Millennials, the generation born between 1981 and 1996, are now the largest generation in the U.S. workforce and represent a significant portion of the population. As they age, their health and well-being are becoming increasingly important, not just for individuals but also for society as a whole. This article delves into the health statistics of millennials, exploring various aspects of their physical and mental well-being, comparing them to other generations, and highlighting key trends and insights.
Overall Health Status
While millennials generally perceive themselves as healthy, with 83% considering themselves to be in good or excellent health 2, data suggests a more nuanced picture. More than half of young adults, including millennials, deal with at least one chronic health issue, and nearly one-quarter have two or more chronic medical conditions 3. According to the Blue Cross Blue Shield (BCBS) Health Index, millennials had an average health index of 95.1 in 2017, meaning they were living at about 95% of their optimal health 4. However, this index declined with age, and older millennials (aged 34-36) had higher prevalence rates for nearly all of the top 10 health conditions than Generation X members did at the same age 4.
Common Health Conditions
Millennials experience a range of health conditions, with some being more prevalent than others. These conditions can be broadly categorized into mental health conditions and physical health conditions:
Mental Health Conditions:
- Depression: Depression is a significant concern for millennials, with rates increasing from 2014 to 2017 7. In 2019, 21.3% of young adults (aged 18-34) reported having depression 8.
- Anxiety: Millennials are more likely to have been diagnosed with an anxiety disorder compared to previous generations 9.
Physical Health Conditions:
- Obesity: 25.5% of young adults (aged 18-34) reported having obesity in 2019 8. Obesity can increase the risk of other health issues, such as hypertension, diabetes, and certain types of cancer 3.
- High blood pressure: 10.7% of young adults reported having high blood pressure in 2019 8.
- Migraines: Migraines are a common health concern among millennials 7.
It’s important to note that mental and physical health conditions are often interconnected. For example, patients with behavioral health conditions are at greater risk of having chronic physical conditions 10.
Condition | Prevalence/Description |
Obesity | 25.5% of young adults (aged 18-34) in 2019 8 |
Depression | 21.3% of young adults (aged 18-34) in 2019 8 |
High blood pressure | 10.7% of young adults (aged 18-34) in 2019 8 |
Major depression | Rates increased from 2014 to 2017 7 |
Hyperactivity | Higher rates than Gen Xers at the same age 2 |
Type II diabetes | Higher rates than Gen Xers at the same age 2 |
Migraines | A common health concern 7 |
Mental Health
Mental health is a significant concern for millennials. Studies have shown that they have higher rates of depression compared to other generations 9. In 2018, only 56% of millennials reported excellent or very good mental health, compared to 70% of Baby Boomers 7. This generation also faces a high prevalence of suicidal ideation and self-harm 11, further emphasizing the need for mental health support.
Several factors contribute to these mental health challenges:
- Increased stress and anxiety: Millennials face high levels of stress related to work, finances, and social pressures 11. Compared to pre-pandemic rates, behavioral health utilization is up 35% for this generation11.
- Perfectionism: Millennials strive for a higher level of perfectionism compared to older generations, which can lead to increased anxiety and depression 12. Social media, with its “photos filtered to perfection,” can exacerbate these feelings of inadequacy and comparison 12.
- Burnout: Millennials are more susceptible to burnout due to the increasingly stressful and competitive nature of work 13. They face higher levels of stress and competition in the job market than any other generation, often competing with cheaper remote workers 13. This pressure can jeopardize their mental health, leading to anxiety, depression, and other mental health issues 3.
Interestingly, while millennials experience high rates of mental health issues, they are also more open to discussing mental health and seeking help than previous generations 13. This suggests a shift in attitudes towards mental health, with less stigma and greater acceptance of seeking professional support.
Physical Health
Millennials are generally more health-conscious than previous generations. They are more likely to prioritize healthy eating and exercise 15. However, certain lifestyle factors can negatively impact their physical health:
- Obesity: As mentioned earlier, obesity is a significant concern for this generation.
- Lack of physical activity: While millennials are more health-conscious, many still do not meet the recommended guidelines for physical activity 16.
- Poor diet: Despite an increased awareness of healthy eating, many still consume diets that are high in processed foods and sugar 16.
- Binge drinking: One in five women from this generation regularly engage in binge drinking 16.
These factors can contribute to the development of chronic conditions like heart disease, diabetes, and hypertension 17. Even mild depression and anxiety can increase the risk of these conditions 17.
Healthcare Access and Utilization
Millennials have a unique relationship with healthcare, influenced by their financial concerns and technological preferences. They are more likely to:
- Delay or avoid treatment due to cost: 54% of them admit to delaying or avoiding medical treatment due to costs 12. This is particularly concerning given that they tend to have lower net worths than baby boomers did at their age, which can contribute to financial insecurity and limit their access to care 2.
