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Is it true that it is healthier to not wear underwear than to wear underwear?

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There is no (Pacey et al. Hum Reprod. 2014) or only weak evidence for that:

 

 

No significant association was found with body mass index, type of underwear, smoking or alcohol consumption or having a history of mumps. This suggests that an individual's lifestyle has very little impact on sperm morphology and that delaying assisted conception to make changes to lifestyle is unlikely to enhance conception.

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