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

Athens County had the highest frequent mental distress in adults, local model estimate of 88 counties in 2021, at 20%. Delaware County had the lowest, at 12.7%. The median was 16.6%. Source: the Centers for Disease Control and Prevention.

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Highest20Athens County
Lowest12.7Delaware County
Median16.688 counties

Map of counties, 2021

Adams County: 18.1 %Allen County: 16.8 %Ashland County: 17.1 %Ashtabula County: 17.5 %Athens County: 20 %Auglaize County: 15.5 %Belmont County: 16.3 %Brown County: 17.2 %Butler County: 16.2 %Carroll County: 15.9 %Champaign County: 16.3 %Clark County: 17.1 %Clermont County: 15.7 %Clinton County: 17.4 %Columbiana County: 16.8 %Coshocton County: 17.4 %Crawford County: 17 %Cuyahoga County: 15.8 %Darke County: 16.3 %Defiance County: 15.8 %Delaware County: 12.7 %Erie County: 15.2 %Fairfield County: 15.6 %Fayette County: 17.7 %Franklin County: 17.3 %Fulton County: 15.8 %Gallia County: 17.8 %Geauga County: 14.1 %Greene County: 15.4 %Guernsey County: 17.5 %Hamilton County: 15.7 %Hancock County: 15.1 %Hardin County: 18.4 %Harrison County: 16.7 %Henry County: 15.9 %Highland County: 18 %Hocking County: 17.5 %Holmes County: 19.7 %Huron County: 16.7 %Jackson County: 18.1 %Jefferson County: 17.3 %Knox County: 17 %Lake County: 14.9 %Lawrence County: 18 %Licking County: 15.8 %Logan County: 16.3 %Lorain County: 15.7 %Lucas County: 17.5 %Madison County: 16.3 %Mahoning County: 16.5 %Marion County: 16.9 %Medina County: 14.6 %Meigs County: 18.4 %Mercer County: 15.3 %Miami County: 15.3 %Monroe County: 16.6 %Montgomery County: 17.6 %Morgan County: 17.7 %Morrow County: 16.4 %Muskingum County: 17.5 %Noble County: 15.1 %Ottawa County: 14.4 %Paulding County: 16.4 %Perry County: 17.3 %Pickaway County: 16.7 %Pike County: 18.8 %Portage County: 16.2 %Preble County: 15.9 %Putnam County: 14.4 %Richland County: 17.1 %Ross County: 18 %Sandusky County: 15.7 %Scioto County: 18.5 %Seneca County: 16.7 %Shelby County: 16.7 %Stark County: 15.4 %Summit County: 16.2 %Trumbull County: 16.5 %Tuscarawas County: 16.6 %Union County: 15 %Van Wert County: 16.2 %Vinton County: 18.9 %Warren County: 13.9 %Washington County: 17.2 %Wayne County: 16.6 %Williams County: 16.3 %Wood County: 16.8 %Wyandot County: 15.6 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 and over
%, 2021. 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, 2021

