During the American Civil War, sexual behavior, gender roles, and attitudes were affected by the conflict, especially by the absence of menfolk at home and the emergence of new roles for women such as nursing. Clothing adapted to these new roles, becoming more practical and functional as women took on additional responsibilities. The advent of photography and easier media distribution, for example, allowed for greater access to sexual material for the common soldier, while the changes in women's clothing reflected broader societal adjustments to the war's demands.

Nursing Union During the Civil War (1861–65), the United States Sanitary Commission, a federal civilian agency, handled most of the medical and nursing care of the Union armies, together with necessary acquisition and transportation of medical supplies. Dorothea Dix, serving as the commission's Superintendent, was able to convince the medical corps of the value of women working in 350 Commission or Army hospitals. North and South, over 20,000 women volunteered to work in hospitals, usually in nursing care. They assisted surgeons during procedures, gave medicines, supervised the feedings and cleaned the bedding and clothes. They gave good cheer, wrote letters the men dictated, and comforted the dying. A representative nurse was Helen L. Gilson (1835–1868) of Chelsea, Massachusetts, who served in Sanitary Commission. She supervised supplies, dressed wounds, and cooked special foods for patients on a limited diet. She worked in hospitals after the battles of Antietam, Fredericksburg, Chancellorsville, Gettysburg. She was a successful administrator, especially at the hospital for black soldiers at City Point, Virginia. The middle-class women North and South who volunteered provided vitally needed nursing services and were rewarded with a sense of patriotism and civic duty in addition to opportunity to demonstrate their skills and gain new ones, while receiving wages and sharing the hardships of the men.

Another representative for nurses working for the Union armies was Louisa May Alcott, who was a volunteer nurse for six weeks in Georgetown of Washington, D.C. Alcott wrote letters to her family, chronologicalizing her time as a volunteer nurse. She can be quoted in her remarks regarding the soldiers saying how much she "yearned to serve the dreariest of them all."

Mary Livermore, Mary Ann Bickerdyke, and Annie Wittenmeyer played leadership roles. After the war some nurses wrote memoirs of their experiences; examples include Dix, Livermore, Sarah Palmer Young, and Sarah Emma Edmonds. Clara Barton (1821–1912) gained fame for her nursing work during the American Civil War. She was an energetic organizer who established the American Red Cross, which was primarily a disaster relief agency but which also supported nursing programs.

Confederate nurses Several thousand women were just as active in nursing in the Confederacy, but were less well organized and faced severe shortages of supplies and a much weaker system of 150 hospitals. Nursing and vital support services were provided not only by matrons and nurses, but also by local volunteers, slaves, free blacks, and prisoners of war.

Homefront Union Union military occupation in the South during the Civil War led to significant disruptions in traditional gender roles. As Confederate men were absent from home, Southern women took on new responsibilities, including managing plantations and negotiating with Union forces. Some women used these interactions to assert greater authority over their households, challenging established patriarchal structures (Whites, 2015). While men were fighting, many Northern wives needed to learn how to farm and do other manual labor. Besides having to tend to the home and children while the men were away at war, women also contributed supplies. Quilts and blankets were often given to soldiers. Some had encouraging messages sewn on them. They also sent shirts, sheets, pillows, pillowcases, coats, vests, trousers, towels, handkerchiefs, socks, bandages, canned fruits, dried fruits, butter, cheese, wine, eggs, pickles, books, and magazines.Ethel A. Hurn, Wisconsin Women in the War between the States (Wisconsin History Commission, 1911).

Confederacy At the start of the war, Southern women zealously supported the men going off to war. They saw the men as protectors and invested heavily in the romantic idea of men fighting to defend the honor of their country, family, and way of life. Mothers and wives were able to keep in contact with their loved ones who had chosen to enlist by writing them letters. African American women, on the other hand, had experienced the breakup of families for generations and were once again dealing with this issue at the outbreak of war.

By summer 1861, the Union naval blockade virtually shut down the export of cotton and the import of manufactured goods. Food that formerly came overland was cut off.

Women had charge of making do. They cut back on purchases, brought out old spinning wheels and enlarged their gardens with peas and peanuts to provide clothing and food. They used ersatz substitutes when possible, but there was no real coffee and it was hard to develop a taste for the okra or chicory substitutes used. The households were severely hurt by inflation in the cost of everyday items and the shortages of food, fodder for the animals, and medical supplies for the wounded.Jessica Fordham Kidd, "Privation and Pride: Life in Blockaded Alabama," Alabama Heritage Magazine (2006) 82 pp 8–15.Mary Elizabeth Massey Ersatz in the Confederacy: Shortages and Substitutes on the Southern Homefront (1952) excerpt and text search pp 71–73 The Georgia legislature imposed cotton quotas, making it a crime to grow an excess. But food shortages only worsened, especially in the towns.C. Mildred Thompson, Reconstruction In Georgia: Economic, Social, Political 1865–1872 (1915), pp 14–17, 22

