Cities in Ohio by frequent mental distress in adults, local model estimate

Athens, OH had the highest frequent mental distress in adults, local model estimate of 176 cities in 2021, at 28.8%. Beachwood, OH had the lowest, at 10.3%. The median was 16.8%. Source: the Centers for Disease Control and Prevention.

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Highest28.8Athens, OH
Lowest10.3Beachwood, OH
Median16.8176 cities

Top 40 cities, 2021

Athens, OH: 28.8 %Athens, OH28.8Oxford, OH: 27.9 %Oxford, OH27.9Bowling Green, OH: 24.5 %Bowling Green, OH24.5Kent, OH: 23.6 %Kent, OH23.6Dayton, OH: 22.5 %Dayton, OH22.5Portsmouth, OH: 21.6 %Portsmouth, OH21.6Youngstown, OH: 21.1 %Youngstown, OH21.1Whitehall, OH: 20.9 %Whitehall, OH20.9Toledo, OH: 20.8 %Toledo, OH20.8Steubenville, OH: 20.7 %Steubenville, OH20.7Akron, OH: 20.4 %Akron, OH20.4Cleveland, OH: 20.3 %Cleveland, OH20.3Zanesville, OH: 20.2 %Zanesville, OH20.2Lima, OH: 20.1 %Lima, OH20.1Painesville, OH: 20.1 %Painesville, OH20.1Springfield, OH: 20.1 %Springfield, OH20.1Ashtabula, OH: 20 %Ashtabula, OH20Warren, OH: 20 %Warren, OH20East Cleveland, OH: 19.8 %East Cleveland, OH19.8Trotwood, OH: 19.8 %Trotwood, OH19.8Columbus, OH: 19.7 %Columbus, OH19.7Canton, OH: 19.6 %Canton, OH19.6Marietta, OH: 19.6 %Marietta, OH19.6West Carrollton, OH: 19.5 %West Carrollton, OH19.5Cambridge, OH: 19.3 %Cambridge, OH19.3Riverside, OH: 19.3 %Riverside, OH19.3Wilmington, OH: 19.3 %Wilmington, OH19.3Barberton, OH: 19.2 %Barberton, OH19.2Lorain, OH: 19.2 %Lorain, OH19.2Marion, OH: 19.2 %Marion, OH19.2Middletown, OH: 19.2 %Middletown, OH19.2Fairborn, OH: 19.1 %Fairborn, OH19.1Mansfield, OH: 19.1 %Mansfield, OH19.1Chillicothe, OH: 19 %Chillicothe, OH19Newark, OH: 19 %Newark, OH19Norwood, OH: 19 %Norwood, OH19Cincinnati, OH: 18.9 %Cincinnati, OH18.9Hamilton, OH: 18.9 %Hamilton, OH18.9Ironton, OH: 18.9 %Ironton, OH18.9Elyria, OH: 18.8 %Elyria, OH18.8Athens, OH: 28.8 %Athens, OH28.8Oxford, OH: 27.9 %Oxford, OH27.9Bowling Green, OH: 24.5 %Bowling Green, OH24.5Kent, OH: 23.6 %Kent, OH23.6Dayton, OH: 22.5 %Dayton, OH22.5Portsmouth, OH: 21.6 %Portsmouth, OH21.6Youngstown, OH: 21.1 %Youngstown, OH21.1Whitehall, OH: 20.9 %Whitehall, OH20.9Toledo, OH: 20.8 %Toledo, OH20.8Steubenville, OH: 20.7 %Steubenville, OH20.7Akron, OH: 20.4 %Akron, OH20.4Cleveland, OH: 20.3 %Cleveland, OH20.3Zanesville, OH: 20.2 %Zanesville, OH20.2Lima, OH: 20.1 %Lima, OH20.1Painesville, OH: 20.1 %Painesville, OH20.1Springfield, OH: 20.1 %Springfield, OH20.1Ashtabula, OH: 20 %Ashtabula, OH20Warren, OH: 20 %Warren, OH20East Cleveland, OH: 19.8 %East Cleveland, OH19.8Trotwood, OH: 19.8 %Trotwood, OH19.8Columbus, OH: 19.7 %Columbus, OH19.7Canton, OH: 19.6 %Canton, OH19.6Marietta, OH: 19.6 %Marietta, OH19.6West Carrollton, OH: 19.5 %West Carrollton, OH19.5Cambridge, OH: 19.3 %Cambridge, OH19.3Riverside, OH: 19.3 %Riverside, OH19.3Wilmington, OH: 19.3 %Wilmington, OH19.3Barberton, OH: 19.2 %Barberton, OH19.2Lorain, OH: 19.2 %Lorain, OH19.2Marion, OH: 19.2 %Marion, OH19.2Middletown, OH: 19.2 %Middletown, OH19.2Fairborn, OH: 19.1 %Fairborn, OH19.1Mansfield, OH: 19.1 %Mansfield, OH19.1Chillicothe, OH: 19 %Chillicothe, OH19Newark, OH: 19 %Newark, OH19Norwood, OH: 19 %Norwood, OH19Cincinnati, OH: 18.9 %Cincinnati, OH18.9Hamilton, OH: 18.9 %Hamilton, OH18.9Ironton, OH: 18.9 %Ironton, OH18.9Elyria, OH: 18.8 %Elyria, OH18.8
%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Athens, OH28.8
2Oxford, OH27.9
3Bowling Green, OH24.5
4Kent, OH23.6
5Dayton, OH22.5
6Portsmouth, OH21.6
7Youngstown, OH21.1
8Whitehall, OH20.9
9Toledo, OH20.8
10Steubenville, OH20.7
11Akron, OH20.4
12Cleveland, OH20.3
13Zanesville, OH20.2
14Lima, OH20.1
14Painesville, OH20.1
14Springfield, OH20.1
17Ashtabula, OH20
17Warren, OH20
19East Cleveland, OH19.8
19Trotwood, OH19.8
21Columbus, OH19.7
22Canton, OH19.6
22Marietta, OH19.6
24West Carrollton, OH19.5
25Cambridge, OH19.3
25Riverside, OH19.3
25Wilmington, OH19.3
28Barberton, OH19.2
28Lorain, OH19.2
28Marion, OH19.2
28Middletown, OH19.2
32Fairborn, OH19.1
32Mansfield, OH19.1
34Chillicothe, OH19
34Newark, OH19
34Norwood, OH19
37Cincinnati, OH18.9
37Hamilton, OH18.9
37Ironton, OH18.9
40Elyria, OH18.8
40Sandusky, OH18.8
42Alliance, OH18.6
42Franklin, OH18.6
42Galion, OH18.6
42Washington Court House, OH18.6
46Lancaster, OH18.5
47Circleville, OH18.4
48Bellefontaine, OH18.3
