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in Nursing Occupations
American Community Survey Highlight Report
IssuedFebruary2013
Introduction
Healthcareisoneofthefastestgrowingindustries.1Theagingofourpopulationfuelsanincreasing
demandforlongtermcareandendoflifeservices.Skillednursingcarehasalsoexpandedinschools
andretailclinicsandintheprovisionofmentalhealthservices.2Thisdemandhasresultedinlow
unemploymentratesamongnurses,rangingfromabout0.8percentamongnursepractitionersand
nurseanesthetiststo4.3percentamonglicensedpracticalandlicensedvocationalnurses.
In2011,therewere3.5millionemployednursesintheU.S.and78percentwereregisterednurses.A
predictedshortageofnurseshasincreasedrecruitingandoccupationalretrainingeffortstoincreasethe
poolofemployableworkersinthisfield.Theseeffortshaveincludedrecruitingmenintonursing.
Previously,decadesoflegalbarrierskeptmenoutofthefieldandnursingschoolsoftenrefusedto
admitmen,apracticedeemedunconstitutionalbytheU.S.SupremeCourtinacasebroughtagainsta
statesupportedschoolin1981.3Schoolsarenowactivelypursuinghighermaleenrollmentintheir
nursingprograms.Therelativelyhighwagesandexpandingjobopportunitiesmakesthisfieldattractive,
offeringstabilityevenduringrecessions.
Thisreportpresentsestimatesofmeninnursingoccupationsusingdatafromthe2011American
CommunitySurvey(ACS).Startingin2010,theCensusBureaubegancollectingdataonfivespecific
nursingoccupations:registerednurse,nurseanesthetist,nursemidwife,nursepractitioner,andlicensed
practicalandlicensedvocationalnurse.Priorto2010,twonursingcategorieswereavailable:registered
nurseandlicensedpracticalandlicensedvocationalnurse.Nurseanesthetists,nursemidwives,and
nursepractitionerswerecombinedwithregisterednurses,limitingtheanalysispotentialofthedata.
Takingadvantageofthenewlyavailableoccupationalcategories,thisreportshowsthepercentageof
menineachofthedetailednursingoccupationsandmensmedianearningsineachoccupation.This
reportisbasedonanewsetoftablesthatpresentselectedcharacteristicsofmenandwomeninnursing
occupations.Thesetablesprovideestimatesonemploymentstatus,age,race,Hispanicorigin,
citizenship,educationalattainment,workhours,timeofdeparturetowork,medianearnings,industry,
andclassofworkerbysexforregisterednurses,nurseanesthetists,nursepractitioners,andlicensed
practicalandlicensedvocationalnurses.ThetablesareavailableontheCensusBureausIndustryand
OccupationStatisticsWebsiteathttp://www.census.gov/people/io/publications/reports.html.Because
ofasmallnumberofsampleobservations,nursemidwivesareexcludedinthetablesandreport.
U.S.CensusBureau
MeninNursingOccupations
Highlights
Therewere3.5millionemployednursesin2011,about3.2millionofwhomwere
femaleand330,000male.
Ofemployednurses,78percentwereregisterednurses,19percentwerelicensed
practicalandlicensedvocationalnurses,3percentwerenursepractitioners,and1
percentwerenurseanesthetists.
Mensrepresentationamongregisterednursesandlicensedpracticalandlicensed
vocationalnursesincreased.About2.7percentofregisterednursesweremenin1970
comparedwith9.6percentin2011.Mensrepresentationamonglicensedpracticalandlicensed
vocationalnursesgrewfrom3.9percentin1970to8.1percentin2011.
In2011,9percentofallnursesweremenwhile91percentwerewomen.Menearned,on
average,$60,700peryear,whilewomenearned$51,100peryear.
Mensrepresentationwashighestamongnurseanesthetists:41percentweremen.
Malenurseanesthetistsearnedmorethantwiceasmuchastheaverageformeninallnursing
occupations.Malenurseanesthetistsearned,onaverage,$162,900peryear,whilemens
averageforallnursingoccupationswas$60,700peryear.
Evenamongmenandwomeninthesamenursingoccupations,menoutearnedwomen.
Womenworkingasnursesfulltime,yearroundearned91centsforeverydollarmalenurses
earned.
WhatistheAmericanCommunitySurvey?
