Understanding Stress in America

The last few years have seen a global pandemic, international conflicts, civil unrest, increased inflation, and many natural disasters. The American Psychological Association (APA) Stress in America survey takes a closer look at what Americans have been experiencing and provides insight into recent trends. This data provides better understanding of how Americans are handling a multitude of stressors and helps to show us what is going on in the minds of Americans of different ages. 

Collective trauma and post-pandemic effects

The survey starts with the idea of collective trauma, understanding that everyone has been deeply affected by difficult events collectively. Even though COVID-19 may not be a national emergency anymore, it has left mental and emotional effects on most Americans. 

Arthur C. Evans Jr., PhD, Chief Executive Officer of the APA, points out that although many people seem to be moving on from the pandemic, we are still dealing with the lasting effects of these challenging times. The collective trauma of the pandemic continues to have an impact on individuals in significant ways. 

Long-term stress and health implications

The survey looks at how long-term stress has affected the bodies and minds of Americans. In addition to the impact of stress on mental health, ongoing stress has also led to various physical health problems. These physical health problems include inflammation, weakened immune systems, digestive issues, heart disease, weight gain, and even stroke. 

Dealing with long-term stress requires different approaches and comprehensive strategies to stay healthy. 

Increase in chronic illnesses and mental health diagnoses

One of the striking findings of this survey is the significant increase in chronic illnesses and mental health issues, especially among adults age 35 to 44 years. 

The numbers show that chronic illnesses increased from 48% in 2019 to 58% in 2023 in this age group. At the same time, mental health diagnoses rose from 31% to 45%. 

Moreover, although many people rated their physical health as good (81%), two-thirds still cite chronic illnesses like high blood pressure (28%), high cholesterol (24%), or arthritis (17%). Similarly, while 81% said their mental health is good, over a third have been diagnosed with mental health conditions, mainly anxiety (24%) or depression (23%). 

Challenges in stress management

Although people know stress is a problem, many find it hard to handle. They may think their problems aren't big enough to be concerned about or they may not have time or resources to devote to combatting this concern. 

According to survey data, about three out of every five adults don't talk about their stress because they don't want to bother anyone else—meaning most people who are struggling with stress are not sharing this concern. 

Stress levels and sources

The survey gives a clear view of how stressed people are and what's causing this stress. The most common causes of stress were found to be worries about the country's future, violence, crime, money problems, and health issues. 

Age-based and lifestyle stress variations

Different age cohorts experience stress differently. Adults age 35 to 44 and 45 to 64 are more likely to be stressed about financial and economic issues, whereas those age 65 years and older cite being concerned about health-related problems. Parents, single-adult households, and retirees experience stressors related to family responsibilities, finances, and personal safety, showcasing the diverse stress landscape across life stages. 

According to the survey, the following are the top stressors based on age group: 

Age 18–25 years 

• Financial concerns: 66% 
• Work: 64% 
• Relationships: 58% 
• Education: 54% 
• Health concerns: 51% 
• Discrimination: 29% 

Age 26–39 years 

• Financial concerns: 69% 
• Work: 66% 
• Relationships: 61% 
• Health concerns: 60% 
• Discrimination: 28% 
• Current events: 28% 

Age 40–55 years 

• Work: 73% 
• Financial concerns: 70% 
• Relationships: 63% 
• Health concerns: 61% 
• Discrimination: 27% 
• Current events: 27% 

Age 56 and older 

• Health concerns: 75% 
• Financial concerns: 68% 
• Work: 60% 
• Relationships: 52% 
• Current events: 28% 
• Discrimination: 23% 

Gender disparities in stress

This year's data reveals that women report higher stress levels than men. On a scale of 1 to 10, women report an average of 5.3 compared to 4.8 for men. Nearly a third of women ranked their current stress level as an 8 out of 10, compared to 21% of men. Furthermore, 68% of women stated they needed more emotional support in the past year to deal with stress about money problems, family responsibilities, relationships, and discrimination. 

Discrimination and personal safety are significant stressors

Discrimination is a growing concern for adults. Nearly two in five of the individuals surveyed cite personal safety as a major cause of stress. More than a quarter mention discrimination as a significant stressor. 

LGBTQIA+ adults face even higher levels of discrimination-related stress, with more than half saying they do not feel comfortable sharing their experiences out of fear and 43% saying they do not feel acceptance in their community. 

Adults with a disability cite discrimination as a significant factor (34%) in their stress and 40% of these individuals feel a lack of acceptance in their community. 

Furthermore, Black and Latino/a/e adults surveyed were more likely than Asian and White adults to mention discrimination as a significant stressor (43% and 40% vs. 31% and 19%) and were more likely to report experiencing everyday acts of discrimination.

Importance of social support and coping mechanisms

The survey shows how important it is to have support from friends, family, and communities when dealing with stress. People who feel supported by others tend to have less stress. About 75% of the participants said social support helps them feel better and improves their mental health. Yet stress gets in the way of individuals bettering their communities—about 46% of adults say their day-to-day stress distracts them from acting to create change where they live. 

The survey also found that doing things like exercising, practicing mindfulness, or enjoying hobbies can help manage stress. About 80% of people said using these coping strategies has proven to be helpful to their wellbeing. 

Conclusion

The APA Stress in America survey offers important insights into stress across the US. Understanding these trends can help policymakers, healthcare providers, and communities in creating strategies and support systems for improving stress management, boosting mental health, and building resilience amidst ongoing challenges.