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

Arvin, CA had the highest frequent mental distress in adults, local model estimate of 376 cities in 2023, at 23%. Laguna Woods, CA had the lowest, at 9.1%. The median was 16.8%. Source: the Centers for Disease Control and Prevention.

Highest23Arvin, CA
Median16.8376 cities

Top 40 cities, 2023

Arvin, CA: 23 %Arvin, CA23Arcata, CA: 22.6 %Arcata, CA22.6Mendota, CA: 22.6 %Mendota, CA22.6McFarland, CA: 22.5 %McFarland, CA22.5Chowchilla, CA: 22.3 %Chowchilla, CA22.3Twentynine Palms, CA: 22.2 %Twentynine Palms, CA22.2Clearlake, CA: 21.9 %Clearlake, CA21.9Oroville, CA: 21.9 %Oroville, CA21.9California City, CA: 21.8 %California City, CA21.8Marysville, CA: 21.2 %Marysville, CA21.2Red Bluff, CA: 21.2 %Red Bluff, CA21.2Shafter, CA: 21.2 %Shafter, CA21.2Wasco, CA: 21.2 %Wasco, CA21.2Madera, CA: 21.1 %Madera, CA21.1Adelanto, CA: 21 %Adelanto, CA21Barstow, CA: 21 %Barstow, CA21Parlier, CA: 21 %Parlier, CA21Anderson, CA: 20.9 %Anderson, CA20.9Avenal, CA: 20.9 %Avenal, CA20.9Corcoran, CA: 20.9 %Corcoran, CA20.9Cudahy, CA: 20.8 %Cudahy, CA20.8Farmersville, CA: 20.8 %Farmersville, CA20.8Shasta Lake, CA: 20.8 %Shasta Lake, CA20.8Lindsay, CA: 20.6 %Lindsay, CA20.6Susanville, CA: 20.6 %Susanville, CA20.6Eureka, CA: 20.5 %Eureka, CA20.5King City, CA: 20.5 %King City, CA20.5Bell Gardens, CA: 20.4 %Bell Gardens, CA20.4Blythe, CA: 20.4 %Blythe, CA20.4San Luis Obispo, CA: 20.3 %San Luis Obispo, CA20.3Delano, CA: 20.2 %Delano, CA20.2Coalinga, CA: 20.1 %Coalinga, CA20.1El Cajon, CA: 20.1 %El Cajon, CA20.1Victorville, CA: 20.1 %Victorville, CA20.1Kerman, CA: 20 %Kerman, CA20San Bernardino, CA: 20 %San Bernardino, CA20Tulare, CA: 20 %Tulare, CA20Chico, CA: 19.9 %Chico, CA19.9Ceres, CA: 19.8 %Ceres, CA19.8Desert Hot Springs, CA: 19.8 %Desert Hot Springs, CA19.8
%. 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
1Arvin, CA23+0.3 pts
2Arcata, CA22.6+0.1 pts
2Mendota, CA22.6-2 pts
4McFarland, CA22.5+0.1 pts
5Chowchilla, CA22.3+1.5 pts
6Twentynine Palms, CA22.20 pts
7Clearlake, CA21.9+0.5 pts
7Oroville, CA21.9+1.2 pts
9California City, CA21.8+1.9 pts
10Marysville, CA21.2+0.5 pts
10Red Bluff, CA21.2+0.2 pts
10Shafter, CA21.2+0.6 pts
10Wasco, CA21.2+0.9 pts
14Madera, CA21.1-0.2 pts
15Adelanto, CA21-0.2 pts
15Barstow, CA21-0.2 pts
15Parlier, CA21-0.6 pts
18Anderson, CA20.90 pts
18Avenal, CA20.9+0.5 pts
18Corcoran, CA20.9-0.6 pts
21Cudahy, CA20.8-2.1 pts
21Farmersville, CA20.8-0.3 pts
21Shasta Lake, CA20.8+0.8 pts
24Lindsay, CA20.6-1.7 pts
24Susanville, CA20.6+0.7 pts
26Eureka, CA20.5+1.2 pts
26King City, CA20.5-1.1 pts
28Bell Gardens, CA20.4-1.9 pts
28Blythe, CA20.4+0.7 pts
30San Luis Obispo, CA20.3-0.3 pts
31Delano, CA20.2+0.7 pts
32Coalinga, CA20.1-0.3 pts
32El Cajon, CA20.1+0.6 pts
32Victorville, CA20.1-0.2 pts
35Kerman, CA20-1.1 pts
35San Bernardino, CA20-0.3 pts
35Tulare, CA20+0.2 pts
38Chico, CA19.9+0.1 pts
39Ceres, CA19.8-0.2 pts
39Desert Hot Springs, CA19.8+0.4 pts
39Greenfield, CA19.8-0.9 pts
42Compton, CA19.7-1.1 pts
42Hesperia, CA19.7+0.3 pts
44Bakersfield, CA19.6+1.1 pts
44Merced, CA19.6-0.5 pts
44Newman, CA19.60 pts
44Porterville, CA19.6-0.3 pts
44San Jacinto, CA19.6+0.3 pts
49Coachella, CA19.5-1 pts
49Dinuba, CA19.5-0.7 pts
49Fortuna, CA19.5+1.7 pts
49Lemoore, CA19.5+0.5 pts
49Perris, CA19.5-0.2 pts
49Ridgecrest, CA19.5+2.3 pts
55Bell, CA19.4-1.6 pts
55Lynwood, CA19.4-1.3 pts
55Maywood, CA19.4-1.2 pts
