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

Sumter County had the highest frequent mental distress in adults, local model estimate of 67 counties in 2022, at 21.8%. Shelby County had the lowest, at 15.5%. The median was 19.4%. Source: the Centers for Disease Control and Prevention.

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Highest21.8Sumter County
Lowest15.5Shelby County
Median19.467 counties

Map of counties, 2022

Autauga County: 17.3 %Baldwin County: 16.2 %Barbour County: 19.7 %Bibb County: 20.2 %Blount County: 19.6 %Bullock County: 21.5 %Butler County: 19.5 %Calhoun County: 18.7 %Chambers County: 20.1 %Cherokee County: 17.4 %Chilton County: 18.2 %Choctaw County: 19.3 %Clarke County: 19.7 %Clay County: 20 %Cleburne County: 19.9 %Coffee County: 17 %Colbert County: 18.5 %Conecuh County: 18.6 %Coosa County: 18 %Covington County: 18.6 %Crenshaw County: 19.1 %Cullman County: 19.5 %Dale County: 18.9 %Dallas County: 19.4 %DeKalb County: 21.1 %Elmore County: 18.2 %Escambia County: 20.5 %Etowah County: 19.6 %Fayette County: 20.4 %Franklin County: 19.9 %Geneva County: 18.6 %Greene County: 20.3 %Hale County: 19.4 %Henry County: 19.8 %Houston County: 19.5 %Jackson County: 20.2 %Jefferson County: 17.3 %Lamar County: 18.7 %Lauderdale County: 18.3 %Lawrence County: 20.2 %Lee County: 20.5 %Limestone County: 17.7 %Lowndes County: 20.2 %Macon County: 20.7 %Madison County: 16.4 %Marengo County: 19.4 %Marion County: 19.2 %Marshall County: 19 %Mobile County: 19.5 %Monroe County: 19.4 %Montgomery County: 19.3 %Morgan County: 18.9 %Perry County: 21.4 %Pickens County: 19.2 %Pike County: 20.7 %Randolph County: 19.5 %Russell County: 20.7 %St. Clair County: 17.8 %Shelby County: 15.5 %Sumter County: 21.8 %Talladega County: 19.4 %Tallapoosa County: 17.8 %Tuscaloosa County: 21 %Walker County: 20.6 %Washington County: 20 %Wilcox County: 21.6 %Winston County: 17.6 %
  • Under 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 and over
%, 2022. 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, 2022

Sumter County: 21.8 %Sumter County21.8Wilcox County: 21.6 %Wilcox County21.6Bullock County: 21.5 %Bullock County21.5Perry County: 21.4 %Perry County21.4DeKalb County: 21.1 %DeKalb County21.1Tuscaloosa County: 21 %Tuscaloosa County21Macon County: 20.7 %Macon County20.7Pike County: 20.7 %Pike County20.7Russell County: 20.7 %Russell County20.7Walker County: 20.6 %Walker County20.6Escambia County: 20.5 %Escambia County20.5Lee County: 20.5 %Lee County20.5Fayette County: 20.4 %Fayette County20.4Greene County: 20.3 %Greene County20.3Bibb County: 20.2 %Bibb County20.2Jackson County: 20.2 %Jackson County20.2Lawrence County: 20.2 %Lawrence County20.2Lowndes County: 20.2 %Lowndes County20.2Chambers County: 20.1 %Chambers County20.1Clay County: 20 %Clay County20Washington County: 20 %Washington County20Cleburne County: 19.9 %Cleburne County19.9Franklin County: 19.9 %Franklin County19.9Henry County: 19.8 %Henry County19.8Barbour County: 19.7 %Barbour County19.7Clarke County: 19.7 %Clarke County19.7Blount County: 19.6 %Blount County19.6Etowah County: 19.6 %Etowah County19.6Butler County: 19.5 %Butler County19.5Cullman County: 19.5 %Cullman County19.5Houston County: 19.5 %Houston County19.5Mobile County: 19.5 %Mobile County19.5Randolph County: 19.5 %Randolph County19.5Dallas County: 19.4 %Dallas County19.4Hale County: 19.4 %Hale County19.4Marengo County: 19.4 %Marengo County19.4Monroe County: 19.4 %Monroe County19.4Talladega County: 19.4 %Talladega County19.4Choctaw County: 19.3 %Choctaw County19.3Montgomery County: 19.3 %Montgomery County19.3Sumter County: 21.8 %Sumter County21.8Wilcox County: 21.6 %Wilcox County21.6Bullock County: 21.5 %Bullock County21.5Perry County: 21.4 %Perry County21.4DeKalb County: 21.1 %DeKalb County21.1Tuscaloosa County: 21 %Tuscaloosa County21Macon County: 20.7 %Macon County20.7Pike County: 20.7 %Pike County20.7Russell County: 20.7 %Russell County20.7Walker County: 20.6 %Walker County20.6Escambia County: 20.5 %Escambia County20.5Lee County: 20.5 %Lee County20.5Fayette County: 20.4 %Fayette County20.4Greene County: 20.3 %Greene County20.3Bibb County: 20.2 %Bibb County20.2Jackson County: 20.2 %Jackson County20.2Lawrence County: 20.2 %Lawrence County20.2Lowndes County: 20.2 %Lowndes County20.2Chambers County: 20.1 %Chambers County20.1Clay County: 20 %Clay County20Washington County: 20 %Washington County20Cleburne County: 19.9 %Cleburne County19.9Franklin County: 19.9 %Franklin County19.9Henry County: 19.8 %Henry County19.8Barbour County: 19.7 %Barbour County19.7Clarke County: 19.7 %Clarke County19.7Blount County: 19.6 %Blount County19.6Etowah County: 19.6 %Etowah County19.6Butler County: 19.5 %Butler County19.5Cullman County: 19.5 %Cullman County19.5Houston County: 19.5 %Houston County19.5Mobile County: 19.5 %Mobile County19.5Randolph County: 19.5 %Randolph County19.5Dallas County: 19.4 %Dallas County19.4Hale County: 19.4 %Hale County19.4Marengo County: 19.4 %Marengo County19.4Monroe County: 19.4 %Monroe County19.4Talladega County: 19.4 %Talladega County19.4Choctaw County: 19.3 %Choctaw County19.3Montgomery County: 19.3 %Montgomery County19.3
%. 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

