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

Dunklin County had the highest frequent mental distress in adults, local model estimate of 115 counties in 2021, at 19.8%. St. Louis County had the lowest, at 14.1%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

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Highest19.8Dunklin County
Lowest14.1St. Louis County
Median17.2115 counties

Map of counties, 2021

Adair County: 19.5 %Andrew County: 15.3 %Atchison County: 16 %Audrain County: 18.4 %Barry County: 17.1 %Barton County: 18 %Bates County: 17.4 %Benton County: 15.5 %Bollinger County: 18 %Boone County: 17 %Buchanan County: 18.5 %Butler County: 19.4 %Caldwell County: 17.7 %Callaway County: 16.5 %Camden County: 14.9 %Cape Girardeau County: 17.2 %Carroll County: 16.4 %Carter County: 17.6 %Cass County: 15.9 %Cedar County: 17.8 %Chariton County: 15.5 %Christian County: 15.8 %Clark County: 17.3 %Clay County: 15.6 %Clinton County: 15.9 %Cole County: 16 %Cooper County: 16.5 %Crawford County: 17.6 %Dade County: 17.4 %Dallas County: 18 %Daviess County: 16.6 %DeKalb County: 16.3 %Dent County: 17.7 %Douglas County: 16.9 %Dunklin County: 19.8 %Franklin County: 16.1 %Gasconade County: 15.9 %Gentry County: 17.2 %Greene County: 18 %Grundy County: 16.9 %Harrison County: 16.9 %Henry County: 16.8 %Hickory County: 16.2 %Holt County: 15.6 %Howard County: 16.3 %Howell County: 18.6 %Iron County: 17.7 %Jackson County: 17.8 %Jasper County: 18.4 %Jefferson County: 16.4 %Johnson County: 18.1 %Knox County: 17.8 %Laclede County: 17.7 %Lafayette County: 15.9 %Lawrence County: 18.1 %Lewis County: 18.6 %Lincoln County: 16.9 %Linn County: 16.6 %Livingston County: 17.4 %McDonald County: 18.8 %Macon County: 16 %Madison County: 17.2 %Maries County: 16.9 %Marion County: 17.3 %Mercer County: 16.7 %Miller County: 17.3 %Mississippi County: 19.5 %Moniteau County: 17.1 %Monroe County: 16.3 %Montgomery County: 17.5 %Morgan County: 17.5 %New Madrid County: 18.8 %Newton County: 16.7 %Nodaway County: 18.8 %Oregon County: 19 %Osage County: 15.7 %Ozark County: 17.6 %Pemiscot County: 19.6 %Perry County: 16.8 %Pettis County: 18.1 %Phelps County: 17.1 %Pike County: 17.3 %Platte County: 14.3 %Polk County: 17.9 %Pulaski County: 18.5 %Putnam County: 15.4 %Ralls County: 16.1 %Randolph County: 17.8 %Ray County: 16.7 %Reynolds County: 17.4 %Ripley County: 19.2 %St. Charles County: 14.4 %St. Clair County: 16.7 %Ste. Genevieve County: 15.9 %St. Francois County: 18.1 %St. Louis County: 14.1 %Saline County: 16.3 %Schuyler County: 16.9 %Scotland County: 17.6 %Scott County: 17.7 %Shannon County: 17.6 %Shelby County: 17 %Stoddard County: 18.1 %Stone County: 15.1 %Sullivan County: 17 %Taney County: 16.7 %Texas County: 18.3 %Vernon County: 18.2 %Warren County: 15.9 %Washington County: 18.7 %Wayne County: 17.7 %Webster County: 17.9 %Worth County: 15.8 %Wright County: 18.7 %St. Louis city: 18 %
  • Under 16
  • 16 to 17
  • 17 to 18
  • 18 and over
%, 2021. 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, 2021

