Cities in Alabama by frequent mental distress in adults, local model estimate, 2023

Jacksonville, AL had the highest frequent mental distress in adults, local model estimate of 66 cities in 2023, at 22.5%. Mountain Brook, AL had the lowest, at 11.9%. The median was 17.4%. Source: the Centers for Disease Control and Prevention.

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Highest22.5Jacksonville, AL
Median17.466 cities

Top 40 cities, 2023

Jacksonville, AL: 22.5 %Jacksonville, AL22.5Tuscaloosa, AL: 21.3 %Tuscaloosa, AL21.3Troy, AL: 20.9 %Troy, AL20.9Center Point, AL: 20.4 %Center Point, AL20.4Auburn, AL: 20 %Auburn, AL20Gadsden, AL: 19.9 %Gadsden, AL19.9Prichard, AL: 19.6 %Prichard, AL19.6Russellville, AL: 19.6 %Russellville, AL19.6Phenix City, AL: 19.4 %Phenix City, AL19.4Fort Payne, AL: 19.2 %Fort Payne, AL19.2Boaz, AL: 19.1 %Boaz, AL19.1Eufaula, AL: 19.1 %Eufaula, AL19.1Florence, AL: 19 %Florence, AL19Ozark, AL: 18.8 %Ozark, AL18.8Selma, AL: 18.8 %Selma, AL18.8Sylacauga, AL: 18.8 %Sylacauga, AL18.8Talladega, AL: 18.8 %Talladega, AL18.8Valley, AL: 18.8 %Valley, AL18.8Albertville, AL: 18.6 %Albertville, AL18.6Bessemer, AL: 18.6 %Bessemer, AL18.6Anniston, AL: 18.5 %Anniston, AL18.5Birmingham, AL: 18.5 %Birmingham, AL18.5Dothan, AL: 18.3 %Dothan, AL18.3Enterprise, AL: 18.1 %Enterprise, AL18.1Hueytown, AL: 18 %Hueytown, AL18Alexander City, AL: 17.9 %Alexander City, AL17.9Oxford, AL: 17.9 %Oxford, AL17.9Millbrook, AL: 17.7 %Millbrook, AL17.7Scottsboro, AL: 17.7 %Scottsboro, AL17.7Montgomery, AL: 17.6 %Montgomery, AL17.6Moody, AL: 17.6 %Moody, AL17.6Calera, AL: 17.4 %Calera, AL17.4Decatur, AL: 17.4 %Decatur, AL17.4Cullman, AL: 17.3 %Cullman, AL17.3Mobile, AL: 17.3 %Mobile, AL17.3Opelika, AL: 17.3 %Opelika, AL17.3Pell City, AL: 17.3 %Pell City, AL17.3Saraland, AL: 17.3 %Saraland, AL17.3Clay, AL: 17.2 %Clay, AL17.2Jasper, AL: 17.1 %Jasper, AL17.1Jacksonville, AL: 22.5 %Jacksonville, AL22.5Tuscaloosa, AL: 21.3 %Tuscaloosa, AL21.3Troy, AL: 20.9 %Troy, AL20.9Center Point, AL: 20.4 %Center Point, AL20.4Auburn, AL: 20 %Auburn, AL20Gadsden, AL: 19.9 %Gadsden, AL19.9Prichard, AL: 19.6 %Prichard, AL19.6Russellville, AL: 19.6 %Russellville, AL19.6Phenix City, AL: 19.4 %Phenix City, AL19.4Fort Payne, AL: 19.2 %Fort Payne, AL19.2Boaz, AL: 19.1 %Boaz, AL19.1Eufaula, AL: 19.1 %Eufaula, AL19.1Florence, AL: 19 %Florence, AL19Ozark, AL: 18.8 %Ozark, AL18.8Selma, AL: 18.8 %Selma, AL18.8Sylacauga, AL: 18.8 %Sylacauga, AL18.8Talladega, AL: 18.8 %Talladega, AL18.8Valley, AL: 18.8 %Valley, AL18.8Albertville, AL: 18.6 %Albertville, AL18.6Bessemer, AL: 18.6 %Bessemer, AL18.6Anniston, AL: 18.5 %Anniston, AL18.5Birmingham, AL: 18.5 %Birmingham, AL18.5Dothan, AL: 18.3 %Dothan, AL18.3Enterprise, AL: 18.1 %Enterprise, AL18.1Hueytown, AL: 18 %Hueytown, AL18Alexander City, AL: 17.9 %Alexander City, AL17.9Oxford, AL: 17.9 %Oxford, AL17.9Millbrook, AL: 17.7 %Millbrook, AL17.7Scottsboro, AL: 17.7 %Scottsboro, AL17.7Montgomery, AL: 17.6 %Montgomery, AL17.6Moody, AL: 17.6 %Moody, AL17.6Calera, AL: 17.4 %Calera, AL17.4Decatur, AL: 17.4 %Decatur, AL17.4Cullman, AL: 17.3 %Cullman, AL17.3Mobile, AL: 17.3 %Mobile, AL17.3Opelika, AL: 17.3 %Opelika, AL17.3Pell City, AL: 17.3 %Pell City, AL17.3Saraland, AL: 17.3 %Saraland, AL17.3Clay, AL: 17.2 %Clay, AL17.2Jasper, AL: 17.1 %Jasper, AL17.1
%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Jacksonville, AL22.5-2.9 pts
2Tuscaloosa, AL21.3-2.2 pts
3Troy, AL20.9-2.6 pts
4Center Point, AL20.4-1.1 pts
5Auburn, AL20-2.4 pts
