Data / Rankings / Depression in adults, local model estimate / Counties in Missouri

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

Adair County had the highest depression in adults, local model estimate of 115 counties in 2023, at 27.6%. St. Louis County had the lowest, at 22.7%. The median was 25.1%. Source: the Centers for Disease Control and Prevention.

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Highest27.6Adair County
Lowest22.7St. Louis County
Median25.1115 counties

Map of counties, 2023

Adair County: 27.6 %Andrew County: 23.6 %Atchison County: 24.7 %Audrain County: 25.9 %Barry County: 24.5 %Barton County: 25.6 %Bates County: 26.2 %Benton County: 24.1 %Bollinger County: 25.9 %Boone County: 24.1 %Buchanan County: 24.8 %Butler County: 27.4 %Caldwell County: 24.9 %Callaway County: 24.7 %Camden County: 23 %Cape Girardeau County: 24.5 %Carroll County: 24.9 %Carter County: 26.6 %Cass County: 23.9 %Cedar County: 25.2 %Chariton County: 23.7 %Christian County: 24.7 %Clark County: 25.4 %Clay County: 23.4 %Clinton County: 24.9 %Cole County: 23.2 %Cooper County: 24 %Crawford County: 25.7 %Dade County: 25.3 %Dallas County: 26 %Daviess County: 25.7 %DeKalb County: 23.3 %Dent County: 24.4 %Douglas County: 25.3 %Dunklin County: 26.6 %Franklin County: 25.6 %Gasconade County: 24.6 %Gentry County: 25 %Greene County: 24.5 %Grundy County: 25.3 %Harrison County: 24.9 %Henry County: 25.1 %Hickory County: 24.9 %Holt County: 23.8 %Howard County: 25 %Howell County: 26.7 %Iron County: 26.3 %Jackson County: 25.4 %Jasper County: 25.8 %Jefferson County: 23.9 %Johnson County: 26.8 %Knox County: 25.2 %Laclede County: 25.9 %Lafayette County: 24.6 %Lawrence County: 25.7 %Lewis County: 25.8 %Lincoln County: 24.9 %Linn County: 25.1 %Livingston County: 26.1 %McDonald County: 26.5 %Macon County: 23.7 %Madison County: 25.4 %Maries County: 25.2 %Marion County: 25 %Mercer County: 25.4 %Miller County: 25.8 %Mississippi County: 25.1 %Moniteau County: 24.8 %Monroe County: 24.9 %Montgomery County: 25.1 %Morgan County: 26.1 %New Madrid County: 25.7 %Newton County: 25 %Nodaway County: 26.2 %Oregon County: 25.9 %Osage County: 24.2 %Ozark County: 25.5 %Pemiscot County: 25.7 %Perry County: 24.4 %Pettis County: 24.6 %Phelps County: 25.9 %Pike County: 24.1 %Platte County: 22.8 %Polk County: 26.1 %Pulaski County: 24.6 %Putnam County: 24.3 %Ralls County: 24.8 %Randolph County: 25.5 %Ray County: 25 %Reynolds County: 25.4 %Ripley County: 27.1 %St. Charles County: 22.8 %St. Clair County: 25.2 %Ste. Genevieve County: 24.4 %St. Francois County: 25.9 %St. Louis County: 22.7 %Saline County: 24.6 %Schuyler County: 24.3 %Scotland County: 25.1 %Scott County: 24.6 %Shannon County: 24.9 %Shelby County: 25.2 %Stoddard County: 26.1 %Stone County: 23.5 %Sullivan County: 24 %Taney County: 24.3 %Texas County: 25.5 %Vernon County: 26.6 %Warren County: 24.9 %Washington County: 26.4 %Wayne County: 25.8 %Webster County: 26.1 %Worth County: 24.5 %Wright County: 26.6 %St. Louis city: 23.9 %
  • Under 24
  • 24 to 25
  • 25 to 26
  • 26 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

