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

Robeson County had the highest frequent mental distress in adults, local model estimate of 100 counties in 2021, at 18.7%. Wake County had the lowest, at 12.3%. The median was 15.5%. Source: the Centers for Disease Control and Prevention.

Highest18.7Robeson County
Lowest12.3Wake County
Median15.5100 counties

Top 40 counties, 2021

Robeson County: 18.7 %Robeson County18.7Scotland County: 18.1 %Scotland County18.1Onslow County: 17.9 %Onslow County17.9Swain County: 17.5 %Swain County17.5Watauga County: 17.5 %Watauga County17.5Cumberland County: 17.3 %Cumberland County17.3Halifax County: 17.3 %Halifax County17.3Richmond County: 17.3 %Richmond County17.3Columbus County: 17 %Columbus County17Lenoir County: 17 %Lenoir County17Pitt County: 17 %Pitt County17Jackson County: 16.8 %Jackson County16.8Hoke County: 16.7 %Hoke County16.7Cleveland County: 16.6 %Cleveland County16.6Greene County: 16.6 %Greene County16.6Sampson County: 16.6 %Sampson County16.6Vance County: 16.6 %Vance County16.6Anson County: 16.5 %Anson County16.5Edgecombe County: 16.5 %Edgecombe County16.5Harnett County: 16.5 %Harnett County16.5Wilson County: 16.5 %Wilson County16.5Hertford County: 16.4 %Hertford County16.4Bertie County: 16.3 %Bertie County16.3Duplin County: 16.2 %Duplin County16.2Randolph County: 16.2 %Randolph County16.2Surry County: 16.2 %Surry County16.2Wayne County: 16.2 %Wayne County16.2Alamance County: 16.1 %Alamance County16.1Martin County: 16.1 %Martin County16.1Rockingham County: 16.1 %Rockingham County16.1Bladen County: 16 %Bladen County16Burke County: 16 %Burke County16Caldwell County: 16 %Caldwell County16Jones County: 16 %Jones County16Wilkes County: 16 %Wilkes County16Rutherford County: 15.9 %Rutherford County15.9Washington County: 15.9 %Washington County15.9Yadkin County: 15.9 %Yadkin County15.9Alleghany County: 15.8 %Alleghany County15.8Hyde County: 15.8 %Hyde County15.8
%. 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 (%)
1Robeson County18.7
2Scotland County18.1
3Onslow County17.9
4Swain County17.5
4Watauga County17.5
6Cumberland County17.3
6Halifax County17.3
6Richmond County17.3
9Columbus County17
9Lenoir County17
9Pitt County17
12Jackson County16.8
13Hoke County16.7
14Cleveland County16.6
14Greene County16.6
14Sampson County16.6
14Vance County16.6
18Anson County16.5
18Edgecombe County16.5
18Harnett County16.5
18Wilson County16.5
22Hertford County16.4
23Bertie County16.3
24Duplin County16.2
24Randolph County16.2
24Surry County16.2
24Wayne County16.2
28Alamance County16.1
28Martin County16.1
28Rockingham County16.1
31Bladen County16
31Burke County16
31Caldwell County16
31Jones County16
31Wilkes County16
36Rutherford County15.9
36Washington County15.9
36Yadkin County15.9
39Alleghany County15.8
39Hyde County15.8
39Rowan County15.8
42Davidson County15.7
42Lee County15.7
42Montgomery County15.7
42Stanly County15.7
46Gaston County15.6
46Johnston County15.6
46Tyrrell County15.6
46Warren County15.6
50Catawba County15.5
50Franklin County15.5
50Graham County15.5
50Person County15.5
50Stokes County15.5
55Alexander County15.4
55Gates County15.4
55McDowell County15.4
55Nash County15.4
55Northampton County15.4
60Beaufort County15.3
60Chowan County15.3
62Avery County15.2
62Caswell County15.2
62Craven County15.2
62Granville County15.2
62New Hanover County15.2
67Forsyth County15.1
67Madison County15.1
67Pasquotank County15.1
67Yancey County15.1
71Ashe County14.9
72Guilford County14.8
73Camden County14.7
73Pender County14.7
75Haywood County14.6
75Lincoln County14.6
75Mitchell County14.6
78Buncombe County14.5
78Cherokee County14.5
80Davie County14.4
80Iredell County14.4
82Durham County14.3
82Perquimans County14.3
84Cabarrus County14.2
84Currituck County14.2
86Macon County14.1
86Mecklenburg County14.1
88Orange County14
88Union County14
90Clay County13.8
90Pamlico County13.8
92Carteret County13.5
93Transylvania County13.3
94Henderson County13.2
95Moore County13
96Chatham County12.7
96Dare County12.7
98Polk County12.6
99Brunswick County12.5
100Wake County12.3

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, 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-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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Questions

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

Robeson County, with 18.7% in 2021, according to the Centers for Disease Control and Prevention.

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

Wake County, with 12.3% 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 North Carolina: more rankings