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April 2016 Update: The wage gap cited has improved by 1% point since this article was originally posted in April 2015.

What is a woman worth? On Tuesday, April 14, 2015, we celebrate Equal Pay Day, a day to acknowledge the continuing gap in wages between women and men. By now, we are all familiar with the statistics 鈥� women employed full-time, year-round earn only . While some of this gap is attributable to differences in worker鈥檚 education, training or experience, about 40% of the pay gap can be attributed to discrimination.

What does this familiar narrative mean for individual women? Let鈥檚 start with STEM (science, technology, engineering and math). While girls have closed the gap with boys in high school , women are losing ground in . While Sheryl Sandberg, COO of Facebook, recommends , Gamergate reminded us of the challenges and open hostility that women can .

Over one-third of women are employed in the health and education fields; four of the top 20 occupations for women in are --elementary and middle school teachers, secondary school teachers, registered nurses, and nursing and psychiatric aides. Even in these heavily female occupations, men outearn women. For example, 鈥渕ales in nursing females by nearly $7,700 per year in outpatient settings and nearly $3,900 in hospitals.鈥�

Service occupations, such as maids and housekeeping cleaners, personal care aides and child care workers, are the lowest paid of all broad occupational categories. This disproportionately affects the earnings of ; while 16% of all women work in service occupations, 24% of Black women, and 27% of Latinas, are employed in service occupations.

How do we fix this? There are a few proposals on the table right now that would go a long way to address this gap. First, raising the would affect women who are disproportionately employed in low-wage occupations. Second, ensuring equal pay for work of equal value, and putting teeth into the , would reduce wage discrimination [link ]. Third, providing paid parental leave for all workers would make it possible for mothers with young children to stay competitive in the labor force, and for parents to participate equally in raising their families. Wouldn鈥檛 it be great if we never needed to celebrate Equal Pay Day again?

Nancy Marshall, Ed.D. is an Associate Director and Senior Research Scientist at the (星空无限) at . She leads the Work, Families and Children Team at 星空无限 and is an Adjunct Associate Professor at 星空无限.

April 2016 Update: The wage gap cited has improved by 1% point since this article was originally posted in April 2015.

Recently, NPR, with the Robert Wood Johnson Foundation and Harvard School of Public Health, released that found that one-quarter of Americans reported that they had experienced significant amounts of stress in the previous month. That level of stress is similar to levels found in earlier polls. But is this much stress making us sick? The poll found that 70% of people experiencing high levels of stress reported that they were --not getting enough sleep can negatively affect health. Other research tells us even more about the possible health consequences of too much stress and our capacity to cope with it. One of the top three sources of stress in the NPR poll, for individuals reporting high levels of stress, was stress from work problems. We know that jobs that are very stressful, with too much to do, can contribute to health problems, but only when those demands or challenges are not offset by the resources and authority to make decisions about the work. In fact, jobs that are very challenging--and in which workers have the authority and resources they need--are good for our health. The are those with heavy demands that you can鈥檛 address or that never end--or those jobs that have no challenge whatsoever, that involve repetitive or boring work, with no say over what work gets done when. Not surprisingly, in the NPR poll, people in lower-paid jobs, with annual incomes under $20,000, reported more stress from work problems than did those with incomes of $50,000 or more (64% of low-income individuals reported work stress, compared to 57% of higher income people).

Another factor in whether stress makes us sick is whether the stress is chronic or from a single event. Certain life events are very stressful, such as the death of a loved one or divorce; one-in-six people reported that the most stressful event in the previous year was the death of a loved one, and fewer than one-in-ten reported a life change or transition, such as divorce, was the most stressful event. However, ongoing stressful conditions, such as chronic health problems, being a single parent following divorce, or poverty, are more likely to wear away at our health and wellbeing. The NPR poll found that individuals with a chronic illness were more likely to report high stress in the previous month (36% compared to 26% overall), as were individuals living in poverty (36%) and single parents (35%). These chronic stressors tax our abilities to cope with stress. For those individuals with high levels of stress, problems with finances was one of the main sources of stress, and this was especially true for those (70% reported financial stress), those with disabilities (64%) or in poor health (69%), and for women (58%, compared to 45% for men). Chronic stress can lead to wear and tear or allostatic load, which can suppress immune function and lead to .

