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

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

Thurston County had the highest frequent mental distress in adults, local model estimate of 93 counties in 2021, at 16.4%. Hooker County had the lowest, at 11%. The median was 12.1%. Source: the Centers for Disease Control and Prevention.

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Highest16.4Thurston County
Lowest11Hooker County
Median12.193 counties

Map of counties, 2021

Adams County: 12.9 %Antelope County: 12.2 %Arthur County: 13 %Banner County: 11.3 %Blaine County: 12.4 %Boone County: 12 %Box Butte County: 13.3 %Boyd County: 11.8 %Brown County: 12 %Buffalo County: 13.1 %Burt County: 12.1 %Butler County: 12.1 %Cass County: 12 %Cedar County: 11.2 %Chase County: 12 %Cherry County: 12.1 %Cheyenne County: 12.9 %Clay County: 12.3 %Colfax County: 12.2 %Cuming County: 11.9 %Custer County: 12.2 %Dakota County: 12.6 %Dawes County: 13.4 %Dawson County: 12.6 %Deuel County: 11.8 %Dixon County: 12.1 %Dodge County: 13.5 %Douglas County: 13.5 %Dundy County: 12 %Fillmore County: 11.8 %Franklin County: 12.9 %Frontier County: 11.9 %Furnas County: 12.1 %Gage County: 12.5 %Garden County: 11.6 %Garfield County: 11.1 %Gosper County: 11.2 %Grant County: 11.9 %Greeley County: 12 %Hall County: 13.2 %Hamilton County: 11.4 %Harlan County: 11.3 %Hayes County: 11.7 %Hitchcock County: 11.8 %Holt County: 11.6 %Hooker County: 11 %Howard County: 12.1 %Jefferson County: 12.7 %Johnson County: 12.2 %Kearney County: 12.1 %Keith County: 11.8 %Keya Paha County: 11.9 %Kimball County: 12.8 %Knox County: 12.3 %Lancaster County: 13.8 %Lincoln County: 12.9 %Logan County: 11.8 %Loup County: 11.8 %McPherson County: 12.1 %Madison County: 13 %Merrick County: 12.6 %Morrill County: 12.5 %Nance County: 12.6 %Nemaha County: 13.4 %Nuckolls County: 11.7 %Otoe County: 12.2 %Pawnee County: 12.8 %Perkins County: 12.1 %Phelps County: 12.5 %Pierce County: 12.2 %Platte County: 12.2 %Polk County: 11.8 %Red Willow County: 12.3 %Richardson County: 12.3 %Rock County: 11.2 %Saline County: 13.4 %Sarpy County: 12.3 %Saunders County: 11.7 %Scotts Bluff County: 12.8 %Seward County: 12.4 %Sheridan County: 12.5 %Sherman County: 11.7 %Sioux County: 12 %Stanton County: 12.2 %Thayer County: 12.3 %Thomas County: 11.2 %Thurston County: 16.4 %Valley County: 11.9 %Washington County: 11.8 %Wayne County: 13.8 %Webster County: 12.5 %Wheeler County: 11.6 %York County: 11.9 %
  • Under 12
  • 12 to 13
  • 13 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

