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

Ames, IA had the highest frequent mental distress in adults, local model estimate of 41 cities in 2022, at 19.6%. Clive, IA had the lowest, at 12.1%. The median was 15%. Source: the Centers for Disease Control and Prevention.

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Highest19.6Ames, IA
Lowest12.1Clive, IA
Median1541 cities

All cities, 2022

Ames, IA: 19.6 %Ames, IA19.6Iowa City, IA: 18.5 %Iowa City, IA18.5Sioux City, IA: 17 %Sioux City, IA17Ottumwa, IA: 16.6 %Ottumwa, IA16.6Cedar Falls, IA: 16.3 %Cedar Falls, IA16.3Council Bluffs, IA: 16.3 %Council Bluffs, IA16.3Burlington, IA: 16.2 %Burlington, IA16.2Clinton, IA: 16.2 %Clinton, IA16.2Davenport, IA: 16.2 %Davenport, IA16.2Des Moines, IA: 16 %Des Moines, IA16Oskaloosa, IA: 16 %Oskaloosa, IA16Waterloo, IA: 16 %Waterloo, IA16Fort Dodge, IA: 15.9 %Fort Dodge, IA15.9Muscatine, IA: 15.8 %Muscatine, IA15.8Cedar Rapids, IA: 15.7 %Cedar Rapids, IA15.7Storm Lake, IA: 15.7 %Storm Lake, IA15.7Indianola, IA: 15.4 %Indianola, IA15.4Newton, IA: 15.3 %Newton, IA15.3Dubuque, IA: 15.2 %Dubuque, IA15.2Waverly, IA: 15.1 %Waverly, IA15.1Mason City, IA: 15 %Mason City, IA15Marshalltown, IA: 14.8 %Marshalltown, IA14.8Altoona, IA: 14.6 %Altoona, IA14.6Grimes, IA: 14.6 %Grimes, IA14.6Norwalk, IA: 14.6 %Norwalk, IA14.6Le Mars, IA: 14.5 %Le Mars, IA14.5Boone, IA: 14.4 %Boone, IA14.4Coralville, IA: 14.2 %Coralville, IA14.2Carroll, IA: 14.1 %Carroll, IA14.1Pleasant Hill, IA: 14.1 %Pleasant Hill, IA14.1Spencer, IA: 14 %Spencer, IA14North Liberty, IA: 13.8 %North Liberty, IA13.8Pella, IA: 13.8 %Pella, IA13.8Marion, IA: 13.7 %Marion, IA13.7Ankeny, IA: 13.5 %Ankeny, IA13.5West Des Moines, IA: 13 %West Des Moines, IA13Bettendorf, IA: 12.9 %Bettendorf, IA12.9Waukee, IA: 12.7 %Waukee, IA12.7Johnston, IA: 12.5 %Johnston, IA12.5Urbandale, IA: 12.4 %Urbandale, IA12.4Clive, IA: 12.1 %Clive, IA12.1Ames, IA: 19.6 %Ames, IA19.6Iowa City, IA: 18.5 %Iowa City, IA18.5Sioux City, IA: 17 %Sioux City, IA17Ottumwa, IA: 16.6 %Ottumwa, IA16.6Cedar Falls, IA: 16.3 %Cedar Falls, IA16.3Council Bluffs, IA: 16.3 %Council Bluffs, IA16.3Burlington, IA: 16.2 %Burlington, IA16.2Clinton, IA: 16.2 %Clinton, IA16.2Davenport, IA: 16.2 %Davenport, IA16.2Des Moines, IA: 16 %Des Moines, IA16Oskaloosa, IA: 16 %Oskaloosa, IA16Waterloo, IA: 16 %Waterloo, IA16Fort Dodge, IA: 15.9 %Fort Dodge, IA15.9Muscatine, IA: 15.8 %Muscatine, IA15.8Cedar Rapids, IA: 15.7 %Cedar Rapids, IA15.7Storm Lake, IA: 15.7 %Storm Lake, IA15.7Indianola, IA: 15.4 %Indianola, IA15.4Newton, IA: 15.3 %Newton, IA15.3Dubuque, IA: 15.2 %Dubuque, IA15.2Waverly, IA: 15.1 %Waverly, IA15.1Mason City, IA: 15 %Mason City, IA15Marshalltown, IA: 14.8 %Marshalltown, IA14.8Altoona, IA: 14.6 %Altoona, IA14.6Grimes, IA: 14.6 %Grimes, IA14.6Norwalk, IA: 14.6 %Norwalk, IA14.6Le Mars, IA: 14.5 %Le Mars, IA14.5Boone, IA: 14.4 %Boone, IA14.4Coralville, IA: 14.2 %Coralville, IA14.2Carroll, IA: 14.1 %Carroll, IA14.1Pleasant Hill, IA: 14.1 %Pleasant Hill, IA14.1Spencer, IA: 14 %Spencer, IA14North Liberty, IA: 13.8 %North Liberty, IA13.8Pella, IA: 13.8 %Pella, IA13.8Marion, IA: 13.7 %Marion, IA13.7Ankeny, IA: 13.5 %Ankeny, IA13.5West Des Moines, IA: 13 %West Des Moines, IA13Bettendorf, IA: 12.9 %Bettendorf, IA12.9Waukee, IA: 12.7 %Waukee, IA12.7Johnston, IA: 12.5 %Johnston, IA12.5Urbandale, IA: 12.4 %Urbandale, IA12.4Clive, IA: 12.1 %Clive, IA12.1
%. 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