The other major contributor to stress, according to the poll, was having too many responsibilities overall. While this can mean different things to different people, it鈥檚 interesting to note that women were more likely than men to say that this was one of the reasons they were so stressed in the previous month. One life situation that can give us that overload feeling is combining employment with raising a family. While many men and women find that combination to be beneficial 鈥� would you give up your family or choose to stop working? 鈥� there are circumstances when the combination can be a negative. Women and men can experience strain from the stresses of too much to do at work and at home. However, because women tend to spend more time in family labor than do men, women with young children and not enough support or resources at work or at home are particularly at risk.

Poverty, bad jobs, too many responsibilities鈥� these can all contribute to poorer health; these stressors are not randomly experienced by everyone, but rather fall more heavily on those with less advantage and opportunity in their lives. In a 2010 on stress and health, Peggy Thoits argued that the greater exposure of members of less-advantaged groups (women, race-ethnic minorities, lower-income and working class individuals) to chronic or high stress was one of the reasons that we find poorer health among women, race-ethnic minorities, lower-income and working class individuals. There are many possible responses to this reality, but central to that must be recognizing the health consequences of high levels of stress and addressing some of the underlying stressors, such as inequality and injustice.

Nancy Marshall, Ed.D. is an Associate Director and Senior Research Scientist at the (星空无限) at . She leads the Work, Families and Children Team at 星空无限 and is an Adjunct Associate Professor at 星空无限.

Last Sunday鈥檚 article provides a follow-up on the women of the so-called Opt-Out Revolution that the . The Times rightly points out the price these women have paid--and the forces that pushed them out in the first place--the culture of Motherhood and an inhospitable corporate culture among them. Erin Gloria Ryan, at provides an even more pointed critique of the 鈥減romises鈥� of opting out.

But both articles miss the most important point鈥搕he Opt-Out Revolution was not a 鈥渞evolution,鈥� it was a media creation that took a drop in employment rates among mothers of infants in the 2000 Census, and the experiences of a few women with husbands with high salaries during an economic period when the haves seemed to have it all--pre-Great Recession--and used that mythology to suggest that the reason women don鈥檛 fare as well in the workplace is because 鈥渢hey choose not to鈥� (see the cover of the original NYT article). In fact, by Sharon Cohany and Emy Sok published in the Monthly Labor Review reported that the labor force participation rates of mothers of infants, with husbands earning in the top 20 percent of incomes, had the largest declines in 2000, but their participation only declined nine percentage points, from a high of 56 percent employed in 1997 to 47 percent in 2000, and 48 percent in 2005. While the decline was real, at least for women with husbands who could support the family, it was hardly a revolution.

Meanwhile, media and popular attention remains focused on the message that women should solve the problems we face--of unfriendly workplaces, long work weeks, glass ceilings, and some men鈥檚 unequal sharing of household and parenting activities (often justified by workplaces that still think all men have wives who will support their husband鈥檚 careers)--by their personal, individual actions, rather than by our collective action to challenge the inequalities built into our economy, inequalities of gender, class and race. Women in the professions and in managerial jobs, who , need redesigns of their fields to allow women--and men--during their parenthood years, to parent in the ways they value. There are top how to do this, including American Express, Johnson & Johnson, General Electric and Bristol-Myers Squibb. These changes to support working families need to be combined with changes that address the growing income disparity between the top 20 percent and the bottom 20 percent, and the consequences this has for financial well-being, as well as for the best interests of women, children, and men.

Nancy Marshall, Ed.D. is an Associate Director and Senior Research Scientist at the (星空无限) at . She leads the Work, Families and Children Team at 星空无限 and is an Adjunct Associate Professor at 星空无限.

Sheryl Sandberg鈥檚 recent book, , created a media frenzy. Before that, Ann-Marie Slaughter鈥檚 2012 , 鈥淲hy Women Still Can鈥檛 Have It All,鈥� was hailed as another round in the Mommy Wars. It鈥檚 time to call a truce.