Adair County: 27.6 %Adair County27.6Butler County: 27.4 %Butler County27.4Ripley County: 27.1 %Ripley County27.1Johnson County: 26.8 %Johnson County26.8Howell County: 26.7 %Howell County26.7Carter County: 26.6 %Carter County26.6Dunklin County: 26.6 %Dunklin County26.6Vernon County: 26.6 %Vernon County26.6Wright County: 26.6 %Wright County26.6McDonald County: 26.5 %McDonald County26.5Washington County: 26.4 %Washington County26.4Iron County: 26.3 %Iron County26.3Bates County: 26.2 %Bates County26.2Nodaway County: 26.2 %Nodaway County26.2Livingston County: 26.1 %Livingston County26.1Morgan County: 26.1 %Morgan County26.1Polk County: 26.1 %Polk County26.1Stoddard County: 26.1 %Stoddard County26.1Webster County: 26.1 %Webster County26.1Dallas County: 26 %Dallas County26Audrain County: 25.9 %Audrain County25.9Bollinger County: 25.9 %Bollinger County25.9Laclede County: 25.9 %Laclede County25.9Oregon County: 25.9 %Oregon County25.9Phelps County: 25.9 %Phelps County25.9St. Francois County: 25.9 %St. Francois County25.9Jasper County: 25.8 %Jasper County25.8Lewis County: 25.8 %Lewis County25.8Miller County: 25.8 %Miller County25.8Wayne County: 25.8 %Wayne County25.8Crawford County: 25.7 %Crawford County25.7Daviess County: 25.7 %Daviess County25.7Lawrence County: 25.7 %Lawrence County25.7New Madrid County: 25.7 %New Madrid County25.7Pemiscot County: 25.7 %Pemiscot County25.7Barton County: 25.6 %Barton County25.6Franklin County: 25.6 %Franklin County25.6Ozark County: 25.5 %Ozark County25.5Randolph County: 25.5 %Randolph County25.5Texas County: 25.5 %Texas County25.5Adair County: 27.6 %Adair County27.6Butler County: 27.4 %Butler County27.4Ripley County: 27.1 %Ripley County27.1Johnson County: 26.8 %Johnson County26.8Howell County: 26.7 %Howell County26.7Carter County: 26.6 %Carter County26.6Dunklin County: 26.6 %Dunklin County26.6Vernon County: 26.6 %Vernon County26.6Wright County: 26.6 %Wright County26.6McDonald County: 26.5 %McDonald County26.5Washington County: 26.4 %Washington County26.4Iron County: 26.3 %Iron County26.3Bates County: 26.2 %Bates County26.2Nodaway County: 26.2 %Nodaway County26.2Livingston County: 26.1 %Livingston County26.1Morgan County: 26.1 %Morgan County26.1Polk County: 26.1 %Polk County26.1Stoddard County: 26.1 %Stoddard County26.1Webster County: 26.1 %Webster County26.1Dallas County: 26 %Dallas County26Audrain County: 25.9 %Audrain County25.9Bollinger County: 25.9 %Bollinger County25.9Laclede County: 25.9 %Laclede County25.9Oregon County: 25.9 %Oregon County25.9Phelps County: 25.9 %Phelps County25.9St. Francois County: 25.9 %St. Francois County25.9Jasper County: 25.8 %Jasper County25.8Lewis County: 25.8 %Lewis County25.8Miller County: 25.8 %Miller County25.8Wayne County: 25.8 %Wayne County25.8Crawford County: 25.7 %Crawford County25.7Daviess County: 25.7 %Daviess County25.7Lawrence County: 25.7 %Lawrence County25.7New Madrid County: 25.7 %New Madrid County25.7Pemiscot County: 25.7 %Pemiscot County25.7Barton County: 25.6 %Barton County25.6Franklin County: 25.6 %Franklin County25.6Ozark County: 25.5 %Ozark County25.5Randolph County: 25.5 %Randolph County25.5Texas County: 25.5 %Texas County25.5
%. 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
1Adair County27.6+2.8 pts
2Butler County27.4+2.7 pts
3Ripley County27.1+1.1 pts
4Johnson County26.8+1.9 pts
5Howell County26.7+0.9 pts
6Carter County26.6+1.6 pts
6Dunklin County26.6+1.3 pts
6Vernon County26.6+2.3 pts
6Wright County26.6+1.3 pts
10McDonald County26.5+1.3 pts
