Data / Rankings / Frequent mental distress in adults, local model estimate / Cities in North Carolina

Cities in North Carolina by frequent mental distress in adults, local model estimate, 2023

Boone, NC had the highest frequent mental distress in adults, local model estimate of 93 cities in 2023, at 26.1%. Pinehurst, NC had the lowest, at 11.5%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

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Highest26.1Boone, NC
Lowest11.5Pinehurst, NC
Median17.293 cities

Top 40 cities, 2023

Boone, NC: 26.1 %Boone, NC26.1Spring Lake, NC: 20.8 %Spring Lake, NC20.8Havelock, NC: 20.3 %Havelock, NC20.3Elon, NC: 20.1 %Elon, NC20.1Jacksonville, NC: 20 %Jacksonville, NC20Lexington, NC: 19.6 %Lexington, NC19.6Laurinburg, NC: 19.5 %Laurinburg, NC19.5Greenville, NC: 19.3 %Greenville, NC19.3Kings Mountain, NC: 19.3 %Kings Mountain, NC19.3Kinston, NC: 19.2 %Kinston, NC19.2Henderson, NC: 18.9 %Henderson, NC18.9Fayetteville, NC: 18.8 %Fayetteville, NC18.8Lumberton, NC: 18.8 %Lumberton, NC18.8Eden, NC: 18.7 %Eden, NC18.7Hope Mills, NC: 18.7 %Hope Mills, NC18.7Sanford, NC: 18.7 %Sanford, NC18.7Goldsboro, NC: 18.6 %Goldsboro, NC18.6Thomasville, NC: 18.6 %Thomasville, NC18.6Reidsville, NC: 18.5 %Reidsville, NC18.5Elizabeth City, NC: 18.3 %Elizabeth City, NC18.3Lincolnton, NC: 18.3 %Lincolnton, NC18.3Chapel Hill, NC: 18.2 %Chapel Hill, NC18.2Lenoir, NC: 18.2 %Lenoir, NC18.2Wilson, NC: 18.2 %Wilson, NC18.2Albemarle, NC: 18 %Albemarle, NC18Asheboro, NC: 18 %Asheboro, NC18Greensboro, NC: 18 %Greensboro, NC18Kannapolis, NC: 18 %Kannapolis, NC18Rocky Mount, NC: 18 %Rocky Mount, NC18Zebulon, NC: 18 %Zebulon, NC18Knightdale, NC: 17.9 %Knightdale, NC17.9Monroe, NC: 17.9 %Monroe, NC17.9Morganton, NC: 17.9 %Morganton, NC17.9Salisbury, NC: 17.9 %Salisbury, NC17.9Roanoke Rapids, NC: 17.8 %Roanoke Rapids, NC17.8Shelby, NC: 17.8 %Shelby, NC17.8Gastonia, NC: 17.6 %Gastonia, NC17.6Graham, NC: 17.6 %Graham, NC17.6Burlington, NC: 17.5 %Burlington, NC17.5Mount Airy, NC: 17.5 %Mount Airy, NC17.5Boone, NC: 26.1 %Boone, NC26.1Spring Lake, NC: 20.8 %Spring Lake, NC20.8Havelock, NC: 20.3 %Havelock, NC20.3Elon, NC: 20.1 %Elon, NC20.1Jacksonville, NC: 20 %Jacksonville, NC20Lexington, NC: 19.6 %Lexington, NC19.6Laurinburg, NC: 19.5 %Laurinburg, NC19.5Greenville, NC: 19.3 %Greenville, NC19.3Kings Mountain, NC: 19.3 %Kings Mountain, NC19.3Kinston, NC: 19.2 %Kinston, NC19.2Henderson, NC: 18.9 %Henderson, NC18.9Fayetteville, NC: 18.8 %Fayetteville, NC18.8Lumberton, NC: 18.8 %Lumberton, NC18.8Eden, NC: 18.7 %Eden, NC18.7Hope Mills, NC: 18.7 %Hope Mills, NC18.7Sanford, NC: 18.7 %Sanford, NC18.7Goldsboro, NC: 18.6 %Goldsboro, NC18.6Thomasville, NC: 18.6 %Thomasville, NC18.6Reidsville, NC: 18.5 %Reidsville, NC18.5Elizabeth City, NC: 18.3 %Elizabeth City, NC18.3Lincolnton, NC: 18.3 %Lincolnton, NC18.3Chapel Hill, NC: 18.2 %Chapel Hill, NC18.2Lenoir, NC: 18.2 %Lenoir, NC18.2Wilson, NC: 18.2 %Wilson, NC18.2Albemarle, NC: 18 %Albemarle, NC18Asheboro, NC: 18 %Asheboro, NC18Greensboro, NC: 18 %Greensboro, NC18Kannapolis, NC: 18 %Kannapolis, NC18Rocky Mount, NC: 18 %Rocky Mount, NC18Zebulon, NC: 18 %Zebulon, NC18Knightdale, NC: 17.9 %Knightdale, NC17.9Monroe, NC: 17.9 %Monroe, NC17.9Morganton, NC: 17.9 %Morganton, NC17.9Salisbury, NC: 17.9 %Salisbury, NC17.9Roanoke Rapids, NC: 17.8 %Roanoke Rapids, NC17.8Shelby, NC: 17.8 %Shelby, NC17.8Gastonia, NC: 17.6 %Gastonia, NC17.6Graham, NC: 17.6 %Graham, NC17.6Burlington, NC: 17.5 %Burlington, NC17.5Mount Airy, NC: 17.5 %Mount Airy, NC17.5
%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Boone, NC26.1-0.6 pts
2Spring Lake, NC20.8+0.6 pts
3Havelock, NC20.3+1.1 pts
4Elon, NC20.1-0.3 pts
5Jacksonville, NC20-0.1 pts
6Lexington, NC19.6+1.2 pts
7Laurinburg, NC19.5+0.8 pts
8Greenville, NC19.3+0.4 pts
