Only about one in four mothers in the United States now say they are in “excellent” mental or physical health, according to a new study that reveals a sharp decline in maternal well-being over the past several years. The findings, published in JAMA Internal Medicine on Tuesday, underscore growing concerns around the mental health crisis affecting American families—especially mothers.A Steep Decline Over TimeThe study analyzed health data from 198,417 mothers with children under the age of 18, tracking changes from 2016 to 2023. Researchers found a significant drop in self-reported mental health among mothers during this period, with a smaller but still notable decline in physical health.Using a four-point scale (excellent, very good, good, and fair/poor), the study revealed that the percentage of mothers reporting “excellent” mental health plummeted from 38.4% in 2016 to just 25.8% in 2023. At the same time, those reporting “good” mental health increased from 18.8% to 26.1%, while “fair/poor” mental health rose from 5.5% to 8.5%.Physical health scores also declined. The proportion of moms reporting “excellent” physical health dropped from 28.0% to 23.9%. Meanwhile, the percentage describing their physical health as “good” grew from 24.3% to 28.1%, while those in the “fair/poor” category remained relatively stable.Vulnerable Groups Hit HardestThe mental health decline was seen across all socioeconomic groups, but it was most pronounced among single mothers, women with lower levels of education, and those whose children are covered by public insurance. These findings echo long-standing concerns about disparities in health access and outcomes among women and underserved populations.While the study also looked at male parents and noted similar downward trends in physical and mental health, fathers consistently reported better overall health than mothers. In 2023, the gap was particularly stark, with female parents 4 percentage points more likely than male parents to report “fair/poor” mental health.Parenting Under PressureThis latest research builds on earlier warnings from public health officials. In 2023, former U.S. Surgeon General Dr. Vivek Murthy released an advisory titled "Parents Under Pressure," which called attention to the toll caregiving takes on mental health.“The work of parenting is essential not only for the health of children but also for the health of society,” Murthy wrote. “The well-being of parents and caregivers is directly linked to the well-being of their children.”The authors of the JAMA study echoed that sentiment, linking their findings to broader national health trends, including rising rates of depression and anxiety among reproductive-age women.What’s Behind the Decline?While the study did not explore specific causes, researchers cited several possible contributors to the ongoing decline in maternal mental health. These include:Limited access to mental health servicesSocial isolationIncreased substance use disordersBroader societal stressors such as inflation, systemic racism, gun violence, and climate changeThe authors also referenced a growing body of research suggesting that maternal health may be an early warning sign of declining public health overall, writing: “Our findings are supportive of the claim made by some scholars that maternal mortality may be a canary in the coal mine for women’s health more broadly.”As concerns around maternal mental health intensify, the study highlights the urgent need for more targeted policies and accessible support systems to improve the well-being of mothers—and by extension, their children and families.