Data / Rankings / Frequent mental distress in adults, local model estimate / Counties in Alabama

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

Bullock County had the highest frequent mental distress in adults, local model estimate of 67 counties in 2023, at 20.1%. Shelby County had the lowest, at 14.6%. The median was 18.2%. Source: the Centers for Disease Control and Prevention.

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Highest20.1Bullock County
Lowest14.6Shelby County
Median18.267 counties

Map of counties, 2023

Autauga County: 17 %Baldwin County: 15.1 %Barbour County: 18.5 %Bibb County: 18.9 %Blount County: 17.5 %Bullock County: 20.1 %Butler County: 18.3 %Calhoun County: 18.4 %Chambers County: 18.3 %Cherokee County: 17.4 %Chilton County: 18.2 %Choctaw County: 17.8 %Clarke County: 18 %Clay County: 18 %Cleburne County: 18.1 %Coffee County: 17.7 %Colbert County: 17.3 %Conecuh County: 18.3 %Coosa County: 16.9 %Covington County: 18 %Crenshaw County: 18 %Cullman County: 17.6 %Dale County: 18.5 %Dallas County: 18.4 %DeKalb County: 18.9 %Elmore County: 17.5 %Escambia County: 19.6 %Etowah County: 18.1 %Fayette County: 18.2 %Franklin County: 18.6 %Geneva County: 18.3 %Greene County: 19 %Hale County: 18.4 %Henry County: 17 %Houston County: 18.2 %Jackson County: 18.5 %Jefferson County: 16.8 %Lamar County: 18.3 %Lauderdale County: 17.5 %Lawrence County: 18.3 %Lee County: 17.6 %Limestone County: 16.4 %Lowndes County: 19.1 %Macon County: 18.8 %Madison County: 15.5 %Marengo County: 17.8 %Marion County: 18.2 %Marshall County: 17.8 %Mobile County: 17.2 %Monroe County: 18.6 %Montgomery County: 17 %Morgan County: 16.8 %Perry County: 19.8 %Pickens County: 18.2 %Pike County: 19.5 %Randolph County: 17.6 %Russell County: 18.8 %St. Clair County: 17.4 %Shelby County: 14.6 %Sumter County: 19.4 %Talladega County: 17.7 %Tallapoosa County: 16.9 %Tuscaloosa County: 18.4 %Walker County: 18.5 %Washington County: 17.7 %Wilcox County: 19.3 %Winston County: 18.3 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Bullock County: 20.1 %Bullock County20.1Perry County: 19.8 %Perry County19.8Escambia County: 19.6 %Escambia County19.6Pike County: 19.5 %Pike County19.5Sumter County: 19.4 %Sumter County19.4Wilcox County: 19.3 %Wilcox County19.3Lowndes County: 19.1 %Lowndes County19.1Greene County: 19 %Greene County19Bibb County: 18.9 %Bibb County18.9DeKalb County: 18.9 %DeKalb County18.9Macon County: 18.8 %Macon County18.8Russell County: 18.8 %Russell County18.8Franklin County: 18.6 %Franklin County18.6Monroe County: 18.6 %Monroe County18.6Barbour County: 18.5 %Barbour County18.5Dale County: 18.5 %Dale County18.5Jackson County: 18.5 %Jackson County18.5Walker County: 18.5 %Walker County18.5Calhoun County: 18.4 %Calhoun County18.4Dallas County: 18.4 %Dallas County18.4Hale County: 18.4 %Hale County18.4Tuscaloosa County: 18.4 %Tuscaloosa County18.4Butler County: 18.3 %Butler County18.3Chambers County: 18.3 %Chambers County18.3Conecuh County: 18.3 %Conecuh County18.3Geneva County: 18.3 %Geneva County18.3Lamar County: 18.3 %Lamar County18.3Lawrence County: 18.3 %Lawrence County18.3Winston County: 18.3 %Winston County18.3Chilton County: 18.2 %Chilton County18.2Fayette County: 18.2 %Fayette County18.2Houston County: 18.2 %Houston County18.2Marion County: 18.2 %Marion County18.2Pickens County: 18.2 %Pickens County18.2Cleburne County: 18.1 %Cleburne County18.1Etowah County: 18.1 %Etowah County18.1Clarke County: 18 %Clarke County18Clay County: 18 %Clay County18Covington County: 18 %Covington County18Crenshaw County: 18 %Crenshaw County18Bullock County: 20.1 %Bullock County20.1Perry County: 19.8 %Perry County19.8Escambia County: 19.6 %Escambia County19.6Pike County: 19.5 %Pike County19.5Sumter County: 19.4 %Sumter County19.4Wilcox County: 19.3 %Wilcox County19.3Lowndes County: 19.1 %Lowndes County19.1Greene County: 19 %Greene County19Bibb County: 18.9 %Bibb County18.9DeKalb County: 18.9 %DeKalb County18.9Macon County: 18.8 %Macon County18.8Russell County: 18.8 %Russell County18.8Franklin County: 18.6 %Franklin County18.6Monroe County: 18.6 %Monroe County18.6Barbour County: 18.5 %Barbour County18.5Dale County: 18.5 %Dale County18.5Jackson County: 18.5 %Jackson County18.5Walker County: 18.5 %Walker County18.5Calhoun County: 18.4 %Calhoun County18.4Dallas County: 18.4 %Dallas County18.4Hale County: 18.4 %Hale County18.4Tuscaloosa County: 18.4 %Tuscaloosa County18.4Butler County: 18.3 %Butler County18.3Chambers County: 18.3 %Chambers County18.3Conecuh County: 18.3 %Conecuh County18.3Geneva County: 18.3 %Geneva County18.3Lamar County: 18.3 %Lamar County18.3Lawrence County: 18.3 %Lawrence County18.3Winston County: 18.3 %Winston County18.3Chilton County: 18.2 %Chilton County18.2Fayette County: 18.2 %Fayette County18.2Houston County: 18.2 %Houston County18.2Marion County: 18.2 %Marion County18.2Pickens County: 18.2 %Pickens County18.2Cleburne County: 18.1 %Cleburne County18.1Etowah County: 18.1 %Etowah County18.1Clarke County: 18 %Clarke County18Clay County: 18 %Clay County18Covington County: 18 %Covington County18Crenshaw County: 18 %Crenshaw County18
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Bullock County20.1-1.4 pts
2Perry County19.8-1.6 pts
3Escambia County19.6-0.9 pts
4Pike County19.5-1.2 pts
5Sumter County19.4-2.4 pts
6Wilcox County19.3-2.3 pts
7Lowndes County19.1-1.1 pts
8Greene County19-1.3 pts
9Bibb County18.9-1.3 pts
9DeKalb County18.9-2.2 pts
11Macon County18.8-1.9 pts
11Russell County18.8-1.9 pts
13Franklin County18.6-1.3 pts
13Monroe County18.6-0.8 pts
15Barbour County18.5-1.2 pts
15Dale County18.5-0.4 pts
15Jackson County18.5-1.7 pts
15Walker County18.5-2.1 pts
19Calhoun County18.4-0.3 pts
19Dallas County18.4-1 pts
19Hale County18.4-1 pts
19Tuscaloosa County18.4-2.6 pts
23Butler County18.3-1.2 pts
23Chambers County18.3-1.8 pts
23Conecuh County18.3-0.3 pts
23Geneva County18.3-0.3 pts
23Lamar County18.3-0.4 pts
23Lawrence County18.3-1.9 pts
23Winston County18.3+0.7 pts
30Chilton County18.20 pts
30Fayette County18.2-2.2 pts
30Houston County18.2-1.3 pts
30Marion County18.2-1 pts
30Pickens County18.2-1 pts
35Cleburne County18.1-1.8 pts
35Etowah County18.1-1.5 pts
37Clarke County18-1.7 pts
37Clay County18-2 pts
37Covington County18-0.6 pts
37Crenshaw County18-1.1 pts
41Choctaw County17.8-1.5 pts
41Marengo County17.8-1.6 pts
41Marshall County17.8-1.2 pts
44Coffee County17.7+0.7 pts
44Talladega County17.7-1.7 pts
44Washington County17.7-2.3 pts
47Cullman County17.6-1.9 pts
47Lee County17.6-2.9 pts
47Randolph County17.6-1.9 pts
50Blount County17.5-2.1 pts
50Elmore County17.5-0.7 pts
50Lauderdale County17.5-0.8 pts
53Cherokee County17.40 pts
53St. Clair County17.4-0.4 pts
55Colbert County17.3-1.2 pts
56Mobile County17.2-2.3 pts
57Autauga County17-0.3 pts
57Henry County17-2.8 pts
57Montgomery County17-2.3 pts
60Coosa County16.9-1.1 pts
60Tallapoosa County16.9-0.9 pts
62Jefferson County16.8-0.5 pts
62Morgan County16.8-2.1 pts
64Limestone County16.4-1.3 pts
65Madison County15.5-0.9 pts
66Baldwin County15.1-1.1 pts
67Shelby County14.6-0.9 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 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), 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence (Counties 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Alabama by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-counties. 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), frequent mental distress in adults, crude prevalence. Counties 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-counties.

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), frequent mental distress in adults, crude prevalence, Counties 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-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2023,
  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), frequent mental distress in adults, crude prevalence: Counties 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-counties. 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), 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in Alabama by frequent mental distress in adults, local model estimate, 2023
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-frequent-mental-distress-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-counties.
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), 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 Counties in Alabama by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Bullock County, with 20.1% in 2023, according to the Centers for Disease Control and Prevention.

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

Shelby County, with 14.6% 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

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

Counties in Alabama: more rankings