A record 32 percent of Israelis say they need professional mental health support after two years of war, according to a new end-of-year survey conducted by Maccabi Healthcare Services.
Among Israel Defense Forces personnel serving as conscripts or reservists over the past year, the situation appears more severe: 39% report needing mental health support, 26% express concern about depression and 48% report sleeping issues.
The survey was conducted in November among a representative national sample of 1,100 Israelis, ages 20–75 from across the country, combining self-reported survey data with anonymized medical records from approximately 2.7 million Maccabi members.
According to the survey, nearly one in three Israelis says they feel they need professional mental health support. Seventeen percent of respondents describe their mental state as fair or poor, compared with 13% before the war.
Lifestyle habits show mixed trends, with 62% of Israelis describing their physical health as very good or excellent, an increase compared with the period before the war. Only nine percent define their health as fair or poor, a significant decline from the levels recorded shortly after the October 7, 2023, Hamas attack and the outbreak of the war.
Smoking rates worsened during the past year, with 30% of smokers reporting that they increased their smoking. At the same time, Maccabi data show high use of fitness services, with approximately 2.5 million workout sessions booked through the health fund’s UPAPP app in 2025. Pilates was the most popular activity, followed by gym workouts and yoga.
However, sedentary behavior remains widespread, with Israelis sitting an average of 8.2 hours a day, with 20% saying they sit more than 11 hours daily. About 30% of Israelis say they do not engage in any aerobic physical activity. Yet almost half of Israelis report that they adhere to a healthy lifestyle to a large or very large extent, an increase of about 15% compared with the prewar period.
Medical data from Maccabi’s records show a seven percent increase in winter morbidity during the 2024–2025 season compared with the previous winter. The number of births declined by 4% compared with 2024. Preventive screenings for breast cancer remained stable, while cervical cancer screening rates rose slightly.
The use of injectable medications for obesity treatment increased sharply. In 2025, more than 100,000 Maccabi members purchased hundreds of thousands of packages of weight-loss injections, while the number of bariatric surgeries dropped by 17% compared with the previous year.
The most common medical diagnosis during 2025, given by both family physicians and pediatricians, was upper respiratory tract infection. Among family doctors, the next most frequent diagnoses were for abdominal pain, coughing and lower back pain. Among pediatricians, they were sore throat, abdominal pain, and fever.
The survey also points to changes in how Israelis seek medical information. Fifty-seven percent report searching for medical information online, 50% consult doctors or medical staff, 44% use health fund or hospital websites and 32% turn to artificial intelligence tools. However, only 21% say they place high trust in AI-based medical recommendations, while a third report no trust at all.
Attitudes toward flu vaccination remain cautious. Forty percent of respondents say they have never received a flu shot, and only 4% of them are considering vaccination this year. The data were collected in November, before the peak of flu season in December.
“In a period of change and uncertainty, it is essential to understand the health of Israeli citizens based on up-to-date objective data alongside the public’s own perceptions,” says Sigal Dadon-Levi, CEO of Maccabi Healthcare Services. “I call on decision-makers in Israel to use it to formulate more precise policy and provide real responses to the health challenges we face.”