TheAmericanCommunitySurvey(ACS)isanationwidesurveydesignedtoprovidecommunitieswith
reliableandtimelydemographic,social,economic,andhousingdataforthenation,states,
congressionaldistricts,counties,places,andotherlocalitieseveryyear.Ithasanannualsamplesizeof
about3.3millionaddressesacrosstheUnitedStatesandPuertoRicoandincludesbothhousingunits
andgroupquarters(e.g.,nursingfacilitiesandprisons).TheACSisconductedineverycounty
throughoutthenation,andeverymunicipioinPuertoRico,whereitiscalledthePuertoRico
CommunitySurvey.Beginningin2006,ACSdatafor2005werereleasedforgeographicareaswith
populationsof65,000andgreater.ForinformationontheACSsampledesignandothertopics,visit
www.census.gov/acs/www.
U.S.CensusBureau
MeninNursingOccupations
HistoricalTrendsinNursingOccupations
Thoughnursinghadsignificantmalerepresentationuntilthe1800sbecauseoftheearlyassociation
betweennursingandthemilitaryandreligiousorders,mensrepresentationinnursingexperienced
significantdeclineinthe1900swiththeemergenceofmodernnursingandnewlegalbarrierstomens
entry.4However,mensrepresentationinnursinghasbeengrowingsincethe1970s.Figure1showsthe
increaseinmensrepresentationamongregisterednursesandlicensedpracticalandlicensedvocational
nursessince1970.About2.7percentofregisterednursesweremenin1970comparedwith9.6percent
in2011.Exceptforasmalldeclinein1980,mensrepresentationamonglicensedpracticalandlicensed
vocationalnursesgrewfrom3.9percentin1970to8.1percentin2011.*
Figure1.PercentageofNursesWhoAreMenFrom1970to2011
8.9%
7.6%
7.6%
6.4%
5.7%
3.9%
9.6%
Registerednurses*
8.1%
Licensedpractical
andlicensed
vocationalnurses
7.8%
*Includes nursepractitioners
andnurseanesthetists.Data for
nursepractitioners andnurse
anesthetistswerenotshown
separatelyuntil2010.
4.1%
3.4%
2.7%
1970
1980
1990
2000
20062011
2010
U.S.CensusBureau
MeninNursingOccupations
Untilrecently,theCensusBureaudidnotcollectrefined
categoriesofnursing,preventingnuancedanalysesoftrends
innursing.Startingin2010,theCensusBureausplitthe
occupationalcategoryofregisterednurseinto4occupations:
registerednurse,nurseanesthetist,nursemidwife,andnurse
practitioner.Wearenowabletoexaminemens
representationinmorespecificnursingoccupations.Because
educationalrequirements,jobtasks,andearningsvary
significantlybytypeofnurseoccupation,itisimportantto
lookattrendsinmorerefinedoccupationalcategories.
MeninNursingOccupations
Menaremorelikelytobefoundinhighlypaidnursing
occupations.Althoughwomenmakeupadisproportionate
shareofallnursingoccupations,mensrepresentationis
highestamongnurseanesthetists.About41percentofnurse
anesthetistsaremen.Figure2showsmensmedianearnings
ineachofthenursingoccupationsalongwiththeir
representationineachofthenursingcategories.Nurse
anesthetistsearnmorethantwiceasmuchastheaverage
forallnursingoccupations.Malenurseanesthetistsearn,on
average,$162,900peryear,whilemensaverageforall
nursingoccupationsis$60,700peryear.
NursingOccupations
Registerednursesassesspatienthealth
problemsandneeds,developand
implementnursingcareplans,maintain
medicalrecords,andadministercare.
Licensingorregistrationisrequired.
Nurseanesthetistsadminister
anesthesiaandmonitorpatients
recoveryfromanesthesia.Specialized
graduateeducationisrequired.
Nursemidwivesdiagnoseand
coordinateallaspectsofthebirthing
processandprovidegynecologicalcare.
Specializedgraduateeducationis
required.
Nursepractitionersdiagnoseandtreat
illnessesandmayorder,perform,or
interpretdiagnostictests.Insomestates
theymayprescribemedication.
Specializedgraduateeducationis
required.
Licensedpracticalandlicensed
vocationalnursesprovidepatientcare
andmayworkunderthesupervisionof
aregisterednurse.Theymustbe
licensed.
Source:StandardOccupational
Classification2010availableonlineat:
www.bls.gov/soc.
U.S.CensusBureau
MeninNursingOccupations
Figure2.MaleMedianEarningsbyPercentMaleinNursingOccupations:2011
$162,900
$96,400
$61,900
$60,700
$40,200
41%
8%
9%
9%
9%
LPN/LVN
Registerednurses
Average(allnurses)
Nursepractitioners
Nurseanesthetists
Source:U.S.CensusBureau,20111yearAmericanCommunitySurvey
Note:Nursemidwivesareexcludedduetoasmallnumberofsampleobservations.