- Be uninsured: Millennials made up 44% of all uninsured adults in 2018 18. This highlights the growing need for accessible and affordable health insurance options for younger adults.
- Use alternative care venues: 34% of them prefer retail clinics to primary care clinics 18.
- Demand transparency: They expect transparency in healthcare costs, services, and outcomes 1.
- Use telehealth: 74% of them prefer to see a doctor through telemedicine 12. This preference for technology-driven healthcare solutions aligns with their desire for convenience and accessibility 19.
However, there’s a disconnect between their health plan and health insurance choices and their healthcare utilization. They often pick plans with the smallest impact on their paychecks, but high utilization leads to greater out-of-pocket costs from copays and deductibles over time 11. This highlights the need for healthcare options that are both affordable and meet their healthcare needs.
Comparison to Other Generations
Compared to previous generations, millennials exhibit distinct health characteristics and behaviors:
- Chronic Conditions: They have higher rates of certain chronic conditions, including major depression, hyperactivity, hypertension, and type II diabetes 2.
- Obesity and Diabetes Risk: They are more likely to be obese and have diabetes risk, particularly in the United States 20.
- Smoking: They have lower rates of smoking than Gen Xers in both the United States and England 20. This is a positive trend that could have long-term health benefits.
- Healthcare Utilization: They have 22% higher ER visits and 9% higher urgent care visits compared to other generations 11. They are also more likely to use virtual care, with utilization being 543% higher than other generations 11.
- Health Consciousness: They are more likely to prioritize health and wellness when making food choices and engage in healthy behaviors 15.
- Mental Health: They are more open about mental health and more likely to discuss their struggles and seek treatment 15.
These comparisons highlight the unique health profile of millennials and the need for tailored healthcare approaches that address their specific needs and preferences.
Millennials are a generation facing unique health challenges and opportunities. While they are more health-conscious than previous generations, they also experience higher rates of certain chronic conditions, particularly mental health issues. Their preferences for healthcare access and utilization are also distinct, with a greater emphasis on technology, convenience, and transparency.
Addressing these challenges and opportunities requires a multi-faceted approach that considers the evolving healthcare landscape and the specific needs of this generation. This includes:
- Promoting mental health awareness and access to care: Reducing the stigma surrounding mental health and providing affordable and accessible mental health services are crucial.
- Encouraging healthy lifestyles: Promoting physical activity, healthy eating habits, and stress management techniques can help prevent chronic conditions.
- Improving healthcare access and affordability: Expanding telehealth options, offering flexible scheduling, and increasing transparency in healthcare costs can make healthcare more accessible to millennials.
- Tailoring healthcare to their preferences: Incorporating technology, personalization, and convenience into healthcare delivery can improve engagement and outcomes.
The healthcare system needs to adapt to meet the unique needs and preferences of millennials. This includes embracing technology, providing personalized care, and addressing the financial barriers that prevent many from accessing necessary care. By doing so, we can empower this generation to take control of their health and well-being, leading to better outcomes for both individuals and society as a whole.
Works cited
1. https://ezra.com/blog/impact-millennials-healthcare
2. https://www.alterahealth.com/2024/06/millennial-matters-in-medicine/
3. https://www.franciscanhealth.org/community/blog/millennials-and-their-health
4. https://www.bcbs.com/news-and-insights/report/the-health-of-millennials
5. https://www.bcbs.com/dA/17117d2b3e/fileAsset/HOA-Millennial-Health_2019.pdf
6. https://www.cdc.gov/nchs/products/databriefs/db451.htm
7. https://www.statista.com/topics/3931/millennials-and-health-in-the-us/
8. https://www.cdc.gov/mmwr/volumes/71/wr/mm7130a3.htm
10. https://www.amenclinics.com/blog/why-are-millennials-so-sick-physically-and-mentally/
11. https://healthactioncouncil.org/media/b2sfdjpf/2023-uhc_hac-white-paper_millennials.pdf
12. https://www.harvardpilgrim.org/hapiguide/millennials-health-benefits/
13. https://mentalhealthfoundation.org/millennials-and-mental-health/
14. https://www.nami.org/family-member-caregivers/millennials-and-mental-health/
16. https://www.wellmark.com/blue-at-work/resources/millennial-women-are-unhealthy
17. https://livehealthy.muhealth.org/stories/are-millennials-healthy-they-think-they-are
18. https://www.aafp.org/pubs/fpm/issues/2021/0500/p29.html
19. https://www.healthscape.com/insights/millennials-in-health-the-case-for-personalized-healthcare/