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

McDowell County had the highest depression in adults, local model estimate of 100 counties in 2022, at 26.4%. Northampton County had the lowest, at 19.7%. The median was 22.8%. Source: the Centers for Disease Control and Prevention.

Highest26.4McDowell County
Median22.8100 counties

Top 40 counties, 2022

McDowell County: 26.4 %McDowell County26.4Swain County: 26 %Swain County26Watauga County: 26 %Watauga County26Surry County: 25.9 %Surry County25.9Rutherford County: 25.8 %Rutherford County25.8Jackson County: 25.7 %Jackson County25.7Wilkes County: 25.3 %Wilkes County25.3Randolph County: 25.1 %Randolph County25.1Graham County: 25 %Graham County25Caldwell County: 24.6 %Caldwell County24.6Onslow County: 24.6 %Onslow County24.6Yadkin County: 24.5 %Yadkin County24.5Gaston County: 24.4 %Gaston County24.4Alleghany County: 24.3 %Alleghany County24.3Harnett County: 24.3 %Harnett County24.3New Hanover County: 24.3 %New Hanover County24.3Avery County: 24.2 %Avery County24.2Lee County: 24.2 %Lee County24.2Lincoln County: 24.2 %Lincoln County24.2Cherokee County: 24.1 %Cherokee County24.1Columbus County: 24.1 %Columbus County24.1Rockingham County: 24.1 %Rockingham County24.1Stokes County: 24.1 %Stokes County24.1Burke County: 24 %Burke County24Hoke County: 24 %Hoke County24Madison County: 24 %Madison County24Mitchell County: 24 %Mitchell County24Cleveland County: 23.9 %Cleveland County23.9Alexander County: 23.8 %Alexander County23.8Ashe County: 23.8 %Ashe County23.8Camden County: 23.8 %Camden County23.8Davie County: 23.8 %Davie County23.8Stanly County: 23.8 %Stanly County23.8Johnston County: 23.7 %Johnston County23.7Currituck County: 23.6 %Currituck County23.6Davidson County: 23.6 %Davidson County23.6Person County: 23.6 %Person County23.6Carteret County: 23.5 %Carteret County23.5Yancey County: 23.5 %Yancey County23.5Catawba County: 23.4 %Catawba County23.4
%. 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

RankCounties2022 (%)Change on 2021
1McDowell County26.4+2.4 pts
2Swain County26+1.2 pts
2Watauga County26+0.5 pts
4Surry County25.9+0.2 pts
5Rutherford County25.8+2.8 pts
6Jackson County25.7+0.5 pts
7Wilkes County25.3+1.2 pts
8Randolph County25.1+1.2 pts
9Graham County25+1.6 pts
10Caldwell County24.6+0.5 pts
10Onslow County24.6+1.1 pts
12Yadkin County24.5+0.5 pts
13Gaston County24.4+2.1 pts
14Alleghany County24.3+0.2 pts
14Harnett County24.3-0.3 pts
14New Hanover County24.3+0.2 pts
17Avery County24.2+0.3 pts
17Lee County24.2+1.3 pts
17Lincoln County24.2+1.7 pts
20Cherokee County24.1+1.6 pts
20Columbus County24.1+0.9 pts
20Rockingham County24.1+0.5 pts
20Stokes County24.1+0.7 pts
24Burke County24-0.1 pts
24Hoke County24+1.4 pts
24Madison County24-1 pts
24Mitchell County24+0.8 pts
28Cleveland County23.9-0.6 pts
29Alexander County23.8+0.7 pts
29Ashe County23.8-0.5 pts
29Camden County23.8+1.2 pts
29Davie County23.8+1.3 pts
29Stanly County23.8+0.3 pts
34Johnston County23.7+0.6 pts
35Currituck County23.6+1.2 pts
35Davidson County23.6-0.5 pts
35Person County23.6+1.3 pts
38Carteret County23.5+1.7 pts
38Yancey County23.5+0.1 pts
40Catawba County23.4-0.3 pts
40Iredell County23.4+1.6 pts
42Cumberland County23.3-0.6 pts
43Buncombe County23.2-1.1 pts
43Clay County23.2+0.3 pts
43Craven County23.2+0.9 pts
43Henderson County23.2+1.5 pts
47Wayne County23+0.7 pts
48Beaufort County22.9+1.2 pts
48Richmond County22.9-0.1 pts
50Alamance County22.8-0.8 pts
50Jones County22.8+0.3 pts
50Rowan County22.8-0.4 pts
50Scotland County22.8+0.2 pts
54Haywood County22.6-2.3 pts
54Pitt County22.6+0.6 pts
54Wilson County22.6+1 pts
57Franklin County22.5+0.3 pts
57Hyde County22.5+0.7 pts
57Macon County22.50 pts
57Pender County22.5-0.6 pts
57Sampson County22.5-0.1 pts
62Guilford County22.4+0.8 pts
62Orange County22.4+1 pts
64Lenoir County22.3-0.7 pts
64Martin County22.3+0.3 pts
64Robeson County22.3-0.4 pts
67Caswell County22.2+0.6 pts
67Transylvania County22.20 pts
69Gates County22.1+0.5 pts
69Montgomery County22.1-0.2 pts
71Bladen County22+0.5 pts
71Dare County22+0.8 pts
71Forsyth County22-1.2 pts
71Granville County22-0.1 pts
71Pasquotank County22+0.6 pts
76Chowan County21.9+0.2 pts
77Duplin County21.8-0.7 pts
78Durham County21.7+2.2 pts
78Moore County21.70 pts
78Pamlico County21.7+0.6 pts
78Perquimans County21.70 pts
78Vance County21.7+0.3 pts
83Anson County21.6+0.6 pts
83Greene County21.6-0.4 pts
85Brunswick County21.5+0.3 pts
86Nash County21.4-0.4 pts
86Washington County21.4+0.3 pts
88Halifax County21.3-0.2 pts
88Mecklenburg County21.3+1.6 pts
90Chatham County21.2+0.6 pts
90Union County21.2+0.1 pts
92Cabarrus County21.1-1 pts
93Tyrrell County20.9-0.3 pts
94Edgecombe County20.80 pts
95Warren County20.5+0.3 pts
96Hertford County20.4-0.3 pts
96Polk County20.4-1.1 pts
98Wake County20.3+1.6 pts
99Bertie County19.9-0.1 pts
100Northampton County19.7-0.1 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 North Carolina by depression in adults, local model estimate, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-depression-rate-county-estimate/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2022,
  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, 2022}},
  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=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-depression-rate-county-estimate/north-carolina-counties?period=2022.
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?

McDowell County, with 26.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Northampton County, with 19.7% in 2022.

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