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Amongst the oldest generation in this survey, the gap between men and women is much smaller. Our surveys regularly tell us people see mental and physical wellbeing as equally important. However, they do not feel their health service views them the same way. People's attitudes to mental health have changed a lot in recent years and citizens feel their healthcare systems have not caught up with that change. While mental health is the top health concern on average, it is not for Baby Boomers. 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We found that people were much better at understanding their obesity risk than their cancer risk. With many countries seeing a fall in cancer screenings during the pandemic, and now some cancers affecting more younger people than previously, it is important for people to be able to understand what risk they have of getting the disease. In the following pages we review the trends we are seeing in attitudes to health and explore how people's experience on the ground matches with their country's health spend. 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We have seen a fundamental shift in attitudes to mental health compared to 2018, when we first started the Ipsos Health Service Report, and today. Six years ago, 27% chose mental health as one of the biggest health problems, putting it third, today that figure is 45% on average across 31 countries, now first. However, alongside looking at the global picture, we should also note the big differences in attitudes between countries and genders. In all but two countries women are more likely to choose mental health as a health concern. 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Belief in mental health as a problem has risen considerably since the Covid-19 pandemic started. In 2021, 70% cited Coronavirus as the biggest health issue facing their nation. In 2022, that figure fell to 47% and in 2023 it was 15%. In that same period, those mentioning mental health rose 13 percentage points (pp) from 31% to 44%. When we look deeper into the data, we see that women are significantly more concerned about mental health. Across 31 countries, half (51%) of women seen it as one of the biggest health problems. This is 11pp higher than men and is greater still among young people. Gen Z women are the most likely to see it as a problem, with 55% voicing concern compared to 37% of their male counterparts. Cancer is seen as the second biggest health problem (38%). While perception of mental health as a problem has risen since before the pandemic, perception about cancer as a problem is lower. In 2018, 52% choose it as one of the biggest health issues affecting their country. In five countries - Italy, France, Belgium, Netherlands and Spain - a majority see cancer as a major health problem. It is also seen the number one health problem for the oldest generation in this survey. Forty-six per cent of Baby Boomers across 31 countries believe cancer is a concern. This generation is also the only one not to see mental health as the top problem. Stress (31%), obesity (26%) and drug abuse (21%) make up the rest of the top five biggest health worries. For now, Covid-19 feels like it is in the past and it ranks tenth out 13 health problems, behind smoking, diabetes, heart disease, and alcohol abuse. Only 11% choose Covid-19 as one of the biggest health problems. 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Since last year, the number of Brits picking this issue rose 8pp to 55%, this is the highest it has been for the nation in the six years of running this survey. They are also particularly worried about not having enough staff, with 54% citing it as an issue (although this is down slightly from last year). In terms of ageing populations, the top three most worried nations are in Asia and have some of the lowest birth rates in the world. Singapore, Japan and South Korea all have over half saying this is one of the top challenges facing their country (53%, 52%, and 51%, respectively). 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