The Allianz 3am Report
What keeps us all awake at night.

Infographic: Top global worries at 3am: Health 49%, Finances 45%, Safety 35%, Future 33%, Politics 27%, Environment 26%. Blue background with green (top three) and white bars.

The best thing to do at 3am is to sleep. But there are thoughts that can keep us awake. Although they are unique to each of us, there are many that we all share, all over the world.

We set out to investigate what keeps people awake at night. With this knowledge, we can work together to find ways to better secure the future. After all, that’s what we are here for. 

We surveyed 8,000 people in eight different countries around the world and asked them to share their biggest worries. Or in other words, their 3am thoughts. You might be surprised - and perhaps a little reassured - to find that your own worries are shared not only by your neighbors, but also by people around the world. Especially when it comes to the top three: Health (49%), Personal Finances (45%) and Safety (35%).

In this report we’ll share these insights, spotlight additional worries, and show how challenges differ across generations. We can then work on them together and achieve the restful sleep we all deserve.

Source: Ipsos (What Worries the World- Study,  August 2025, online survey,), Allianz Survey (The 3am Report)

Of all the things that keep us awake at night, health concerns appear to be the most common. Nearly half of those surveyed lie in bed worrying about bad diagnoses, chronic problems, and poor medical care. We can all agree that health is the foundation of our lives. Perhaps that’s why it’s where uncertainty strikes most deeply.

This deep dive uncovers the worries and fears that cost us our sleep as well as a confident vision of tomorrow. 

Infographic: Top health concerns: personal health 47%, family health 44%, access to care 43%, costs 40%, illness fears 38%, mental health 36%. Design in blue circles.
From physical and mental conditions to high treatment costs, world concerns are wide-ranging. At the top of the list are worries for one's own physical health (47%), followed by worries about the health of family members (44%) and close behind, worries about access to medical care (43%). Healthcare costs, mental health, chronic conditions, stress, and the fear of serious illness cause plenty of sleepless nights. 

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During a routine examination, you receive a terrible diagnosis. A serious injury turns your life upside down. An important treatment cannot be continued because you can no longer afford it. Concerns about health are becoming increasingly important and today keep every second surveyed person awake at night. No surprises why: a healthy body and a stable mind are the basic prerequisites for a good and proper life. While baby boomers worry most about their own physical health (55%), it’s one of the most important topics for all generations.

We see it as our responsibility to support people in their health, enable them to receive the right treatment, and promote mental health and resilience.

Older man in a red hoodie stretching with a fitness group outdoors.
Baby boomers worry most about their own physical health (55%). But this topic is also one of the most important for all other generations.

What if you worry about the right treatment? In France, this worry causes a huge amount of sleepless nights (59%). What if I get panic attacks before an important exam? Poor mental health keeps almost half (44%) of the country awake in Brazil. Germans don’t just worry about their own health - they also stay awake worrying about the health of their family members (40%). Health-related concerns differ widely across countries and suggest tailored emphasis by market. In Germany, more accessible chronic-care management would cause less stress at 3am, while enhanced mental health support would be much appreciated in Brazil and Anglo countries. Reassuring people in Turkey and Italy would help alleviate fears of serious illness.

With a global footprint matched with local expertise, we are there to respond to what matters most in each country.

Person lying in bed at night, looking thoughtfully at a smartphone.
In Germany physical health issues keep people awake at night – personal ones as well as from their family members.

First of all, you have to be able to afford care, a serious concern, especially when you're 65. And stress can cause even more stress, particularly when you're in your mid-twenties. Different generations weigh different health issues in different ways. While younger people worry about psychological and day-to-day management, older generations fear the burden of major medical costs. Next to physical concerns, like serious illness or chronic conditions, access and costs make Baby Boomers stay up at night. Millennials and Gen Zers worry a lot about mental health alongside personal and family health. In fact, those are the most mental health-orientated generations, while Gen X is the one with the least concerns about physical and family health. So, every generation has its own 3am thoughts.

For generations, we have been working to support physical and mental wellbeing, because resilience is just as important as physical health.

Man in yellow raincoat hugging smiling child outdoors in the rain.
For GenX family health is the biggest concern, reflecting midlife caregiving responsibilities.
We look forward to hearing from you! Even at 3am.