Counties in Alabama by depression in adults, local model estimate

DeKalb County had the highest depression in adults, local model estimate of 67 counties in 2021, at 25.1%. Montgomery County had the lowest, at 19%. The median was 22.4%. Source: the Centers for Disease Control and Prevention.

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Highest25.1DeKalb County
Median22.467 counties

Map of counties, 2021

Autauga County: 22.2 %Baldwin County: 22 %Barbour County: 22 %Bibb County: 22.9 %Blount County: 23.3 %Bullock County: 19.7 %Butler County: 20.3 %Calhoun County: 22.7 %Chambers County: 21.9 %Cherokee County: 24.7 %Chilton County: 23.6 %Choctaw County: 21.5 %Clarke County: 21 %Clay County: 24.3 %Cleburne County: 24.7 %Coffee County: 23.4 %Colbert County: 23.1 %Conecuh County: 21.6 %Coosa County: 21.2 %Covington County: 23 %Crenshaw County: 22.3 %Cullman County: 24.3 %Dale County: 22.8 %Dallas County: 20.2 %DeKalb County: 25.1 %Elmore County: 22.6 %Escambia County: 22.6 %Etowah County: 24.1 %Fayette County: 23.8 %Franklin County: 24.1 %Geneva County: 24.4 %Greene County: 19.1 %Hale County: 21.4 %Henry County: 21.6 %Houston County: 24 %Jackson County: 23.8 %Jefferson County: 21.5 %Lamar County: 23.4 %Lauderdale County: 23.9 %Lawrence County: 23.5 %Lee County: 22 %Limestone County: 22.2 %Lowndes County: 19.1 %Macon County: 19.6 %Madison County: 21.6 %Marengo County: 20.3 %Marion County: 24.4 %Marshall County: 24 %Mobile County: 22.1 %Monroe County: 21.3 %Montgomery County: 19 %Morgan County: 23.4 %Perry County: 21.7 %Pickens County: 21.8 %Pike County: 22.1 %Randolph County: 23.1 %Russell County: 23.1 %St. Clair County: 23.2 %Shelby County: 21.2 %Sumter County: 20.6 %Talladega County: 22.5 %Tallapoosa County: 22.4 %Tuscaloosa County: 22.4 %Walker County: 24.2 %Washington County: 22.1 %Wilcox County: 20.5 %Winston County: 24.7 %
  • Under 21
  • 21 to 22
  • 22 to 23
  • 23 to 24
  • 24 and over
%, 2021. 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, 2021

DeKalb County: 25.1 %DeKalb County25.1Cherokee County: 24.7 %Cherokee County24.7Cleburne County: 24.7 %Cleburne County24.7Winston County: 24.7 %Winston County24.7Geneva County: 24.4 %Geneva County24.4Marion County: 24.4 %Marion County24.4Clay County: 24.3 %Clay County24.3Cullman County: 24.3 %Cullman County24.3Walker County: 24.2 %Walker County24.2Etowah County: 24.1 %Etowah County24.1Franklin County: 24.1 %Franklin County24.1Houston County: 24 %Houston County24Marshall County: 24 %Marshall County24Lauderdale County: 23.9 %Lauderdale County23.9Fayette County: 23.8 %Fayette County23.8Jackson County: 23.8 %Jackson County23.8Chilton County: 23.6 %Chilton County23.6Lawrence County: 23.5 %Lawrence County23.5Coffee County: 23.4 %Coffee County23.4Lamar County: 23.4 %Lamar County23.4Morgan County: 23.4 %Morgan County23.4Blount County: 23.3 %Blount County23.3St. Clair County: 23.2 %St. Clair County23.2Colbert County: 23.1 %Colbert County23.1Randolph County: 23.1 %Randolph County23.1Russell County: 23.1 %Russell County23.1Covington County: 23 %Covington County23Bibb County: 22.9 %Bibb County22.9Dale County: 22.8 %Dale County22.8Calhoun County: 22.7 %Calhoun County22.7Elmore County: 22.6 %Elmore County22.6Escambia County: 22.6 %Escambia County22.6Talladega County: 22.5 %Talladega County22.5Tallapoosa County: 22.4 %Tallapoosa County22.4Tuscaloosa County: 22.4 %Tuscaloosa County22.4Crenshaw County: 22.3 %Crenshaw County22.3Autauga County: 22.2 %Autauga County22.2Limestone County: 22.2 %Limestone County22.2Mobile County: 22.1 %Mobile County22.1Pike County: 22.1 %Pike County22.1DeKalb County: 25.1 %DeKalb County25.1Cherokee County: 24.7 %Cherokee County24.7Cleburne County: 24.7 %Cleburne County24.7Winston County: 24.7 %Winston County24.7Geneva County: 24.4 %Geneva County24.4Marion County: 24.4 %Marion County24.4Clay County: 24.3 %Clay County24.3Cullman County: 24.3 %Cullman County24.3Walker County: 24.2 %Walker County24.2Etowah County: 24.1 %Etowah County24.1Franklin County: 24.1 %Franklin County24.1Houston County: 24 %Houston County24Marshall County: 24 %Marshall County24Lauderdale County: 23.9 %Lauderdale County23.9Fayette County: 23.8 %Fayette County23.8Jackson County: 23.8 %Jackson County23.8Chilton County: 23.6 %Chilton County23.6Lawrence County: 23.5 %Lawrence County23.5Coffee County: 23.4 %Coffee County23.4Lamar County: 23.4 %Lamar County23.4Morgan County: 23.4 %Morgan County23.4Blount County: 23.3 %Blount County23.3St. Clair County: 23.2 %St. Clair County23.2Colbert County: 23.1 %Colbert County23.1Randolph County: 23.1 %Randolph County23.1Russell County: 23.1 %Russell County23.1Covington County: 23 %Covington County23Bibb County: 22.9 %Bibb County22.9Dale County: 22.8 %Dale County22.8Calhoun County: 22.7 %Calhoun County22.7Elmore County: 22.6 %Elmore County22.6Escambia County: 22.6 %Escambia County22.6Talladega County: 22.5 %Talladega County22.5Tallapoosa County: 22.4 %Tallapoosa County22.4Tuscaloosa County: 22.4 %Tuscaloosa County22.4Crenshaw County: 22.3 %Crenshaw County22.3Autauga County: 22.2 %Autauga County22.2Limestone County: 22.2 %Limestone County22.2Mobile County: 22.1 %Mobile County22.1Pike County: 22.1 %Pike County22.1
%. 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

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/alabama-counties?period=2021.
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?

DeKalb County, with 25.1% in 2021, according to the Centers for Disease Control and Prevention.

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

Montgomery County, with 19% in 2021.

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