I鈥檇 like to begin with a brief personal history. When I was ten, my parents divorced. While my father provided some financial support, it was not enough to support four kids. So, when I was 13, my mother put my four-year old brother in nursery school and went back to work. I learned at my mother鈥檚 knee that women do what they need to do to take care of their families.

By the time I was 25, I had worked as a babysitter, cafeteria worker, sales clerk, library clerk, passport adjudicator, child care teacher, community organizer, drug program counselor, and research assistant. As a child of the second wave of the women鈥檚 movement, I had sung along to Helen Reddy鈥檚 I Am Woman, hear me roar. I knew about women鈥檚 work.

When I was 39, I gave birth to my daughter. I took a few months off with her, using up most of my sick leave, because this was pre-Family Medical Leave Act, and 星空无限 did not yet have paid parental leave. While at home, I discovered that parenthood was hard work, work that required a different rhythm than my paid work.

All of these experiences have informed my teaching and research on women鈥檚 experiences with paid work and family work.

Over the years, I have seen the question, 鈥淐an women have it all,鈥� raised repeatedly. These debates have never been satisfying, because I felt they were asking the wrong question. The reality is that almost two-thirds of women with children under the age of six are employed. Overall, are fast approaching men鈥檚. Moreover, employed women are even more likely than women not in the labor force to have children.

According to the research, for most women, as for most men, employment has its ups and downs. Good jobs contribute to health and well-being, including self-esteem and feelings of efficacy, and provide opportunities to make a contribution to others. Bad jobs are exhausting, mind- and body-numbing and and the health of those around us. One of the questions employed women and men ask is, 鈥淗ow can I find and keep a good job, a career that I enjoy and value?鈥�

But what about 鈥渉aving it all?鈥� I hear many young women concerned about whether their job and career choices will jeopardize their future family, and whether their desire for a family will inhibit their ambitions.

The research clearly shows that combining paid work with raising children is actually a positive for most women and men. Paid work provides working parents with the income to raise their families, and can provide a sense of well-being that spills over to home, while providing a balance in their lives.

Even when is stressful, most workers report more benefits from the combination than drawbacks. For the majority of women, and men, the question is, 鈥渉ow can I manage the stresses, and what can my employer do to support me to be the best worker as well as the best parent?鈥�

Based on the research, I second Sheryl Sandberg鈥檚 advice:

However, for some parents, work and family is difficult to manage. Because mothers still do more of the day-to-day work of parenting young children, mothers of babies sometimes face more work-family conflict than they can manage, especially if they have very demanding jobs, or very demanding home lives, such as a baby who is sick more than other babies are. Parents with larger families, a serious illness or crisis in the family, or with one or both adults employed in demanding jobs, may find that home demands cannot be met while maintaining demanding jobs, and something needs to give.

For these people, the question is, 鈥渉ow can I manage caring for my family?鈥� For Anne-Marie Slaughter, and others like her, the answer to that question was to make changes in their paid work. Dr. Slaughter chose to leave the Washington D.C circles of power for a full-time job as a professor, where she could be more available to her family; others choose to take time out from paid work, or to leave completely.

It鈥檚 time, then, to stop the media fascination with the 鈥淢ommy Wars.鈥� No one wins in the current climate. Instead, we need to step up to the challenge of creating good jobs for all workers, and providing parents with needed supports, including family-friendly workplaces, as well as affordable child care and health care.

Nancy Marshall, Ed.D. is an Associate Director and Senior Research Scientist at the (星空无限) at . She leads the Work, Families and Children Team at 星空无限 and is an Adjunct Associate Professor at 星空无限.

This commentary appears in the Research & Action Report, Spring/Summer 2013 Volume 34 鈥� Number 2 (forthcoming), published by the 星空无限.

