(Washington, D.C., Thursday, November 14, 2019) – A year before the 2020 presidential election, Americans report various issues in the news as significant sources of stress, including health care, mass shootings and the upcoming election.

More than half of U.S. adults identify the 2020 presidential election as a significant stressor, an increase from the 52% of adults who reported the presidential election as a significant source of stress when asked in the months leading up to the 2016 contest.

Around 7 in 10 adults say that health care is a significant source of stress — nearly equal to the number of people who say mass shootings are a significant source of stress. Among adults who experience stress about health care at least sometimes, the cost of health care is the most commonly cited source of that stress.

Mass shootings are the most prevalent source of stress cited by U.S. adults in 2019, with more than 7 in 10 adults saying mass shootings are a significant source of stress in their lives.

Gen Z adults report the highest average stress level, followed by Gen Xers, millennials, boomers and older adults.

The 2019 Stress in America™ survey was conducted online within the United States by The Harris Poll on behalf of the American Psychological Association between Aug. 1 and Sept. 3, 2019, among 3,617 adults age 18+ who reside in the U.S. Interviews were conducted in English and Spanish. Data were weighted to reflect their proportions in the population based on the 2018 Current Population Survey by the U.S. Census Bureau. To read the full Stress in America™ report or to download graphics, visit www.stressinamerica.org.