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

Boone, NC had the highest frequent mental distress in adults, local model estimate of 93 cities in 2022, at 26.7%. Pinehurst, NC had the lowest, at 10.4%. The median was 16.5%. Source: the Centers for Disease Control and Prevention.

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Highest26.7Boone, NC
Lowest10.4Pinehurst, NC
Median16.593 cities

Top 40 cities, 2022

Boone, NC: 26.7 %Boone, NC26.7Elon, NC: 20.4 %Elon, NC20.4Spring Lake, NC: 20.2 %Spring Lake, NC20.2Jacksonville, NC: 20.1 %Jacksonville, NC20.1Havelock, NC: 19.2 %Havelock, NC19.2Greenville, NC: 18.9 %Greenville, NC18.9Laurinburg, NC: 18.7 %Laurinburg, NC18.7Lumberton, NC: 18.7 %Lumberton, NC18.7Reidsville, NC: 18.6 %Reidsville, NC18.6Lexington, NC: 18.4 %Lexington, NC18.4Fayetteville, NC: 18.3 %Fayetteville, NC18.3Hope Mills, NC: 18.2 %Hope Mills, NC18.2Kings Mountain, NC: 18.2 %Kings Mountain, NC18.2Sanford, NC: 18.2 %Sanford, NC18.2Kinston, NC: 18 %Kinston, NC18Lenoir, NC: 18 %Lenoir, NC18Thomasville, NC: 18 %Thomasville, NC18Goldsboro, NC: 17.9 %Goldsboro, NC17.9Greensboro, NC: 17.9 %Greensboro, NC17.9Morganton, NC: 17.9 %Morganton, NC17.9Eden, NC: 17.8 %Eden, NC17.8Wilson, NC: 17.8 %Wilson, NC17.8Asheboro, NC: 17.7 %Asheboro, NC17.7Henderson, NC: 17.7 %Henderson, NC17.7Elizabeth City, NC: 17.5 %Elizabeth City, NC17.5Lincolnton, NC: 17.5 %Lincolnton, NC17.5Albemarle, NC: 17.3 %Albemarle, NC17.3Chapel Hill, NC: 17.3 %Chapel Hill, NC17.3Shelby, NC: 17.3 %Shelby, NC17.3Kannapolis, NC: 17.2 %Kannapolis, NC17.2Roanoke Rapids, NC: 17.2 %Roanoke Rapids, NC17.2Graham, NC: 17.1 %Graham, NC17.1Rocky Mount, NC: 17.1 %Rocky Mount, NC17.1Winston-Salem, NC: 17.1 %Winston-Salem, NC17.1Burlington, NC: 17 %Burlington, NC17Gastonia, NC: 17 %Gastonia, NC17Monroe, NC: 17 %Monroe, NC17Salisbury, NC: 17 %Salisbury, NC17High Point, NC: 16.9 %High Point, NC16.9Mount Airy, NC: 16.9 %Mount Airy, NC16.9Boone, NC: 26.7 %Boone, NC26.7Elon, NC: 20.4 %Elon, NC20.4Spring Lake, NC: 20.2 %Spring Lake, NC20.2Jacksonville, NC: 20.1 %Jacksonville, NC20.1Havelock, NC: 19.2 %Havelock, NC19.2Greenville, NC: 18.9 %Greenville, NC18.9Laurinburg, NC: 18.7 %Laurinburg, NC18.7Lumberton, NC: 18.7 %Lumberton, NC18.7Reidsville, NC: 18.6 %Reidsville, NC18.6Lexington, NC: 18.4 %Lexington, NC18.4Fayetteville, NC: 18.3 %Fayetteville, NC18.3Hope Mills, NC: 18.2 %Hope Mills, NC18.2Kings Mountain, NC: 18.2 %Kings Mountain, NC18.2Sanford, NC: 18.2 %Sanford, NC18.2Kinston, NC: 18 %Kinston, NC18Lenoir, NC: 18 %Lenoir, NC18Thomasville, NC: 18 %Thomasville, NC18Goldsboro, NC: 17.9 %Goldsboro, NC17.9Greensboro, NC: 17.9 %Greensboro, NC17.9Morganton, NC: 17.9 %Morganton, NC17.9Eden, NC: 17.8 %Eden, NC17.8Wilson, NC: 17.8 %Wilson, NC17.8Asheboro, NC: 17.7 %Asheboro, NC17.7Henderson, NC: 17.7 %Henderson, NC17.7Elizabeth City, NC: 17.5 %Elizabeth City, NC17.5Lincolnton, NC: 17.5 %Lincolnton, NC17.5Albemarle, NC: 17.3 %Albemarle, NC17.3Chapel Hill, NC: 17.3 %Chapel Hill, NC17.3Shelby, NC: 17.3 %Shelby, NC17.3Kannapolis, NC: 17.2 %Kannapolis, NC17.2Roanoke Rapids, NC: 17.2 %Roanoke Rapids, NC17.2Graham, NC: 17.1 %Graham, NC17.1Rocky Mount, NC: 17.1 %Rocky Mount, NC17.1Winston-Salem, NC: 17.1 %Winston-Salem, NC17.1Burlington, NC: 17 %Burlington, NC17Gastonia, NC: 17 %Gastonia, NC17Monroe, NC: 17 %Monroe, NC17Salisbury, NC: 17 %Salisbury, NC17High Point, NC: 16.9 %High Point, NC16.9Mount Airy, NC: 16.9 %Mount Airy, NC16.9
%. 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