55Reedley, CA19.4+0.4 pts
55Tehachapi, CA19.4+1.8 pts
60Lancaster, CA19.3-0.6 pts
61Atwater, CA19.2+0.2 pts
61Huntington Park, CA19.2-1.3 pts
61Santa Maria, CA19.2-0.6 pts
64Fresno, CA19.10 pts
64Hanford, CA19.1+0.7 pts
64Oakdale, CA19.1+0.7 pts
64Redding, CA19.1+1 pts
64Soledad, CA19.1-1.1 pts
69Citrus Heights, CA19+0.7 pts
69Lompoc, CA19-0.1 pts
69Modesto, CA19+0.5 pts
69Moreno Valley, CA19+0.2 pts
69Riverbank, CA19+0.5 pts
74Ukiah, CA18.9+0.5 pts
74Watsonville, CA18.9-0.5 pts
76Apple Valley, CA18.8+0.2 pts
76Exeter, CA18.8-0.5 pts
76Imperial Beach, CA18.8-0.2 pts
76Patterson, CA18.8+0.4 pts
76Selma, CA18.8-0.8 pts
76Turlock, CA18.8+0.1 pts
82Lake Elsinore, CA18.7+0.2 pts
82Los Banos, CA18.7-0.6 pts
82Paramount, CA18.7-1.2 pts
82Santa Ana, CA18.7+0.9 pts
82Yucca Valley, CA18.7+0.1 pts
87Colton, CA18.6-0.4 pts
87Hawthorne, CA18.6-0.5 pts
87Hemet, CA18.6+0.1 pts
87Highland, CA18.6+0.1 pts
87Palmdale, CA18.6-0.7 pts
87Rialto, CA18.6-0.2 pts
87Sanger, CA18.60 pts
94Riverside, CA18.5+0.2 pts
94San Pablo, CA18.5+0.5 pts
94South El Monte, CA18.5-1.1 pts
97Antioch, CA18.4+0.7 pts
97Brawley, CA18.4-1 pts
97Rancho Cordova, CA18.4+0.4 pts
100Livingston, CA18.3-0.7 pts
100Santa Cruz, CA18.3-0.1 pts
100Yuba City, CA18.3+0.2 pts
103Galt, CA18.2+0.2 pts
103Inglewood, CA18.2-0.7 pts
103Jurupa Valley, CA18.20 pts
103Oakley, CA18.2+0.7 pts
103Salinas, CA18.2-1.3 pts
103Santa Paula, CA18.2-0.3 pts
103West Sacramento, CA18.2+0.2 pts
103Wildomar, CA18.2+0.9 pts
111Berkeley, CA18.1+0.6 pts
111Grover Beach, CA18.1+1.6 pts
111Lawndale, CA18.1-0.8 pts
111Montclair, CA18.1-0.2 pts
111Port Hueneme, CA18.1-0.1 pts
111Stockton, CA18.10 pts
117Anaheim, CA18+1.4 pts
117El Centro, CA18-0.7 pts
117Escondido, CA18-0.1 pts
117Seaside, CA18-0.4 pts
117South Gate, CA18-1.4 pts
117South Lake Tahoe, CA18+0.1 pts
117Vista, CA180 pts
124Costa Mesa, CA17.9+1.7 pts
124Davis, CA17.9-0.1 pts
124Dixon, CA17.9+1 pts
124Oxnard, CA17.9-0.3 pts
124Rohnert Park, CA17.9+0.4 pts
124Sacramento, CA17.9+0.3 pts
124Visalia, CA17.9+0.3 pts
131Hawaiian Gardens, CA17.8-1.4 pts
131Kingsburg, CA17.8+0.3 pts
131Ontario, CA17.8-0.2 pts
131Pittsburg, CA17.8+0.6 pts
131Richmond, CA17.8+0.6 pts
131Suisun City, CA17.8+0.8 pts
137Bellflower, CA17.7-0.6 pts
137Lemon Grove, CA17.7+0.7 pts
137Lodi, CA17.70 pts
137Oakland, CA17.7+1.2 pts
137Pomona, CA17.7-1.4 pts
137Santee, CA17.7+0.5 pts
137Stanton, CA17.7+1.5 pts
144Fairfield, CA17.6+0.7 pts
144Fontana, CA17.6-0.2 pts
144Imperial, CA17.6+0.3 pts
144Placerville, CA17.6+1.1 pts
148Calexico, CA17.5-0.8 pts
148Fillmore, CA17.5-0.4 pts
148Hollister, CA17.5-0.3 pts
148Long Beach, CA17.5-0.5 pts
148Norco, CA17.5+1 pts
148Vacaville, CA17.5+0.8 pts
154Canyon Lake, CA17.4+1.2 pts
154Los Angeles, CA17.4-0.5 pts
154Yucaipa, CA17.4+0.8 pts
157Atascadero, CA17.3+1.1 pts
157East Palo Alto, CA17.3-0.9 pts
157El Paso de Robles (Paso Robles), CA17.3+0.5 pts
157Grass Valley, CA17.3+0.5 pts
157Indio, CA17.3-0.3 pts
157La Mesa, CA17.3+0.5 pts
157National City, CA17.3-0.4 pts
164Banning, CA17.2+0.3 pts
164Beaumont, CA17.2+0.9 pts
164Corona, CA17.2+0.5 pts
164Grand Terrace, CA17.2+0.4 pts
164Orange, CA17.2+1.4 pts
164Ripon, CA17.2+0.5 pts
164Woodland, CA17.2+0.1 pts
171Manteca, CA17.1+0.2 pts
172Azusa, CA17-0.5 pts
172Clovis, CA17+0.4 pts
172Commerce, CA17-1.3 pts
172El Monte, CA17-0.8 pts
172Los Alamitos, CA17+2.2 pts
172Menifee, CA17+0.7 pts
172Murrieta, CA17+0.6 pts
172San Fernando, CA17-1.6 pts
