Frequent mental distress in adults, local model estimate

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

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US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Key facts

Figures last updated on 2026-10-12.

Rankings

US counties by frequent mental distress in adults, local model estimate, 2023

Top 15. Source: Centers for Disease Control and Prevention.

Oglala Lakota County: 25.7 %Oglala Lakota County25.7Todd County: 24.8 %Todd County24.8Kusilvak Census Area: 24.5 %Kusilvak Census Area24.5Mingo County: 24.1 %Mingo County24.1McDowell County: 23.8 %McDowell County23.8Lake County: 23.4 %Lake County23.4Radford city: 23.4 %Radford city23.4McKinley County: 23.3 %McKinley County23.3East Carroll Parish: 23.2 %East Carroll Parish23.2Glacier County: 23.2 %Glacier County23.2Hancock County: 23.2 %Hancock County23.2Buffalo County: 23.1 %Buffalo County23.1Logan County: 23.1 %Logan County23.1Scott County: 23.1 %Scott County23.1Madison County: 22.7 %Madison County22.7Oglala Lakota County: 25.7 %Oglala Lakota County25.7Todd County: 24.8 %Todd County24.8Kusilvak Census Area: 24.5 %Kusilvak Census Area24.5Mingo County: 24.1 %Mingo County24.1McDowell County: 23.8 %McDowell County23.8Lake County: 23.4 %Lake County23.4Radford city: 23.4 %Radford city23.4McKinley County: 23.3 %McKinley County23.3East Carroll Parish: 23.2 %East Carroll Parish23.2Glacier County: 23.2 %Glacier County23.2Hancock County: 23.2 %Hancock County23.2Buffalo County: 23.1 %Buffalo County23.1Logan County: 23.1 %Logan County23.1Scott County: 23.1 %Scott County23.1Madison County: 22.7 %Madison County22.7
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking of counties

Places with data

Published for provinces and counties, municipalities and cities.

Provinces and counties

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Which places have the highest frequent mental distress in adults, local model estimate? Use official data and cite it.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"province","within":"United States"}
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