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

Counties in Ohio by frequent mental distress in adults, local model estimate, 2023

Holmes County had the highest frequent mental distress in adults, local model estimate of 88 counties in 2023, at 21.5%. Delaware County had the lowest, at 13.5%. The median was 18%. Source: the Centers for Disease Control and Prevention.

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Highest21.5Holmes County
Lowest13.5Delaware County
Median1888 counties

Map of counties, 2023

Adams County: 19.8 %Allen County: 18.3 %Ashland County: 18 %Ashtabula County: 19.5 %Athens County: 20.9 %Auglaize County: 17.2 %Belmont County: 18.1 %Brown County: 18.9 %Butler County: 17.8 %Carroll County: 18.3 %Champaign County: 17.7 %Clark County: 18.8 %Clermont County: 17.2 %Clinton County: 18.4 %Columbiana County: 17.9 %Coshocton County: 18.9 %Crawford County: 18.6 %Cuyahoga County: 16.1 %Darke County: 18.3 %Defiance County: 17.2 %Delaware County: 13.5 %Erie County: 16.8 %Fairfield County: 16.6 %Fayette County: 19.2 %Franklin County: 18.1 %Fulton County: 17.1 %Gallia County: 19.6 %Geauga County: 15.2 %Greene County: 16.3 %Guernsey County: 19.1 %Hamilton County: 17.3 %Hancock County: 17.4 %Hardin County: 19.9 %Harrison County: 18.7 %Henry County: 17.2 %Highland County: 19.2 %Hocking County: 19.3 %Holmes County: 21.5 %Huron County: 18 %Jackson County: 20 %Jefferson County: 18.7 %Knox County: 17.7 %Lake County: 16.2 %Lawrence County: 19.6 %Licking County: 17.1 %Logan County: 17.9 %Lorain County: 17.4 %Lucas County: 18.3 %Madison County: 17.6 %Mahoning County: 17.6 %Marion County: 18.7 %Medina County: 15.8 %Meigs County: 20.3 %Mercer County: 17.1 %Miami County: 16.9 %Monroe County: 18.5 %Montgomery County: 18 %Morgan County: 18.5 %Morrow County: 18.1 %Muskingum County: 18.9 %Noble County: 16.3 %Ottawa County: 15.5 %Paulding County: 17.8 %Perry County: 18.8 %Pickaway County: 18.5 %Pike County: 21 %Portage County: 17.8 %Preble County: 17.9 %Putnam County: 16.4 %Richland County: 18.8 %Ross County: 19.2 %Sandusky County: 17.6 %Scioto County: 21 %Seneca County: 18 %Shelby County: 18.1 %Stark County: 17.7 %Summit County: 17.2 %Trumbull County: 18.5 %Tuscarawas County: 18.4 %Union County: 16.1 %Van Wert County: 17.8 %Vinton County: 19.6 %Warren County: 15.2 %Washington County: 17.6 %Wayne County: 17.8 %Williams County: 18.2 %Wood County: 17.4 %Wyandot County: 17 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 and over
%, 2023. 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. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Holmes County: 21.5 %Holmes County21.5Pike County: 21 %Pike County21Scioto County: 21 %Scioto County21Athens County: 20.9 %Athens County20.9Meigs County: 20.3 %Meigs County20.3Jackson County: 20 %Jackson County20Hardin County: 19.9 %Hardin County19.9Adams County: 19.8 %Adams County19.8Gallia County: 19.6 %Gallia County19.6Lawrence County: 19.6 %Lawrence County19.6Vinton County: 19.6 %Vinton County19.6Ashtabula County: 19.5 %Ashtabula County19.5Hocking County: 19.3 %Hocking County19.3Fayette County: 19.2 %Fayette County19.2Highland County: 19.2 %Highland County19.2Ross County: 19.2 %Ross County19.2Guernsey County: 19.1 %Guernsey County19.1Brown County: 18.9 %Brown County18.9Coshocton County: 18.9 %Coshocton County18.9Muskingum County: 18.9 %Muskingum County18.9Clark County: 18.8 %Clark County18.8Perry County: 18.8 %Perry County18.8Richland County: 18.8 %Richland County18.8Harrison County: 18.7 %Harrison County18.7Jefferson County: 18.7 %Jefferson County18.7Marion County: 18.7 %Marion County18.7Crawford County: 18.6 %Crawford County18.6Monroe County: 18.5 %Monroe County18.5Morgan County: 18.5 %Morgan County18.5Pickaway County: 18.5 %Pickaway County18.5Trumbull County: 18.5 %Trumbull County18.5Clinton County: 18.4 %Clinton County18.4Tuscarawas County: 18.4 %Tuscarawas County18.4Allen County: 18.3 %Allen County18.3Carroll County: 18.3 %Carroll County18.3Darke County: 18.3 %Darke County18.3Lucas County: 18.3 %Lucas County18.3Williams County: 18.2 %Williams County18.2Belmont County: 18.1 %Belmont County18.1Franklin County: 18.1 %Franklin County18.1Holmes County: 21.5 %Holmes County21.5Pike County: 21 %Pike County21Scioto County: 21 %Scioto County21Athens County: 20.9 %Athens County20.9Meigs County: 20.3 %Meigs County20.3Jackson County: 20 %Jackson County20Hardin County: 19.9 %Hardin County19.9Adams County: 19.8 %Adams County19.8Gallia County: 19.6 %Gallia County19.6Lawrence County: 19.6 %Lawrence County19.6Vinton County: 19.6 %Vinton County19.6Ashtabula County: 19.5 %Ashtabula County19.5Hocking County: 19.3 %Hocking County19.3Fayette County: 19.2 %Fayette County19.2Highland County: 19.2 %Highland County19.2Ross County: 19.2 %Ross County19.2Guernsey County: 19.1 %Guernsey County19.1Brown County: 18.9 %Brown County18.9Coshocton County: 18.9 %Coshocton County18.9Muskingum County: 18.9 %Muskingum County18.9Clark County: 18.8 %Clark County18.8Perry County: 18.8 %Perry County18.8Richland County: 18.8 %Richland County18.8Harrison County: 18.7 %Harrison County18.7Jefferson County: 18.7 %Jefferson County18.7Marion County: 18.7 %Marion County18.7Crawford County: 18.6 %Crawford County18.6Monroe County: 18.5 %Monroe County18.5Morgan County: 18.5 %Morgan County18.5Pickaway County: 18.5 %Pickaway County18.5Trumbull County: 18.5 %Trumbull County18.5Clinton County: 18.4 %Clinton County18.4Tuscarawas County: 18.4 %Tuscarawas County18.4Allen County: 18.3 %Allen County18.3Carroll County: 18.3 %Carroll County18.3Darke County: 18.3 %Darke County18.3Lucas County: 18.3 %Lucas County18.3Williams County: 18.2 %Williams County18.2Belmont County: 18.1 %Belmont County18.1Franklin County: 18.1 %Franklin County18.1
%. 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

