Data / Rankings / Depression in adults, local model estimate / Counties in North Carolina

Counties in North Carolina by depression in adults, local model estimate

Surry County had the highest depression in adults, local model estimate of 100 counties in 2021, at 25.7%. Wake County had the lowest, at 18.7%. The median was 22.5%. Source: the Centers for Disease Control and Prevention.

Highest25.7Surry County
Lowest18.7Wake County
Median22.5100 counties

Top 40 counties, 2021

Surry County: 25.7 %Surry County25.7Watauga County: 25.5 %Watauga County25.5Jackson County: 25.2 %Jackson County25.2Madison County: 25 %Madison County25Haywood County: 24.9 %Haywood County24.9Swain County: 24.8 %Swain County24.8Harnett County: 24.6 %Harnett County24.6Cleveland County: 24.5 %Cleveland County24.5Ashe County: 24.3 %Ashe County24.3Buncombe County: 24.3 %Buncombe County24.3Alleghany County: 24.1 %Alleghany County24.1Burke County: 24.1 %Burke County24.1Caldwell County: 24.1 %Caldwell County24.1Davidson County: 24.1 %Davidson County24.1New Hanover County: 24.1 %New Hanover County24.1Wilkes County: 24.1 %Wilkes County24.1McDowell County: 24 %McDowell County24Yadkin County: 24 %Yadkin County24Avery County: 23.9 %Avery County23.9Cumberland County: 23.9 %Cumberland County23.9Randolph County: 23.9 %Randolph County23.9Catawba County: 23.7 %Catawba County23.7Alamance County: 23.6 %Alamance County23.6Rockingham County: 23.6 %Rockingham County23.6Onslow County: 23.5 %Onslow County23.5Stanly County: 23.5 %Stanly County23.5Graham County: 23.4 %Graham County23.4Stokes County: 23.4 %Stokes County23.4Yancey County: 23.4 %Yancey County23.4Columbus County: 23.2 %Columbus County23.2Forsyth County: 23.2 %Forsyth County23.2Mitchell County: 23.2 %Mitchell County23.2Rowan County: 23.2 %Rowan County23.2Alexander County: 23.1 %Alexander County23.1Johnston County: 23.1 %Johnston County23.1Pender County: 23.1 %Pender County23.1Lenoir County: 23 %Lenoir County23Richmond County: 23 %Richmond County23Rutherford County: 23 %Rutherford County23Clay County: 22.9 %Clay County22.9
%. 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

RankCounties2021 (%)
1Surry County25.7
2Watauga County25.5
3Jackson County25.2
4Madison County25
5Haywood County24.9
6Swain County24.8
7Harnett County24.6
8Cleveland County24.5
9Ashe County24.3
9Buncombe County24.3
11Alleghany County24.1
11Burke County24.1
11Caldwell County24.1
11Davidson County24.1
11New Hanover County24.1
11Wilkes County24.1
17McDowell County24
17Yadkin County24
19Avery County23.9
19Cumberland County23.9
19Randolph County23.9
22Catawba County23.7
23Alamance County23.6
23Rockingham County23.6
25Onslow County23.5
25Stanly County23.5
27Graham County23.4
27Stokes County23.4
27Yancey County23.4
30Columbus County23.2
30Forsyth County23.2
30Mitchell County23.2
30Rowan County23.2
34Alexander County23.1
34Johnston County23.1
34Pender County23.1
37Lenoir County23
37Richmond County23
37Rutherford County23
40Clay County22.9
40Lee County22.9
42Robeson County22.7
43Camden County22.6
43Hoke County22.6
43Sampson County22.6
43Scotland County22.6
47Cherokee County22.5
47Davie County22.5
47Duplin County22.5
47Jones County22.5
47Lincoln County22.5
47Macon County22.5
53Currituck County22.4
54Craven County22.3
54Gaston County22.3
54Montgomery County22.3
54Person County22.3
54Wayne County22.3
59Franklin County22.2
59Transylvania County22.2
61Cabarrus County22.1
61Granville County22.1
63Greene County22
63Martin County22
63Pitt County22
66Carteret County21.8
66Hyde County21.8
66Iredell County21.8
66Nash County21.8
70Beaufort County21.7
70Chowan County21.7
70Henderson County21.7
70Moore County21.7
70Perquimans County21.7
75Caswell County21.6
75Gates County21.6
75Guilford County21.6
75Wilson County21.6
79Bladen County21.5
79Halifax County21.5
79Polk County21.5
82Orange County21.4
82Pasquotank County21.4
82Vance County21.4
85Brunswick County21.2
85Dare County21.2
85Tyrrell County21.2
88Pamlico County21.1
88Union County21.1
88Washington County21.1
91Anson County21
92Edgecombe County20.8
93Hertford County20.7
94Chatham County20.6
95Warren County20.2
96Bertie County20
97Northampton County19.8
98Mecklenburg County19.7
99Durham County19.5
100Wake County18.7

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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/north-carolina-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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Questions

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

Surry County, with 25.7% in 2021, according to the Centers for Disease Control and Prevention.

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

Wake County, with 18.7% 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 North Carolina: more rankings