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

Thurston County had the highest frequent mental distress in adults, local model estimate of 93 counties in 2023, at 17.7%. Wheeler County had the lowest, at 11.8%. The median was 13.6%. Source: the Centers for Disease Control and Prevention.

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Highest17.7Thurston County
Lowest11.8Wheeler County
Median13.693 counties

Map of counties, 2023

Adams County: 14 %Antelope County: 13.4 %Arthur County: 13.7 %Banner County: 12.3 %Blaine County: 13.7 %Boone County: 13.2 %Box Butte County: 14.1 %Boyd County: 12.8 %Brown County: 13.7 %Buffalo County: 14.7 %Burt County: 13.7 %Butler County: 13.5 %Cass County: 13.4 %Cedar County: 13 %Chase County: 13.1 %Cherry County: 14 %Cheyenne County: 14.1 %Clay County: 13.7 %Colfax County: 13.5 %Cuming County: 13.5 %Custer County: 13.6 %Dakota County: 14.3 %Dawes County: 14.7 %Dawson County: 13.7 %Deuel County: 13 %Dixon County: 13.4 %Dodge County: 13.7 %Douglas County: 14.6 %Dundy County: 13.1 %Fillmore County: 13.1 %Franklin County: 13.9 %Frontier County: 13.5 %Furnas County: 13.6 %Gage County: 14.3 %Garden County: 13.4 %Garfield County: 12.5 %Gosper County: 12.8 %Grant County: 12.9 %Greeley County: 13.5 %Hall County: 14 %Hamilton County: 13.4 %Harlan County: 13.1 %Hayes County: 12.9 %Hitchcock County: 13.7 %Holt County: 13.3 %Hooker County: 13.4 %Howard County: 13.4 %Jefferson County: 13.6 %Johnson County: 13.7 %Kearney County: 12.8 %Keith County: 12.9 %Keya Paha County: 12.6 %Kimball County: 14 %Knox County: 14.1 %Lancaster County: 14.5 %Lincoln County: 14.5 %Logan County: 12.4 %Loup County: 12.2 %McPherson County: 12.7 %Madison County: 14 %Merrick County: 14.2 %Morrill County: 14 %Nance County: 14.7 %Nemaha County: 14.8 %Nuckolls County: 12.8 %Otoe County: 13.6 %Pawnee County: 13.7 %Perkins County: 13.3 %Phelps County: 14.1 %Pierce County: 13.7 %Platte County: 13.4 %Polk County: 13.3 %Red Willow County: 14.2 %Richardson County: 13.7 %Rock County: 12.7 %Saline County: 14.2 %Sarpy County: 13.5 %Saunders County: 13 %Scotts Bluff County: 14.1 %Seward County: 13.8 %Sheridan County: 13.3 %Sherman County: 13.5 %Sioux County: 13.8 %Stanton County: 13.3 %Thayer County: 13.7 %Thomas County: 12.6 %Thurston County: 17.7 %Valley County: 13.3 %Washington County: 12.9 %Wayne County: 15.5 %Webster County: 13.7 %Wheeler County: 11.8 %York County: 14.3 %
  • Under 13
  • 13 to 14
  • 14 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

Thurston County: 17.7 %Thurston County17.7Wayne County: 15.5 %Wayne County15.5Nemaha County: 14.8 %Nemaha County14.8Buffalo County: 14.7 %Buffalo County14.7Dawes County: 14.7 %Dawes County14.7Nance County: 14.7 %Nance County14.7Douglas County: 14.6 %Douglas County14.6Lancaster County: 14.5 %Lancaster County14.5Lincoln County: 14.5 %Lincoln County14.5Dakota County: 14.3 %Dakota County14.3Gage County: 14.3 %Gage County14.3York County: 14.3 %York County14.3Merrick County: 14.2 %Merrick County14.2Red Willow County: 14.2 %Red Willow County14.2Saline County: 14.2 %Saline County14.2Box Butte County: 14.1 %Box Butte County14.1Cheyenne County: 14.1 %Cheyenne County14.1Knox County: 14.1 %Knox County14.1Phelps County: 14.1 %Phelps County14.1Scotts Bluff County: 14.1 %Scotts Bluff County14.1Adams County: 14 %Adams County14Cherry County: 14 %Cherry County14Hall County: 14 %Hall County14Kimball County: 14 %Kimball County14Madison County: 14 %Madison County14Morrill County: 14 %Morrill County14Franklin County: 13.9 %Franklin County13.9Seward County: 13.8 %Seward County13.8Sioux County: 13.8 %Sioux County13.8Arthur County: 13.7 %Arthur County13.7Blaine County: 13.7 %Blaine County13.7Brown County: 13.7 %Brown County13.7Burt County: 13.7 %Burt County13.7Clay County: 13.7 %Clay County13.7Dawson County: 13.7 %Dawson County13.7Dodge County: 13.7 %Dodge County13.7Hitchcock County: 13.7 %Hitchcock County13.7Johnson County: 13.7 %Johnson County13.7Pawnee County: 13.7 %Pawnee County13.7Pierce County: 13.7 %Pierce County13.7Thurston County: 17.7 %Thurston County17.7Wayne County: 15.5 %Wayne County15.5Nemaha County: 14.8 %Nemaha County14.8Buffalo County: 14.7 %Buffalo County14.7Dawes County: 14.7 %Dawes County14.7Nance County: 14.7 %Nance County14.7Douglas County: 14.6 %Douglas County14.6Lancaster County: 14.5 %Lancaster County14.5Lincoln County: 14.5 %Lincoln County14.5Dakota County: 14.3 %Dakota County14.3Gage County: 14.3 %Gage County14.3York County: 14.3 %York County14.3Merrick County: 14.2 %Merrick County14.2Red Willow County: 14.2 %Red Willow County14.2Saline County: 14.2 %Saline County14.2Box Butte County: 14.1 %Box Butte County14.1Cheyenne County: 14.1 %Cheyenne County14.1Knox County: 14.1 %Knox County14.1Phelps County: 14.1 %Phelps County14.1Scotts Bluff County: 14.1 %Scotts Bluff County14.1Adams County: 14 %Adams County14Cherry County: 14 %Cherry County14Hall County: 14 %Hall County14Kimball County: 14 %Kimball County14Madison County: 14 %Madison County14Morrill County: 14 %Morrill County14Franklin County: 13.9 %Franklin County13.9Seward County: 13.8 %Seward County13.8Sioux County: 13.8 %Sioux County13.8Arthur County: 13.7 %Arthur County13.7Blaine County: 13.7 %Blaine County13.7Brown County: 13.7 %Brown County13.7Burt County: 13.7 %Burt County13.7Clay County: 13.7 %Clay County13.7Dawson County: 13.7 %Dawson County13.7Dodge County: 13.7 %Dodge County13.7Hitchcock County: 13.7 %Hitchcock County13.7Johnson County: 13.7 %Johnson County13.7Pawnee County: 13.7 %Pawnee County13.7Pierce County: 13.7 %Pierce County13.7
%. 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

