Counties in Virginia by depression in adults, local model estimate

Radford city had the highest depression in adults, local model estimate of 133 counties in 2021, at 28.1%. Fairfax County had the lowest, at 15.7%. The median was 21.9%. Source: the Centers for Disease Control and Prevention.

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Highest28.1Radford city
Lowest15.7Fairfax County
Median21.9133 counties

Map of counties, 2021

Accomack County: 20.5 %Albemarle County: 22.3 %Alleghany County: 23.5 %Amelia County: 22.4 %Amherst County: 22.9 %Appomattox County: 22.6 %Arlington County: 20 %Augusta County: 22.9 %Bath County: 23.2 %Bedford County: 22 %Bland County: 22.8 %Botetourt County: 21.2 %Brunswick County: 19.5 %Buchanan County: 26 %Buckingham County: 21.7 %Campbell County: 22.1 %Caroline County: 22.2 %Carroll County: 24.3 %Charles City County: 19.8 %Charlotte County: 22.1 %Chesterfield County: 19.2 %Clarke County: 20.7 %Craig County: 23.7 %Culpeper County: 21.1 %Cumberland County: 21.2 %Dickenson County: 25.5 %Dinwiddie County: 21.1 %Essex County: 21 %Fairfax County: 15.7 %Fauquier County: 20.4 %Floyd County: 23.5 %Fluvanna County: 21.9 %Franklin County: 22.6 %Frederick County: 22.1 %Giles County: 22.8 %Gloucester County: 22 %Goochland County: 19.9 %Grayson County: 22.8 %Greene County: 22 %Greensville County: 18.6 %Halifax County: 21.4 %Hanover County: 20.8 %Henrico County: 18 %Henry County: 23.5 %Highland County: 21.3 %Isle of Wight County: 21.1 %James City County: 20 %King and Queen County: 21.1 %King George County: 21.1 %King William County: 23.5 %Lancaster County: 19.5 %Lee County: 25.9 %Loudoun County: 16.4 %Louisa County: 21.1 %Lunenburg County: 21.2 %Madison County: 22.1 %Mathews County: 20.2 %Mecklenburg County: 20.1 %Middlesex County: 21 %Montgomery County: 26.5 %Nelson County: 21.7 %New Kent County: 20.9 %Northampton County: 20.7 %Northumberland County: 19.3 %Nottoway County: 20.9 %Orange County: 21.3 %Page County: 24.2 %Patrick County: 22.5 %Pittsylvania County: 21.7 %Powhatan County: 21.9 %Prince Edward County: 23.6 %Prince George County: 20.6 %Prince William County: 17 %Pulaski County: 23.4 %Rappahannock County: 21.2 %Richmond County: 21.6 %Roanoke County: 22.2 %Rockbridge County: 22.6 %Rockingham County: 22.2 %Russell County: 24.5 %Scott County: 24.4 %Shenandoah County: 23.2 %Smyth County: 26.1 %Southampton County: 20.1 %Spotsylvania County: 21.4 %Stafford County: 21.7 %Surry County: 20.3 %Sussex County: 19 %Tazewell County: 25.6 %Warren County: 22.7 %Washington County: 24.7 %Westmoreland County: 21.4 %Wise County: 25.7 %Wythe County: 24.1 %York County: 19.1 %Alexandria city: 18.6 %Bristol city: 24.4 %Buena Vista city: 26.3 %Charlottesville city: 22.9 %Chesapeake city: 20.2 %Colonial Heights city: 22 %Covington city: 23.7 %Danville city: 21.3 %Emporia city: 21.1 %Fairfax city: 18.5 %Falls Church city: 19.4 %Franklin city: 20.9 %Fredericksburg city: 23.1 %Galax city: 24.8 %Hampton city: 21 %Harrisonburg city: 26.8 %Hopewell city: 22.6 %Lexington city: 23.8 %Lynchburg city: 24 %Manassas city: 19.5 %Manassas Park city: 19 %Martinsville city: 22.3 %Newport News city: 21.1 %Norfolk city: 20.2 %Norton city: 25.6 %Petersburg city: 20.1 %Poquoson city: 21.2 %Portsmouth city: 20.6 %Radford city: 28.1 %Richmond city: 22 %Roanoke city: 24.1 %Salem city: 22.5 %Staunton city: 23.3 %Suffolk city: 21.1 %Virginia Beach city: 20.3 %Waynesboro city: 23.2 %Williamsburg city: 23.6 %Winchester city: 22.4 %
  • Under 20
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  • 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

