Data / Rankings / Frequent mental distress in adults, local model estimate / Counties in Massachusetts

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

Hampden County had the highest frequent mental distress in adults, local model estimate of 14 counties in 2022, at 19.7%. Barnstable County had the lowest, at 13.2%. The median was 16%. Source: the Centers for Disease Control and Prevention.

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Highest19.7Hampden County
Lowest13.2Barnstable County
Median1614 counties

Map of counties, 2022

Barnstable County: 13.2 %Berkshire County: 17.2 %Bristol County: 17.2 %Dukes County: 14.5 %Essex County: 15.4 %Franklin County: 14.5 %Hampden County: 19.7 %Hampshire County: 18.3 %Middlesex County: 14.1 %Nantucket County: 13.7 %Norfolk County: 15.1 %Plymouth County: 16.6 %Suffolk County: 18.8 %Worcester County: 16.9 %
  • Under 14
  • 14 to 15
  • 15 to 17
  • 17 to 18
  • 18 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.

All counties, 2022

Hampden County: 19.7 %Hampden County19.7Suffolk County: 18.8 %Suffolk County18.8Hampshire County: 18.3 %Hampshire County18.3Berkshire County: 17.2 %Berkshire County17.2Bristol County: 17.2 %Bristol County17.2Worcester County: 16.9 %Worcester County16.9Plymouth County: 16.6 %Plymouth County16.6Essex County: 15.4 %Essex County15.4Norfolk County: 15.1 %Norfolk County15.1Dukes County: 14.5 %Dukes County14.5Franklin County: 14.5 %Franklin County14.5Middlesex County: 14.1 %Middlesex County14.1Nantucket County: 13.7 %Nantucket County13.7Barnstable County: 13.2 %Barnstable County13.2Hampden County: 19.7 %Hampden County19.7Suffolk County: 18.8 %Suffolk County18.8Hampshire County: 18.3 %Hampshire County18.3Berkshire County: 17.2 %Berkshire County17.2Bristol County: 17.2 %Bristol County17.2Worcester County: 16.9 %Worcester County16.9Plymouth County: 16.6 %Plymouth County16.6Essex County: 15.4 %Essex County15.4Norfolk County: 15.1 %Norfolk County15.1Dukes County: 14.5 %Dukes County14.5Franklin County: 14.5 %Franklin County14.5Middlesex County: 14.1 %Middlesex County14.1Nantucket County: 13.7 %Nantucket County13.7Barnstable County: 13.2 %Barnstable County13.2
%. 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
1Hampden County19.7+1.7 pts
2Suffolk County18.8+2.8 pts
3Hampshire County18.3+1.7 pts
4Berkshire County17.2+2.4 pts
4Bristol County17.2+1.4 pts
6Worcester County16.9+1 pts
7Plymouth County16.6+2.4 pts
8Essex County15.4+0.2 pts
9Norfolk County15.1+2 pts
10Dukes County14.5+1.1 pts
10Franklin County14.5-0.3 pts
12Middlesex County14.1+1.2 pts
13Nantucket County13.7+0.1 pts
14Barnstable County13.2-0.1 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 Massachusetts 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 Massachusetts 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/massachusetts-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 Massachusetts 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/massachusetts-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 Massachusetts 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/massachusetts-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_massachusetts_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 Massachusetts 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/massachusetts-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 Massachusetts 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/massachusetts-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/massachusetts-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 Massachusetts by frequent mental distress in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"province","within":"Massachusetts","limit":10}
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Questions

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

Hampden County, with 19.7% in 2022, according to the Centers for Disease Control and Prevention.

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

Barnstable County, with 13.2% 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 Massachusetts: more rankings