49Fostoria, OH18.2
49Mount Vernon, OH18.2
49Piqua, OH18.2
49Urbana, OH18.2
53Maple Heights, OH18.1
53New Philadelphia, OH18.1
53Norwalk, OH18.1
53Ravenna, OH18.1
53Sidney, OH18.1
53Trenton, OH18.1
53Van Wert, OH18.1
53Xenia, OH18.1
61Bucyrus, OH18
61Huber Heights, OH18
61Marysville, OH18
61Tiffin, OH18
65Ashland, OH17.9
65Conneaut, OH17.9
65Coshocton, OH17.9
65Euclid, OH17.9
65Garfield Heights, OH17.9
65Warrensville Heights, OH17.9
71London, OH17.8
72Fremont, OH17.6
72Salem, OH17.6
74Niles, OH17.5
75Defiance, OH17.4
75Greenville, OH17.4
77Reading, OH17.3
78Berea, OH17.2
78Wooster, OH17.2
80Miamisburg, OH17.1
80Vandalia, OH17.1
82Reynoldsburg, OH17
83Bedford Heights, OH16.9
83Brooklyn, OH16.9
83Harrison, OH16.9
83Massillon, OH16.9
83Troy, OH16.9
88Celina, OH16.8
88Heath, OH16.8
88Lebanon, OH16.8
91Grove City, OH16.7
92Cuyahoga Falls, OH16.6
92Delaware, OH16.6
92Kettering, OH16.6
95Brook Park, OH16.5
95Findlay, OH16.5
95Forest Park, OH16.5
95Oregon, OH16.5
95Pataskala, OH16.5
100Eastlake, OH16.4
101Lakewood, OH16.3
102Bedford, OH16.2
102Englewood, OH16.2
102Fairfield, OH16.2
105Brunswick, OH16.1
105University Heights, OH16.1
107Norton, OH16
108Parma, OH15.9
108South Euclid, OH15.9
108Willowick, OH15.9
111Clayton, OH15.8
111Streetsboro, OH15.8
113Parma Heights, OH15.7
114Canal Winchester, OH15.6
114Cleveland Heights, OH15.6
114Green, OH15.6
114Maumee, OH15.6
114Medina, OH15.6
119Bexley, OH15.5
119Pickerington, OH15.5
121New Franklin, OH15.4
122Hilliard, OH15.2
122Springdale, OH15.2
122Vermilion, OH15.2
122Wickliffe, OH15.2
126North Olmsted, OH15.1
126Richmond Heights, OH15.1
126Westerville, OH15.1
126Willoughby, OH15.1
130Dover, OH15
130Gahanna, OH15
132Amherst, OH14.9
132North Ridgeville, OH14.9
132Stow, OH14.9
132Tallmadge, OH14.9
132Wadsworth, OH14.9
137Mentor, OH14.7
137Monroe, OH14.7
139North Canton, OH14.6
140Tipp City, OH14.5
141Sharonville, OH14.4
142Fairview Park, OH14.3
142Mayfield Heights, OH14.3
142North Royalton, OH14.3
142Sylvania, OH14.3
146Twinsburg, OH14.2
147Loveland, OH13.9
148Macedonia, OH13.8
148Perrysburg, OH13.8
148Springboro, OH13.8
151Beavercreek, OH13.7
152Centerville, OH13.6
152Middleburg Heights, OH13.6
154Avon Lake, OH13.2
154Broadview Heights, OH13.2
154Strongsville, OH13.2
157New Albany, OH13.1
158Avon, OH13
158Mason, OH13
158Seven Hills, OH13
161Blue Ash, OH12.8
162Dublin, OH12.6
162Westlake, OH12.6
164Lyndhurst, OH12.5
164Shaker Heights, OH12.5
166Worthington, OH12.3
167Aurora, OH12.2
167Hudson, OH12.2
169Solon, OH12
170Rocky River, OH11.9
171Bay Village, OH11.8
171Brecksville, OH11.8
171Powell, OH11.8
171Upper Arlington, OH11.8
175Montgomery, OH10.9
176Beachwood, OH10.3

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 cities 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence (Cities in Ohio 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Ohio by frequent mental distress in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-cities?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Cities in Ohio 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/ohio-cities?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence, Cities in Ohio 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/ohio-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_cities_in_ohio_by_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in Ohio 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/ohio-cities?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence: Cities in Ohio by frequent mental distress in adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/12
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/ohio-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-cities?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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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Rank Cities in Ohio by frequent mental distress in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"municipality","within":"Ohio","limit":10}
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Questions

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

Athens, OH, with 28.8% in 2021, according to the Centers for Disease Control and Prevention.

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

Beachwood, OH, with 10.3% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Cities in Ohio: more rankings