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

Counties in Missouri by frequent mental distress in adults, local model estimate, 2023

Pemiscot County had the highest frequent mental distress in adults, local model estimate of 115 counties in 2023, at 20.5%. St. Charles County had the lowest, at 15.1%. The median was 18.1%. Source: the Centers for Disease Control and Prevention.

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Highest20.5Pemiscot County
Lowest15.1St. Charles County
Median18.1115 counties

Map of counties, 2023

Adair County: 19.7 %Andrew County: 16.5 %Atchison County: 16.9 %Audrain County: 19.3 %Barry County: 18.1 %Barton County: 19.1 %Bates County: 18.9 %Benton County: 16.3 %Bollinger County: 18.4 %Boone County: 17.3 %Buchanan County: 18.4 %Butler County: 20.2 %Caldwell County: 17.9 %Callaway County: 17.7 %Camden County: 15.5 %Cape Girardeau County: 17.9 %Carroll County: 17.7 %Carter County: 19.4 %Cass County: 16.7 %Cedar County: 18.3 %Chariton County: 17.1 %Christian County: 16.8 %Clark County: 18.5 %Clay County: 16.5 %Clinton County: 17.3 %Cole County: 16.4 %Cooper County: 17.3 %Crawford County: 18.5 %Dade County: 18.1 %Dallas County: 18.8 %Daviess County: 18.2 %DeKalb County: 17.2 %Dent County: 17.9 %Douglas County: 18 %Dunklin County: 20 %Franklin County: 17.1 %Gasconade County: 17.2 %Gentry County: 18.2 %Greene County: 18.1 %Grundy County: 18.2 %Harrison County: 18.3 %Henry County: 18.2 %Hickory County: 17.9 %Holt County: 16.8 %Howard County: 17.6 %Howell County: 19.3 %Iron County: 18.5 %Jackson County: 18.9 %Jasper County: 19.2 %Jefferson County: 17.4 %Johnson County: 19.5 %Knox County: 18.8 %Laclede County: 19.2 %Lafayette County: 17.4 %Lawrence County: 19 %Lewis County: 19.1 %Lincoln County: 18.3 %Linn County: 17.9 %Livingston County: 18.9 %McDonald County: 20.2 %Macon County: 17.2 %Madison County: 18.1 %Maries County: 17.9 %Marion County: 17.9 %Mercer County: 18 %Miller County: 18.1 %Mississippi County: 19.9 %Moniteau County: 18.1 %Monroe County: 17.5 %Montgomery County: 18.2 %Morgan County: 18.3 %New Madrid County: 19.3 %Newton County: 18.1 %Nodaway County: 19 %Oregon County: 19.2 %Osage County: 17.1 %Ozark County: 18.4 %Pemiscot County: 20.5 %Perry County: 17.3 %Pettis County: 18.1 %Phelps County: 18.2 %Pike County: 18.5 %Platte County: 15.4 %Polk County: 19 %Pulaski County: 19.1 %Putnam County: 17.1 %Ralls County: 17.4 %Randolph County: 18.8 %Ray County: 18 %Reynolds County: 18.4 %Ripley County: 19.9 %St. Charles County: 15.1 %St. Clair County: 17.9 %Ste. Genevieve County: 17.1 %St. Francois County: 19.3 %St. Louis County: 15.9 %Saline County: 18 %Schuyler County: 17.8 %Scotland County: 18.5 %Scott County: 18.2 %Shannon County: 18.1 %Shelby County: 18.4 %Stoddard County: 19 %Stone County: 15.9 %Sullivan County: 17.7 %Taney County: 17.5 %Texas County: 19.1 %Vernon County: 19 %Warren County: 17.8 %Washington County: 19.8 %Wayne County: 19.1 %Webster County: 19 %Worth County: 17.5 %Wright County: 19.8 %St. Louis city: 18.2 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 and over
%, 2023. 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.