180Marina, CA16.9-0.6 pts
180Oceanside, CA16.9+0.2 pts
180San Marcos, CA16.9+0.3 pts
180Vallejo, CA16.9+0.5 pts
184Fullerton, CA16.8+1.6 pts
184Hayward, CA16.8+0.9 pts
184La Habra, CA16.8+1.2 pts
184Lathrop, CA16.8+0.4 pts
184Tracy, CA16.8+0.1 pts
189Baldwin Park, CA16.7-0.8 pts
189Garden Grove, CA16.7+1.4 pts
189Gilroy, CA16.7+0.7 pts
189La Puente, CA16.7-1 pts
189Paradise, CA16.7+0.6 pts
189Santa Rosa, CA16.7+0.2 pts
195Auburn, CA16.60 pts
195Cathedral City, CA16.60 pts
195Concord, CA16.6+0.8 pts
195Napa, CA16.6+0.3 pts
195Rancho Santa Margarita, CA16.6+1.9 pts
195Temecula, CA16.6+0.8 pts
201Calimesa, CA16.5+0.7 pts
201San Diego, CA16.5+0.2 pts
201Tustin, CA16.5+1.6 pts
204Glendale, CA16.4+0.1 pts
204San Buenaventura (Ventura), CA16.4+0.2 pts
204Westminster, CA16.4+1.6 pts
207Buena Park, CA16.3+1.4 pts
207Chino, CA16.3+0.2 pts
207Simi Valley, CA16.3+0.7 pts
210Aliso Viejo, CA16.2+1.7 pts
210Huntington Beach, CA16.2+1.7 pts
210Monterey, CA16.2-0.6 pts
213Brentwood, CA16.1+0.8 pts
213Burbank, CA16.1-0.1 pts
213Downey, CA16.1-0.9 pts
213Norwalk, CA16.1-0.9 pts
213Pico Rivera, CA16.1-1.3 pts
213Placentia, CA16.1+1.3 pts
213Rancho Cucamonga, CA16.1+0.5 pts
213Redlands, CA16.1+0.1 pts
213Santa Barbara, CA16.10 pts
213Santa Fe Springs, CA16.1-0.7 pts
213Windsor, CA16.1+0.3 pts
224Chula Vista, CA16-0.1 pts
224Montebello, CA16-0.9 pts
224Rocklin, CA16+0.8 pts
224San Clemente, CA16+1.9 pts
224San Leandro, CA16+1.3 pts
224Santa Clarita, CA16-0.2 pts
224Upland, CA160 pts
231Elk Grove, CA15.9+0.7 pts
231Lake Forest, CA15.9+1.6 pts
231Lomita, CA15.9-0.4 pts
231San Rafael, CA15.9+1 pts
231West Hollywood, CA15.9+0.1 pts
236Martinez, CA15.8+0.8 pts
236Roseville, CA15.8+0.6 pts
238Covina, CA15.7-0.4 pts
238Gardena, CA15.7-0.5 pts
238Healdsburg, CA15.7+0.8 pts
238Livermore, CA15.7+1 pts
238Moorpark, CA15.7+0.4 pts
238San Juan Capistrano, CA15.7+1.4 pts
244American Canyon, CA15.6+0.7 pts
244Goleta, CA15.6+0.4 pts
244Loma Linda, CA15.6+0.1 pts
244Petaluma, CA15.6+0.4 pts
244Signal Hill, CA15.6-0.1 pts
244Whittier, CA15.6-0.6 pts
250Lakewood, CA15.5-0.2 pts

Showing the top 250 of 376. The Excel download has every row.

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 California 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 California 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/california-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 California 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/california-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 California 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/california-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_california_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 California 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/california-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 California 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/california-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/california-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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Questions

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

Arvin, CA, with 23% in 2023, according to the Centers for Disease Control and Prevention.

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

Laguna Woods, CA, with 9.1% 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 California: more rankings