Athens County: 20 %Athens County20Holmes County: 19.7 %Holmes County19.7Vinton County: 18.9 %Vinton County18.9Pike County: 18.8 %Pike County18.8Scioto County: 18.5 %Scioto County18.5Hardin County: 18.4 %Hardin County18.4Meigs County: 18.4 %Meigs County18.4Adams County: 18.1 %Adams County18.1Jackson County: 18.1 %Jackson County18.1Highland County: 18 %Highland County18Lawrence County: 18 %Lawrence County18Ross County: 18 %Ross County18Gallia County: 17.8 %Gallia County17.8Fayette County: 17.7 %Fayette County17.7Morgan County: 17.7 %Morgan County17.7Montgomery County: 17.6 %Montgomery County17.6Ashtabula County: 17.5 %Ashtabula County17.5Guernsey County: 17.5 %Guernsey County17.5Hocking County: 17.5 %Hocking County17.5Lucas County: 17.5 %Lucas County17.5Muskingum County: 17.5 %Muskingum County17.5Clinton County: 17.4 %Clinton County17.4Coshocton County: 17.4 %Coshocton County17.4Franklin County: 17.3 %Franklin County17.3Jefferson County: 17.3 %Jefferson County17.3Perry County: 17.3 %Perry County17.3Brown County: 17.2 %Brown County17.2Washington County: 17.2 %Washington County17.2Ashland County: 17.1 %Ashland County17.1Clark County: 17.1 %Clark County17.1Richland County: 17.1 %Richland County17.1Crawford County: 17 %Crawford County17Knox County: 17 %Knox County17Marion County: 16.9 %Marion County16.9Allen County: 16.8 %Allen County16.8Columbiana County: 16.8 %Columbiana County16.8Wood County: 16.8 %Wood County16.8Harrison County: 16.7 %Harrison County16.7Huron County: 16.7 %Huron County16.7Pickaway County: 16.7 %Pickaway County16.7Athens County: 20 %Athens County20Holmes County: 19.7 %Holmes County19.7Vinton County: 18.9 %Vinton County18.9Pike County: 18.8 %Pike County18.8Scioto County: 18.5 %Scioto County18.5Hardin County: 18.4 %Hardin County18.4Meigs County: 18.4 %Meigs County18.4Adams County: 18.1 %Adams County18.1Jackson County: 18.1 %Jackson County18.1Highland County: 18 %Highland County18Lawrence County: 18 %Lawrence County18Ross County: 18 %Ross County18Gallia County: 17.8 %Gallia County17.8Fayette County: 17.7 %Fayette County17.7Morgan County: 17.7 %Morgan County17.7Montgomery County: 17.6 %Montgomery County17.6Ashtabula County: 17.5 %Ashtabula County17.5Guernsey County: 17.5 %Guernsey County17.5Hocking County: 17.5 %Hocking County17.5Lucas County: 17.5 %Lucas County17.5Muskingum County: 17.5 %Muskingum County17.5Clinton County: 17.4 %Clinton County17.4Coshocton County: 17.4 %Coshocton County17.4Franklin County: 17.3 %Franklin County17.3Jefferson County: 17.3 %Jefferson County17.3Perry County: 17.3 %Perry County17.3Brown County: 17.2 %Brown County17.2Washington County: 17.2 %Washington County17.2Ashland County: 17.1 %Ashland County17.1Clark County: 17.1 %Clark County17.1Richland County: 17.1 %Richland County17.1Crawford County: 17 %Crawford County17Knox County: 17 %Knox County17Marion County: 16.9 %Marion County16.9Allen County: 16.8 %Allen County16.8Columbiana County: 16.8 %Columbiana County16.8Wood County: 16.8 %Wood County16.8Harrison County: 16.7 %Harrison County16.7Huron County: 16.7 %Huron County16.7Pickaway County: 16.7 %Pickaway 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

RankCounties2021 (%)
1Athens County20
2Holmes County19.7
3Vinton County18.9
4Pike County18.8
5Scioto County18.5
6Hardin County18.4
6Meigs County18.4
8Adams County18.1
8Jackson County18.1
10Highland County18
10Lawrence County18
10Ross County18
13Gallia County17.8
14Fayette County17.7
14Morgan County17.7
16Montgomery County17.6
17Ashtabula County17.5
17Guernsey County17.5
17Hocking County17.5
17Lucas County17.5
17Muskingum County17.5
22Clinton County17.4
22Coshocton County17.4
24Franklin County17.3
24Jefferson County17.3
24Perry County17.3
27Brown County17.2
27Washington County17.2
29Ashland County17.1
29Clark County17.1
29Richland County17.1
32Crawford County17
32Knox County17
34Marion County16.9
35Allen County16.8
35Columbiana County16.8
35Wood County16.8
38Harrison County16.7
38Huron County16.7
38Pickaway County16.7
38Seneca County16.7
38Shelby County16.7
43Monroe County16.6
43Tuscarawas County16.6
43Wayne County16.6
46Mahoning County16.5
46Trumbull County16.5
48Morrow County16.4
48Paulding County16.4
50Belmont County16.3
50Champaign County16.3
50Darke County16.3
50Logan County16.3
50Madison County16.3
50Williams County16.3
56Butler County16.2
56Portage County16.2
56Summit County16.2
56Van Wert County16.2
60Carroll County15.9
60Henry County15.9
60Preble County15.9
63Cuyahoga County15.8
63Defiance County15.8
63Fulton County15.8
63Licking County15.8
67Clermont County15.7
67Hamilton County15.7
67Lorain County15.7
67Sandusky County15.7
71Fairfield County15.6
71Wyandot County15.6
73Auglaize County15.5
74Greene County15.4
74Stark County15.4
76Mercer County15.3
76Miami County15.3
78Erie County15.2
79Hancock County15.1
79Noble County15.1
81Union County15
82Lake County14.9
83Medina County14.6
84Ottawa County14.4
84Putnam County14.4
86Geauga County14.1
87Warren County13.9
88Delaware County12.7

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 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, 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, 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/ohio-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 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-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 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-counties?period=2021 (Accessed: 12 October 2026).

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

Athens County, with 20% in 2021, 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 12.7% 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 Ohio: more rankings