Top 40 counties, 2023

Pemiscot County: 20.5 %Pemiscot County20.5Butler County: 20.2 %Butler County20.2McDonald County: 20.2 %McDonald County20.2Dunklin County: 20 %Dunklin County20Mississippi County: 19.9 %Mississippi County19.9Ripley County: 19.9 %Ripley County19.9Washington County: 19.8 %Washington County19.8Wright County: 19.8 %Wright County19.8Adair County: 19.7 %Adair County19.7Johnson County: 19.5 %Johnson County19.5Carter County: 19.4 %Carter County19.4Audrain County: 19.3 %Audrain County19.3Howell County: 19.3 %Howell County19.3New Madrid County: 19.3 %New Madrid County19.3St. Francois County: 19.3 %St. Francois County19.3Jasper County: 19.2 %Jasper County19.2Laclede County: 19.2 %Laclede County19.2Oregon County: 19.2 %Oregon County19.2Barton County: 19.1 %Barton County19.1Lewis County: 19.1 %Lewis County19.1Pulaski County: 19.1 %Pulaski County19.1Texas County: 19.1 %Texas County19.1Wayne County: 19.1 %Wayne County19.1Lawrence County: 19 %Lawrence County19Nodaway County: 19 %Nodaway County19Polk County: 19 %Polk County19Stoddard County: 19 %Stoddard County19Vernon County: 19 %Vernon County19Webster County: 19 %Webster County19Bates County: 18.9 %Bates County18.9Jackson County: 18.9 %Jackson County18.9Livingston County: 18.9 %Livingston County18.9Dallas County: 18.8 %Dallas County18.8Knox County: 18.8 %Knox County18.8Randolph County: 18.8 %Randolph County18.8Clark County: 18.5 %Clark County18.5Crawford County: 18.5 %Crawford County18.5Iron County: 18.5 %Iron County18.5Pike County: 18.5 %Pike County18.5Scotland County: 18.5 %Scotland County18.5Pemiscot County: 20.5 %Pemiscot County20.5Butler County: 20.2 %Butler County20.2McDonald County: 20.2 %McDonald County20.2Dunklin County: 20 %Dunklin County20Mississippi County: 19.9 %Mississippi County19.9Ripley County: 19.9 %Ripley County19.9Washington County: 19.8 %Washington County19.8Wright County: 19.8 %Wright County19.8Adair County: 19.7 %Adair County19.7Johnson County: 19.5 %Johnson County19.5Carter County: 19.4 %Carter County19.4Audrain County: 19.3 %Audrain County19.3Howell County: 19.3 %Howell County19.3New Madrid County: 19.3 %New Madrid County19.3St. Francois County: 19.3 %St. Francois County19.3Jasper County: 19.2 %Jasper County19.2Laclede County: 19.2 %Laclede County19.2Oregon County: 19.2 %Oregon County19.2Barton County: 19.1 %Barton County19.1Lewis County: 19.1 %Lewis County19.1Pulaski County: 19.1 %Pulaski County19.1Texas County: 19.1 %Texas County19.1Wayne County: 19.1 %Wayne County19.1Lawrence County: 19 %Lawrence County19Nodaway County: 19 %Nodaway County19Polk County: 19 %Polk County19Stoddard County: 19 %Stoddard County19Vernon County: 19 %Vernon County19Webster County: 19 %Webster County19Bates County: 18.9 %Bates County18.9Jackson County: 18.9 %Jackson County18.9Livingston County: 18.9 %Livingston County18.9Dallas County: 18.8 %Dallas County18.8Knox County: 18.8 %Knox County18.8Randolph County: 18.8 %Randolph County18.8Clark County: 18.5 %Clark County18.5Crawford County: 18.5 %Crawford County18.5Iron County: 18.5 %Iron County18.5Pike County: 18.5 %Pike County18.5Scotland County: 18.5 %Scotland County18.5
%. 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