6Gadsden, AL19.9-1 pts
7Prichard, AL19.6-2 pts
7Russellville, AL19.6-1.7 pts
9Phenix City, AL19.4-1.4 pts
10Fort Payne, AL19.2-1.2 pts
11Boaz, AL19.1-1.3 pts
11Eufaula, AL19.1-1 pts
13Florence, AL19-2.1 pts
14Ozark, AL18.8-0.6 pts
14Selma, AL18.8-1.5 pts
14Sylacauga, AL18.8-1.4 pts
14Talladega, AL18.8-2.2 pts
14Valley, AL18.8-1.1 pts
19Albertville, AL18.6-1.3 pts
19Bessemer, AL18.6-1.2 pts
21Anniston, AL18.5-1.4 pts
21Birmingham, AL18.5-1 pts
23Dothan, AL18.3-0.3 pts
24Enterprise, AL18.1-1.3 pts
25Hueytown, AL18+0.2 pts
26Alexander City, AL17.9-1.2 pts
26Oxford, AL17.9-1.6 pts
28Millbrook, AL17.7-1.3 pts
28Scottsboro, AL17.7-2 pts
30Montgomery, AL17.6-1.3 pts
30Moody, AL17.6-0.7 pts
32Calera, AL17.4-1.7 pts
32Decatur, AL17.4-2 pts
34Cullman, AL17.3-1.1 pts
34Mobile, AL17.3-2.1 pts
34Opelika, AL17.3-1.6 pts
34Pell City, AL17.3-0.7 pts
34Saraland, AL17.3-1 pts
39Clay, AL17.2-0.6 pts
40Jasper, AL17.1-1 pts
40Rainbow City, AL17.1+0.2 pts
42Prattville, AL16.9-1.2 pts
43Leeds, AL16.8-1.1 pts
43Muscle Shoals, AL16.8-1 pts
43Northport, AL16.8-1.3 pts
46Athens, AL16.5-1.6 pts
47Hartselle, AL16.4-1.9 pts
47Huntsville, AL16.4-1.4 pts
49Homewood, AL16-1 pts
50Gardendale, AL15.8-0.8 pts
51Chelsea, AL15.4-1.1 pts
52Alabaster, AL15.3-1.2 pts
53Irondale, AL15.2-0.9 pts
54Foley, AL15-1.6 pts
55Helena, AL14.8-0.4 pts
56Daphne, AL14.7-1.9 pts
56Pelham, AL14.7-1.4 pts
56Spanish Fort, AL14.7-1 pts
56Trussville, AL14.7-0.4 pts
60Gulf Shores, AL14.2-1.5 pts
61Hoover, AL14-0.7 pts
62Pike Road, AL13.9-0.8 pts
63Vestavia Hills, AL13.80 pts
64Madison, AL13.7-1 pts
65Fairhope, AL13-1.7 pts
66Mountain Brook, AL11.9-0.5 pts

Other periods

About this ranking

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. 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 cities 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence (Cities in Alabama by frequent mental distress 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Alabama by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Cities in Alabama by frequent mental distress 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-frequent-mental-distress-rate-county-estimate/alabama-cities.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Alabama by frequent mental distress in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_alabama_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in Alabama by frequent mental distress 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-frequent-mental-distress-rate-county-estimate/alabama-cities. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in Alabama by frequent mental distress in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/12
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-cities.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress 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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Rank Cities in Alabama by frequent mental distress in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"municipality","within":"Alabama","limit":10}
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Questions

Which city has the highest frequent mental distress in adults, local model estimate?

Jacksonville, AL, with 22.5% in 2023, according to the Centers for Disease Control and Prevention.

Which city has the lowest frequent mental distress in adults, local model estimate?

Mountain Brook, AL, with 11.9% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Cities in Alabama: more rankings