, this kind of data would only be able to make comparisons between men and women on a population level and not at a family or interpersonal level. In other words, respondents to the American Time Use Survey do not report their time spent in these tasks relative to their partner or other family members, while NHANES respondents do report their relative meal planning/preparing and food shopping status within the family.
It is also unknown whether men and women respond similarly to these items in the FCBS module. However, our findings reveal that men and women do give complementary responses. Both groups reported similar rates of sharing responsibility for these tasks and furthermore, 40 % of women reported main responsibility for meal planning/preparing, while 40 % of men reported no responsibility for meal planning/preparing (with similar results for food shopping). These results suggest that there is congruency between these two groups in reporting of these responsibilities, lending some support to the validity of the items. However, there are other limitations of the current study. Gender, marital status, age/cohort, education and household size are regarded as important in the division of household labour and caretaking responsibilities, but there are other key factors that should also be taken into consideration that were not included in the analyses. These factors include, albeit are not limited to, number and age of children in the home, workforce participation or employment status, work hours, income from employment, education level of the partner, gender of the respondent's significant other, etc., which were not available in data set, although family size was used as a proxy for number of children in the home.
Indeed, the gendered division of labour in the home can be a function of both ‘doing gender’ and the economic dependency of women( Reference Brines 36 ). The division of household labour has much to do with time availability, employment, work hours, occupational prestige, individual income and relative resources( Reference Bianchi, Milkie and Sayer 8 , Reference Kroska and Elman 15 , Reference Corrigall and Konrad 19 , Reference Pyke and Coltrane 24 , Reference Coltrane 25 , Reference Bittman, England and Sayer 37 – Reference Stevens, Minnotte and Mannon 39 ). Generally, in less egalitarian couples, food chore responsibilities are assigned based on accommodating the primary breadwinner's role( Reference Brown and Miller 40 ). And although women generally take responsibility for these food-related tasks, some work has argued that when women have an income, they tend to use it towards family expenditures( Reference Blumberg 41 ), while other work has argued that men ultimately control the finances and food decisions due to their greater economic resources( Reference McIntosh and Zey 42 ). Even though variables such as employment status, occupation, hours worked and earned income were not available for this wave of the NHANES data and hence not included in the present analysis, we might speculate that our findings regarding increased food-related work for women in larger households may in part be explained because women with younger children in the household may not be working outside the home. Nevertheless, this limitation does not discount the findings concerning the main effects of gender on meal planning/preparing and food shopping, even though variables related to employment and income may be seen as possible mediators or moderators.
Although women have a considerably higher likelihood of reporting main meal planning and preparing and food shopping duty, it is interesting to note that the majority of respondents of both genders report sharing responsibility for these tasks. Future research could also employ NHANES data from the FCBS module, which ascertains data on meals eaten away from home, ready-to-eat foods and frozen foods, to explore these phenomena further. Do convenience foods complement or substitute for sharing these food-related responsibilities in the home? Does outsourcing meals lower women's workload or spare men from these tasks? Consistent with the household production model from economics, working women may use some of their income to eat away from home given that their time is assumed to be more valuable and no longer worth the investment in household chores( Reference Becker 43 ). Lastly, what would be the public health consequences of sharing or not sharing these tasks and food outsourcing? This type of study may have important implications for nutritionally related public health initiatives and the well-being of the US population.
Acknowledgements
Sources of funding: L.A.F. is supported by the University of Alabama at Birmingham Predoctoral Training Program in Obesity-Related Research (T32 HL105349). J.L.L. is supported by the University of Alabama at Birmingham Nutrition Obesity Research Center (P30 DK056336), the National Institute on Aging (K07 AG043588) and the National Cancer Institute (R25 CA076023). The National Institutes of Health had no role in the design, analysis or writing of this article. The contents of this report are solely the responsibility of the authors and do not necessarily represent the views of the National Institutes of Health or any other organization with which the authors are affiliated. Conflict of interests: The authors have no conflicts of interest. Ethics: Informed consent was not required for this study. Institutional review board approval was obtained from the University of Alabama at Birmingham Institutional Review Board for Human Use. Authors’ contributions: All authors contributed substantially to the work presented in this manuscript. L.A.F. conducted the analyses and wrote the main paper. J.L.L. jointly conceived the study with L.A.F., as well as supervised the analyses and edited the manuscript. B.S. also assisted with the conduct of the statistical analyses and edited the paper. M.K. contributed statistical advice and read the paper for critical content.