What Negatively Impacts Canadian Women Who Are Providing Caregiving to Older

What negatively impacts Canadian women who are providing caregiving to older family members?

A) Some women must increase their hours of paid work to pay someone to provide higher levels of elder care.
B) Some women must increase their hours of paid work to pay someone to perform child care, while caregiver is providing elder care.
C) Some women must reduce their hours of paid work to perform child care while they perform elder care.
D) Some women must reduce their hours of paid work to perform elder care.