RankCounties2023 (%)Change on 2022
1Thurston County17.7-1.1 pts
2Wayne County15.5+1.5 pts
3Nemaha County14.8-0.4 pts
4Buffalo County14.7-1.8 pts
4Dawes County14.7-0.9 pts
4Nance County14.7+0.2 pts
7Douglas County14.6+0.3 pts
8Lancaster County14.5+0.4 pts
8Lincoln County14.5-0.4 pts
10Dakota County14.3-1.1 pts
10Gage County14.3-0.3 pts
10York County14.3+1.4 pts
13Merrick County14.2+0.6 pts
13Red Willow County14.2+1.1 pts
13Saline County14.20 pts
16Box Butte County14.1-0.1 pts
16Cheyenne County14.1+0.5 pts
16Knox County14.1+0.2 pts
16Phelps County14.1+0.7 pts
16Scotts Bluff County14.1-0.2 pts
21Adams County14-0.2 pts
21Cherry County14-1.2 pts
21Hall County14-0.7 pts
21Kimball County14-0.6 pts
21Madison County14-0.5 pts
21Morrill County14+0.8 pts
27Franklin County13.9+0.2 pts
28Seward County13.8+0.9 pts
28Sioux County13.8-0.2 pts
30Arthur County13.7-0.2 pts
30Blaine County13.7-0.7 pts
30Brown County13.7+0.3 pts
30Burt County13.7+0.2 pts
30Clay County13.7-0.9 pts
30Dawson County13.7-1.1 pts
30Dodge County13.7-0.4 pts
30Hitchcock County13.7-0.4 pts
30Johnson County13.7+0.9 pts
30Pawnee County13.7+0.2 pts
30Pierce County13.7+0.1 pts
30Richardson County13.7-1 pts
30Thayer County13.7+0.2 pts
30Webster County13.7-0.6 pts
44Custer County13.6-0.2 pts
44Furnas County13.6-0.3 pts
44Jefferson County13.6-0.2 pts
44Otoe County13.6-0.2 pts
48Butler County13.5+0.8 pts
48Colfax County13.5-1.1 pts
48Cuming County13.5-0.3 pts
48Frontier County13.5-0.8 pts
48Greeley County13.50 pts
48Sarpy County13.5+0.7 pts
48Sherman County13.5-0.4 pts
55Antelope County13.4+0.3 pts
55Cass County13.4+0.4 pts
55Dixon County13.4-0.7 pts
55Garden County13.4-0.5 pts
55Hamilton County13.4+0.2 pts
55Hooker County13.4+0.4 pts
55Howard County13.4+0.2 pts
55Platte County13.4-0.7 pts
63Holt County13.3-0.1 pts
63Perkins County13.3-0.7 pts
63Polk County13.3-0.8 pts
63Sheridan County13.3+0.2 pts
63Stanton County13.3-0.3 pts
63Valley County13.3+0.3 pts
69Boone County13.2-0.4 pts
70Chase County13.1-1 pts
70Dundy County13.1-0.6 pts
70Fillmore County13.1-0.4 pts
70Harlan County13.1+0.7 pts
74Cedar County130 pts
74Deuel County13+0.4 pts
74Saunders County13-0.4 pts
77Grant County12.9+0.8 pts
77Hayes County12.9-0.7 pts
77Keith County12.9+0.1 pts
77Washington County12.9+0.3 pts
81Boyd County12.8+0.2 pts
81Gosper County12.8-0.1 pts
81Kearney County12.8-1.5 pts
81Nuckolls County12.8+0.5 pts
85McPherson County12.7-1.5 pts
85Rock County12.7-0.2 pts
87Keya Paha County12.6+0.8 pts
87Thomas County12.6+0.2 pts
89Garfield County12.5+0.5 pts
90Logan County12.4+0.2 pts
91Banner County12.3+0.7 pts
92Loup County12.2-0.5 pts
93Wheeler County11.8-0.9 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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/nebraska-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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Rank Counties in Nebraska 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?

Thurston County, with 17.7% in 2023, according to the Centers for Disease Control and Prevention.

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

Wheeler County, with 11.8% 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 Nebraska: more rankings