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

Perry County had the highest frequent mental distress in adults, local model estimate of 67 counties in 2021, at 21.1%. Shelby County had the lowest, at 14.9%. The median was 18.3%. Source: the Centers for Disease Control and Prevention.

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Highest21.1Perry County
Lowest14.9Shelby County
Median18.367 counties

Map of counties, 2021

Autauga County: 17.1 %Baldwin County: 15.7 %Barbour County: 19.3 %Bibb County: 18.7 %Blount County: 17.6 %Bullock County: 19.6 %Butler County: 18.2 %Calhoun County: 18.1 %Chambers County: 18 %Cherokee County: 17.9 %Chilton County: 18.7 %Choctaw County: 18.2 %Clarke County: 18.2 %Clay County: 18.1 %Cleburne County: 18.3 %Coffee County: 17.9 %Colbert County: 17.6 %Conecuh County: 17.8 %Coosa County: 16.7 %Covington County: 18 %Crenshaw County: 18 %Cullman County: 17.6 %Dale County: 18.5 %Dallas County: 18.9 %DeKalb County: 19.5 %Elmore County: 17.1 %Escambia County: 19.7 %Etowah County: 18.5 %Fayette County: 18.8 %Franklin County: 19 %Geneva County: 18.9 %Greene County: 19.6 %Hale County: 18.9 %Henry County: 17.1 %Houston County: 17.7 %Jackson County: 18.4 %Jefferson County: 17.1 %Lamar County: 18.1 %Lauderdale County: 17.5 %Lawrence County: 18.4 %Lee County: 17.8 %Limestone County: 16.8 %Lowndes County: 18.7 %Macon County: 18.9 %Madison County: 15.9 %Marengo County: 18 %Marion County: 18.5 %Marshall County: 18.5 %Mobile County: 18.7 %Monroe County: 19 %Montgomery County: 17.6 %Morgan County: 17.8 %Perry County: 21.1 %Pickens County: 18.7 %Pike County: 20 %Randolph County: 18.1 %Russell County: 18.9 %St. Clair County: 17.4 %Shelby County: 14.9 %Sumter County: 20.1 %Talladega County: 19.1 %Tallapoosa County: 17.2 %Tuscaloosa County: 18.8 %Walker County: 18.9 %Washington County: 18.6 %Wilcox County: 19.8 %Winston County: 18.5 %
  • Under 18
  • 18 to 19
  • 19 and over
%, 2021. 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, 2021