Dunklin County: 19.8 %Dunklin County19.8Pemiscot County: 19.6 %Pemiscot County19.6Adair County: 19.5 %Adair County19.5Mississippi County: 19.5 %Mississippi County19.5Butler County: 19.4 %Butler County19.4Ripley County: 19.2 %Ripley County19.2Oregon County: 19 %Oregon County19McDonald County: 18.8 %McDonald County18.8New Madrid County: 18.8 %New Madrid County18.8Nodaway County: 18.8 %Nodaway County18.8Washington County: 18.7 %Washington County18.7Wright County: 18.7 %Wright County18.7Howell County: 18.6 %Howell County18.6Lewis County: 18.6 %Lewis County18.6Buchanan County: 18.5 %Buchanan County18.5Pulaski County: 18.5 %Pulaski County18.5Audrain County: 18.4 %Audrain County18.4Jasper County: 18.4 %Jasper County18.4Texas County: 18.3 %Texas County18.3Vernon County: 18.2 %Vernon County18.2Johnson County: 18.1 %Johnson County18.1Lawrence County: 18.1 %Lawrence County18.1Pettis County: 18.1 %Pettis County18.1St. Francois County: 18.1 %St. Francois County18.1Stoddard County: 18.1 %Stoddard County18.1Barton County: 18 %Barton County18Bollinger County: 18 %Bollinger County18Dallas County: 18 %Dallas County18Greene County: 18 %Greene County18St. Louis city: 18 %St. Louis city18Polk County: 17.9 %Polk County17.9Webster County: 17.9 %Webster County17.9Cedar County: 17.8 %Cedar County17.8Jackson County: 17.8 %Jackson County17.8Knox County: 17.8 %Knox County17.8Randolph County: 17.8 %Randolph County17.8Caldwell County: 17.7 %Caldwell County17.7Dent County: 17.7 %Dent County17.7Iron County: 17.7 %Iron County17.7Laclede County: 17.7 %Laclede County17.7Dunklin County: 19.8 %Dunklin County19.8Pemiscot County: 19.6 %Pemiscot County19.6Adair County: 19.5 %Adair County19.5Mississippi County: 19.5 %Mississippi County19.5Butler County: 19.4 %Butler County19.4Ripley County: 19.2 %Ripley County19.2Oregon County: 19 %Oregon County19McDonald County: 18.8 %McDonald County18.8New Madrid County: 18.8 %New Madrid County18.8Nodaway County: 18.8 %Nodaway County18.8Washington County: 18.7 %Washington County18.7Wright County: 18.7 %Wright County18.7Howell County: 18.6 %Howell County18.6Lewis County: 18.6 %Lewis County18.6Buchanan County: 18.5 %Buchanan County18.5Pulaski County: 18.5 %Pulaski County18.5Audrain County: 18.4 %Audrain County18.4Jasper County: 18.4 %Jasper County18.4Texas County: 18.3 %Texas County18.3Vernon County: 18.2 %Vernon County18.2Johnson County: 18.1 %Johnson County18.1Lawrence County: 18.1 %Lawrence County18.1Pettis County: 18.1 %Pettis County18.1St. Francois County: 18.1 %St. Francois County18.1Stoddard County: 18.1 %Stoddard County18.1Barton County: 18 %Barton County18Bollinger County: 18 %Bollinger County18Dallas County: 18 %Dallas County18Greene County: 18 %Greene County18St. Louis city: 18 %St. Louis city18Polk County: 17.9 %Polk County17.9Webster County: 17.9 %Webster County17.9Cedar County: 17.8 %Cedar County17.8Jackson County: 17.8 %Jackson County17.8Knox County: 17.8 %Knox County17.8Randolph County: 17.8 %Randolph County17.8Caldwell County: 17.7 %Caldwell County17.7Dent County: 17.7 %Dent County17.7Iron County: 17.7 %Iron County17.7Laclede County: 17.7 %Laclede County17.7
%. 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

RankCounties2021 (%)
1Dunklin County19.8
2Pemiscot County19.6
3Adair County19.5
3Mississippi County19.5
5Butler County19.4
6Ripley County19.2
7Oregon County19
8McDonald County18.8
8New Madrid County18.8
8Nodaway County18.8
11Washington County18.7
11Wright County18.7
13Howell County18.6
13Lewis County18.6
15Buchanan County18.5
15Pulaski County18.5
17Audrain County18.4
17Jasper County18.4
19Texas County18.3
20Vernon County18.2
21Johnson County18.1
21Lawrence County18.1
21Pettis County18.1
21St. Francois County18.1
21Stoddard County18.1
26Barton County18
26Bollinger County18
26Dallas County18
26Greene County18
26St. Louis city18
31Polk County17.9
31Webster County17.9
33Cedar County17.8
33Jackson County17.8
33Knox County17.8
33Randolph County17.8
37Caldwell County17.7
37Dent County17.7
37Iron County17.7
37Laclede County17.7
37Scott County17.7
37Wayne County17.7
43Carter County17.6
43Crawford County17.6
43Ozark County17.6
43Scotland County17.6
43Shannon County17.6
48Montgomery County17.5
48Morgan County17.5
50Bates County17.4
50Dade County17.4
50Livingston County17.4
50Reynolds County17.4
54Clark County17.3
54Marion County17.3
54Miller County17.3
54Pike County17.3
58Cape Girardeau County17.2
58Gentry County17.2
58Madison County17.2
61Barry County17.1
61Moniteau County17.1
61Phelps County17.1
64Boone County17
64Shelby County17
64Sullivan County17
67Douglas County16.9
67Grundy County16.9
67Harrison County16.9
67Lincoln County16.9
67Maries County16.9
67Schuyler County16.9
73Henry County16.8
73Perry County16.8
75Mercer County16.7
75Newton County16.7
75Ray County16.7
75St. Clair County16.7
75Taney County16.7
80Daviess County16.6
80Linn County16.6
82Callaway County16.5
82Cooper County16.5
84Carroll County16.4
84Jefferson County16.4
86DeKalb County16.3
86Howard County16.3
86Monroe County16.3
86Saline County16.3
90Hickory County16.2
91Franklin County16.1
91Ralls County16.1
93Atchison County16
93Cole County16
93Macon County16
96Cass County15.9
96Clinton County15.9
96Gasconade County15.9
96Lafayette County15.9
96Ste. Genevieve County15.9
96Warren County15.9
102Christian County15.8
102Worth County15.8
104Osage County15.7
105Clay County15.6
105Holt County15.6
107Benton County15.5
107Chariton County15.5
109Putnam County15.4
110Andrew County15.3
111Stone County15.1
112Camden County14.9
113St. Charles County14.4
114Platte County14.3
115St. Louis County14.1

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, 2021) [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, 2021. 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?period=2021. 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, 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-counties?period=2021.

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

BibTeX
@misc{centers_counties_in_missouri_by_2021,
  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, 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-counties?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2021.
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 Missouri 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?

Dunklin County, with 19.8% in 2021, according to the Centers for Disease Control and Prevention.

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

St. Louis County, with 14.1% 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, 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