8Kings Mountain, NC19.3+1.1 pts
10Kinston, NC19.2+1.2 pts
11Henderson, NC18.9+1.2 pts
12Fayetteville, NC18.8+0.5 pts
12Lumberton, NC18.8+0.1 pts
14Eden, NC18.7+0.9 pts
14Hope Mills, NC18.7+0.5 pts
14Sanford, NC18.7+0.5 pts
17Goldsboro, NC18.6+0.7 pts
17Thomasville, NC18.6+0.6 pts
19Reidsville, NC18.5-0.1 pts
20Elizabeth City, NC18.3+0.8 pts
20Lincolnton, NC18.3+0.8 pts
22Chapel Hill, NC18.2+0.9 pts
22Lenoir, NC18.2+0.2 pts
22Wilson, NC18.2+0.4 pts
25Albemarle, NC18+0.7 pts
25Asheboro, NC18+0.3 pts
25Greensboro, NC18+0.1 pts
25Kannapolis, NC18+0.8 pts
25Rocky Mount, NC18+0.9 pts
25Zebulon, NC18+1.2 pts
31Knightdale, NC17.9+1.4 pts
31Monroe, NC17.9+0.9 pts
31Morganton, NC17.90 pts
31Salisbury, NC17.9+0.9 pts
35Roanoke Rapids, NC17.8+0.6 pts
35Shelby, NC17.8+0.5 pts
37Gastonia, NC17.6+0.6 pts
37Graham, NC17.6+0.5 pts
39Burlington, NC17.5+0.5 pts
39Mount Airy, NC17.5+0.6 pts
41Smithfield, NC17.4+0.9 pts
41Statesville, NC17.4+0.7 pts
41Wilmington, NC17.4+0.7 pts
41Winston-Salem, NC17.4+0.3 pts
45Clayton, NC17.3+0.6 pts
46High Point, NC17.2+0.3 pts
46Newton, NC17.2+0.5 pts
48Archdale, NC17.1+1.5 pts
49Mount Holly, NC17+1.1 pts
50Aberdeen, NC16.9+0.8 pts
50Hickory, NC16.9+0.7 pts
50Mebane, NC16.9+0.5 pts
50Tarboro, NC16.9+0.5 pts
54Wendell, NC16.8+2 pts
55Belmont, NC16.6+0.8 pts
55Concord, NC16.6+1 pts
55Raleigh, NC16.6+0.8 pts
58Charlotte, NC16.4+0.5 pts
58Pineville, NC16.4-0.2 pts
60Durham, NC16.2+0.5 pts
60Indian Trail, NC16.2+1.2 pts
60New Bern, NC16.2+0.5 pts
60Waynesville, NC16.2+0.8 pts
64Garner, NC16.1+1.3 pts
65Kernersville, NC16+0.6 pts
66Asheville, NC15.9+0.5 pts
66Mooresville, NC15.9+0.8 pts
68Winterville, NC15.8+1.2 pts
69Morehead City, NC15.7+0.6 pts
70Fuquay-Varina, NC15.5+1 pts
71Carrboro, NC15.2+0.5 pts
71Stallings, NC15.2+1.4 pts
73Hendersonville, NC15.1+0.8 pts
74Mint Hill, NC15+0.9 pts
75Wake Forest, NC14.8+1.1 pts
75Waxhaw, NC14.8+0.5 pts
77Harrisburg, NC14.7+1.7 pts
78Holly Springs, NC14.4+1 pts
78Huntersville, NC14.4+0.5 pts
80Leland, NC14.3+0.6 pts
81Rolesville, NC14.2+0.7 pts
82Clemmons, NC14.1+0.8 pts
83Davidson, NC140 pts
83Lewisville, NC14+0.3 pts
85Apex, NC13.9+0.6 pts
86Cornelius, NC13.7+0.2 pts
86Southern Pines, NC13.7+0.4 pts
88Matthews, NC13.6+0.5 pts
89Summerfield, NC13.4-0.1 pts
90Weddington, NC12.9+1.3 pts
91Cary, NC12.8+1 pts
92Morrisville, NC12.1+1.1 pts
93Pinehurst, NC11.5+1.1 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 cities 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence (Cities in North Carolina 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in North Carolina by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Cities in North Carolina 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/north-carolina-cities.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in North Carolina 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/north-carolina-cities (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_north_carolina_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in North Carolina 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/north-carolina-cities. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in North Carolina by frequent mental distress in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/12
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/north-carolina-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-cities.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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 Cities in North Carolina by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Boone, NC, with 26.1% in 2023, according to the Centers for Disease Control and Prevention.

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

Pinehurst, NC, with 11.5% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Cities in North Carolina: more rankings