Perry County: 21.1 %Perry County21.1Sumter County: 20.1 %Sumter County20.1Pike County: 20 %Pike County20Wilcox County: 19.8 %Wilcox County19.8Escambia County: 19.7 %Escambia County19.7Bullock County: 19.6 %Bullock County19.6Greene County: 19.6 %Greene County19.6DeKalb County: 19.5 %DeKalb County19.5Barbour County: 19.3 %Barbour County19.3Talladega County: 19.1 %Talladega County19.1Franklin County: 19 %Franklin County19Monroe County: 19 %Monroe County19Dallas County: 18.9 %Dallas County18.9Geneva County: 18.9 %Geneva County18.9Hale County: 18.9 %Hale County18.9Macon County: 18.9 %Macon County18.9Russell County: 18.9 %Russell County18.9Walker County: 18.9 %Walker County18.9Fayette County: 18.8 %Fayette County18.8Tuscaloosa County: 18.8 %Tuscaloosa County18.8Bibb County: 18.7 %Bibb County18.7Chilton County: 18.7 %Chilton County18.7Lowndes County: 18.7 %Lowndes County18.7Mobile County: 18.7 %Mobile County18.7Pickens County: 18.7 %Pickens County18.7Washington County: 18.6 %Washington County18.6Dale County: 18.5 %Dale County18.5Etowah County: 18.5 %Etowah County18.5Marion County: 18.5 %Marion County18.5Marshall County: 18.5 %Marshall County18.5Winston County: 18.5 %Winston County18.5Jackson County: 18.4 %Jackson County18.4Lawrence County: 18.4 %Lawrence County18.4Cleburne County: 18.3 %Cleburne County18.3Butler County: 18.2 %Butler County18.2Choctaw County: 18.2 %Choctaw County18.2Clarke County: 18.2 %Clarke County18.2Calhoun County: 18.1 %Calhoun County18.1Clay County: 18.1 %Clay County18.1Lamar County: 18.1 %Lamar County18.1Perry County: 21.1 %Perry County21.1Sumter County: 20.1 %Sumter County20.1Pike County: 20 %Pike County20Wilcox County: 19.8 %Wilcox County19.8Escambia County: 19.7 %Escambia County19.7Bullock County: 19.6 %Bullock County19.6Greene County: 19.6 %Greene County19.6DeKalb County: 19.5 %DeKalb County19.5Barbour County: 19.3 %Barbour County19.3Talladega County: 19.1 %Talladega County19.1Franklin County: 19 %Franklin County19Monroe County: 19 %Monroe County19Dallas County: 18.9 %Dallas County18.9Geneva County: 18.9 %Geneva County18.9Hale County: 18.9 %Hale County18.9Macon County: 18.9 %Macon County18.9Russell County: 18.9 %Russell County18.9Walker County: 18.9 %Walker County18.9Fayette County: 18.8 %Fayette County18.8Tuscaloosa County: 18.8 %Tuscaloosa County18.8Bibb County: 18.7 %Bibb County18.7Chilton County: 18.7 %Chilton County18.7Lowndes County: 18.7 %Lowndes County18.7Mobile County: 18.7 %Mobile County18.7Pickens County: 18.7 %Pickens County18.7Washington County: 18.6 %Washington County18.6Dale County: 18.5 %Dale County18.5Etowah County: 18.5 %Etowah County18.5Marion County: 18.5 %Marion County18.5Marshall County: 18.5 %Marshall County18.5Winston County: 18.5 %Winston County18.5Jackson County: 18.4 %Jackson County18.4Lawrence County: 18.4 %Lawrence County18.4Cleburne County: 18.3 %Cleburne County18.3Butler County: 18.2 %Butler County18.2Choctaw County: 18.2 %Choctaw County18.2Clarke County: 18.2 %Clarke County18.2Calhoun County: 18.1 %Calhoun County18.1Clay County: 18.1 %Clay County18.1Lamar County: 18.1 %Lamar County18.1
%. 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

RankCounties2021 (%)
1Perry County21.1
2Sumter County20.1
3Pike County20
4Wilcox County19.8
5Escambia County19.7
6Bullock County19.6
6Greene County19.6
8DeKalb County19.5
9Barbour County19.3
10Talladega County19.1
11Franklin County19
11Monroe County19
13Dallas County18.9
13Geneva County18.9
13Hale County18.9
13Macon County18.9
13Russell County18.9
13Walker County18.9
19Fayette County18.8
19Tuscaloosa County18.8
21Bibb County18.7
21Chilton County18.7
21Lowndes County18.7
21Mobile County18.7
21Pickens County18.7
26Washington County18.6
27Dale County18.5
27Etowah County18.5
27Marion County18.5
27Marshall County18.5
27Winston County18.5
32Jackson County18.4
32Lawrence County18.4
34Cleburne County18.3
35Butler County18.2
35Choctaw County18.2
35Clarke County18.2
38Calhoun County18.1
38Clay County18.1
38Lamar County18.1
38Randolph County18.1
42Chambers County18
42Covington County18
42Crenshaw County18
42Marengo County18
46Cherokee County17.9
46Coffee County17.9
48Conecuh County17.8
48Lee County17.8
48Morgan County17.8
51Houston County17.7
52Blount County17.6
52Colbert County17.6
52Cullman County17.6
52Montgomery County17.6
56Lauderdale County17.5
57St. Clair County17.4
58Tallapoosa County17.2
59Autauga County17.1
59Elmore County17.1
59Henry County17.1
59Jefferson County17.1
63Limestone County16.8
64Coosa County16.7
65Madison County15.9
66Baldwin County15.7
67Shelby County14.9

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, 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), frequent mental distress in adults, crude prevalence, Counties in Alabama by frequent mental distress 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-frequent-mental-distress-rate-county-estimate/alabama-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), frequent mental distress in adults, crude prevalence. Counties in Alabama by frequent mental distress 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-frequent-mental-distress-rate-county-estimate/alabama-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), frequent mental distress in adults, crude prevalence, Counties in Alabama by frequent mental distress in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_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), frequent mental distress in adults, crude prevalence: Counties in Alabama by frequent mental distress 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-frequent-mental-distress-rate-county-estimate/alabama-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), 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, 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-frequent-mental-distress-rate-county-estimate/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-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), 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?

Perry County, with 21.1% in 2021, 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 14.9% 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), 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