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

Black Hawk County had the highest frequent mental distress in adults, local model estimate of 99 counties in 2022, at 16.4%. Madison County had the lowest, at 12.8%. The median was 14.6%. Source: the Centers for Disease Control and Prevention.

Lowest12.8Madison County
Median14.699 counties

Top 40 counties, 2022

Black Hawk County: 16.4 %Black Hawk County16.4Decatur County: 16.4 %Decatur County16.4Wayne County: 16.1 %Wayne County16.1Woodbury County: 16 %Woodbury County16Dubuque County: 15.9 %Dubuque County15.9Story County: 15.9 %Story County15.9Wapello County: 15.8 %Wapello County15.8Cass County: 15.7 %Cass County15.7Clarke County: 15.7 %Clarke County15.7Harrison County: 15.7 %Harrison County15.7Polk County: 15.7 %Polk County15.7Fayette County: 15.6 %Fayette County15.6Henry County: 15.5 %Henry County15.5Pottawattamie County: 15.5 %Pottawattamie County15.5Clinton County: 15.4 %Clinton County15.4Louisa County: 15.4 %Louisa County15.4Lucas County: 15.4 %Lucas County15.4Montgomery County: 15.4 %Montgomery County15.4Poweshiek County: 15.4 %Poweshiek County15.4Union County: 15.4 %Union County15.4Davis County: 15.3 %Davis County15.3Hardin County: 15.1 %Hardin County15.1Lee County: 15.1 %Lee County15.1Mitchell County: 15.1 %Mitchell County15.1Monona County: 15.1 %Monona County15.1Warren County: 15.1 %Warren County15.1Crawford County: 15 %Crawford County15Mahaska County: 15 %Mahaska County15Tama County: 15 %Tama County15Van Buren County: 15 %Van Buren County15Benton County: 14.9 %Benton County14.9Des Moines County: 14.9 %Des Moines County14.9Humboldt County: 14.9 %Humboldt County14.9Johnson County: 14.9 %Johnson County14.9Marshall County: 14.9 %Marshall County14.9Carroll County: 14.8 %Carroll County14.8Ringgold County: 14.8 %Ringgold County14.8Wright County: 14.8 %Wright County14.8Audubon County: 14.7 %Audubon County14.7Keokuk County: 14.7 %Keokuk County14.7
%. 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
1Black Hawk County16.4+0.6 pts
1Decatur County16.4+0.7 pts
3Wayne County16.1+1.2 pts
4Woodbury County16+1 pts
5Dubuque County15.9+1.9 pts
5Story County15.90 pts
7Wapello County15.8+0.1 pts
8Cass County15.7+1.1 pts
8Clarke County15.7+0.4 pts
8Harrison County15.7+1.2 pts
8Polk County15.7+1.2 pts
12Fayette County15.6+0.8 pts
13Henry County15.5+0.9 pts
13Pottawattamie County15.5+0.7 pts
15Clinton County15.4+0.9 pts
15Louisa County15.4+1.3 pts
15Lucas County15.4+0.7 pts
15Montgomery County15.4+0.6 pts
15Poweshiek County15.4+1 pts
15Union County15.4+0.9 pts
21Davis County15.3+0.1 pts
22Hardin County15.1+1 pts
22Lee County15.1+0.1 pts
22Mitchell County15.1+1.3 pts
22Monona County15.1+0.7 pts
22Warren County15.1+1.3 pts
27Crawford County15-0.2 pts
27Mahaska County15-0.1 pts
27Tama County15+0.1 pts
27Van Buren County15-0.2 pts
31Benton County14.9+1 pts
31Des Moines County14.9-0.2 pts
31Humboldt County14.9+0.4 pts
31Johnson County14.9-0.9 pts
31Marshall County14.9-0.4 pts
36Carroll County14.8+1.1 pts
36Ringgold County14.8+0.5 pts
36Wright County14.8+0.8 pts
39Audubon County14.7+1.1 pts
39Keokuk County14.7+0.1 pts
39Page County14.7+0.2 pts
39Taylor County14.7+1 pts
43Appanoose County14.6-0.6 pts
43Boone County14.6+0.5 pts
43Bremer County14.6+1.1 pts
43Floyd County14.6+0.9 pts
43Jackson County14.6+0.2 pts
43Linn County14.6+0.4 pts
43Mills County14.6+1.3 pts
43Plymouth County14.6+1.1 pts
51Buena Vista County14.5+0.7 pts
51Monroe County14.5+0.3 pts
51O'Brien County14.5+0.3 pts
51Osceola County14.5+0.9 pts
55Franklin County14.4+0.2 pts
55Muscatine County14.4-0.2 pts
57Adair County14.3+0.3 pts
57Allamakee County14.3+0.7 pts
57Howard County14.3+0.2 pts
57Jasper County14.30 pts
57Lyon County14.3+0.6 pts
57Sioux County14.3+1 pts
57Washington County14.3+0.5 pts
57Webster County14.3-0.9 pts
65Cherokee County14.2+0.3 pts
65Emmet County14.2-0.4 pts
65Scott County14.2+0.2 pts
65Shelby County14.2+0.8 pts
69Adams County14.1+0.6 pts
69Cedar County14.1+0.4 pts
69Clayton County14.1-0.2 pts
69Greene County14.10 pts
73Buchanan County14+0.1 pts
73Chickasaw County140 pts
73Clay County14+0.2 pts
73Palo Alto County14+0.4 pts
77Cerro Gordo County13.90 pts
77Hancock County13.9+0.1 pts
77Kossuth County13.9+0.4 pts
80Calhoun County13.8+0.1 pts
80Dickinson County13.8+1.2 pts
80Guthrie County13.8+0.3 pts
80Sac County13.80 pts
84Jefferson County13.7+0.3 pts
84Jones County13.7-0.2 pts
84Marion County13.7-0.2 pts
84Worth County13.70 pts
88Butler County13.6-0.4 pts
88Ida County13.6-0.6 pts
90Delaware County13.5-0.2 pts
90Fremont County13.5-0.5 pts
90Grundy County13.5+0.3 pts
93Hamilton County13.40 pts
93Pocahontas County13.4-0.7 pts
95Winnebago County13.2-0.7 pts
95Winneshiek County13.2-0.7 pts
97Iowa County13.1-0.4 pts
98Dallas County12.8+0.1 pts
98Madison County12.8-0.8 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 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Iowa 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/iowa-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 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-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 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-counties?period=2022 (Accessed: 12 October 2026).

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

Black Hawk County, with 16.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Madison County, with 12.8% 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 Iowa: more rankings