US counties by depression in adults, local model estimate

Magoffin County had the highest depression in adults, local model estimate of 3068 counties in 2021, at 32%. Kalawao County had the lowest, at 10.1%. The median was 22%. Source: the Centers for Disease Control and Prevention.

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Lowest10.1Kalawao County
Median223068 counties

Map of counties, 2021

%, 2021. Hatched areas have no value for this period. 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

Magoffin County: 32 %Magoffin County32Rowan County: 31.3 %Rowan County31.3Wyoming County: 30.9 %Wyoming County30.9Clay County: 30.7 %Clay County30.7Lee County: 30.6 %Lee County30.6Whitley County: 30.6 %Whitley County30.6Wolfe County: 30.6 %Wolfe County30.6Lewis County: 30.5 %Lewis County30.5Lawrence County: 30.4 %Lawrence County30.4Campbell County: 30.3 %Campbell County30.3Hancock County: 30.3 %Hancock County30.3Leslie County: 30.3 %Leslie County30.3Lincoln County: 30.3 %Lincoln County30.3Claiborne County: 30 %Claiborne County30Knott County: 30 %Knott County30Logan County: 30 %Logan County30Johnson County: 29.9 %Johnson County29.9Bell County: 29.8 %Bell County29.8Breathitt County: 29.8 %Breathitt County29.8Harlan County: 29.7 %Harlan County29.7Knox County: 29.7 %Knox County29.7McCreary County: 29.7 %McCreary County29.7Perry County: 29.7 %Perry County29.7Casey County: 29.6 %Casey County29.6Lawrence County: 29.6 %Lawrence County29.6Letcher County: 29.6 %Letcher County29.6Mingo County: 29.6 %Mingo County29.6Owsley County: 29.6 %Owsley County29.6Scott County: 29.6 %Scott County29.6Floyd County: 29.5 %Floyd County29.5Warren County: 29.5 %Warren County29.5Whitman County: 29.5 %Whitman County29.5Acadia Parish: 29.4 %Acadia Parish29.4Estill County: 29.4 %Estill County29.4Pulaski County: 29.4 %Pulaski County29.4Hart County: 29.3 %Hart County29.3Jackson County: 29.3 %Jackson County29.3McDowell County: 29.3 %McDowell County29.3Rockcastle County: 29.3 %Rockcastle County29.3Fayette County: 29.2 %Fayette County29.2Magoffin County: 32 %Magoffin County32Rowan County: 31.3 %Rowan County31.3Wyoming County: 30.9 %Wyoming County30.9Clay County: 30.7 %Clay County30.7Lee County: 30.6 %Lee County30.6Whitley County: 30.6 %Whitley County30.6Wolfe County: 30.6 %Wolfe County30.6Lewis County: 30.5 %Lewis County30.5Lawrence County: 30.4 %Lawrence County30.4Campbell County: 30.3 %Campbell County30.3Hancock County: 30.3 %Hancock County30.3Leslie County: 30.3 %Leslie County30.3Lincoln County: 30.3 %Lincoln County30.3Claiborne County: 30 %Claiborne County30Knott County: 30 %Knott County30Logan County: 30 %Logan County30Johnson County: 29.9 %Johnson County29.9Bell County: 29.8 %Bell County29.8Breathitt County: 29.8 %Breathitt County29.8Harlan County: 29.7 %Harlan County29.7Knox County: 29.7 %Knox County29.7McCreary County: 29.7 %McCreary County29.7Perry County: 29.7 %Perry County29.7Casey County: 29.6 %Casey County29.6Lawrence County: 29.6 %Lawrence County29.6Letcher County: 29.6 %Letcher County29.6Mingo County: 29.6 %Mingo County29.6Owsley County: 29.6 %Owsley County29.6Scott County: 29.6 %Scott County29.6Floyd County: 29.5 %Floyd County29.5Warren County: 29.5 %Warren County29.5Whitman County: 29.5 %Whitman County29.5Acadia Parish: 29.4 %Acadia Parish29.4Estill County: 29.4 %Estill County29.4Pulaski County: 29.4 %Pulaski County29.4Hart County: 29.3 %Hart County29.3Jackson County: 29.3 %Jackson County29.3McDowell County: 29.3 %McDowell County29.3Rockcastle County: 29.3 %Rockcastle County29.3Fayette County: 29.2 %Fayette County29.2
%. 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 (%)
1Magoffin County32
2Rowan County31.3
3Wyoming County30.9
4Clay County30.7
5Lee County30.6
5Whitley County30.6
5Wolfe County30.6
8Lewis County30.5
9Lawrence County30.4
10Campbell County30.3
10Hancock County30.3
10Leslie County30.3
10Lincoln County30.3
14Claiborne County30
14Knott County30
14Logan County30
17Johnson County29.9
18Bell County29.8
18Breathitt County29.8
20Harlan County29.7
20Knox County29.7
20McCreary County29.7
20Perry County29.7
24Casey County29.6
24Lawrence County29.6
24Letcher County29.6
24Mingo County29.6
24Owsley County29.6
24Scott County29.6
30Floyd County29.5
30Warren County29.5
30Whitman County29.5
33Acadia Parish29.4
33Estill County29.4
33Pulaski County29.4
36Hart County29.3
36Jackson County29.3
36McDowell County29.3
36Rockcastle County29.3
40Fayette County29.2
40Fentress County29.2
40Green County29.2
40Macon County29.2
40Perry County29.2
40Sequatchie County29.2
46Benton County29.1
46DeKalb County29.1
46Lincoln County29.1
46Weakley County29.1
50Grayson County29
50Henderson County29
50Whatcom County29
53Boyd County28.9
53Carter County28.9
55Breckinridge County28.8
55Grundy County28.8
55Putnam County28.8
58Allen County28.7
