AXA Study: Over 60% of Hong Kong workers encounter elevated stress levels exceeding global average

Younger generation confronts critical mind health challenges, necessitating enhanced workplace support

Work-related factors exert a greater influence on the mind health of Hong Kong's workforce compared to the global average, according to the latest findings from the AXA Mind Health Report 2025 ("the Study"). Among the affected demographics, young millennials (aged 25-34) and Gen Z (aged 18-24) face the most severe mind health challenges. They experience higher rates of stress, anxiety and depression and take sick leave more frequently due to mind health-related issues. Notably, this young generation experienced disproportionately higher rates of mental health problems compared to older generations, prompting corporations to enhance their mind health strategies.

The annual Study, which evaluates mind health1 and wellbeing globally, presents a concerning picture of Hong Kong's workforce grappling with elevated stress levels and mind health challenges. 80% of the working population in Hong Kong cited multiple factors affecting their mind wellbeing, including uncertainty about the future in a rapidly changing world (58%), financial instability and job insecurity (58%), difficulty achieving a healthy work-life balance (53%), loneliness and social isolation (45%). Notably, work-related stress (60%) is particularly acute in Hong Kong—higher than the global average (56%).

Four in 10 Gen Z take sick leave due to mind health issues

The overwhelming pressure at work has become an invisible burden, impacting both mind and physical well-being. A staggering 84% of the working population indicated that work-related stress interferes with their daily lives, citing issues such as sleep disturbances (36%), decreased motivation (33%), physical symptoms (such as headaches and muscle tension) (26%), mood swings or irritability (25%), difficulties in concentrating (22%), and changes in appetite (19%).

The Study found that 23% of working population had taken sick leave due to mind health issues. This trend was particularly pronounced among younger generations, with 40% of Gen Z (aged 18–24) having done so — the highest among all age groups. The rate declines noticeably with age: 33% of young millennials (25–34), 26% of older millennials (35–44), and just 20% of those aged 45–54 — only half the rate of Gen Z. These figures highlight the more widespread and severe mind health challenges faced by younger members of the workforce.

Mind health issues most severe among young millennials and Gen Z

The Study has also revealed that 20% of the respondents potentially experience severe or more extreme impacts. Among these, young millennials reported the highest rate (33%) of severe or above-severe levels of depression, anxiety, or stress, closely followed by Gen Z (31%). The impact was comparatively lower among older age groups: 23% in the 35–44 age range and 18% among those aged 45–54.

Younger generation more inclined to use AI for managing mind health

With the growing prevalence of technology, 29% of respondents report using mind health applications or services to manage their well-being. The tools they are most interested in include AI-driven sleep tracking apps (66%), digital journaling (60%), mindfulness and meditation apps (59%), and AI-powered virtual therapist chatbots (57%). Usage rates show significant generational differences: Gen Z has the highest adoption rate (46%), followed by younger millennials (41%). In contrast, only 15% of respondents aged 55 and above use AI for mind health management, highlighting the greater popularity of digital mind health tools among younger generations.

Younger generations expect greater support for mind health from employers

Notably, around 60% of working individuals expect companies to implement more comprehensive mind health workplace policies. This demand is particularly pronounced among younger generations, with 70% of Gen Z and 82% of younger millennials expressing such expectations. These findings underscore the current inadequacy of mind health support in many workplaces and the heightened importance younger generations place on employer-provided mind health resources.

Emily Li

Chief Employee Benefits & Wellness Officer, AXA Hong Kong and Macau

"Mind health is a key factor in overall personal wellbeing. Faced with immense pressure in daily life, the mind health challenges of Hong Kong workers must not be overlooked, particularly the younger generation’s ability to cope with stress. AXA is committed to helping businesses improve employees’ mind health and wellbeing while actively developing new mind health products and services, aiming to provide more comprehensive and appropriate support solutions for society as a whole, catering to the diverse mind health needs across different generations."

In light of the study insights, AXA has launched the mind health self-check, a digital tool to help users identify their strengths and areas of potential improvement for effective management of their mental well-being. The Self-check aims to educate and help individuals assess, understand, and improve their mental well-being. In addition, AXA is developing a corporate version to support employers to better understand the mind health status of the workforce – unlocking insights to develop personalized mind health initiatives.

Find out more about AXA Mind Health Self-check: https://mindhealthselfcheck.axa.com/

Furthermore, in order to encourage the public to share more about their struggles with those around them, AXA has collaborated with Hartbeat to produce a documentary titled "Group Therapy." Through 90 minutes of sincere conversation, this film aims to encourage individuals to openly discuss mind health issues and proactively confide in those in their vicinity.

Remarks:

1 The report uses the term mind health rather than mental health to emphasise the positive objective of the study which is to help break down the stigma still associated with mental illness.