RankCounties2023 (%)Change on 2022
1Pemiscot County20.5+0.1 pts
2Butler County20.2+0.8 pts
2McDonald County20.2-0.2 pts
4Dunklin County20+0.1 pts
5Mississippi County19.9-1.6 pts
5Ripley County19.9-1.1 pts
7Washington County19.8+0.4 pts
7Wright County19.8+0.5 pts
9Adair County19.7+0.5 pts
10Johnson County19.5-0.7 pts
11Carter County19.4-0.1 pts
12Audrain County19.3-1.5 pts
12Howell County19.3-0.7 pts
12New Madrid County19.3-0.4 pts
12St. Francois County19.3+0.7 pts
16Jasper County19.2+0.4 pts
16Laclede County19.2-0.6 pts
16Oregon County19.2-0.3 pts
19Barton County19.1-0.7 pts
19Lewis County19.1-1.2 pts
19Pulaski County19.1-1.3 pts
19Texas County19.1+0.9 pts
19Wayne County19.1+1.2 pts
24Lawrence County19+0.3 pts
24Nodaway County19-1.9 pts
24Polk County19-1.4 pts
24Stoddard County19-0.6 pts
24Vernon County19-0.4 pts
24Webster County19+1.2 pts
30Bates County18.9+0.6 pts
30Jackson County18.9+1.7 pts
30Livingston County18.9+0.9 pts
33Dallas County18.8+0.3 pts
33Knox County18.8-0.9 pts
33Randolph County18.80 pts
36Clark County18.5-0.8 pts
36Crawford County18.5-0.9 pts
36Iron County18.5+0.4 pts
36Pike County18.50 pts
36Scotland County18.5-0.8 pts
41Bollinger County18.4-1.3 pts
41Buchanan County18.4+0.1 pts
41Ozark County18.4-1.2 pts
41Reynolds County18.4-0.9 pts
41Shelby County18.40 pts
46Cedar County18.3-1 pts
46Harrison County18.3+0.2 pts
46Lincoln County18.30 pts
46Morgan County18.3+0.1 pts
50Daviess County18.2-0.9 pts
50Gentry County18.2-0.9 pts
50Grundy County18.2-0.4 pts
50Henry County18.2+0.3 pts
50Montgomery County18.2-0.5 pts
50Phelps County18.2-1.2 pts
50Scott County18.2-0.8 pts
50St. Louis city18.2-0.4 pts
58Barry County18.10 pts
58Dade County18.1-1 pts
58Greene County18.1+0.4 pts
58Madison County18.1+0.1 pts
58Miller County18.10 pts
58Moniteau County18.1-0.4 pts
58Newton County18.1+0.4 pts
58Pettis County18.1-0.5 pts
58Shannon County18.1-1.5 pts
67Douglas County18+0.7 pts
67Mercer County18+0.6 pts
67Ray County18+0.1 pts
67Saline County18-0.1 pts
71Caldwell County17.90 pts
71Cape Girardeau County17.9-1 pts
71Dent County17.9-1.2 pts
71Hickory County17.9-0.2 pts
71Linn County17.9-1.5 pts
71Maries County17.9-1.3 pts
71Marion County17.9-0.1 pts
71St. Clair County17.9-0.2 pts
79Schuyler County17.8+0.6 pts
79Warren County17.8-0.4 pts
81Callaway County17.7-1.5 pts
81Carroll County17.7-0.1 pts
81Sullivan County17.7-0.9 pts
84Howard County17.6-0.5 pts
85Monroe County17.5-0.2 pts
85Taney County17.5-0.5 pts
85Worth County17.5+0.2 pts
88Jefferson County17.4-0.4 pts
88Lafayette County17.4-0.6 pts
88Ralls County17.4+0.1 pts
91Boone County17.3+0.4 pts
91Clinton County17.3-0.5 pts
91Cooper County17.3-1 pts
91Perry County17.3+0.2 pts
95DeKalb County17.20 pts
95Gasconade County17.2+0.5 pts
95Macon County17.2-0.3 pts
98Chariton County17.1+1.4 pts
98Franklin County17.1-0.2 pts
98Osage County17.1-0.2 pts
98Putnam County17.1+0.4 pts
98Ste. Genevieve County17.1-0.5 pts
103Atchison County16.9-0.4 pts
104Christian County16.8-1.2 pts
104Holt County16.8-1.6 pts
106Cass County16.7+0.1 pts
107Andrew County16.5-0.2 pts
107Clay County16.5-0.4 pts
109Cole County16.4+0.2 pts
110Benton County16.3-0.8 pts
111St. Louis County15.9-0.2 pts
111Stone County15.9-0.4 pts
113Camden County15.5-0.5 pts
114Platte County15.4-0.8 pts
115St. Charles County15.1-1.7 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 Missouri 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Missouri by frequent mental distress in adults, local model estimate, 2023. 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/missouri-counties. 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 Missouri 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/missouri-counties.

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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2023,
  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 Missouri 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/missouri-counties. 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 Missouri by frequent mental distress in adults, local model estimate, 2023
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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties.
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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Questions

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

Pemiscot County, with 20.5% in 2023, according to the Centers for Disease Control and Prevention.

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

St. Charles County, with 15.1% 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, 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 Missouri: more rankings