RankCounties2023 (%)Change on 2022
1Holmes County21.5-1.7 pts
2Pike County21-0.6 pts
2Scioto County21-0.7 pts
4Athens County20.9+1.3 pts
5Meigs County20.3-1.2 pts
6Jackson County20-0.2 pts
7Hardin County19.9-3.2 pts
8Adams County19.8-1.7 pts
9Gallia County19.60 pts
9Lawrence County19.6-1.7 pts
9Vinton County19.6-2.5 pts
12Ashtabula County19.5-0.3 pts
13Hocking County19.3-2.1 pts
14Fayette County19.2-2.3 pts
14Highland County19.2-1.8 pts
14Ross County19.2-1.9 pts
17Guernsey County19.1-2 pts
18Brown County18.9-1.4 pts
18Coshocton County18.9-1 pts
18Muskingum County18.9-0.1 pts
21Clark County18.8-0.9 pts
21Perry County18.8-1.7 pts
21Richland County18.8-0.6 pts
24Harrison County18.7-1 pts
24Jefferson County18.7-0.2 pts
24Marion County18.7-1.8 pts
27Crawford County18.6-1.9 pts
28Monroe County18.5-1.5 pts
28Morgan County18.5-0.5 pts
28Pickaway County18.5-0.7 pts
28Trumbull County18.5-2.6 pts
32Clinton County18.4-2.6 pts
32Tuscarawas County18.4-0.9 pts
34Allen County18.3-2 pts
34Carroll County18.3-1.8 pts
34Darke County18.3-0.9 pts
34Lucas County18.3-2.3 pts
38Williams County18.2-1 pts
39Belmont County18.1-1.9 pts
39Franklin County18.1+0.1 pts
39Morrow County18.1-2.7 pts
39Shelby County18.1-1.6 pts
43Ashland County18-1.8 pts
43Huron County18+0.3 pts
43Montgomery County18-1.9 pts
43Seneca County18-2.2 pts
47Columbiana County17.9-2 pts
47Logan County17.9-1.7 pts
47Preble County17.9-1.1 pts
50Butler County17.8-2 pts
50Paulding County17.8-2.3 pts
50Portage County17.8-1.2 pts
50Van Wert County17.8-0.9 pts
50Wayne County17.8-0.8 pts
55Champaign County17.7-1.6 pts
55Knox County17.7-1.4 pts
55Stark County17.7+0.5 pts
58Madison County17.6-2.6 pts
58Mahoning County17.6-1.3 pts
58Sandusky County17.6-1.4 pts
58Washington County17.6-1.4 pts
62Hancock County17.4-0.4 pts
62Lorain County17.4-2.2 pts
62Wood County17.4-2 pts
65Hamilton County17.3-2.2 pts
66Auglaize County17.2-0.3 pts
66Clermont County17.2-1 pts
66Defiance County17.2-1.4 pts
66Henry County17.2-2 pts
66Summit County17.2-0.5 pts
71Fulton County17.1-2.1 pts
71Licking County17.1-2 pts
71Mercer County17.1-1.3 pts
74Wyandot County17-1.1 pts
75Miami County16.9-0.9 pts
76Erie County16.8+0.7 pts
77Fairfield County16.6-2.7 pts
78Putnam County16.4-1 pts
79Greene County16.3-1.8 pts
79Noble County16.3-1.6 pts
81Lake County16.2-1.5 pts
82Cuyahoga County16.1-1.4 pts
82Union County16.1-0.5 pts
84Medina County15.8-1.1 pts
85Ottawa County15.5-0.9 pts
86Geauga County15.2-1.2 pts
86Warren County15.2-1.1 pts
88Delaware County13.5-2.3 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 Ohio by frequent mental distress in adults, local model estimate, 2023) [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 Ohio by frequent mental distress in adults, local model estimate, 2023. 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/ohio-counties. 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 Ohio by frequent mental distress in adults, local model estimate, 2023. 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-counties.

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 Ohio by frequent mental distress in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_ohio_by_2023,
  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 Ohio by frequent mental distress in adults, local model estimate, 2023}},
  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-counties. 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 Ohio by frequent mental distress in adults, local model estimate, 2023
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/ohio-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/ohio-counties.
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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Rank Counties in Ohio by frequent mental distress in adults, local model estimate using official data, and cite the source.
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Questions

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

Holmes County, with 21.5% in 2023, according to the Centers for Disease Control and Prevention.

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

Delaware County, with 13.5% in 2023.

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 Ohio: more rankings