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

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

Robeson County had the highest frequent mental distress in adults, local model estimate of 100 counties in 2023, at 20.1%. Chatham County had the lowest, at 13.8%. The median was 17.2%. Source: the Centers for Disease Control and Prevention.

Highest20.1Robeson County
Lowest13.8Chatham County
Median17.2100 counties

Top 40 counties, 2023

Robeson County: 20.1 %Robeson County20.1Scotland County: 19.7 %Scotland County19.7Swain County: 19.2 %Swain County19.2Richmond County: 19.1 %Richmond County19.1Hoke County: 19 %Hoke County19Watauga County: 19 %Watauga County19Anson County: 18.9 %Anson County18.9Onslow County: 18.9 %Onslow County18.9Greene County: 18.7 %Greene County18.7Lenoir County: 18.5 %Lenoir County18.5Cumberland County: 18.4 %Cumberland County18.4Halifax County: 18.4 %Halifax County18.4Columbus County: 18.3 %Columbus County18.3Jackson County: 18.3 %Jackson County18.3Edgecombe County: 18.2 %Edgecombe County18.2Hertford County: 18.2 %Hertford County18.2Pitt County: 18.2 %Pitt County18.2Harnett County: 18.1 %Harnett County18.1Sampson County: 18.1 %Sampson County18.1Vance County: 18.1 %Vance County18.1Wilson County: 18.1 %Wilson County18.1Randolph County: 17.9 %Randolph County17.9Wayne County: 17.9 %Wayne County17.9Cleveland County: 17.8 %Cleveland County17.8Rockingham County: 17.8 %Rockingham County17.8Rutherford County: 17.7 %Rutherford County17.7Surry County: 17.7 %Surry County17.7Washington County: 17.7 %Washington County17.7Caldwell County: 17.6 %Caldwell County17.6Jones County: 17.6 %Jones County17.6Stanly County: 17.6 %Stanly County17.6Alexander County: 17.5 %Alexander County17.5Bertie County: 17.5 %Bertie County17.5Davidson County: 17.5 %Davidson County17.5Lee County: 17.5 %Lee County17.5Martin County: 17.5 %Martin County17.5Rowan County: 17.5 %Rowan County17.5Wilkes County: 17.5 %Wilkes County17.5Bladen County: 17.4 %Bladen County17.4Gaston County: 17.4 %Gaston County17.4
%. 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
1Robeson County20.1-0.3 pts
2Scotland County19.7+0.9 pts
3Swain County19.2+0.4 pts
4Richmond County19.1+1.8 pts
5Hoke County19+0.8 pts
5Watauga County19+1.4 pts
7Anson County18.9+1.1 pts
7Onslow County18.9+1.5 pts
9Greene County18.7+0.8 pts
10Lenoir County18.5+1.4 pts
11Cumberland County18.4+1.2 pts
11Halifax County18.4+0.9 pts
13Columbus County18.3-0.2 pts
13Jackson County18.3+0.7 pts
15Edgecombe County18.2+1.4 pts
15Hertford County18.2+0.7 pts
15Pitt County18.2+1.9 pts
18Harnett County18.1+0.6 pts
18Sampson County18.1+1 pts
18Vance County18.1+0.8 pts
18Wilson County18.1+0.1 pts
22Randolph County17.9+0.1 pts
22Wayne County17.9+0.8 pts
24Cleveland County17.8-0.3 pts
24Rockingham County17.8+0.9 pts
26Rutherford County17.70 pts
26Surry County17.7+0.7 pts
26Washington County17.7+1 pts
29Caldwell County17.6+0.9 pts
29Jones County17.6+0.9 pts
29Stanly County17.6+1.1 pts
32Alexander County17.5+1.3 pts
32Bertie County17.5+0.8 pts
32Davidson County17.5+1.6 pts
32Lee County17.5+0.3 pts
32Martin County17.5+0.4 pts
32Rowan County17.5+1.9 pts
32Wilkes County17.5+0.4 pts
39Bladen County17.4+1.1 pts
39Gaston County17.4+0.5 pts
39McDowell County17.4-0.8 pts
42Burke County17.3+1.3 pts
42Duplin County17.3+0.4 pts
42Gates County17.3+1.2 pts
42Person County17.3+0.1 pts
42Yadkin County17.3+0.5 pts
47Alamance County17.2+0.3 pts
47Caswell County17.2+1.1 pts
47Hyde County17.2-0.1 pts
47Nash County17.2+0.7 pts
47Warren County17.2+0.5 pts
52Montgomery County17.1+0.9 pts
52Pasquotank County17.1+0.5 pts
54Granville County17+0.9 pts
54Tyrrell County17+1.9 pts
56Johnston County16.9+0.1 pts
56Stokes County16.9+0.6 pts
58Avery County16.8+0.7 pts
58Franklin County16.8+0.4 pts
58Graham County16.8-0.1 pts
58Guilford County16.8+0.1 pts
62Catawba County16.7+0.8 pts
62Chowan County16.7+1.2 pts
62Craven County16.70 pts
65Yancey County16.6+1.6 pts
66Beaufort County16.5+0.3 pts
66Northampton County16.5+1.2 pts
66Pender County16.5+0.6 pts
69Alleghany County16.40 pts
69Forsyth County16.4+0.8 pts
71Madison County16.3+0.4 pts
71New Hanover County16.3+1.3 pts
73Ashe County16.2+0.8 pts
73Cabarrus County16.2+1.2 pts
73Lincoln County16.2-0.2 pts
73Mitchell County16.2+0.5 pts
77Camden County16.10 pts
78Haywood County15.9+2 pts
78Iredell County15.9+0.1 pts
78Perquimans County15.9+1.6 pts
81Currituck County15.8+0.9 pts
81Davie County15.80 pts
81Macon County15.8+1.6 pts
81Union County15.8+1.4 pts
85Cherokee County15.7+0.1 pts
85Mecklenburg County15.70 pts
87Buncombe County15.3+1.3 pts
87Durham County15.3+1.2 pts
87Orange County15.3+1.8 pts
90Pamlico County15+0.7 pts
91Henderson County14.9+0.7 pts
92Carteret County14.7+0.5 pts
92Clay County14.7+0.1 pts
92Moore County14.7+0.8 pts
92Wake County14.7+1.3 pts
96Polk County14.5+2.4 pts
96Transylvania County14.5+1.3 pts
98Dare County14.2+1.1 pts
99Brunswick County14+0.1 pts
100Chatham County13.8+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 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in North Carolina 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/north-carolina-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 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-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 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-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 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-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-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?

Robeson County, with 20.1% in 2023, according to the Centers for Disease Control and Prevention.

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

Chatham County, with 13.8% 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 North Carolina: more rankings