Half of younger Americans regularly struggle with their mental health

Photo of a black boy looking concerned or sad.

Half of younger Americans regularly struggle with their mental health

Younger Americans struggling most with anxiety and mental health

Two fifths (42%) of US adults regularly experience anxiety related to their health, according to a March 2023 survey of 1,000 US adults by Reputation Leaders. The same study found that younger Americans (ages 18-44) are most impacted; 50% struggle with mental health, and 26% feel that their anxiety has impacted their work.

‘Health For All’ is still a long way off

These findings are consistent with the World Health Organization (WHO) study of March 2022, which found that the COVID-19 pandemic triggered a 25% rise in anxiety and depression globally. Meanwhile, according to the Anxiety and Depression Association of America, 60% of people who struggle with anxiety are not receiving treatment. This is mainly attributed to the very high cost of mental health support and care in the US (Mental Health America Report 2023).

US public health information is not well understood and not fully trusted

Along with the trend of health anxiety, 62% of US adults are more aware of health risks following the COVID-19 pandemic. Additionally, a quarter of Americans struggle to understand the information distributed by official health organizations, and 18% simply do not trust it. Clearly, US health confidence is not thriving, and Americans need support and clear information to navigate the health challenges – mental and otherwise.

On World Health Day 2023, Reputation Leaders is participating in the efforts to break the mental health taboo by talking about US adult health anxiety. In accordance with this year’s theme, Health for All, the need to make mental healthcare accessible to help all people navigate the post-pandemic uncertainty is more important than ever.

Reputation Leaders recommends:

  • Employers be aware of the mental health concerns of younger employees.
  • Governments – increase funding for mental health support.


Click here for the full report for World Health Day 2023


Reputation Leaders ran a U.S. national online survey from March 23-27, 2023, to explore American attitudes and behaviors towards health. The survey was conducted among 1,000 U.S. adults aged 18 and over.