(1) Background: Rapid global aging has surged demand for elderly family care, a role long dominated by women. This study aims to reveal the specific manifestations of the gender division of labor in elderly family care through a systematic evidence synthesis, covering care tasks, care types, impacts, and driving factors. (2) Methods: We searched four databases (Web of Science (SSCI subsets), Scopus, PubMed, and ProQuest) for articles published between 2015 and 2025. After screening, 45 peer-reviewed articles from 16 countries or regions were included, and thematic analysis was employed for data extraction and evidence synthesis. (3) Findings: The results indicate a differentiated gender division of labor and inequality in elderly family care, where female caregivers bear a greater burden in terms of task assumption, care time allocation, and perception of care impacts. The formation of the gender division of labor results from a dynamic interplay among multiple factors, including objective needs, social norms, and institutional influences. Promisingly, men are increasingly participating in family care for the elderly. (4) Conclusions: The study suggests that gender-sensitive policies should address the gender gap for elderly family care and provide targeted support to alleviate the unequal distribution of care burdens.
Tang et al. (Sun,) studied this question.