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

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

Sioux County had the highest frequent mental distress in adults, local model estimate of 53 counties in 2021, at 20.9%. Griggs County had the lowest, at 10.7%. The median was 12.1%. Source: the Centers for Disease Control and Prevention.

Highest20.9Sioux County
Lowest10.7Griggs County
Median12.153 counties

All counties, 2021

Sioux County: 20.9 %Sioux County20.9Rolette County: 18.4 %Rolette County18.4Benson County: 16.8 %Benson County16.8Mountrail County: 15 %Mountrail County15Grand Forks County: 14.6 %Grand Forks County14.6McKenzie County: 14.6 %McKenzie County14.6Stark County: 13.6 %Stark County13.6Williams County: 13.6 %Williams County13.6Ward County: 13.3 %Ward County13.3Eddy County: 13.1 %Eddy County13.1Ramsey County: 13.1 %Ramsey County13.1Morton County: 13 %Morton County13Richland County: 13 %Richland County13Towner County: 12.9 %Towner County12.9Walsh County: 12.9 %Walsh County12.9Hettinger County: 12.8 %Hettinger County12.8Stutsman County: 12.8 %Stutsman County12.8Barnes County: 12.5 %Barnes County12.5Cass County: 12.5 %Cass County12.5Dunn County: 12.5 %Dunn County12.5Kidder County: 12.5 %Kidder County12.5Dickey County: 12.4 %Dickey County12.4Ransom County: 12.4 %Ransom County12.4Traill County: 12.3 %Traill County12.3McHenry County: 12.2 %McHenry County12.2Bowman County: 12.1 %Bowman County12.1Burleigh County: 12.1 %Burleigh County12.1Foster County: 12.1 %Foster County12.1Adams County: 12 %Adams County12Emmons County: 12 %Emmons County12Logan County: 12 %Logan County12McIntosh County: 12 %McIntosh County12Mercer County: 12 %Mercer County12Pierce County: 12 %Pierce County12Divide County: 11.9 %Divide County11.9Oliver County: 11.9 %Oliver County11.9Bottineau County: 11.8 %Bottineau County11.8LaMoure County: 11.8 %LaMoure County11.8Pembina County: 11.8 %Pembina County11.8Burke County: 11.7 %Burke County11.7Cavalier County: 11.7 %Cavalier County11.7Renville County: 11.7 %Renville County11.7Golden Valley County: 11.6 %Golden Valley County11.6Sargent County: 11.6 %Sargent County11.6Wells County: 11.6 %Wells County11.6Grant County: 11.4 %Grant County11.4McLean County: 11.4 %McLean County11.4Nelson County: 11.4 %Nelson County11.4Steele County: 11.4 %Steele County11.4Sheridan County: 11.2 %Sheridan County11.2Slope County: 11.1 %Slope County11.1Billings County: 11 %Billings County11Griggs County: 10.7 %Griggs County10.7
%. 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

RankCounties2021 (%)
1Sioux County20.9
2Rolette County18.4
3Benson County16.8
4Mountrail County15
5Grand Forks County14.6
5McKenzie County14.6
7Stark County13.6
7Williams County13.6
9Ward County13.3
10Eddy County13.1
10Ramsey County13.1
12Morton County13
12Richland County13
14Towner County12.9
14Walsh County12.9
16Hettinger County12.8
16Stutsman County12.8
18Barnes County12.5
18Cass County12.5
18Dunn County12.5
18Kidder County12.5
22Dickey County12.4
22Ransom County12.4
24Traill County12.3
25McHenry County12.2
26Bowman County12.1
26Burleigh County12.1
26Foster County12.1
29Adams County12
29Emmons County12
29Logan County12
29McIntosh County12
29Mercer County12
29Pierce County12
35Divide County11.9
35Oliver County11.9
37Bottineau County11.8
37LaMoure County11.8
37Pembina County11.8
40Burke County11.7
40Cavalier County11.7
40Renville County11.7
43Golden Valley County11.6
43Sargent County11.6
43Wells County11.6
46Grant County11.4
46McLean County11.4
46Nelson County11.4
46Steele County11.4
50Sheridan County11.2
51Slope County11.1
52Billings County11
53Griggs County10.7

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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2021 (Accessed: 12 October 2026).

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

Sioux County, with 20.9% in 2021, according to the Centers for Disease Control and Prevention.

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

Griggs County, with 10.7% 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 Dakota: more rankings