Thurston County: 16.4 %Thurston County16.4Lancaster County: 13.8 %Lancaster County13.8Wayne County: 13.8 %Wayne County13.8Dodge County: 13.5 %Dodge County13.5Douglas County: 13.5 %Douglas County13.5Dawes County: 13.4 %Dawes County13.4Nemaha County: 13.4 %Nemaha County13.4Saline County: 13.4 %Saline County13.4Box Butte County: 13.3 %Box Butte County13.3Hall County: 13.2 %Hall County13.2Buffalo County: 13.1 %Buffalo County13.1Arthur County: 13 %Arthur County13Madison County: 13 %Madison County13Adams County: 12.9 %Adams County12.9Cheyenne County: 12.9 %Cheyenne County12.9Franklin County: 12.9 %Franklin County12.9Lincoln County: 12.9 %Lincoln County12.9Kimball County: 12.8 %Kimball County12.8Pawnee County: 12.8 %Pawnee County12.8Scotts Bluff County: 12.8 %Scotts Bluff County12.8Jefferson County: 12.7 %Jefferson County12.7Dakota County: 12.6 %Dakota County12.6Dawson County: 12.6 %Dawson County12.6Merrick County: 12.6 %Merrick County12.6Nance County: 12.6 %Nance County12.6Gage County: 12.5 %Gage County12.5Morrill County: 12.5 %Morrill County12.5Phelps County: 12.5 %Phelps County12.5Sheridan County: 12.5 %Sheridan County12.5Webster County: 12.5 %Webster County12.5Blaine County: 12.4 %Blaine County12.4Seward County: 12.4 %Seward County12.4Clay County: 12.3 %Clay County12.3Knox County: 12.3 %Knox County12.3Red Willow County: 12.3 %Red Willow County12.3Richardson County: 12.3 %Richardson County12.3Sarpy County: 12.3 %Sarpy County12.3Thayer County: 12.3 %Thayer County12.3Antelope County: 12.2 %Antelope County12.2Colfax County: 12.2 %Colfax County12.2Thurston County: 16.4 %Thurston County16.4Lancaster County: 13.8 %Lancaster County13.8Wayne County: 13.8 %Wayne County13.8Dodge County: 13.5 %Dodge County13.5Douglas County: 13.5 %Douglas County13.5Dawes County: 13.4 %Dawes County13.4Nemaha County: 13.4 %Nemaha County13.4Saline County: 13.4 %Saline County13.4Box Butte County: 13.3 %Box Butte County13.3Hall County: 13.2 %Hall County13.2Buffalo County: 13.1 %Buffalo County13.1Arthur County: 13 %Arthur County13Madison County: 13 %Madison County13Adams County: 12.9 %Adams County12.9Cheyenne County: 12.9 %Cheyenne County12.9Franklin County: 12.9 %Franklin County12.9Lincoln County: 12.9 %Lincoln County12.9Kimball County: 12.8 %Kimball County12.8Pawnee County: 12.8 %Pawnee County12.8Scotts Bluff County: 12.8 %Scotts Bluff County12.8Jefferson County: 12.7 %Jefferson County12.7Dakota County: 12.6 %Dakota County12.6Dawson County: 12.6 %Dawson County12.6Merrick County: 12.6 %Merrick County12.6Nance County: 12.6 %Nance County12.6Gage County: 12.5 %Gage County12.5Morrill County: 12.5 %Morrill County12.5Phelps County: 12.5 %Phelps County12.5Sheridan County: 12.5 %Sheridan County12.5Webster County: 12.5 %Webster County12.5Blaine County: 12.4 %Blaine County12.4Seward County: 12.4 %Seward County12.4Clay County: 12.3 %Clay County12.3Knox County: 12.3 %Knox County12.3Red Willow County: 12.3 %Red Willow County12.3Richardson County: 12.3 %Richardson County12.3Sarpy County: 12.3 %Sarpy County12.3Thayer County: 12.3 %Thayer County12.3Antelope County: 12.2 %Antelope County12.2Colfax County: 12.2 %Colfax County12.2
%. 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

RankCounties2021 (%)
1Thurston County16.4
2Lancaster County13.8
2Wayne County13.8
4Dodge County13.5
4Douglas County13.5
6Dawes County13.4
6Nemaha County13.4
6Saline County13.4
9Box Butte County13.3
10Hall County13.2
11Buffalo County13.1
12Arthur County13
12Madison County13
14Adams County12.9
14Cheyenne County12.9
14Franklin County12.9
14Lincoln County12.9
18Kimball County12.8
18Pawnee County12.8
18Scotts Bluff County12.8
21Jefferson County12.7
22Dakota County12.6
22Dawson County12.6
22Merrick County12.6
22Nance County12.6
26Gage County12.5
26Morrill County12.5
26Phelps County12.5
26Sheridan County12.5
26Webster County12.5
31Blaine County12.4
31Seward County12.4
33Clay County12.3
33Knox County12.3
33Red Willow County12.3
33Richardson County12.3
33Sarpy County12.3
33Thayer County12.3
39Antelope County12.2
39Colfax County12.2
39Custer County12.2
39Johnson County12.2
39Otoe County12.2
39Pierce County12.2
39Platte County12.2
39Stanton County12.2
47Burt County12.1
47Butler County12.1
47Cherry County12.1
47Dixon County12.1
47Furnas County12.1
47Howard County12.1
47Kearney County12.1
47McPherson County12.1
47Perkins County12.1
56Boone County12
56Brown County12
56Cass County12
56Chase County12
56Dundy County12
56Greeley County12
56Sioux County12
63Cuming County11.9
63Frontier County11.9
63Grant County11.9
63Keya Paha County11.9
63Valley County11.9
63York County11.9
69Boyd County11.8
69Deuel County11.8
69Fillmore County11.8
69Hitchcock County11.8
69Keith County11.8
69Logan County11.8
69Loup County11.8
69Polk County11.8
69Washington County11.8
78Hayes County11.7
78Nuckolls County11.7
78Saunders County11.7
78Sherman County11.7
82Garden County11.6
82Holt County11.6
82Wheeler County11.6
85Hamilton County11.4
86Banner County11.3
86Harlan County11.3
88Cedar County11.2
88Gosper County11.2
88Rock County11.2
88Thomas County11.2
92Garfield County11.1
93Hooker County11

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, 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_nebraska_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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/nebraska-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 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 16.4% in 2021, according to the Centers for Disease Control and Prevention.

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

Hooker County, with 11% 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 Nebraska: more rankings