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 2022, at 24.8%. Slope County had the lowest, at 12.4%. The median was 14.1%. Source: the Centers for Disease Control and Prevention.

Highest24.8Sioux County
Lowest12.4Slope County
Median14.153 counties

All counties, 2022

Sioux County: 24.8 %Sioux County24.8Rolette County: 20.3 %Rolette County20.3Benson County: 19.4 %Benson County19.4McKenzie County: 17.8 %McKenzie County17.8Grand Forks County: 16.6 %Grand Forks County16.6Cass County: 16.2 %Cass County16.2Mountrail County: 15.8 %Mountrail County15.8Williams County: 15.8 %Williams County15.8Stark County: 15.7 %Stark County15.7Ward County: 15.6 %Ward County15.6Walsh County: 15 %Walsh County15Bowman County: 14.9 %Bowman County14.9Hettinger County: 14.8 %Hettinger County14.8Towner County: 14.8 %Towner County14.8Eddy County: 14.7 %Eddy County14.7Dickey County: 14.6 %Dickey County14.6Logan County: 14.5 %Logan County14.5Sargent County: 14.5 %Sargent County14.5Dunn County: 14.4 %Dunn County14.4Morton County: 14.4 %Morton County14.4Richland County: 14.4 %Richland County14.4Traill County: 14.4 %Traill County14.4Bottineau County: 14.3 %Bottineau County14.3Stutsman County: 14.3 %Stutsman County14.3Mercer County: 14.2 %Mercer County14.2Renville County: 14.2 %Renville County14.2Grant County: 14.1 %Grant County14.1Kidder County: 14.1 %Kidder County14.1Foster County: 14 %Foster County14McIntosh County: 14 %McIntosh County14Adams County: 13.9 %Adams County13.9Pierce County: 13.9 %Pierce County13.9Ramsey County: 13.9 %Ramsey County13.9Golden Valley County: 13.8 %Golden Valley County13.8McHenry County: 13.8 %McHenry County13.8Oliver County: 13.8 %Oliver County13.8Barnes County: 13.7 %Barnes County13.7Pembina County: 13.6 %Pembina County13.6Ransom County: 13.6 %Ransom County13.6Burleigh County: 13.5 %Burleigh County13.5Divide County: 13.4 %Divide County13.4Emmons County: 13.2 %Emmons County13.2Nelson County: 13.1 %Nelson County13.1Steele County: 13.1 %Steele County13.1Cavalier County: 13 %Cavalier County13Griggs County: 12.9 %Griggs County12.9Billings County: 12.8 %Billings County12.8Burke County: 12.7 %Burke County12.7LaMoure County: 12.7 %LaMoure County12.7Wells County: 12.6 %Wells County12.6McLean County: 12.5 %McLean County12.5Sheridan County: 12.5 %Sheridan County12.5Slope County: 12.4 %Slope County12.4
%. 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

RankCounties2022 (%)Change on 2021
1Sioux County24.8+3.9 pts
2Rolette County20.3+1.9 pts
3Benson County19.4+2.6 pts
4McKenzie County17.8+3.2 pts
5Grand Forks County16.6+2 pts
6Cass County16.2+3.7 pts
7Mountrail County15.8+0.8 pts
7Williams County15.8+2.2 pts
9Stark County15.7+2.1 pts
10Ward County15.6+2.3 pts
11Walsh County15+2.1 pts
12Bowman County14.9+2.8 pts
13Hettinger County14.8+2 pts
13Towner County14.8+1.9 pts
15Eddy County14.7+1.6 pts
16Dickey County14.6+2.2 pts
17Logan County14.5+2.5 pts
17Sargent County14.5+2.9 pts
19Dunn County14.4+1.9 pts
19Morton County14.4+1.4 pts
19Richland County14.4+1.4 pts
19Traill County14.4+2.1 pts
23Bottineau County14.3+2.5 pts
23Stutsman County14.3+1.5 pts
25Mercer County14.2+2.2 pts
25Renville County14.2+2.5 pts
27Grant County14.1+2.7 pts
27Kidder County14.1+1.6 pts
29Foster County14+1.9 pts
29McIntosh County14+2 pts
31Adams County13.9+1.9 pts
31Pierce County13.9+1.9 pts
31Ramsey County13.9+0.8 pts
34Golden Valley County13.8+2.2 pts
34McHenry County13.8+1.6 pts
34Oliver County13.8+1.9 pts
37Barnes County13.7+1.2 pts
38Pembina County13.6+1.8 pts
38Ransom County13.6+1.2 pts
40Burleigh County13.5+1.4 pts
41Divide County13.4+1.5 pts
42Emmons County13.2+1.2 pts
43Nelson County13.1+1.7 pts
43Steele County13.1+1.7 pts
45Cavalier County13+1.3 pts
46Griggs County12.9+2.2 pts
47Billings County12.8+1.8 pts
48Burke County12.7+1 pts
48LaMoure County12.7+0.9 pts
50Wells County12.6+1 pts
51McLean County12.5+1.1 pts
51Sheridan County12.5+1.3 pts
53Slope County12.4+1.3 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 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, 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-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?

Sioux County, with 24.8% in 2022, according to the Centers for Disease Control and Prevention.

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

Slope County, with 12.4% 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, 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