The overall decline in food supplies, made worse by the collapsing transportation system, led to serious shortages and high prices in urban areas. When bacon reached a dollar a pound in 1863, the poor women of Richmond, Atlanta and many other cities began to riot; they broke into shops and warehouses to seize food. The women expressed their anger at ineffective state relief efforts, speculators, merchants and planters. As wives and widows of soldiers they were hurt by the inadequate welfare system.Stephanie McCurry, "'Bread or Blood!'" Civil War Times (2011) 50#3 pp 36–41.Teresa Crisp Williams, and David Williams, "'The Women Rising': Cotton, Class, and Confederate Georgia's Rioting Women", Georgia Historical Quarterly, (2002) 86#12 pp. 49–83Michael B. Chesson, "Harlots or Heroines? A New Look at the Richmond Bread Riot." Virginia Magazine of History and Biography 92#2 (1984): 131–175. in JSTOR

Upper-class plantation mistresses often had to manage the estates which the younger men had left behind. Overseers of the slaves were exempt from the draft, and usually remained on the plantations.Jessica Fordham Kidd. "Privation and Pride: Life in Blockaded Alabama". Alabama Heritage (2006) 82. pp. 8-15. Historian Jonathan Wiener studied the census data on plantations in black-belt counties, 1850–70, and found that the War did not drastically alter the responsibilities and roles of women. The age of the groom increased as younger women married older planters, and birth rates dropped sharply during 1863-68 during Reconstruction. However, plantation mistresses were not more likely to operate plantations than in earlier years, nor was there a lost generation of women without men.Jonathan M. Wiener. "Female Planters and Planters' Wives in Civil War and Reconstruction Alabama, 1850-1870". Alabama Review (1977) 30#2. pp. 135-149.

Clothing and Gender Importance of Clothing

During the American Civil War, clothing played a pivotal role. It served as a visual language that reinforced and performed gender roles, with women's attire often reflecting their new responsibilities and societal expectations. Clothing choices were not merely practical but also symbolic, as individuals used garments to express allegiance to the Union or Confederacy, with items like homespun fabrics and battle flags becoming potent symbols of patriotism and political stance. Moreover, clothing was a key tool in reinforcing gender norms, as women who disguised themselves as men to enlist in the army used clothing to conceal their gender, while traditional feminine attire continued to emphasize domestic roles. Through these expressions, clothing became an integral part of the cultural and social fabric of the era, influencing perceptions of identity, status, and allegiance.

Men's clothing

Military uniforms played a crucial role in distinguishing between Union and Confederate soldiers. Union soldiers typically wore dark blue wool uniforms, while Confederates wore gray or butternut-colored uniforms, which often became weathered and faded to a brownish hue. The uniforms were not only functional but also symbolic, reflecting allegiance and military hierarchy. The differences in materials, colors, and styles were significant, with the Union having access to industrial-scale production of wool uniforms, whereas the Confederacy relied more on cotton and homespun fabrics due to supply constraints.

In civilian life, the war impacted men's clothing through shortages and displays of mourning. As resources were diverted to the military, civilian clothing became simpler and more practical. Men's fashion was influenced by military styles, with elements like shoulder pads and straight silhouettes becoming more common.

Mourning attire, particularly for women, was a significant social expectation during the Civil War. Traditionally, widows and families of the deceased wore black dresses, veils, and accessories made of specific fabrics like crepe. However, wartime shortages and inflation made it difficult for many families to obtain appropriate mourning clothes. As a result, some had to repurpose existing garments or forego traditional mourning attire altogether, which could lead to social stigma or personal distress. The inability to properly observe mourning customs underscored the broader impact of the war on daily life and social rituals.

Clothing as identity was also prevalent, as it distinguished between classes, occupations, and political affiliations. For instance, wealthy individuals maintained elaborate attire to signify their status, while those in lower classes adopted simpler, more practical clothing. Clothing choices could also express political allegiance, with symbols and colors used to show support for either the Union or the Confederacy. Overall, clothing during the Civil War served as a powerful tool for expressing identity, allegiance, and social status.

Class differences were evident in both military and civilian clothing. Wealthier officers often commissioned custom-tailored uniforms with finer fabrics and elaborate insignia, while enlisted men, especially in the Confederacy, sometimes wore uniforms made from homespun materials or whatever was available. In civilian life, affluent men could afford to keep up with fashion trends and import fabrics, even during shortages, whereas working-class men wore practical, often patched or repurposed garments. For example, a Southern planter might still appear in a well-made wool suit, while a laborer wore coarse cotton or linen, highlighting the persistent social divide.

Women's clothing