Data / Rankings / Frequent mental distress in adults, local model estimate / Cities in Iowa

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

Ames, IA had the highest frequent mental distress in adults, local model estimate of 41 cities in 2023, at 20.1%. Clive, IA had the lowest, at 14.1%. The median was 16.7%. Source: the Centers for Disease Control and Prevention.

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Highest20.1Ames, IA
Lowest14.1Clive, IA
Median16.741 cities

All cities, 2023

Ames, IA: 20.1 %Ames, IA20.1Iowa City, IA: 19.1 %Iowa City, IA19.1Des Moines, IA: 19 %Des Moines, IA19Sioux City, IA: 18.3 %Sioux City, IA18.3Council Bluffs, IA: 18.1 %Council Bluffs, IA18.1Ottumwa, IA: 18 %Ottumwa, IA18Altoona, IA: 17.8 %Altoona, IA17.8Davenport, IA: 17.8 %Davenport, IA17.8Muscatine, IA: 17.8 %Muscatine, IA17.8Oskaloosa, IA: 17.7 %Oskaloosa, IA17.7Clinton, IA: 17.6 %Clinton, IA17.6Fort Dodge, IA: 17.5 %Fort Dodge, IA17.5Cedar Rapids, IA: 17.4 %Cedar Rapids, IA17.4Pleasant Hill, IA: 17.4 %Pleasant Hill, IA17.4Waterloo, IA: 17.4 %Waterloo, IA17.4Storm Lake, IA: 17.3 %Storm Lake, IA17.3Burlington, IA: 17.2 %Burlington, IA17.2Cedar Falls, IA: 17.2 %Cedar Falls, IA17.2Grimes, IA: 17.2 %Grimes, IA17.2Newton, IA: 17.1 %Newton, IA17.1Mason City, IA: 16.7 %Mason City, IA16.7Ankeny, IA: 16.5 %Ankeny, IA16.5Dubuque, IA: 16.5 %Dubuque, IA16.5Waverly, IA: 16.4 %Waverly, IA16.4Boone, IA: 16.3 %Boone, IA16.3Marshalltown, IA: 16.3 %Marshalltown, IA16.3Indianola, IA: 16.2 %Indianola, IA16.2Le Mars, IA: 16 %Le Mars, IA16Spencer, IA: 15.9 %Spencer, IA15.9Carroll, IA: 15.8 %Carroll, IA15.8North Liberty, IA: 15.7 %North Liberty, IA15.7Coralville, IA: 15.6 %Coralville, IA15.6Marion, IA: 15.5 %Marion, IA15.5West Des Moines, IA: 15.5 %West Des Moines, IA15.5Norwalk, IA: 15.4 %Norwalk, IA15.4Johnston, IA: 15.3 %Johnston, IA15.3Pella, IA: 15.2 %Pella, IA15.2Urbandale, IA: 15.1 %Urbandale, IA15.1Waukee, IA: 14.7 %Waukee, IA14.7Bettendorf, IA: 14.6 %Bettendorf, IA14.6Clive, IA: 14.1 %Clive, IA14.1Ames, IA: 20.1 %Ames, IA20.1Iowa City, IA: 19.1 %Iowa City, IA19.1Des Moines, IA: 19 %Des Moines, IA19Sioux City, IA: 18.3 %Sioux City, IA18.3Council Bluffs, IA: 18.1 %Council Bluffs, IA18.1Ottumwa, IA: 18 %Ottumwa, IA18Altoona, IA: 17.8 %Altoona, IA17.8Davenport, IA: 17.8 %Davenport, IA17.8Muscatine, IA: 17.8 %Muscatine, IA17.8Oskaloosa, IA: 17.7 %Oskaloosa, IA17.7Clinton, IA: 17.6 %Clinton, IA17.6Fort Dodge, IA: 17.5 %Fort Dodge, IA17.5Cedar Rapids, IA: 17.4 %Cedar Rapids, IA17.4Pleasant Hill, IA: 17.4 %Pleasant Hill, IA17.4Waterloo, IA: 17.4 %Waterloo, IA17.4Storm Lake, IA: 17.3 %Storm Lake, IA17.3Burlington, IA: 17.2 %Burlington, IA17.2Cedar Falls, IA: 17.2 %Cedar Falls, IA17.2Grimes, IA: 17.2 %Grimes, IA17.2Newton, IA: 17.1 %Newton, IA17.1Mason City, IA: 16.7 %Mason City, IA16.7Ankeny, IA: 16.5 %Ankeny, IA16.5Dubuque, IA: 