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 2022, at 20.4%. Polk County had the lowest, at 12.1%. The median was 16.4%. Source: the Centers for Disease Control and Prevention.

Highest20.4Robeson County
Lowest12.1Polk County
Median16.4100 counties

Top 40 counties, 2022

Robeson County: 20.4 %Robeson County20.4Scotland County: 18.8 %Scotland County18.8Swain County: 18.8 %Swain County18.8Columbus County: 18.5 %Columbus County18.5Hoke County: 18.2 %Hoke County18.2McDowell County: 18.2 %McDowell County18.2Cleveland County: 18.1 %Cleveland County18.1Wilson County: 18 %Wilson County18Greene County: 17.9 %Greene County17.9Anson County: 17.8 %Anson County17.8Randolph County: 17.8 %Randolph County17.8Rutherford County: 17.7 %Rutherford County17.7Jackson County: 17.6 %Jackson County17.6Watauga County: 17.6 %Watauga County17.6Halifax County: 17.5 %Halifax County17.5Harnett County: 17.5 %Harnett County17.5Hertford County: 17.5 %Hertford County17.5Onslow County: 17.4 %Onslow County17.4Hyde County: 17.3 %Hyde County17.3Richmond County: 17.3 %Richmond County17.3Vance County: 17.3 %Vance County17.3Cumberland County: 17.2 %Cumberland County17.2Lee County: 17.2 %Lee County17.2Person County: 17.2 %Person County17.2Lenoir County: 17.1 %Lenoir County17.1Martin County: 17.1 %Martin County17.1Sampson County: 17.1 %Sampson County17.1Wayne County: 17.1 %Wayne County17.1Wilkes County: 17.1 %Wilkes County17.1Surry County: 17 %Surry County17Alamance County: 16.9 %Alamance County16.9Duplin County: 16.9 %Duplin County16.9Gaston County: 16.9 %Gaston County16.9Graham County: 16.9 %Graham County16.9Rockingham County: 16.9 %Rockingham County16.9Edgecombe County: 16.8 %Edgecombe County16.8Johnston County: 16.8 %Johnston County16.8Yadkin County: 16.8 %Yadkin County16.8Bertie County: 16.7 %Bertie County16.7Caldwell County: 16.7 %Caldwell County16.7
%. 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

RankCounties2022 (%)Change on 2021
1Robeson County20.4+1.7 pts
2Scotland County18.8+0.7 pts
2Swain County18.8+1.3 pts
4Columbus County18.5+1.5 pts
5Hoke County18.2+1.5 pts
5McDowell County18.2+2.8 pts
7Cleveland County18.1+1.5 pts
8Wilson County18+1.5 pts
9Greene County17.9+1.3 pts
10Anson County17.8+1.3 pts
10Randolph County17.8+1.6 pts
12Rutherford County17.7+1.8 pts
13Jackson County17.6+0.8 pts
13Watauga County17.6+0.1 pts
15Halifax County17.5+0.2 pts
15Harnett County17.5+1 pts
15Hertford County17.5+1.1 pts
18Onslow County17.4-0.5 pts
19Hyde County17.3+1.5 pts
19Richmond County17.30 pts
19Vance County17.3+0.7 pts
22Cumberland County17.2-0.1 pts
22Lee County17.2+1.5 pts
22Person County17.2+1.7 pts
25Lenoir County17.1+0.1 pts
25Martin County17.1+1 pts
25Sampson County17.1+0.5 pts
25Wayne County17.1+0.9 pts
25Wilkes County17.1+1.1 pts
30Surry County17+0.8 pts
31Alamance County16.9+0.8 pts
31Duplin County16.9+0.7 pts
31Gaston County16.9+1.3 pts
31Graham County16.9+1.4 pts
31Rockingham County16.9+0.8 pts
36Edgecombe County16.8+0.3 pts
36Johnston County16.8+1.2 pts
36Yadkin County16.8+0.9 pts
39Bertie County16.7+0.4 pts
39Caldwell County16.7+0.7 pts
39Craven County16.7+1.5 pts
39Guilford County16.7+1.9 pts
39Jones County16.7+0.7 pts
39Warren County16.7+1.1 pts
39Washington County16.7+0.8 pts
46Pasquotank County16.6+1.5 pts
47Nash County16.5+1.1 pts
47Stanly County16.5+0.8 pts
49Alleghany County16.4+0.6 pts
49Franklin County16.4+0.9 pts
49Lincoln County16.4+1.8 pts
52Bladen County16.3+0.3 pts
52Pitt County16.3-0.7 pts
52Stokes County16.3+0.8 pts
55Alexander County16.2+0.8 pts
55Beaufort County16.2+0.9 pts
55Montgomery County16.2+0.5 pts
58Avery County16.1+0.9 pts
58Camden County16.1+1.4 pts
58Caswell County16.1+0.9 pts
58Gates County16.1+0.7 pts
58Granville County16.1+0.9 pts
63Burke County160 pts
64Catawba County15.9+0.4 pts
64Davidson County15.9+0.2 pts
64Madison County15.9+0.8 pts
64Pender County15.9+1.2 pts
68Davie County15.8+1.4 pts
68Iredell County15.8+1.4 pts
70Mecklenburg County15.7+1.6 pts
70Mitchell County15.7+1.1 pts
72Cherokee County15.6+1.1 pts
72Forsyth County15.6+0.5 pts
72Rowan County15.6-0.2 pts
75Chowan County15.5+0.2 pts
76Ashe County15.4+0.5 pts
77Northampton County15.3-0.1 pts
78Tyrrell County15.1-0.5 pts
79Cabarrus County15+0.8 pts
79New Hanover County15-0.2 pts
79Yancey County15-0.1 pts
82Currituck County14.9+0.7 pts
83Clay County14.6+0.8 pts
84Union County14.4+0.4 pts
85Pamlico County14.3+0.5 pts
85Perquimans County14.30 pts
87Carteret County14.2+0.7 pts
87Henderson County14.2+1 pts
87Macon County14.2+0.1 pts
90Durham County14.1-0.2 pts
91Buncombe County14-0.5 pts
92Brunswick County13.9+1.4 pts
92Haywood County13.9-0.7 pts
92Moore County13.9+0.9 pts
95Chatham County13.7+1 pts
96Orange County13.5-0.5 pts
97Wake County13.4+1.1 pts
98Transylvania County13.2-0.1 pts
99Dare County13.1+0.4 pts
100Polk County12.1-0.5 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, 2022) [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, 2022. 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=2022. 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, 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-counties?period=2022.

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, 2022 [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=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2022,
  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, 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-counties?period=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-carolina-counties?period=2022.
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 20.4% in 2022, according to the Centers for Disease Control and Prevention.

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

Polk County, with 12.1% 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, 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