58Cannon County28.7
58Wayne County28.7
61Clinton County28.6
61Pike County28.6
61Polk County28.6
61Rhea County28.6
61Sullivan County28.6
66Clay County28.5
66Hardin County28.5
66Montgomery County28.5
66Powell County28.5
70Chester County28.4
70Lewis County28.4
70Nicholas County28.4
70White County28.4
74Athens County28.3
74Christian County28.3
74Franklin County28.3
74Wood County28.3
78Anderson County28.2
78Carroll County28.2
78Cocke County28.2
78Fleming County28.2
78Houston County28.2
78Lafourche Parish28.2
78Obion County28.2
78Van Buren County28.2
86Cabell County28.1
86Carter County28.1
86McMinn County28.1
86Meigs County28.1
86Radford city28.1
86Wayne County28.1
92Bath County28
92Beauregard Parish28
92Grainger County28
92Laurel County28
92McNairy County28
92Mercer County28
92Monroe County28
92Ohio County28
92Sevier County28
92Tipton County28
92Union County28
103Boone County27.9
103Dickson County27.9
103Edmonson County27.9
103Gallatin County27.9
103Hawkins County27.9
103Martin County27.9
103Meade County27.9
103Morgan County27.9
103Overton County27.9
103Taylor County27.9
103Terrebonne Parish27.9
103Wirt County27.9
115Adair County27.8
115Calloway County27.8
115Clay County27.8
115Jackson County27.8
115Menifee County27.8
115Metcalfe County27.8
115Stone County27.8
115Todd County27.8
123Androscoggin County27.7
123Barren County27.7
123Evangeline Parish27.7
123Grant County27.7
123Hamblen County27.7
123Hickman County27.7
123Jefferson County27.7
123Madison County27.7
123Parke County27.7
123Sharp County27.7
123Smith County27.7
123Summers County27.7
123Washington County27.7
123Webster County27.7
137Cheatham County27.6
137Crittenden County27.6
137Cumberland County27.6
137Giles County27.6
137Henderson County27.6
137Lawrence County27.6
137Logan County27.6
137Morgan County27.6
145Butler County27.5
145Caldwell Parish27.5
145Coffee County27.5
145Crockett County27.5
145Elliott County27.5
145Mason County27.5
145Montgomery County27.5
145Unicoi County27.5
153Assumption Parish27.4
153Bracken County27.4
153Cameron Parish27.4
153Clay County27.4
153Garrard County27.4
153Greene County27.4
153Humphreys County27.4
153Johnson County27.4
153Owen County27.4
153Seminole County27.4
153Snohomish County27.4
153Spokane County27.4
153Trimble County27.4
153Umatilla County27.4
167Avoyelles Parish27.3
167Barbour County27.3
167Dyer County27.3
167Isabella County27.3
167Marion County27.3
167Marion County27.3
167Marion County27.3
167Marshall County27.3
167Pendleton County27.3
167Pickett County27.3
167St. Bernard Parish27.3
178Carlisle County27.2
178Henry County27.2
178Monroe County27.2
178Preston County27.2
178Ripley County27.2
178Union County27.2
178Webster County27.2
178Windsor County27.2
186Adair County27.1
186Ballard County27.1
186Daviess County27.1
186Graves County27.1
186Grays Harbor County27.1
186Knox County27.1
186Poinsett County27.1
186Roane County27.1
186Wetzel County27.1
195Braxton County27
195Carroll County27
195Greene County27
195Hopkins County27
195Johnson County27
195LaGrange County27
195Linn County27
195Livingston Parish27
195Monroe County27
195Randolph County27
195Russell County27
195Wayne County27
195West Carroll Parish27
208Bedford County26.9
208Chittenden County26.9
208Clark County26.9
208Cowlitz County26.9
208Decatur County26.9
208DeKalb County26.9
208Franklin Parish26.9
208Harrison County26.9
208Henry County26.9
208Jennings County26.9
208Jessamine County26.9
208Lane County26.9
208Larue County26.9
208Lincoln County26.9
208Monongalia County26.9
208Muhlenberg County26.9
208Pope County26.9
208Simpson County26.9
208Vinton County26.9
227Calhoun County26.8
227Daviess County26.8
227Delaware County26.8
227Grant County26.8
227Greenup County26.8
227Harrisonburg city26.8
227Jackson County26.8
227Lonoke County26.8
227Mercer County26.8
227Nicholas County26.8
227Ohio County26.8
227Ritchie County26.8
227Sebastian County26.8
227Warren County26.8
241Clay County26.7
241Concordia Parish26.7
241Craighead County26.7
241Jackson County26.7
241Jay County26.7
241Kanawha County26.7
241Lawrence County26.7
241Livingston County26.7
241Maury County26.7
241Monroe County26.7

Showing the top 250 of 3068. The Excel download has every row.

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. 76 counties with data in other periods have no value for 2021 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2021 (Accessed: 12 October 2026).

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

Magoffin County, with 32% in 2021, according to the Centers for Disease Control and Prevention.

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

Kalawao County, with 10.1% 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. 76 counties have no value for 2021 and are not ranked.

Depression in adults, local model estimate: other rankings

US counties: more rankings