abstract: 'China''s economic reforms over the past three decades have dramatically changed the mechanisms for allocating goods and labour in both market and non-market spheres. This article examines the social and economic trends that intensify the pressure on the care economy, and on women in particular in playing their dual roles as care givers and income earners in post-reform China. The analysis sheds light on three critical but neglected issues. How does the reform process reshape the institutional arrangements of care for children and elders? How does the changing care economy affect women''s choices between paid work and unpaid care responsibilities? And what are the implications of women''s work-family conflicts for the well-being of women and their families? The authors call for a gendered approach to both social and labour market policies, with investments in support of social reproduction services so as to ease the pressures on women.' affiliation: 'Cook, S (Corresponding Author), UNRISD, Palais Nations 1211, Geneva 10, Switzerland. Cook, Sarah, UNRISD, Geneva 10, Switzerland. Cook, Sarah, Univ Sussex, Inst Dev Studies, Brighton BN1 9RH, E Sussex, England. Dong, Xiao-yuan, Univ Winnipeg, Winnipeg, MB R3B 2E9, Canada. Dong, Xiao-yuan, Peking Univ, Natl Sch Dev, Beijing, Peoples R China. Cook, Sarah, Ford Fdn, Beijing, Peoples R China.' author: Cook, Sarah and Dong, Xiao-yuan author-email: 'Cook@unrisd.org x.dong@uwinnipeg.ca' author_list: - family: Cook given: Sarah - family: Dong given: Xiao-yuan da: '2023-09-28' doi: 10.1111/j.1467-7660.2011.01721.x eissn: 1467-7660 files: [] issn: 0012-155X journal: DEVELOPMENT AND CHANGE keywords-plus: URBAN CHINA; ELDER CARE; GENDER; TRANSITION; INEQUALITY; CAREGIVERS language: English month: JUL number: 4, SI number-of-cited-references: '60' orcid-numbers: Cook, Sarah/0000-0002-2308-3967 pages: 947-965 papis_id: d84de1f73c78d0f86f0b07a9446f6a5b ref: Cook2011harshchoices researcherid-numbers: 'Cook, Sarah/HLG-3423-2023 ' times-cited: '142' title: 'Harsh Choices: Chinese Women''s Paid Work and Unpaid Care Responsibilities under Economic Reform' type: article unique-id: WOS:000294921400004 usage-count-last-180-days: '1' usage-count-since-2013: '52' volume: '42' web-of-science-categories: Development Studies year: '2011'