The majority of Americans believe there are too many different ideas of what it means to be “healthy”, according to a new survey. Over 40 percent point to eating healthy foods and being physically active. However, just 29% consider getting 7 hours of sleep as part of being healthy, despite scientific research showing its direct link to memory, dementia, mental health, and longevity. For instance, moving your sleep time an hour earlier could cut depression risk by 23%. Even fewer respondents see the health value of having a positive mindset (25%) or seeking mental health care (12%), despite research showing that optimism might add years to your life.

The survey, conducted by OnePoll on behalf of Cambia Health Foundation, found that 80% of respondents said their doctor always asks about their physical health, but nearly a third said they’re never asked about their mental health. 39% weren’t aware that it can have a direct impact on physical health, and 50% reported they’ve never received mental health care. Besides those who felt like they didn’t need it (42%), others were open to mental health care but haven’t sought help because it was too expensive (14%) or they couldn’t find the time (11%).

One thing that respondents can agree on is that being healthy means more than just visiting the doctor. Yet, one-third admitted that they often put-off taking care of certain health concerns and they avoid seeking medical care because of concerns over what the doctor will find. One in five Americans surveyed rate their intake of healthy foods as below-average, but looking toward the future, the survey found that Americans plan to prioritize self-care in 2024 by focusing on mental health, healthy eating, and physical activity.