When we think about employment and health, we often think about high risk jobs and occupational safety. The recent deaths of first responders in Massachusetts and Texas highlight these serious concerns. However, many workers are exposed to unhealthy conditions that, while not lethal, seriously affect their health.

of downsizing, job instability, increased workload and longer hours have led to rising concerns about the health consequences of occupational stress. While both men and women experience stress-related illnesses, women are twice as likely as men to suffer from these consequences due to unhealthy working conditions. Jobs with heavy demands and little latitude in managing or meeting demands are particularly stressful, and women of all races, as well as men of color, are more likely to work in jobs with this combination.

While is quite similar to men鈥檚, the occupations and environments vary greatly. In 2009, 44.6 percent of women worked in just 20 occupations, and most of these occupations were heavily female, such as nurses, teachers, maids and housekeeping cleaners, health aides, and clerks鈥攎ost of which have higher emotional demands. We need to ensure that researchers are examining the effects of emotional work so that employers can identify and implement ways to reduce the stress of these emotionally demanding jobs. In addition, women in the health and education field experience more nonfatal occupational injuries than would be expected in the general workforce; typical injuries include low-back pain, asthma, and exposure to infectious, biological, or chemical hazards.

How can employers and policymakers protect women鈥檚 health?

Women need the same protections that men do鈥攕tandards for workplace health and safety, regular inspections and monitoring of injury rates, and research to develop health and safety practices. However, all too often, women, and women鈥檚 occupations and health concerns, have been left out of the funding priorities for research and innovative practices.

But other workplace factors have negative health implications for women employees, too. For example, as women are so concentrated in a select set of occupations, this results in some workplaces where women are not well represented and where they may be less empowered. Research shows that these women are more likely to experience 鈥攏early one-quarter of women report having experienced sexual harassment and 58 percent have experienced potentially harassing behaviors at work. We know that sexual harassment affects psychological well-being and increases psychological distress. Since we know that women are at greater risk for sexual harassment, especially in workplaces that have a climate in which workers believe that reports of harassment will not be taken seriously or will not have consequences for the harasser, it鈥檚 essential that employers implement and enforce policies that create a climate that promotes equity and respect and does not tolerate sexual harassment.

Additionally, . Their responsibility to care for young children or aging parents does not end when they enter the workplace. However, despite the increasing involvement of men in caregiving, women still bear a greater burden. For example, married mothers take on almost twice the hours of married fathers each week to address family and home responsibilities. Caregiving for children and aging parents also falls more heavily on women鈥檚 shoulders.

How does this affect women鈥檚 employment and their health?

Work and family balance issues are a health risk for women with children... Read more of Marshall's commentary>>

Nancy Marshall, Ed.D. is an associate director and senior research scientist at the 星空无限 at 星空无限. She leads the Work, Families and Children Team at 星空无限 and studies women and employment, with a focus on working conditions and health and work-family systems, as well as child care policy and early care and education. She authored the chapter, 鈥淓mployment and Women鈥檚 Health,鈥� in M.V. Spiers, P.A. Geller & J.D. Kloss (Eds.), Women鈥檚 health psychology (46- 63). New York: John Wiley & Sons.

Are you paid what you鈥檙e worth? How much do you earn? Is your paycheck fair?

These are the kinds of questions we don鈥檛 talk about in public, or even with co-workers. We might broach them with close friends or family, but many Americans don鈥檛 like to talk about whether our paychecks are fair. However, when women earn 77 cents for every dollar a man earns, and this gender wage gap holds at all levels of education, we have to ask what鈥檚 at play here. ; Black women earn 70 cents for every dollar earned by men of all races, and Latinas earn only 60 cents.

Is it that women put family and children first, and that affects their pay, because they work part-time or take time out of the workforce? While women who work part-time or take time out of the workforce to experience a 鈥渕otherhood penalty,鈥� the majority of mothers are working full-time. Working mothers are as serious about their employment as are working fathers, in an economy where a second income is essential to maintain a standard of living that, decades ago, could have been supported by one income.

Perhaps the pay gap is because women 鈥渃hose鈥� to go into jobs or professions that pay less? , such as nursing, teaching, administrative assistants, health aides, customer service and the like. This concentration of women in a few, predominantly female, occupations does hold wages down, because more women are competing for a more limited range of occupations. However, .