16.5 %Dubuque, IA16.5Waverly, IA: 16.4 %Waverly, IA16.4Boone, IA: 16.3 %Boone, IA16.3Marshalltown, IA: 16.3 %Marshalltown, IA16.3Indianola, IA: 16.2 %Indianola, IA16.2Le Mars, IA: 16 %Le Mars, IA16Spencer, IA: 15.9 %Spencer, IA15.9Carroll, IA: 15.8 %Carroll, IA15.8North Liberty, IA: 15.7 %North Liberty, IA15.7Coralville, IA: 15.6 %Coralville, IA15.6Marion, IA: 15.5 %Marion, IA15.5West Des Moines, IA: 15.5 %West Des Moines, IA15.5Norwalk, IA: 15.4 %Norwalk, IA15.4Johnston, IA: 15.3 %Johnston, IA15.3Pella, IA: 15.2 %Pella, IA15.2Urbandale, IA: 15.1 %Urbandale, IA15.1Waukee, IA: 14.7 %Waukee, IA14.7Bettendorf, IA: 14.6 %Bettendorf, IA14.6Clive, IA: 14.1 %Clive, IA14.1
%. 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
1Ames, IA20.1+0.5 pts
2Iowa City, IA19.1+0.6 pts
3Des Moines, IA19+3 pts
4Sioux City, IA18.3+1.3 pts
5Council Bluffs, IA18.1+1.8 pts
6Ottumwa, IA18+1.4 pts
7Altoona, IA17.8+3.2 pts
7Davenport, IA17.8+1.6 pts
7Muscatine, IA17.8+2 pts
10Oskaloosa, IA17.7+1.7 pts
11Clinton, IA17.6+1.4 pts
12Fort Dodge, IA17.5+1.6 pts
13Cedar Rapids, IA17.4+1.7 pts
13Pleasant Hill, IA17.4+3.3 pts
13Waterloo, IA17.4+1.4 pts
16Storm Lake, IA17.3+1.6 pts
17Burlington, IA17.2+1 pts
17Cedar Falls, IA17.2+0.9 pts
17Grimes, IA17.2+2.6 pts
20Newton, IA17.1+1.8 pts
21Mason City, IA16.7+1.7 pts
22Ankeny, IA16.5+3 pts
22Dubuque, IA16.5+1.3 pts
24Waverly, IA16.4+1.3 pts
25Boone, IA16.3+1.9 pts
25Marshalltown, IA16.3+1.5 pts
27Indianola, IA16.2+0.8 pts
28Le Mars, IA16+1.5 pts
29Spencer, IA15.9+1.9 pts
30Carroll, IA15.8+1.7 pts
31North Liberty, IA15.7+1.9 pts
32Coralville, IA15.6+1.4 pts
33Marion, IA15.5+1.8 pts
33West Des Moines, IA15.5+2.5 pts
35Norwalk, IA15.4+0.8 pts
36Johnston, IA15.3+2.8 pts
37Pella, IA15.2+1.4 pts
38Urbandale, IA15.1+2.7 pts
39Waukee, IA14.7+2 pts
40Bettendorf, IA14.6+1.7 pts
41Clive, IA14.1+2 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 Iowa 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 Iowa 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/iowa-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 Iowa 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/iowa-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 Iowa 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/iowa-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_iowa_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 Iowa 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/iowa-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 Iowa 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/iowa-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/iowa-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?

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

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

Clive, IA, with 14.1% 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 Iowa: more rankings