RankCities2022 (%)Change on 2021
1Boone, NC26.7+0.9 pts
2Elon, NC20.4+0.5 pts
3Spring Lake, NC20.2-0.6 pts
4Jacksonville, NC20.1-0.1 pts
5Havelock, NC19.2+0.5 pts
6Greenville, NC18.9-1 pts
7Laurinburg, NC18.7-0.1 pts
7Lumberton, NC18.7+0.2 pts
9Reidsville, NC18.6+1.2 pts
10Lexington, NC18.4-0.3 pts
11Fayetteville, NC18.3-0.1 pts
12Hope Mills, NC18.2-0.1 pts
12Kings Mountain, NC18.2+1.1 pts
12Sanford, NC18.2+0.7 pts
15Kinston, NC18+0.5 pts
15Lenoir, NC18+1 pts
15Thomasville, NC18+0.4 pts
18Goldsboro, NC17.9+0.4 pts
18Greensboro, NC17.9+1.4 pts
18Morganton, NC17.9+0.9 pts
21Eden, NC17.8+0.2 pts
21Wilson, NC17.8+0.2 pts
23Asheboro, NC17.7-0.2 pts
23Henderson, NC17.7-0.8 pts
25Elizabeth City, NC17.5-0.8 pts
25Lincolnton, NC17.5+0.7 pts
27Albemarle, NC17.3+0.5 pts
27Chapel Hill, NC17.3+0.3 pts
27Shelby, NC17.3+0.2 pts
30Kannapolis, NC17.2+0.6 pts
30Roanoke Rapids, NC17.2-0.7 pts
32Graham, NC17.1-0.7 pts
32Rocky Mount, NC17.10 pts
32Winston-Salem, NC17.1+0.5 pts
35Burlington, NC17-0.3 pts
35Gastonia, NC17+0.3 pts
35Monroe, NC17-0.2 pts
35Salisbury, NC17+0.7 pts
39High Point, NC16.9+0.5 pts
39Mount Airy, NC16.9+0.5 pts
41Zebulon, NC16.8+0.4 pts
42Clayton, NC16.7+0.8 pts
42Newton, NC16.7+0.2 pts
42Statesville, NC16.7+0.3 pts
42Wilmington, NC16.7-0.9 pts
46Pineville, NC16.6+1.7 pts
47Knightdale, NC16.5+1.8 pts
47Smithfield, NC16.5+0.7 pts
49Mebane, NC16.4+0.3 pts
49Tarboro, NC16.4-0.6 pts
51Hickory, NC16.2-0.6 pts
52Aberdeen, NC16.1+1.5 pts
53Charlotte, NC15.9+0.5 pts
53Mount Holly, NC15.9-0.2 pts
55Belmont, NC15.8+0.2 pts
55Raleigh, NC15.8+1.2 pts
57Durham, NC15.7-0.3 pts
57New Bern, NC15.7-0.5 pts
59Archdale, NC15.6-0.8 pts
59Concord, NC15.6+0.1 pts
61Asheville, NC15.40 pts
61Kernersville, NC15.4-0.2 pts
61Waynesville, NC15.4+0.4 pts
64Mooresville, NC15.1-0.3 pts
64Morehead City, NC15.1+0.2 pts
66Indian Trail, NC150 pts
67Garner, NC14.8+0.6 pts
67Wendell, NC14.8+0.2 pts
69Carrboro, NC14.7+0.1 pts
70Winterville, NC14.6+0.4 pts
71Fuquay-Varina, NC14.5+0.9 pts
72Hendersonville, NC14.3+0.7 pts
72Waxhaw, NC14.3+0.9 pts
74Mint Hill, NC14.1+0.2 pts
75Davidson, NC14+0.1 pts
76Huntersville, NC13.9+0.5 pts
77Stallings, NC13.8-0.2 pts
78Leland, NC13.7-1.4 pts
78Lewisville, NC13.7+0.5 pts
78Wake Forest, NC13.7+0.8 pts
81Cornelius, NC13.5+0.1 pts
81Rolesville, NC13.5+1 pts
81Summerfield, NC13.5+1.2 pts
84Holly Springs, NC13.4+0.8 pts
85Apex, NC13.3+1.4 pts
85Clemmons, NC13.3+0.3 pts
85Southern Pines, NC13.3+0.8 pts
88Matthews, NC13.1+0.2 pts
89Harrisburg, NC13-0.3 pts
90Cary, NC11.8+0.5 pts
91Weddington, NC11.60 pts
92Morrisville, NC11-0.5 pts
93Pinehurst, NC10.4+0.3 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, 2022) [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, 2022. 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?period=2022. 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, 2022. 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?period=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_north_carolina_2022,
  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, 2022}},
  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?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-cities?period=2022.
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 26.7% in 2022, 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 10.4% in 2022.

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