Radford city: 28.1 %Radford city28.1Harrisonburg city: 26.8 %Harrisonburg city26.8Montgomery County: 26.5 %Montgomery County26.5Buena Vista city: 26.3 %Buena Vista city26.3Smyth County: 26.1 %Smyth County26.1Buchanan County: 26 %Buchanan County26Lee County: 25.9 %Lee County25.9Wise County: 25.7 %Wise County25.7Norton city: 25.6 %Norton city25.6Tazewell County: 25.6 %Tazewell County25.6Dickenson County: 25.5 %Dickenson County25.5Galax city: 24.8 %Galax city24.8Washington County: 24.7 %Washington County24.7Russell County: 24.5 %Russell County24.5Bristol city: 24.4 %Bristol city24.4Scott County: 24.4 %Scott County24.4Carroll County: 24.3 %Carroll County24.3Page County: 24.2 %Page County24.2Roanoke city: 24.1 %Roanoke city24.1Wythe County: 24.1 %Wythe County24.1Lynchburg city: 24 %Lynchburg city24Lexington city: 23.8 %Lexington city23.8Covington city: 23.7 %Covington city23.7Craig County: 23.7 %Craig County23.7Prince Edward County: 23.6 %Prince Edward County23.6Williamsburg city: 23.6 %Williamsburg city23.6Alleghany County: 23.5 %Alleghany County23.5Floyd County: 23.5 %Floyd County23.5Henry County: 23.5 %Henry County23.5King William County: 23.5 %King William County23.5Pulaski County: 23.4 %Pulaski County23.4Staunton city: 23.3 %Staunton city23.3Bath County: 23.2 %Bath County23.2Shenandoah County: 23.2 %Shenandoah County23.2Waynesboro city: 23.2 %Waynesboro city23.2Fredericksburg city: 23.1 %Fredericksburg city23.1Amherst County: 22.9 %Amherst County22.9Augusta County: 22.9 %Augusta County22.9Charlottesville city: 22.9 %Charlottesville city22.9Bland County: 22.8 %Bland County22.8Radford city: 28.1 %Radford city28.1Harrisonburg city: 26.8 %Harrisonburg city26.8Montgomery County: 26.5 %Montgomery County26.5Buena Vista city: 26.3 %Buena Vista city26.3Smyth County: 26.1 %Smyth County26.1Buchanan County: 26 %Buchanan County26Lee County: 25.9 %Lee County25.9Wise County: 25.7 %Wise County25.7Norton city: 25.6 %Norton city25.6Tazewell County: 25.6 %Tazewell County25.6Dickenson County: 25.5 %Dickenson County25.5Galax city: 24.8 %Galax city24.8Washington County: 24.7 %Washington County24.7Russell County: 24.5 %Russell County24.5Bristol city: 24.4 %Bristol city24.4Scott County: 24.4 %Scott County24.4Carroll County: 24.3 %Carroll County24.3Page County: 24.2 %Page County24.2Roanoke city: 24.1 %Roanoke city24.1Wythe County: 24.1 %Wythe County24.1Lynchburg city: 24 %Lynchburg city24Lexington city: 23.8 %Lexington city23.8Covington city: 23.7 %Covington city23.7Craig County: 23.7 %Craig County23.7Prince Edward County: 23.6 %Prince Edward County23.6Williamsburg city: 23.6 %Williamsburg city23.6Alleghany County: 23.5 %Alleghany County23.5Floyd County: 23.5 %Floyd County23.5Henry County: 23.5 %Henry County23.5King William County: 23.5 %King William County23.5Pulaski County: 23.4 %Pulaski County23.4Staunton city: 23.3 %Staunton city23.3Bath County: 23.2 %Bath County23.2Shenandoah County: 23.2 %Shenandoah County23.2Waynesboro city: 23.2 %Waynesboro city23.2Fredericksburg city: 23.1 %Fredericksburg city23.1Amherst County: 22.9 %Amherst County22.9Augusta County: 22.9 %Augusta County22.9Charlottesville city: 22.9 %Charlottesville city22.9Bland County: 22.8 %Bland County22.8
%. 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 (%)
1Radford city28.1
2Harrisonburg city26.8
