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

Kirksville, MO had the highest frequent mental distress in adults, local model estimate of 81 cities in 2021, at 23.6%. Town and Country, MO had the lowest, at 10.9%. The median was 18%. Source: the Centers for Disease Control and Prevention.

Highest23.6Kirksville, MO
Median1881 cities

Top 40 cities, 2021

Kirksville, MO: 23.6 %Kirksville, MO23.6Warrensburg, MO: 22.2 %Warrensburg, MO22.2Poplar Bluff, MO: 21.6 %Poplar Bluff, MO21.6Maryville, MO: 21.1 %Maryville, MO21.1Springfield, MO: 20.7 %Springfield, MO20.7Kennett, MO: 20.6 %Kennett, MO20.6Carthage, MO: 20.1 %Carthage, MO20.1Columbia, MO: 20 %Columbia, MO20Jennings, MO: 20 %Jennings, MO20Fulton, MO: 19.9 %Fulton, MO19.9Rolla, MO: 19.9 %Rolla, MO19.9St. Joseph, MO: 19.8 %St. Joseph, MO19.8Grandview, MO: 19.7 %Grandview, MO19.7Sedalia, MO: 19.7 %Sedalia, MO19.7Bolivar, MO: 19.6 %Bolivar, MO19.6Cape Girardeau, MO: 19.5 %Cape Girardeau, MO19.5Moberly, MO: 19.5 %Moberly, MO19.5Webb City, MO: 19.5 %Webb City, MO19.5Ferguson, MO: 19.3 %Ferguson, MO19.3St. Louis, MO: 19.3 %St. Louis, MO19.3Grain Valley, MO: 19.2 %Grain Valley, MO19.2West Plains, MO: 19.1 %West Plains, MO19.1Joplin, MO: 19 %Joplin, MO19Independence, MO: 18.9 %Independence, MO18.9Lebanon, MO: 18.9 %Lebanon, MO18.9Sikeston, MO: 18.9 %Sikeston, MO18.9Hannibal, MO: 18.8 %Hannibal, MO18.8Republic, MO: 18.8 %Republic, MO18.8Excelsior Springs, MO: 18.7 %Excelsior Springs, MO18.7Harrisonville, MO: 18.7 %Harrisonville, MO18.7Monett, MO: 18.6 %Monett, MO18.6Neosho, MO: 18.6 %Neosho, MO18.6Marshall, MO: 18.5 %Marshall, MO18.5Farmington, MO: 18.4 %Farmington, MO18.4Kansas City, MO: 18.3 %Kansas City, MO18.3Union, MO: 18.2 %Union, MO18.2Bellefontaine Neighbors, MO: 18.1 %Bellefontaine Neighbors, MO18.1Mexico, MO: 18.1 %Mexico, MO18.1Overland, MO: 18.1 %Overland, MO18.1Raytown, MO: 18.1 %Raytown, MO18.1
%. 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

RankCities2021 (%)
1Kirksville, MO23.6
2Warrensburg, MO22.2
3Poplar Bluff, MO21.6
4Maryville, MO21.1
5Springfield, MO20.7
6Kennett, MO20.6
7Carthage, MO20.1
8Columbia, MO20
8Jennings, MO20
10Fulton, MO19.9
10Rolla, MO19.9
12St. Joseph, MO19.8
13Grandview, MO19.7
13Sedalia, MO19.7
15Bolivar, MO19.6
16Cape Girardeau, MO19.5
16Moberly, MO19.5
16Webb City, MO19.5
19Ferguson, MO19.3
19St. Louis, MO19.3
21Grain Valley, MO19.2
22West Plains, MO19.1
23Joplin, MO19
24Independence, MO18.9
24Lebanon, MO18.9
24Sikeston, MO18.9
27Hannibal, MO18.8
27Republic, MO18.8
29Excelsior Springs, MO18.7
29Harrisonville, MO18.7
31Monett, MO18.6
31Neosho, MO18.6
33Marshall, MO18.5
34Farmington, MO18.4
35Kansas City, MO18.3
36Union, MO18.2
37Bellefontaine Neighbors, MO18.1
37Mexico, MO18.1
37Overland, MO18.1
37Raytown, MO18.1
41Belton, MO18
41Troy, MO18
43St. Ann, MO17.9
44Branson, MO17.6
44Festus, MO17.6
46Blue Springs, MO17.5
47Ozark, MO17.4
48Jefferson City, MO17.1
48Nixa, MO17.1
50Arnold, MO17
51Hazelwood, MO16.8
52St. Charles, MO16.7
53Florissant, MO16.6
54Wentzville, MO16.5
55Kearney, MO16.4
56Jackson, MO16.3
57Liberty, MO16
58Washington, MO15.9
59Gladstone, MO15.7
60Lee's Summit, MO15.6
60Smithville, MO15.6
62Bridgeton, MO15.5
62O'Fallon, MO15.5
64Raymore, MO15.2
65Clayton, MO15
65St. Peters, MO15
65University City, MO15
68Maryland Heights, MO14.7
69Lake St. Louis, MO14.3
70Dardenne Prairie, MO14.2
71Eureka, MO13.9
72Manchester, MO13.8
73Crestwood, MO13
74Ballwin, MO12.8
75Ellisville, MO12.6
76Kirkwood, MO12.4
76Webster Groves, MO12.4
76Wildwood, MO12.4
79Creve Coeur, MO11.5
80Chesterfield, MO11.2
81Town and Country, MO10.9

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 Missouri by frequent mental distress in adults, local model estimate, 2021) [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 Missouri by frequent mental distress in adults, local model estimate, 2021. 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/missouri-cities?period=2021. 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 Missouri by frequent mental distress in adults, local model estimate, 2021. 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/missouri-cities?period=2021.

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 Missouri by frequent mental distress in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_missouri_by_2021,
  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 Missouri by frequent mental distress in adults, local model estimate, 2021}},
  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/missouri-cities?period=2021. 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 Missouri by frequent mental distress in adults, local model estimate, 2021
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/missouri-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-cities?period=2021.
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  - 
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Cities in Missouri 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":"municipality","within":"Missouri","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_frequent_mental_distress_rate_modelled&level=municipality&within=Missouri&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Kirksville, MO, with 23.6% in 2021, according to the Centers for Disease Control and Prevention.

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

Town and Country, MO, with 10.9% in 2021.

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 Missouri: more rankings