These kinds of arguments about why women earn less than men are grounded in old ideas about what a woman is worth, and about women鈥檚 place in the world. When we devalue women鈥檚 family and community work, we also devalue the paid jobs that support families and communities, such as teaching and nursing. When we ask whether it's women鈥檚 choices that drive the pay gap, we鈥檙e ignoring the effects of discrimination enacted by others with the power to hire and fire.

According to the official blog of the U.S. Department of Labor, 鈥淓conomists generally attribute about 40 percent of the pay gap to discrimination--making about 60 percent explained by differences between workers or their jobs.鈥� That鈥檚 right, almost half of the pay gap is attributed to discrimination. Two bills that would address this discrimination are currently in committee and not likely to go further. The (S.168, H.R.438) is designed to end wage discrimination by requiring equal pay for comparable work. (S.84, H.R.377) would strengthen the Equal Pay Act of 1963.

However, we don鈥檛 have to wait for Congress to act to address the issue of discrimination and pay equity. As workers, we can start talking to each other about what we earn, and whether we think that鈥檚 fair. As employers, we can reconsider the wage structure in our firm, and evaluate its fairness. As citizens, we can challenge the old ideas about what a woman, and women鈥檚 work, is worth, and encourage our daughters and sons to not limit their dreams to the old dreams, but to explore a wide range of occupations and follow their own interests.

Nancy Marshall, Ed.D., is an Associate Director and Senior Research Scientist at the at . She leads the Centers' Work, Families & Children team and teaches courses at 星空无限 on gender, employment and the sociology of children and youth.

November is , a time to recognize those who care for family, friends, and neighbors, including the elderly, sick and disabled. While the elderly are healthier now than in previous generations, about 17 percent of Americans 65 and older need assistance with one or more daily activities, such as bathing or dressing ; many more need assistance with chores, errands or transportation. Family members in the community provide most of this assistance; for example, 26 percent of adult daughters and 15 percent of adult sons report spending at least 100 hours/year caring for or helping their older parents .

While important, these numbers obscure the many ways in which we are each embedded in networks of care. Some of us are directly involved in hands-on caregiving, but care also encompasses 鈥渃aring about鈥� 鈥� paying attention in such a way that one sees and recognizes the need for care 鈥� and 鈥渃aring for鈥� 鈥� responding to other鈥檚 needs by taking responsibility for initiating caring activities .

I think of my 88-year-old mother, living independently, even though she is vision-impaired and cannot drive. Her children, who do not live nearby, call her regularly, provide financial support and make sure her bills are paid, and take responsibility for ensuring that she receives the care she needs. When they do visit, she has a list of chores ready for them. Her friends provide rides to church and occasional lunches out. Her neighbor calls her daily, takes her food shopping and to doctors鈥� appointments. Another neighbor brings her books on tape, and helps her figure out the technology to listen to the audiobooks. But my mother is not just a receiver of care. She calls friends who need to talk, makes sure that someone is checking on others living alone, provides advice and labor for activities at church, as well as advice to her children, neighbors and friends. In her younger days, she was the one providing transportation to others, visiting people in the hospital or at home, or providing housing and financial support for her adult children.

These networks of care are often invisible, but they are essential to our communities. As our population ages, and those who provide care are increasingly employed outside of the home, caregiving demands are potentially in direct conflict with employment responsibilities. This reality demands recognition of caregivers not just this month, but year-round, by employers who can provide workplace flexibility 鈥� to accompany someone to doctors鈥� visits, provide transportation, or help with food shopping 鈥� and paid family and medical leave for intensive caregiving when needed.

Nancy Marshall, Ed.D., is an Associate Director and Senior Research Scientist at the at . She leads the Work, Families & Children team at the Centers. For more than 20 years, researchers on the Work, Families and Children team have studied the lives of children and adults, and the workplaces, early care and education programs and families in which they live, work and grow. The Team applies an ecological systems model to the study of the lives of children and adults. From this perspective, individual lives are best understood in the context of social institutions, such as families, the workplace, and early care and education settings.