RankCities2022 (%)Change on 2021
1Ames, IA19.6-0.6 pts
2Iowa City, IA18.5-1.1 pts
3Sioux City, IA17+0.9 pts
4Ottumwa, IA16.6-0.4 pts
5Cedar Falls, IA16.3-2 pts
5Council Bluffs, IA16.3-0.3 pts
7Burlington, IA16.2-0.7 pts
7Clinton, IA16.20 pts
7Davenport, IA16.2-0.1 pts
10Des Moines, IA16-1.1 pts
10Oskaloosa, IA16-0.3 pts
10Waterloo, IA16-1 pts
13Fort Dodge, IA15.9-0.5 pts
14Muscatine, IA15.8-0.3 pts
15Cedar Rapids, IA15.7+0.1 pts
15Storm Lake, IA15.7+0.2 pts
17Indianola, IA15.4-0.3 pts
18Newton, IA15.30 pts
19Dubuque, IA15.2-0.1 pts
20Waverly, IA15.1+0.1 pts
21Mason City, IA15-0.1 pts
22Marshalltown, IA14.8-2 pts
23Altoona, IA14.6-0.5 pts
23Grimes, IA14.60 pts
23Norwalk, IA14.6+0.5 pts
26Le Mars, IA14.5+0.2 pts
27Boone, IA14.4-1.3 pts
28Coralville, IA14.2-1.6 pts
29Carroll, IA14.10 pts
29Pleasant Hill, IA14.1-0.8 pts
31Spencer, IA14-0.3 pts
32North Liberty, IA13.8-1.8 pts
32Pella, IA13.8-0.9 pts
34Marion, IA13.7-0.3 pts
35Ankeny, IA13.5-1.1 pts
36West Des Moines, IA13-0.4 pts
37Bettendorf, IA12.9+0.4 pts
38Waukee, IA12.7-0.3 pts
39Johnston, IA12.50 pts
40Urbandale, IA12.4-1.1 pts
41Clive, IA12.1-0.6 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 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, 2022) [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, 2022. 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?period=2022. 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, 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/iowa-cities?period=2022.

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

BibTeX
@misc{centers_cities_in_iowa_by_2022,
  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, 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/iowa-cities?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/iowa-cities?period=2022.
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 19.6% in 2022, 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 12.1% 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, 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