Americans’ Mental Health Ratings Sink to New Low

DECEMBER 7, 2020
Americans’ Mental Health
Ratings Sink to New Low

WASHINGTON, D.C. — Americans’ latest assessment of their mental health is worse than it has been at any point in the last two decades. Seventy-six percent of U.S. adults rate their mental health positively, representing a nine-point decline from 2019.

Each year since 2001, Gallup has asked Americans as part of its November Health and Healthcare survey to say whether their own mental or emotional wellbeing is excellent, good, only fair or poor. The reading for those rating their mental health as excellent or good ranged from 81% to 89% until this year’s 76%.

The latest weakening in positive ratings, from a Nov. 5-19 poll, are undoubtedly influenced by the coronavirus pandemic, which continues to profoundly disrupt people’s lives, but may also reflect views of the election and the state of race relations, both of which were on Americans’ minds this year.

Previous research from Gallup’s ongoing COVID-19 tracking survey in April found that although majorities of Americans said they could continue following social distancing guidelines as long as necessary before their physical health and financial situation suffered, less than half said the same of their mental health. Additionally, in April, U.S. adults’ life evaluations fell to a low point last seen during the Great Recession.

The drop in Americans’ positive appraisal of their mental and emotional wellbeing varies across demographic subgroups. The following groups’ ratings of their mental health as excellent fell by double digits since 2019 — women, Republicans, independents, those who attend religious services less than weekly, White adults, those who are unmarried, older adults, and lower-income Americans. Democrats and frequent church attendees show the least change in their mental health ratings.

The subgroups showing the greatest declines in excellent mental health are not necessarily the groups with the lowest positive ratings. That is, more Republicans and independents than Democrats say their mental  health is excellent while women rate theirs less positively than men.
In addition to women and Democrats, lower-income Americans, young adults, the unmarried, and those who seldom or never attend religious services have the lowest excellent ratings. These demographic patterns have been mostly consistent over the past 20 years.

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