11Washington County26.4+1.5 pts
12Iron County26.3+1.9 pts
13Bates County26.2+2.5 pts
13Nodaway County26.2+0.9 pts
15Livingston County26.1+2.2 pts
15Morgan County26.1+2.2 pts
15Polk County26.1+0.7 pts
15Stoddard County26.1+1.7 pts
15Webster County26.1+1.8 pts
20Dallas County26+1.4 pts
21Audrain County25.9+0.3 pts
21Bollinger County25.9+0.3 pts
21Laclede County25.9+0.7 pts
21Oregon County25.9+1.2 pts
21Phelps County25.9+0.7 pts
21St. Francois County25.9+0.5 pts
27Jasper County25.8+2 pts
27Lewis County25.8-0.4 pts
27Miller County25.8+1.7 pts
27Wayne County25.8+1.8 pts
31Crawford County25.7+0.8 pts
31Daviess County25.7+0.6 pts
31Lawrence County25.7+0.8 pts
31New Madrid County25.7+2.5 pts
31Pemiscot County25.7+1 pts
36Barton County25.6+0.3 pts
36Franklin County25.6+2.5 pts
38Ozark County25.5+0.7 pts
38Randolph County25.5+1 pts
38Texas County25.5+1.7 pts
41Clark County25.4+0.5 pts
41Jackson County25.4+2.7 pts
41Madison County25.4+1.9 pts
41Mercer County25.4+2.2 pts
41Reynolds County25.4+0.5 pts
46Dade County25.3+0.6 pts
46Douglas County25.3+1.8 pts
46Grundy County25.3+1.1 pts
49Cedar County25.2+0.5 pts
49Knox County25.2+0.3 pts
49Maries County25.2-0.3 pts
49Shelby County25.2+1.3 pts
49St. Clair County25.2+1.4 pts
54Henry County25.1+1 pts
54Linn County25.1-0.1 pts
54Mississippi County25.1+0.1 pts
54Montgomery County25.1+0.5 pts
54Scotland County25.1+0.7 pts
59Gentry County25+0.7 pts
59Howard County25+1.5 pts
59Marion County25+0.5 pts
59Newton County25+2 pts
59Ray County25+0.4 pts
64Caldwell County24.9+0.9 pts
64Carroll County24.9+1.3 pts
64Clinton County24.9+1.3 pts
64Harrison County24.9+1.5 pts
64Hickory County24.9+1.1 pts
64Lincoln County24.9+0.8 pts
64Monroe County24.9+1.5 pts
64Shannon County24.9-0.8 pts
64Warren County24.9+1.1 pts
73Buchanan County24.8+2.4 pts
73Moniteau County24.8+0.3 pts
73Ralls County24.8+2.1 pts
76Atchison County24.7+1.3 pts
76Callaway County24.7-0.7 pts
76Christian County24.7+0.3 pts
79Gasconade County24.6+1.5 pts
79Lafayette County24.6+0.8 pts
79Pettis County24.6-0.1 pts
79Pulaski County24.6+0.4 pts
79Saline County24.6+1.3 pts
79Scott County24.6+0.7 pts
85Barry County24.5+1 pts
85Cape Girardeau County24.5+0.8 pts
85Greene County24.5+0.5 pts
85Worth County24.5+1.1 pts
89Dent County24.4-0.8 pts
89Perry County24.4+1.3 pts
89Ste. Genevieve County24.4+1 pts
92Putnam County24.3+2 pts
92Schuyler County24.3+0.6 pts
92Taney County24.3+1.1 pts
95Osage County24.2+1.1 pts
96Benton County24.1+0.5 pts
96Boone County24.1+0.2 pts
96Pike County24.1+1 pts
99Cooper County24+0.2 pts
99Sullivan County24+0.6 pts
101Cass County23.9+0.5 pts
101Jefferson County23.9-0.8 pts
101St. Louis city23.9-0.2 pts
104Holt County23.8-0.3 pts
105Chariton County23.7+1.9 pts
105Macon County23.7+1.3 pts
107Andrew County23.6+1.7 pts
108Stone County23.50 pts
109Clay County23.4+0.7 pts
110DeKalb County23.3+1.1 pts
111Cole County23.2+1.1 pts
112Camden County23+0.7 pts
113Platte County22.8-0.2 pts
113St. Charles County22.8+0.1 pts
115St. Louis County22.7+1.2 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/missouri-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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Questions

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

Adair County, with 27.6% in 2023, according to the Centers for Disease Control and Prevention.

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

St. Louis County, with 22.7% 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 Missouri: more rankings