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

St. Lawrence County had the highest frequent mental distress in adults, local model estimate of 62 counties in 2023, at 18.2%. Nassau County had the lowest, at 13.2%. The median was 16.2%. Source: the Centers for Disease Control and Prevention.

Lowest13.2Nassau County
Median16.262 counties

Top 40 counties, 2023

St. Lawrence County: 18.2 %St. Lawrence County18.2Oswego County: 18 %Oswego County18Cortland County: 17.9 %Cortland County17.9Clinton County: 17.6 %Clinton County17.6Cattaraugus County: 17.5 %Cattaraugus County17.5Allegany County: 17.4 %Allegany County17.4Fulton County: 17.4 %Fulton County17.4Jefferson County: 17.4 %Jefferson County17.4Otsego County: 17.4 %Otsego County17.4Franklin County: 17.3 %Franklin County17.3Orleans County: 17.2 %Orleans County17.2Chemung County: 17.1 %Chemung County17.1Chenango County: 16.9 %Chenango County16.9Lewis County: 16.8 %Lewis County16.8Montgomery County: 16.8 %Montgomery County16.8Seneca County: 16.8 %Seneca County16.8Chautauqua County: 16.7 %Chautauqua County16.7Oneida County: 16.7 %Oneida County16.7Yates County: 16.7 %Yates County16.7Broome County: 16.6 %Broome County16.6Cayuga County: 16.6 %Cayuga County16.6Herkimer County: 16.6 %Herkimer County16.6Onondaga County: 16.5 %Onondaga County16.5Wyoming County: 16.5 %Wyoming County16.5Bronx County: 16.4 %Bronx County16.4Genesee County: 16.4 %Genesee County16.4Steuben County: 16.4 %Steuben County16.4Washington County: 16.4 %Washington County16.4Livingston County: 16.3 %Livingston County16.3Madison County: 16.3 %Madison County16.3Niagara County: 16.2 %Niagara County16.2Schuyler County: 16.2 %Schuyler County16.2Delaware County: 16.1 %Delaware County16.1Schoharie County: 16.1 %Schoharie County16.1Tompkins County: 16.1 %Tompkins County16.1Wayne County: 16.1 %Wayne County16.1Erie County: 16 %Erie County16Orange County: 16 %Orange County16Rensselaer County: 16 %Rensselaer County16Tioga County: 16 %Tioga County16
%. 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
1St. Lawrence County18.2-0.2 pts
2Oswego County18+0.5 pts
3Cortland County17.9+0.2 pts
4Clinton County17.6-1.1 pts
5Cattaraugus County17.5-0.3 pts
6Allegany County17.4-0.7 pts
6Fulton County17.4-0.8 pts
6Jefferson County17.4-1.8 pts
6Otsego County17.4+0.3 pts
10Franklin County17.3-0.3 pts
11Orleans County17.2+0.5 pts
12Chemung County17.1+0.6 pts
13Chenango County16.9-0.1 pts
14Lewis County16.80 pts
14Montgomery County16.8-1.3 pts
14Seneca County16.80 pts
17Chautauqua County16.7-1.2 pts
17Oneida County16.70 pts
17Yates County16.7-0.5 pts
20Broome County16.6-1 pts
20Cayuga County16.6-1.4 pts
20Herkimer County16.6+0.3 pts
23Onondaga County16.5-0.8 pts
23Wyoming County16.5-0.1 pts
25Bronx County16.4-1.8 pts
25Genesee County16.4-0.8 pts
25Steuben County16.4-0.3 pts
25Washington County16.4+0.1 pts
29Livingston County16.3-1.1 pts
29Madison County16.3-0.8 pts
31Niagara County16.2-0.8 pts
31Schuyler County16.2-1.6 pts
33Delaware County16.1+0.2 pts
33Schoharie County16.1-1.8 pts
33Tompkins County16.1-2.1 pts
33Wayne County16.1-0.1 pts
37Erie County16-1.2 pts
37Orange County16+0.1 pts
37Rensselaer County16+0.3 pts
37Tioga County16+0.9 pts
41Schenectady County15.8-0.3 pts
42Sullivan County15.7-0.2 pts
43Greene County15.5-0.3 pts
44Albany County15.4-0.2 pts
45Monroe County15.3+0.3 pts
45Warren County15.3-1.7 pts
47Kings County15.2+0.3 pts
47Ontario County15.2-1.2 pts
47Ulster County15.2-0.3 pts
50Essex County15.1-0.5 pts
51Rockland County15-0.8 pts
52Dutchess County14.80 pts
53Saratoga County14.7+1.2 pts
54Richmond County14.6+0.7 pts
55Hamilton County14.5-1 pts
55New York County14.5-0.7 pts
57Suffolk County14.4-0.6 pts
58Columbia County14.30 pts
59Putnam County13.7-0.9 pts
60Queens County13.6-0.1 pts
61Westchester County13.3-0.1 pts
62Nassau County13.2-0.1 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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/new-york-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?

St. Lawrence County, with 18.2% in 2023, according to the Centers for Disease Control and Prevention.

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

Nassau County, with 13.2% 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 New York: more rankings