3Montgomery County26.5
4Buena Vista city26.3
5Smyth County26.1
6Buchanan County26
7Lee County25.9
8Wise County25.7
9Norton city25.6
9Tazewell County25.6
11Dickenson County25.5
12Galax city24.8
13Washington County24.7
14Russell County24.5
15Bristol city24.4
15Scott County24.4
17Carroll County24.3
18Page County24.2
19Roanoke city24.1
19Wythe County24.1
21Lynchburg city24
22Lexington city23.8
23Covington city23.7
23Craig County23.7
25Prince Edward County23.6
25Williamsburg city23.6
27Alleghany County23.5
27Floyd County23.5
27Henry County23.5
27King William County23.5
31Pulaski County23.4
32Staunton city23.3
33Bath County23.2
33Shenandoah County23.2
33Waynesboro city23.2
36Fredericksburg city23.1
37Amherst County22.9
37Augusta County22.9
37Charlottesville city22.9
40Bland County22.8
40Giles County22.8
40Grayson County22.8
43Warren County22.7
44Appomattox County22.6
44Franklin County22.6
44Hopewell city22.6
44Rockbridge County22.6
48Patrick County22.5
48Salem city22.5
50Amelia County22.4
50Winchester city22.4
52Albemarle County22.3
52Martinsville city22.3
54Caroline County22.2
54Roanoke County22.2
54Rockingham County22.2
57Campbell County22.1
57Charlotte County22.1
57Frederick County22.1
57Madison County22.1
61Bedford County22
61Colonial Heights city22
61Gloucester County22
61Greene County22
61Richmond city22
66Fluvanna County21.9
66Powhatan County21.9
68Buckingham County21.7
68Nelson County21.7
68Pittsylvania County21.7
68Stafford County21.7
72Richmond County21.6
73Halifax County21.4
73Spotsylvania County21.4
73Westmoreland County21.4
76Danville city21.3
76Highland County21.3
76Orange County21.3
79Botetourt County21.2
79Cumberland County21.2
79Lunenburg County21.2
79Poquoson city21.2
79Rappahannock County21.2
84Culpeper County21.1
84Dinwiddie County21.1
84Emporia city21.1
84Isle of Wight County21.1
84King and Queen County21.1
84King George County21.1
84Louisa County21.1
84Newport News city21.1
84Suffolk city21.1
93Essex County21
93Hampton city21
93Middlesex County21
96Franklin city20.9
96New Kent County20.9
96Nottoway County20.9
99Hanover County20.8
100Clarke County20.7
100Northampton County20.7
102Portsmouth city20.6
102Prince George County20.6
104Accomack County20.5
105Fauquier County20.4
106Surry County20.3
106Virginia Beach city20.3
108Chesapeake city20.2
108Mathews County20.2
108Norfolk city20.2
111Mecklenburg County20.1
111Petersburg city20.1
111Southampton County20.1
114Arlington County20
114James City County20
116Goochland County19.9
117Charles City County19.8
118Brunswick County19.5
118Lancaster County19.5
118Manassas city19.5
121Falls Church city19.4
122Northumberland County19.3
123Chesterfield County19.2
124York County19.1
125Manassas Park city19
125Sussex County19
127Alexandria city18.6
127Greensville County18.6
129Fairfax city18.5
130Henrico County18
131Prince William County17
132Loudoun County16.4
133Fairfax County15.7

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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

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

Radford city, with 28.1% in 2021, according to the Centers for Disease Control and Prevention.

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

Fairfax County, with 15.7% 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 Virginia: more rankings