Counties in Alabama by depression in adults, local model estimate, 2023

Jackson County had the highest depression in adults, local model estimate of 67 counties in 2023, at 26.7%. Dallas County had the lowest, at 20.3%. The median was 24%. Source: the Centers for Disease Control and Prevention.

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Highest26.7Jackson County
Lowest20.3Dallas County
Median2467 counties

Map of counties, 2023

Autauga County: 25.1 %Baldwin County: 22.5 %Barbour County: 22.1 %Bibb County: 24.4 %Blount County: 24.8 %Bullock County: 21.1 %Butler County: 22.5 %Calhoun County: 24.6 %Chambers County: 22.7 %Cherokee County: 25 %Chilton County: 24.5 %Choctaw County: 23.3 %Clarke County: 22.6 %Clay County: 24.4 %Cleburne County: 25.5 %Coffee County: 24.3 %Colbert County: 24.5 %Conecuh County: 22.3 %Coosa County: 22.2 %Covington County: 24.3 %Crenshaw County: 23.8 %Cullman County: 25.4 %Dale County: 24.8 %Dallas County: 20.3 %DeKalb County: 26.3 %Elmore County: 23 %Escambia County: 24 %Etowah County: 24.9 %Fayette County: 25.7 %Franklin County: 25.1 %Geneva County: 25.7 %Greene County: 20.4 %Hale County: 21.2 %Henry County: 23 %Houston County: 24.9 %Jackson County: 26.7 %Jefferson County: 22.7 %Lamar County: 24.7 %Lauderdale County: 24.2 %Lawrence County: 24.9 %Lee County: 23.6 %Limestone County: 23.7 %Lowndes County: 20.9 %Macon County: 20.7 %Madison County: 21.6 %Marengo County: 22.3 %Marion County: 25.7 %Marshall County: 25.4 %Mobile County: 22.1 %Monroe County: 22.7 %Montgomery County: 21 %Morgan County: 24 %Perry County: 22.1 %Pickens County: 22.3 %Pike County: 24.7 %Randolph County: 24.4 %Russell County: 23.9 %St. Clair County: 25 %Shelby County: 21.6 %Sumter County: 21.5 %Talladega County: 22.7 %Tallapoosa County: 23.5 %Tuscaloosa County: 25 %Walker County: 26.6 %Washington County: 24.1 %Wilcox County: 21.4 %Winston County: 26.2 %
  • Under 22
  • 22 to 23
  • 23 to 24
  • 24 to 25
  • 25 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Jackson County: 26.7 %Jackson County26.7Walker County: 26.6 %Walker County26.6DeKalb County: 26.3 %DeKalb County26.3Winston County: 26.2 %Winston County26.2Fayette County: 25.7 %Fayette County25.7Geneva County: 25.7 %Geneva County25.7Marion County: 25.7 %Marion County25.7Cleburne County: 25.5 %Cleburne County25.5Cullman County: 25.4 %Cullman County25.4Marshall County: 25.4 %Marshall County25.4Autauga County: 25.1 %Autauga County25.1Franklin County: 25.1 %Franklin County25.1Cherokee County: 25 %Cherokee County25St. Clair County: 25 %St. Clair County25Tuscaloosa County: 25 %Tuscaloosa County25Etowah County: 24.9 %Etowah County24.9Houston County: 24.9 %Houston County24.9Lawrence County: 24.9 %Lawrence County24.9Blount County: 24.8 %Blount County24.8Dale County: 24.8 %Dale County24.8Lamar County: 24.7 %Lamar County24.7Pike County: 24.7 %Pike County24.7Calhoun County: 24.6 %Calhoun County24.6Chilton County: 24.5 %Chilton County24.5Colbert County: 24.5 %Colbert County24.5Bibb County: 24.4 %Bibb County24.4Clay County: 24.4 %Clay County24.4Randolph County: 24.4 %Randolph County24.4Coffee County: 24.3 %Coffee County24.3Covington County: 24.3 %Covington County24.3Lauderdale County: 24.2 %Lauderdale County24.2Washington County: 24.1 %Washington County24.1Escambia County: 24 %Escambia County24Morgan County: 24 %Morgan County24Russell County: 23.9 %Russell County23.9Crenshaw County: 23.8 %Crenshaw County23.8Limestone County: 23.7 %Limestone County23.7Lee County: 23.6 %Lee County23.6Tallapoosa County: 23.5 %Tallapoosa County23.5Choctaw County: 23.3 %Choctaw County23.3Jackson County: 26.7 %Jackson County26.7Walker County: 26.6 %Walker County26.6DeKalb County: 26.3 %DeKalb County26.3Winston County: 26.2 %Winston County26.2Fayette County: 25.7 %Fayette County25.7Geneva County: 25.7 %Geneva County25.7Marion County: 25.7 %Marion County25.7Cleburne County: 25.5 %Cleburne County25.5Cullman County: 25.4 %Cullman County25.4Marshall County: 25.4 %Marshall County25.4Autauga County: 25.1 %Autauga County25.1Franklin County: 25.1 %Franklin County25.1Cherokee County: 25 %Cherokee County25St. Clair County: 25 %St. Clair County25Tuscaloosa County: 25 %Tuscaloosa County25Etowah County: 24.9 %Etowah County24.9Houston County: 24.9 %Houston County24.9Lawrence County: 24.9 %Lawrence County24.9Blount County: 24.8 %Blount County24.8Dale County: 24.8 %Dale County24.8Lamar County: 24.7 %Lamar County24.7Pike County: 24.7 %Pike County24.7Calhoun County: 24.6 %Calhoun County24.6Chilton County: 24.5 %Chilton County24.5Colbert County: 24.5 %Colbert County24.5Bibb County: 24.4 %Bibb County24.4Clay County: 24.4 %Clay County24.4Randolph County: 24.4 %Randolph County24.4Coffee County: 24.3 %Coffee County24.3Covington County: 24.3 %Covington County24.3Lauderdale County: 24.2 %Lauderdale County24.2Washington County: 24.1 %Washington County24.1Escambia County: 24 %Escambia County24Morgan County: 24 %Morgan County24Russell County: 23.9 %Russell County23.9Crenshaw County: 23.8 %Crenshaw County23.8Limestone County: 23.7 %Limestone County23.7Lee County: 23.6 %Lee County23.6Tallapoosa County: 23.5 %Tallapoosa County23.5Choctaw County: 23.3 %Choctaw County23.3
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Jackson County26.7-0.5 pts
2Walker County26.6-2.1 pts
3DeKalb County26.3-1.5 pts
4Winston County26.2+0.3 pts
5Fayette County25.7-0.7 pts
5Geneva County25.7-1.1 pts
5Marion County25.7-0.6 pts
8Cleburne County25.5-1.5 pts
9Cullman County25.4-2.2 pts
9Marshall County25.4-0.9 pts
11Autauga County25.1+1.3 pts
11Franklin County25.1-1.2 pts
13Cherokee County250 pts
13St. Clair County25-0.9 pts
13Tuscaloosa County25-1.3 pts
16Etowah County24.9-1.5 pts
16Houston County24.9+0.4 pts
16Lawrence County24.9-1.5 pts
19Blount County24.8-2 pts
19Dale County24.8-0.2 pts
21Lamar County24.7-0.5 pts
21Pike County24.7+0.5 pts
23Calhoun County24.60 pts
24Chilton County24.5-0.4 pts
24Colbert County24.5-0.6 pts
26Bibb County24.4-1.5 pts
26Clay County24.4-1.5 pts
26Randolph County24.4-1.3 pts
29Coffee County24.3+1.8 pts
29Covington County24.3-2 pts
31Lauderdale County24.2-1 pts
32Washington County24.1-0.4 pts
33Escambia County24-1.1 pts
33Morgan County24-1.9 pts
35Russell County23.90 pts
36Crenshaw County23.8-0.7 pts
37Limestone County23.7+0.1 pts
38Lee County23.6-1.6 pts
39Tallapoosa County23.5+0.2 pts
40Choctaw County23.3-0.4 pts
41Elmore County23-1.2 pts
41Henry County23-2.3 pts
43Chambers County22.7-1.5 pts
43Jefferson County22.7-0.3 pts
43Monroe County22.7-0.9 pts
43Talladega County22.7-1.5 pts
47Clarke County22.6-1.1 pts
48Baldwin County22.5-1 pts
48Butler County22.5-0.3 pts
50Conecuh County22.3-0.3 pts
50Marengo County22.3-1 pts
50Pickens County22.3-0.5 pts
53Coosa County22.2-0.9 pts
54Barbour County22.1-0.7 pts
54Mobile County22.1-2.1 pts
54Perry County22.1-0.4 pts
57Madison County21.6-1.4 pts
57Shelby County21.6-1.6 pts
59Sumter County21.5-1.7 pts
60Wilcox County21.4-1.4 pts
61Hale County21.2-1 pts
62Bullock County21.1-0.5 pts
63Montgomery County21-1 pts
64Lowndes County20.9-0.4 pts
65Macon County20.7-0.7 pts
66Greene County20.4-0.7 pts
67Dallas County20.3-0.7 pts

Other periods

About this ranking

Percentage of adults who have ever been told by a doctor, nurse or other health professional that they had a depressive disorder. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

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.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence (Counties in Alabama by depression in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence, Counties in Alabama by depression in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Counties in Alabama by depression in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence, Counties in Alabama by depression in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence: Counties in Alabama by depression in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence: Counties in Alabama by depression in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in Alabama by depression in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest depression in adults, local model estimate?

Jackson County, with 26.7% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest depression in adults, local model estimate?

Dallas County, with 20.3% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), depression in adults, crude prevalence. Retrieved 2026-10-12.

Depression in adults, local model estimate: other rankings

Counties in Alabama: more rankings