Health
Young Adults Face Mounting Mental Health Challenges, Global Study Finds
Young adults across the world are struggling with worsening mental health and daily life challenges, with the sharpest declines seen in wealthier nations, according to a new report by Sapien Labs.
The United States-based non-profit assessed mental well-being through its Mind Health Quotient (MHQ), a measure of emotional, social, cognitive and physical capacities needed to function effectively in life, work and relationships. The findings are based on online surveys conducted across Asia, Africa, Europe and the Americas.
The study shows a clear generational divide. Adults aged 55 and older have maintained an average MHQ score of around 100 since measurements began in 2019, reflecting what researchers consider a normal population range. By contrast, young adults aged 18 to 34 recorded an average score of just 36. Around 41 per cent of respondents in that age group reported significant mental health challenges.
Tara Thiagarajan, founder and chief scientist of Sapien Labs and lead author of the report, said the crisis extends beyond rising diagnoses of depression and anxiety. She described it as a progressive generational decline that worsened sharply during the COVID-19 pandemic and has not reversed.
Young people in Europe ranked poorly compared with peers on other continents. Several European countries were among the lowest performers in the survey of 84 nations. Italy was the highest-ranked European country at 20th place. Finland ranked 40th, while Portugal and Spain were joint 46th. Belgium stood at 52 and France at 58. Near the bottom were Ireland at 70, Germany at 71 and the United Kingdom at 81.
In contrast, young people in sub-Saharan Africa recorded stronger outcomes despite living in the region with the lowest per capita income globally. Researchers said the decline among younger generations appears most severe in developed economies, even though spending on mental health services has increased.
The report identified four main drivers of poor mental health among young adults: weak family bonds, low levels of spirituality, early smartphone access and high consumption of ultra-processed foods. Respondents who reported poor family relationships were nearly four times more likely to fall into distressed categories. Those who described themselves as spiritual or connected to a higher power tended to perform better on the MHQ scale.
Early smartphone use was also linked to poorer outcomes later in life. Among Generation Z, the average age of receiving a first smartphone was 14, with European averages between 12 and 13 years.
The study also linked rising consumption of ultra-processed foods over the past 15 years to between 15 and 30 per cent of the overall mental health burden.
Researchers concluded that addressing environmental and social factors shaping young lives may be as important as expanding treatment services.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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