Knownastheglassescalatoreffect,menhavetypicallyenjoyedhigherwagesandfasterpromotionsin
femaledominatedoccupations.5Asmenenterednursingingreaternumbers,theyweremorelikelyto
becomenurseanesthetists,thehighestpaidnursingoccupation,andleastlikelytobecomelicensed
practicalorlicensedvocationalnurses,thelowestpaidnursingoccupation.Evenamongmenand
womeninthesamenursingoccupations,menoutearnwomen.Figure3showsthatwomenworkingfull
time,yearroundearn93centsforeverydollarmenearnasregisterednurses,89centstothedollar
amongnurseanesthetists,87centstothedollaramongnursepractitioners,and91centstothedollar
amonglicensedpracticalandlicensedvocationalnurses.*Whilewomensearningsinnursingfieldsare
notonparitywithmens,thewagegapissmallerthantheaverageacrossalloccupations:77centsto
thedollar.6
*Thedifferenceinfemaleearningsbetweennursepractitioners,nurseanesthetists,licensedpracticalandlicensedvocational
nurses,andregisterednursesisnotstatisticallysignificant.
U.S.CensusBureau
MeninNursingOccupations
Figure3.FemaleEarningsasaPercentageofMensEarningsamongFullTime,YearRound
Nurses:2011
87.4%
88.9%
Nursepractitioners
Nurseanesthetists
91.0%
91.3%
92.7%
Average(allnurses)
LPN/LVN
Registerednurses
Source:U.S.CensusBureau,20111yearAmericanCommunitySurvey
References
1.Henderson,Richard.2012.IndustryEmploymentandOutputProjectionsto2020.MonthlyLabor
ReviewJan:6583.
2.InstituteofMedicine.2011.TheFutureofNursing:LeadingChange,AdvancingHealth.TheNational
AcademiesPress.Washington,D.C.
3.Villeneuve,MichaelJ.1994.RecruitingandRetainingMeninNursing:AReviewoftheLiterature.
JournalofProfessionalNursing10(4):217228.
4.Mackintosh,Carolyn.1997.AHistoricalStudyofMeninNursing.JournalofAdvancedNursing
26:232236.
U.S.CensusBureau
MeninNursingOccupations
5.Williams,ChristineL.1992.TheGlassEscalator:HiddenAdvantagesforMeninthe"Female"
Professions.SocialProblems39(3):253267.
6.DeNavasWalt,Carmen,BernadetteD.Proctor,andJessicaC.Smith.2012.Income,Poverty,and
HealthInsuranceCoverageintheUnitedStates:2011.U.S.CensusBureauReportP60243.
DataSourceandAccuracy
ThedatapresentedinthisreportarebasedontheACSsampleinterviewedin2011.Theestimates
basedonthissampleapproximatetheactualvaluesandrepresenttheentirehouseholdand
noninstitutionalizedgroupquarterspopulation.Samplingerroristhedifferencebetweenanestimate
basedinasampleandthecorrespondingvaluethatwouldbeobtainediftheestimatewerebasedon
theentirepopulation(asfromacensus).Allcomparativestatementsinthisreporthaveundergone
statisticaltesting,andcomparisonsaresignificantatthe90percentlevelunlessotherwisenoted.In
additiontosamplingerror,nonsamplingerrormaybeintroducedduringanyoftheoperationsusedto
collectandprocesssurveydatasuchasediting,reviewing,orkeyingdatafromquestionnaires.Formore
informationonsamplingandestimationmethods,confidentialityprotection,andsamplingand
nonsamplingerrors,pleaseseethe2011ACSAccuracyoftheDatadocumentlocatedat
www.census.gov/acs/www/Downloads/data_documentation/Accuracy/ACS_Accuracy_of_Data_2011.p
df.
Disclaimer
Thisreportisreleasedtoinforminterestedpartiesofongoingresearchandtoencourage
discussionofworkinprogress.Theviewsexpressedarethoseoftheauthorandnotnecessarily
thoseoftheU.S.CensusBureau.
Contact
Forquestionsrelatedtothecontentsofthisdocumentandtheaccompanyingtables,contact
theauthor:
LianaChristinLandivar
liana.christin.landivar@census.gov
(301)7635878
IndustryandOccupationStatisticsBranch
Social,Economic,andHousingStatisticsDivision
U.S.CensusBureau
U.S.CensusBureau
MeninNursingOccupations