RankCounties2022 (%)Change on 2021
1Sumter County21.8+1.7 pts
2Wilcox County21.6+1.8 pts
3Bullock County21.5+1.9 pts
4Perry County21.4+0.3 pts
5DeKalb County21.1+1.6 pts
6Tuscaloosa County21+2.2 pts
7Macon County20.7+1.8 pts
7Pike County20.7+0.7 pts
7Russell County20.7+1.8 pts
10Walker County20.6+1.7 pts
11Escambia County20.5+0.8 pts
11Lee County20.5+2.7 pts
13Fayette County20.4+1.6 pts
14Greene County20.3+0.7 pts
15Bibb County20.2+1.5 pts
15Jackson County20.2+1.8 pts
15Lawrence County20.2+1.8 pts
15Lowndes County20.2+1.5 pts
19Chambers County20.1+2.1 pts
20Clay County20+1.9 pts
20Washington County20+1.4 pts
22Cleburne County19.9+1.6 pts
22Franklin County19.9+0.9 pts
24Henry County19.8+2.7 pts
25Barbour County19.7+0.4 pts
25Clarke County19.7+1.5 pts
27Blount County19.6+2 pts
27Etowah County19.6+1.1 pts
29Butler County19.5+1.3 pts
29Cullman County19.5+1.9 pts
29Houston County19.5+1.8 pts
29Mobile County19.5+0.8 pts
29Randolph County19.5+1.4 pts
34Dallas County19.4+0.5 pts
34Hale County19.4+0.5 pts
34Marengo County19.4+1.4 pts
34Monroe County19.4+0.4 pts
34Talladega County19.4+0.3 pts
39Choctaw County19.3+1.1 pts
39Montgomery County19.3+1.7 pts
41Marion County19.2+0.7 pts
41Pickens County19.2+0.5 pts
43Crenshaw County19.1+1.1 pts
44Marshall County19+0.5 pts
45Dale County18.9+0.4 pts
45Morgan County18.9+1.1 pts
47Calhoun County18.7+0.6 pts
47Lamar County18.7+0.6 pts
49Conecuh County18.6+0.8 pts
49Covington County18.6+0.6 pts
49Geneva County18.6-0.3 pts
52Colbert County18.5+0.9 pts
53Lauderdale County18.3+0.8 pts
54Chilton County18.2-0.5 pts
54Elmore County18.2+1.1 pts
56Coosa County18+1.3 pts
57St. Clair County17.8+0.4 pts
57Tallapoosa County17.8+0.6 pts
59Limestone County17.7+0.9 pts
60Winston County17.6-0.9 pts
61Cherokee County17.4-0.5 pts
62Autauga County17.3+0.2 pts
62Jefferson County17.3+0.2 pts
64Coffee County17-0.9 pts
65Madison County16.4+0.5 pts
66Baldwin County16.2+0.5 pts
67Shelby County15.5+0.6 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, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2022,
  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, 2022}},
  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=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/alabama-counties?period=2022.
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?

Sumter County, with 21.8% in 2022, 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 15.5% in 2022.

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